Health Care Science最新文献

{"title":"Seroepidemiological Assessment of Bordetella pertussis in Jahrom, Southern Iran: A Cross-Sectional Study","authors":"Rahim Raufi,&nbsp;Fatemeh Zareian-Jahromi,&nbsp;Saba Zangeneh,&nbsp;Jalil Rajabi,&nbsp;Reza Shahriarirad","doi":"10.1002/hcs2.70000","DOIUrl":"https://doi.org/10.1002/hcs2.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p><i>Bordetella pertussis</i>, the causative agent of whooping cough, is a significant contributor to recurrent persistent cough across all age groups, including vaccinated individuals. This seroepidemiological study aims to address the gap in understanding pertussis incidence by investigating its occurrence in individuals with persistent cough and describing the characteristics of affected patients admitted to clinical centers in Jahrom, Southwest Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study enrolled 110 patients with a cough persisting for at least 2 weeks, admitted to clinical centers in Jahrom, Iran. Blood samples were collected at baseline and on day 21 of follow-up. Serum samples were analyzed for anti-pertussis toxin immunoglobulin G (anti-PT-IgG) levels using an enzyme-linked immunosorbent assay. Demographic factors, including age, gender, occupation, area of residence, and family size, were also evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 110 participants, 77 (70%) were female, and seven patients (6.4%) tested seropositive for anti-PT-IgG. No significant associations were observed between pertussis incidence and the analyzed variables, including age, gender, occupation, area of residence (urban vs. rural), and family size (<i>p</i> &gt; 0.05). These findings underscore the importance of enhancing vaccination coverage to reduce the prevalence of <i>B. pertussis</i> in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the occurrence of pertussis in individuals presenting solely with a persistent cough, absent of classic symptoms. The findings emphasize the need for healthcare providers to conduct detailed assessments and utilize rapid diagnostic methods for timely detection. This is particularly crucial in regions with high vaccination rates but limited awareness of pertussis recurrence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Timing of the Initiation of Physical Therapy Post-Rotator Cuff Repair Impact Shoulder Function?","authors":"Reivian Berrios Barillas,&nbsp;James Irrgang","doi":"10.1002/hcs2.70001","DOIUrl":"https://doi.org/10.1002/hcs2.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rehabilitation typically restores shoulder function after a common rotator cuff repair; however, it is unclear when to initiate physical therapy (PT) post-surgery. To understand effective start times, this study analyzed PT start times and their effect on shoulder function. The most effective shoulder outcomes were hypothesized to occur when PT started 0<b>–</b>4 weeks post-surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 1002 patients who underwent rotator cuff repair were analyzed retrospectively from 52 outpatient clinics in the years of 2016<b>–</b>2021. The primary data of timings between surgery and the start of PT (0–2 weeks [0–14 days], 2–4 weeks [15–28 days], 4–6 weeks [29–42 days], and 6–14 weeks [43–100 days]), change in functional shoulder scores, number of PT visits utilized, and functional scores changed per visit were analyzed. Regression analyses of the impact of age, sex, payor source, and tear size were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The change in functional scores and functional scores changed per visit are not affected by the initiation timing of PT post- rotator cuff surgery, when controlling for baseline functional scores. This result is revealed despite initial functional scores being significantly different. Functional scores change per visit may have been affected by payor source (<i>R</i>² = 0.004, <i>p</i> ≤ 0.010). PT start times may have been impacted by age (<i>R</i>² = 0.010, <i>p</i> = 0.007), payor source (<i>R</i>² = 0.016, <i>p</i> = 0.001), and tear size (<i>R</i>² = 0.007, <i>p</i> = 0.026). Payor source may have influenced the number of PT visits (<i>R</i>² = 0.060, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>After rotator cuff surgery, patients should choose to complete rehabilitation to optimize shoulder function. However, the initiation timing of PT may not affect functional shoulder outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional Literacy for Individual Oral Health Among Village Health Volunteers in Public Health Region 1 of Thailand","authors":"Chollada Sorasak,&nbsp;Worayuth Nak-Ai,&nbsp;Choosak Yuennan,&nbsp;Mansuang Wongsapai","doi":"10.1002/hcs2.131","DOIUrl":"https://doi.org/10.1002/hcs2.131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral health issues persistently affect the overall health and well-being of rural populations. Village health volunteers (VHVs) play a crucial role in advancing oral health literacy in their community. This study aimed to examine the factors related to nutritional literacy for oral health among VHVs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a mixed-methods study employing an explanatory sequential design. The quantitative data were gathered through questionnaires distributed to a cohort of 10,514 VHVs registered in Health Region 1. A stratified random sampling technique was used to ensure adequate representation of various subgroups within the VHV population, considering factors such as age, education level, and geographical distribution across the region. This approach allowed for a more representative sample that accurately reflects the diversity of the VHV population. Qualitative data were obtained through semi-structured interviews with a purposive sampling of 20 participants based on specific criteria. Quantitative data were analyzed using descriptive statistics and biserial correlation techniques, while qualitative data were analyzed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that the sample group possessed a moderate level of knowledge of health literacy principles and nutrition for oral health. However, their self-assessed skills in nutritional literacy for oral health were rated as high. A statistically significant negative correlation was found between knowledge of nutrition for oral health and skills in nutritional literacy for oral health. VHVs equated health literacy with knowledge because their public health training had focused more on imparting knowledge rather than developing skills based on health literacy principles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a need to emphasize skill-based health literacy training and to use effective skill development techniques that are tailored to the specific roles and responsibilities of health volunteers. It is also recommended to continuously monitor and evaluate the outcomes of these efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"25-34"},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Climate Change on Emerging Infectious Diseases and Human Physical and Mental Health in Bangladesh","authors":"Md. Siddikur Rahman,&nbsp;Afiya Antara Anika,&nbsp;Rafia Amin Raka,&nbsp;Ajlina Karamehic Muratovic","doi":"10.1002/hcs2.129","DOIUrl":"https://doi.org/10.1002/hcs2.129","url":null,"abstract":"<p>This study aims to give possible solutions to the impact of climate change on the nation's physical and mental health and emerging infectious diseases. Improving Bangladesh's healthcare, response, and data collection systems is a public health emergency.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflecting on Achievements and Renewing Our Vision","authors":"Zongjiu Zhang,&nbsp;Tien Yin Wong,&nbsp;Haibo Wang,&nbsp;Jiefu Huang","doi":"10.1002/hcs2.127","DOIUrl":"https://doi.org/10.1002/hcs2.127","url":null,"abstract":"&lt;p&gt;As we bring 2024 to a close and step into the promise of 2025, it is a moment to celebrate our accomplishments, revisit our commitments, and chart the course ahead for &lt;i&gt;Health Care Science&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;This year marked extraordinary growth for &lt;i&gt;Health Care Science&lt;/i&gt;. We received a total of 225 manuscript submissions—a remarkable 55.8% increase from the previous year. Thanks to the dedication and expertize of our reviewers and editorial team, we maintained an average review time of just 35 days, ensuring a swift and rigorous editorial process.&lt;/p&gt;&lt;p&gt;Another milestone was our journal's inclusion in prominent indexing platforms such as DOAJ, Scopus, PubMed Central, and ESCI. These achievements enhance the visibility and accessibility of our published work, and we are now preparing to apply for indexing in MEDLINE, further expanding our reach within the global academic community.&lt;/p&gt;&lt;p&gt;The breadth of topics covered by &lt;i&gt;Health Care Science&lt;/i&gt; in 2024 reflects its commitment to interdisciplinary research and its role as a platform for addressing pressing challenges in healthcare.&lt;/p&gt;&lt;p&gt;Post-pandemic, we took the opportunity to reflect on preparedness and response, publishing impactful papers such as &lt;i&gt;“Innovative public strategies in response to COVID-19: A review of practices from China”&lt;/i&gt; [&lt;span&gt;1&lt;/span&gt;]. Global health and policy issues remain a central focus, as highlighted by articles such as &lt;i&gt;“The African Medicines Agency and Medicines Regulation: Progress, challenges, and recommendations”&lt;/i&gt; [&lt;span&gt;2&lt;/span&gt;], which explores the evolving role of regulatory frameworks in medicines access. Our commitment to improving healthcare management and practices is evident in studies like &lt;i&gt;“Improving transitional care after acute myocardial infarction: A scoping review”&lt;/i&gt; [&lt;span&gt;3&lt;/span&gt;]. Ethical issues were highlighted in discussions of clinical xenotransplantation [&lt;span&gt;4&lt;/span&gt;] and systematic reviews of ethical approvals in medical reporting [&lt;span&gt;5&lt;/span&gt;], as well as the dedicated editorial to &lt;i&gt;the 2024 revision of the Declaration of Helsinki (DoH)&lt;/i&gt; [&lt;span&gt;6&lt;/span&gt;], indicating a strong focus on the social dimensions of health care.&lt;/p&gt;&lt;p&gt;More importantly, this year, &lt;i&gt;Health Care Science&lt;/i&gt; put a strong emphasis on innovations in digital health and AI, with articles on the deployment of machine learning in healthcare (&lt;i&gt;“Toward real-world deployment of machine learning for health care: External validation, continual monitoring, and randomized clinical trials”&lt;/i&gt; [&lt;span&gt;7&lt;/span&gt;]), advancements in medical imaging (&lt;i&gt;“Leveraging anatomical constraints with uncertainty for pneumothorax segmentation”&lt;/i&gt; [&lt;span&gt;8&lt;/span&gt;]), evaluation of large language models in healthcare (&lt;i&gt;“A systematic evaluation of the performance of GPT-4 and PaLM2 to diagnose comorbidities in MIMIC-IV patients”&lt;/i&gt; [&lt;span&gt;9&lt;/span&gt;]), and the broader impact of modern technologies on healthcare systems (&lt;i&gt;“Revolutionizing healthcare and medicine: The","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovations in Digital Health From a Global Perspective: Proceedings of PRC-HI 2024","authors":"Xiaoru Feng,&nbsp;Yu Sun,&nbsp;You Wu,&nbsp;Haibo Wang,&nbsp;Yang Wu","doi":"10.1002/hcs2.128","DOIUrl":"https://doi.org/10.1002/hcs2.128","url":null,"abstract":"&lt;p&gt;The rapid evolution of digital health technologies has sparked transformative changes across the healthcare landscape. These advancements were at the heart of discussions during the recent academic conference co-organized by The First Affiliated Hospital, Sun Yat-sen University (FAH-SYSU) and University of California at Berkeley, the Pacific-Rim Conference on Healthcare Innovation (PRC-HI 2024), convening under the theme “The Future of Medicine: Integrating Robotics, AI and Healthcare.” This article distills the key developments and their implications for the future of healthcare, focusing on innovations in robotic surgery, health data science, and AI for medicine.&lt;/p&gt;&lt;p&gt;Robotic surgery has become a cornerstone of modern surgical practices, offering enhanced precision, reduced recovery times, and lower complication rates. Dr. Xiaoyu Yin detailed advancements in robot-assisted pancreatic surgeries at FAH-SYSU, emphasizing the hospital's extensive experience with the Da Vinci surgical system. Since 2015, Dr. Yin has performed over 1000 robotic surgeries, including nearly 700 pancreatic resections. These procedures included advanced techniques such as robot-assisted Whipple procedures, organ-preserving pancreatectomies, and total pancreatectomies. His presentation highlighted the learning curves associated with these complex procedures, showcasing research on iterative improvements in surgical outcomes through case refinement and skill enhancement [&lt;span&gt;1, 2&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Similarly, Dr. Junhang Luo presented a novel “gradual renal segmental artery off-clamping” technique for treating large renal tumors. By utilizing preoperative computed tomography (CT) reconstructions, the technique identifies renal arterial branches, allowing surgeons to precisely minimize ischemia to healthy tissue while ensuring effective tumor removal. Clinical data revealed significantly shorter ischemia times, reduced blood loss, and improved long-term renal function compared to traditional methods.&lt;/p&gt;&lt;p&gt;Dr. Qingbo Huang shared groundbreaking work on robotic telesurgery, particularly focusing on its applications in regions with limited medical resources. Through successful demonstrations of remote surgeries between Beijing and distant locations such as Sanya, Dr. Huang's research highlighted how low-latency communication networks and advanced robotic systems can overcome geographical barriers [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Dr. Chao Cheng discussed the application of robotic surgery in thoracic procedures, particularly for lung cancer and large thymoma. His presentation highlighted how robotic systems enhance surgical precision and reduce recovery times, with notable success in segmentectomies and thymectomies [&lt;span&gt;4&lt;/span&gt;]. The integration of 3D visualization and enhanced dexterity offered by robotic systems has transformed the management of challenging thoracic cases [&lt;span&gt;5, 6&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Dr. Peter Nyirady presented on the potential of robotic surgery in addressing gl","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"4 1","pages":"66-69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study protocol: A national cross-sectional study on psychology and behavior investigation of Chinese residents in 2023","authors":"Diyue Liu,&nbsp;Siyuan Fan,&nbsp;Xincheng Huang,&nbsp;Wenjing Gu,&nbsp;Yifan Yin,&nbsp;Ziyi Zhang,&nbsp;Baotong Ma,&nbsp;Ruitong Xia,&nbsp;Yuanwei Lu,&nbsp;Jingwen Liu,&nbsp;Hanjia Xin,&nbsp;Yumeng Cao,&nbsp;Saier Yang,&nbsp;Runqing Li,&nbsp;Han Li,&nbsp;Ji Zhao,&nbsp;Jin Zhang,&nbsp;Zheng Gao,&nbsp;Yaxin Zeng,&nbsp;Yixiao Ding,&nbsp;Zhuolun Ren,&nbsp;Yan Guan,&nbsp;Na Zhang,&nbsp;Jia Li,&nbsp;Yan Ma,&nbsp;Pei Wei,&nbsp;Jingjing Dong,&nbsp;Yajing Zhou,&nbsp;Yong Dong,&nbsp;Yan Qian,&nbsp;Chen Chen,&nbsp;Yujie Zhao,&nbsp;Yimiao Li,&nbsp;Yujia Zheng,&nbsp;Rongyi Chen,&nbsp;Xiaomeng Li,&nbsp;Yuke Han,&nbsp;Yaoyao Xia,&nbsp;Huixin Xu,&nbsp;Zhaolin Wu,&nbsp;Mingyou Wu,&nbsp;Xinrui Wu,&nbsp;Junyi Hou,&nbsp;Yuelai Cai,&nbsp;Xiaofan Dai,&nbsp;Wenbo Li,&nbsp;Ting Nie,&nbsp;Chongzhe Zhang,&nbsp;Xiaoya Wang,&nbsp;Dan Li,&nbsp;Siyao Yan,&nbsp;Zhiheng Yi,&nbsp;Chenxi Liu,&nbsp;Xinyue Zhang,&nbsp;Lei Shi,&nbsp;Haomiao Li,&nbsp;Feng Jiang,&nbsp;Xiaoming Zhou,&nbsp;Xinying Sun,&nbsp;Yibo Wu,&nbsp;Psychology and Behavior Investigation of Chinese Residents project team","doi":"10.1002/hcs2.125","DOIUrl":"10.1002/hcs2.125","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study protocol specifies the primary research line and theoretical framework of the 2023 Survey of the Psychology and Behavior of the Chinese Population. It aims to establish a consistent database of Chinese residents' psychological and behavioral surveys through multi-center and large-sample cross-sectional surveys to provide robust data support for developing research in related fields. It will track the public's physical and psychological health more comprehensively and systematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted from June 20, 2023 to August 31, 2023, using stratified and quota sampling methods. A total of 150 cities across 800 communities/villages were surveyed, selected from China (Despite extensive coordination, we have been unable to contact our counterparts in the Taiwan region of China to obtain relevant statistical data). The questionnaires were distributed to the public one-on-one and face-to-face by trained surveyors. The questionnaires included basic information about the individual, personal health status, basic information about the family, the social environment in which the individual lives, psychological condition scales, behavioral level scales, other scales, and attitudes towards topical social issues. Supervisors conducted quality control during the distribution process and returned questionnaires, logically checked and cleaned for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Data collection has been finished, and scientific outputs based on this data will support the development of health promotion strategies in China and globally. In the aftermath of the pandemic, it will guide policymakers and healthcare organizations to improve their existing policies and services to maximize the physical and mental health of the Chinese population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>This study was filed in the National Health Security Information Platform (Record No.: MR-37-23-017876) and officially registered in the China Clinical Trials Registry (Registration No.: ChiCTR2300072573).</p>\u0000 </section>\u0000 </div>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"3 6","pages":"475-492"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiving in Asia: Priority areas for research, policy, and practice to support family caregivers","authors":"Nan Jiang,&nbsp;Bei Wu,&nbsp;Yan Li","doi":"10.1002/hcs2.124","DOIUrl":"10.1002/hcs2.124","url":null,"abstract":"<p>Population aging presents a growing societal challenge and imposes a heavy burden on the healthcare system in many Asian countries. Given the limited availability of formal long-term care (LTC) facilities and personnel, family caregivers play a vital role in providing care for the increasing population of older adults. While awareness of the challenges faced by caregivers is rising, discussions often remain within academic circles, resulting in the lived experiences, well-being, and needs of family caregivers being frequently overlooked. In this review, we identify four key priority areas to advance research, practice, and policy related to family caregivers in Asia: (1) Emphasizing family caregivers as sociocultural navigators in the healthcare system; (2) addressing the mental and physical health needs of family caregivers; (3) recognizing the diverse caregiving experiences across different cultural backgrounds, socioeconomic status, and countries of residence; and (4) strengthening policy support for family caregivers. Our review also identifies deficiencies in institutional LTC and underscores the importance of providing training and empowerment to caregivers. Policymakers, practitioners, and researchers interested in supporting family caregivers should prioritize these key areas to tackle the challenge of population aging in Asian countries. Cross-country knowledge exchange and capacity development are crucial for better serving both the aging population and their caregivers.</p>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"3 6","pages":"374-382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative public strategies in response to COVID-19: A review of practices from China","authors":"You Wu,&nbsp;Zijian Cao,&nbsp;Jing Yang,&nbsp;Xinran Bi,&nbsp;Weiqing Xiong,&nbsp;Xiaoru Feng,&nbsp;Yue Yan,&nbsp;Zeyu Zhang,&nbsp;Zongjiu Zhang","doi":"10.1002/hcs2.122","DOIUrl":"10.1002/hcs2.122","url":null,"abstract":"<p>The COVID-19 pandemic presented unparalleled challenges to prompt and adaptive responses from nations worldwide. This review examines China's multifaceted approach to the crisis, focusing on five key areas of response: infrastructure and system design, medical care and treatment, disease prevention and control, economic and social resilience, and China's engagement in global health. This review demonstrates the effectiveness of a top-down command system at the national level, intersectoral coordination, a legal framework, and public social governance. This study also examines medical care and treatment strategies, highlighting the importance of rapid emergency response, evidence-based treatment, and well-planned vaccination rollout. Further discussion on disease prevention and control measures emphasizes the importance of adaptive measures, timely infection control, transmission interruption, population herd immunity, and technology applications. Socioeconomic impact was also assessed, detailing strategies for disease prevention, material supply, livelihood preservation, and social economy revival. Lastly, we examine China's contributions to the global health community, with a focus on knowledge-sharing, information exchange, and multilateral assistance. While it is true that each nation's response must be tailored to its own context, there are universal lessons to be drawn from China's approach. These insights are pivotal for enhancing global health security, especially as the world navigates evolving health crises.</p>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"3 6","pages":"383-408"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sixty years of ethical evolution: The 2024 revision of the Declaration of Helsinki (DoH)","authors":"Haihong Zhang,&nbsp;You Wu,&nbsp;Haibo Wang,&nbsp;Weili Zhao,&nbsp;Yali Cong","doi":"10.1002/hcs2.126","DOIUrl":"10.1002/hcs2.126","url":null,"abstract":"&lt;p&gt;On October 19, 2024, the 75th General Assembly of the World Medical Association (WMA) in Finland adopted the latest version of the Declaration of Helsinki (DoH)—Ethical Principles for Medical Research Involving Human Participants [&lt;span&gt;1&lt;/span&gt;] (hereafter referred to as “the Declaration”). This revision process took 30 months, with the working group comprising representatives from medical associations in 19 countries and regions. From April 2022 to September 2024, the working group held eight regional expert meetings and two times global consultations, gathering suggestions from both experts and the general public [&lt;span&gt;2&lt;/span&gt;]. Besides, the working group developed regular online meeting working mechanisms.&lt;/p&gt;&lt;p&gt;Basically, the general ethical principles for respecting and protecting human participants are stable over time, while more tailored interpretations and justifications should be adapted in a timely manner. The revision focused on alignment with wide-accepted ethical guidelines at the international level, emphasizing coherence with other related documents within, and beyond the WMA. The Declaration emphasises the overarching principles and does not delve into many specifics; however, its core principles remain universally applicable.&lt;/p&gt;&lt;p&gt;While these revisions represent significant progress, some also reflect substantial compromises. Notably, to strengthen the protection of research participants’ rights and well-being, the Declaration reaffirms that “&lt;i&gt;These purposes can never take precedence over the rights and interests of individual research participants&lt;/i&gt;” and requires all stakeholders, including individuals, teams, and organizations involved in medical research to adhere to ethical principles that respect for and protect of research participants [&lt;span&gt;7&lt;/span&gt;]. Given the WMA's mandate as a global organization of physicians, the term “&lt;i&gt;medical research&lt;/i&gt;” was retained rather than adopting broader terminology such as “health-related research.” However, the document refers to “&lt;i&gt;physicians&lt;/i&gt;,” or “&lt;i&gt;physicians and other researchers&lt;/i&gt;” in constituent paragraphs, acknowledging both the critical role of physicians in medical practices and the specialized division of roles in research involving human participants. Compared to the 2013 version, the new Declaration strengthens researchers' responsibilities and protections for research participants (e.g., Articles 9, 10, 12, 17, 21, 23, 32, and 34), increasing the instances of the word “must” from 46 to 58 and clarifying the distinction between “&lt;i&gt;should&lt;/i&gt;” and “&lt;i&gt;must&lt;/i&gt;.”&lt;/p&gt;&lt;p&gt;Renaming “&lt;i&gt;subjects&lt;/i&gt;” as “&lt;i&gt;participants&lt;/i&gt;” not only mandates respect for participants' rights and agency but also calls for a partnership between researchers and participants. Developing such partnership requires that physicians/researchers strictly fulfill their duties, with the best interests of patients, including those participating in research, as the priority, promoting and ","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"3 6","pages":"371-373"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}