Iranian Journal of Public Health最新文献

{"title":"Compassionate Care in a Health Education Setting: A Scoping Review.","authors":"Rina Jayanti, Sri Lestari, Taufik Taufik, Eny Purwandari","doi":"10.18502/ijph.v54i11.20383","DOIUrl":"10.18502/ijph.v54i11.20383","url":null,"abstract":"<p><strong>Background: </strong>Compassionate care represents a foundational value in healthcare education, essential for cultivating empathy and holistic patient engagement. Despite its recognized significance, integrating compassionate care into educational curricula remains complex. We systematically explored its conceptualization, implementation, and pedagogical strategies within health education to inform curriculum development and professional training.</p><p><strong>Methods: </strong>Scoping review using the Arksey and O'Malley framework. Literature search in Dec 2024 in the Scopus, Emerald Insight, and Wiley Online Library databases, English publications from the last 10 years, focussing on compassionate care in health education. Flow diagram for the PRISMA review scoping shows the search and selection procedures. Tools from the Joanna Briggs Institute (JBI) for thematic analysis. Overall, 4,119 articles were screened, and 21 studies met the inclusion criteria.</p><p><strong>Results: </strong>Compassionate care enhances empathy, communication, and professional behaviour among students. Development is carried out through experiential learning, narrative reflection, clinical practice, and the role of mentors. Programs like the Kind Care Bundle and empathy training have proven effective. However, implementation faces obstacles such as academic pressure, a rigid educational culture, and a lack of communication training. A structured curriculum approach and an inclusive learning environment are necessary to sustainably cultivate compassion competence in health education.</p><p><strong>Conclusion: </strong>Compassionate care is an essential component in healthcare education that contributes to the formation of empathetic attitudes and patient-centered care. The integration of compassion values into the curriculum through reflective approaches, clinical practice, and mentorship guidance is important to produce competent, humanistic healthcare professionals who are ready to face the challenges of professional practice.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2367-2378"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and Testing the Validity of a Needs-Based Communication Program for New Korean Nurses' Organizational Adaptation.","authors":"Jung-Ha Park, Heejung Yu","doi":"10.18502/ijph.v54i11.20389","DOIUrl":"10.18502/ijph.v54i11.20389","url":null,"abstract":"<p><strong>Background: </strong>We developed a needs-based communication program for fostering the organizational adaptation of new Korean nurses. It tested the program's effects on their intentions to stay in their job, burnout, fear of negative evaluations, self-encouragement, workplace friendships, communication, and nonviolent communication.</p><p><strong>Methods: </strong>The communication program was developed based on the nonviolent communication approach. Its effectiveness was tested using a non-equivalent control group pretest-posttest design. The participants were Korean nurses with less than six months of experience working in general hospitals located in Busan City and Gyeongsangnam-do Province, Republic of Korea. The experimental group, comprising 49 participants, underwent the needs-based communication program consisting of daily workshops and weekly practice sessions for eight weeks. The control group, comprising 44 participants, received no treatment. The data were collected from May to July, 2025, and analyzed using descriptive statistics, χ² test, <i>t</i>-test, analysis of covariance, ranked analysis of covariance, Wilcoxon signed-rank test, Fisher's exact test, and McNemar's test.</p><p><strong>Results: </strong>Compared to the control group, the experimental group showed significantly improved intentions to stay in the job, self-encouragement, workplace friendships, communication, and nonviolent communication (<i>P</i><0.05). However, burnout and fear of negative evaluations did not differ between the two groups (<i>P</i>>0.05).</p><p><strong>Conclusion: </strong>The needs-based communication program can be applied to new nurses' introductory training curricula and is expected to enhance their adaptation to clinical practice.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2444-2453"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digestive Stability and Enzyme Inhibitory Potential of <i>Dillenia indica</i> L. Bark Extract: Implications for Public Health in Aging Populations.","authors":"Bo-Rim Song, Sang-Han Lee","doi":"10.18502/ijph.v54i11.20397","DOIUrl":"10.18502/ijph.v54i11.20397","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2536-2538"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban Planning for Climate Resilience: A Public Health Imperative.","authors":"Mehdi Rezaei, Sam Hun Park","doi":"10.18502/ijph.v54i11.20400","DOIUrl":"10.18502/ijph.v54i11.20400","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2543-2545"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying Health-Related Risk Factors Associated with Breast and Prostate Cancer Burden: The Role of Trends and Disparities in Obesity and Cholesterol.","authors":"Seyyed-Ghavam Shafagh, Mohammadreza Soltaninejad, Parvaneh Dehghan, Malihe Babahaji, Seyedeh Nahid Seyedhasani, Mina Rezaei, Mohsen Poursadeghiyan, Milad Ahangarzadeh, Elham Karimi, Sajjad Rahimi","doi":"10.18502/ijph.v54i11.20394","DOIUrl":"10.18502/ijph.v54i11.20394","url":null,"abstract":"<p><strong>Background: </strong>We aimed to identify and quantify trends and disparities in the burden of breast and prostate cancer associated with health-related risk factors.</p><p><strong>Methods: </strong>Cancer outcomes data, such as age-standardized rate of incidence, prevalence, and mortality were retrieved by year and country. The sociodemographic index (SDI) and human development index (HDI) was extracted from Global Burden of Disease (GBD) 2021 study and the Human Development Report. Univariate and linear regression analyses were uded to explore mean differences and correlation between cancer outcomes and independent variables.</p><p><strong>Results: </strong>During their decades, there was an upward trend in age-standardized rate of incidence and prevalence for breast cancer (EAPC=0.15 and 0.09, respectively) and prostate cancer (EAPC=0.12 and 0.27, respectively), but a downward trend in age-standardized rate of mortality for breast (EAPC=-0.14) and prostate cancer (EAPC=-0.17). Over time, the prevalence of obesity and overweight increased by 54% and 34%, respectively. An upward trend in the non-HDL level was observed among middle-SDI (+3.76%), lower-middle-SDI (+6.92%), and low-SDI (+14.14%) countries, whereas the opposite trend was observed for high-middle-SDI (-10.12%) and high-SDI (-25.07%) regions. Multivariable regression revealed that the HDI was the main factors affecting cancer outcomes, especially for the prevalence (beta=0.73, <i>P</i><0.001) and incidence of prostate cancer (beta=0.59, <i>P</i><0.001).</p><p><strong>Conclusion: </strong>Disparities in risk factors of cancer outcomes across different regions highlight the need for indispensable actions and policies on the implementation and evaluation of prevention programs among countries to address this problem.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2500-2510"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Microbial Factors, Trace Elements, and Important Biological Indicators in Children with Autism Spectrum Disorder: A Meta-Analysis.","authors":"Keli Qu, Zhiliang Gao, Cong Chang, Meizhe Gao","doi":"10.18502/ijph.v54i11.20382","DOIUrl":"10.18502/ijph.v54i11.20382","url":null,"abstract":"<p><strong>Background: </strong>We examined and compared microbiological variables, trace elements, and biological markers in autistic children.</p><p><strong>Methods: </strong>Several databases, including the Cochrane Library, PubMed, OVID, Google Scholar, and Embase, were utilized for data collection and analysis. We studied meta-analysis data and used a continuous model with fixed or random effects to get mean differences (MD) with 95% confidence intervals (CIs). Twenty-seven studies involving 2557 children from 2014 to 2024 were analyzed.</p><p><strong>Results: </strong>Autism spectrum disorder had significantly higher C-reactive protein (MD, 1.25; 95% CI, 0.11^ndash;2.39, <i>P</i>=0.03), interleukin 6 (MD: 2.80; 95%CI, 1.13-4.46, <i>P</i>=0.001), serotonin (MD, 111.92; 95%CI, 63.75-160.09, <i>P</i><0.001), <i>Faecalibacterium</i> (MD, 0.48; 95%CI: 0.29-0.66, <i>P</i><0.001), and <i>Parabacteroides</i> (MD, 0.20; 95%CI: 0.14-0.26, <i>P</i><0.001), lower oxytocin (MD, -53.24; 95% CI, -73.39--33.09, <i>P</i><0.001), and serum iron (MD, -5.78; 95% CI, -9.43--2.13, <i>P</i>=0.002) compared to control in children.</p><p><strong>Conclusion: </strong>Autism spectrum disorder had significantly higher C-reactive protein, interleukin-6, serotonin, <i>Faecalibacterium</i>, <i>Parabacteroides</i>, lower oxytocin, and serum iron compared to control in children. Further research studies with larger sample sizes are needed.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2356-2366"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Care in Obstetrics and Breastfeeding Practices in Gestational Diabetic Mothers in China: A Systematic Review and Meta-Analysis.","authors":"Yunyan Deng, Ling Yang, Yan Li, Huaping Han","doi":"10.18502/ijph.v54i11.20384","DOIUrl":"10.18502/ijph.v54i11.20384","url":null,"abstract":"<p><strong>Background: </strong>Despite the fact that nursing care and breastfeeding practices are among the most important aspects of effective GDM management, the impact of these practices is still underexplored. We aimed to assess the effectiveness of obstetric nursing care and the impact on the outcomes of breastfeeding among gestational diabetes mothers.</p><p><strong>Methods: </strong>A total of 522 records were found after conducting exhaustive searches in the databases of PubMed, Web of Knowledge, and the Cochrane Library. After eliminating duplicates and screening criteria, there were five studies with 3180 participants, 1377 of whom were experimental and 1803 of whom were control. The effects of nursing interventions on body mass index (BMI), fasting plasma glucose (FPG), and HbA1c levels, subgroup analyses were carried out.</p><p><strong>Results: </strong>Individual studies suggested benefits in breastfeeding practices, but the study found no significant difference between the nursing and control groups (0.27, 95% CI: 0.05-1.57, <i>P</i> = 0.14). Studies showed that general care worked best for mothers with normal body mass indexes yet mothers with hyperglycemia needed more specific treatments. The findings demonstrate the necessity to interpret results with caution because they appeared affected by heterogeneity along with publication bias.</p><p><strong>Conclusion: </strong>The nursing interventions which support breastfeeding practices and glycemic management perform best when they target mothers with gestational diabetes by monitoring their body mass index and blood glucose levels. Future research needs to accomplish a clear confirmation of these results involving HbA1c and FPG metrics because of their ambiguous nature.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2379-2394"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Decade of Challenges from Standardized Residency Training: Urgent Reform Needed in China's Clinical Medical Undergraduate Internship Education.","authors":"Boyang Li, Zhimin Wu, Yipeng Pan, Yi Chen","doi":"10.18502/ijph.v54i11.20398","DOIUrl":"10.18502/ijph.v54i11.20398","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2539-2540"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Significance of Coagulation Tests for the Prevention and Treatment of Disseminated Intravascular Coagulation: A Meta-Analysis.","authors":"Lili Chen, Yangyang Zhang, Qiqi Ni","doi":"10.18502/ijph.v54i11.20380","DOIUrl":"10.18502/ijph.v54i11.20380","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess the clinical significance of obstetric coagulation tests in the prevention and treatment of disseminated intravascular coagulation (DIC) and to analyze the characteristics of changes in key coagulation indicators during pregnancy and delivery.</p><p><strong>Methods: </strong>The system searched PubMed, Embase, Scopus, Web of science, Wanfang Data knowledge service platform, VIP and China Knowledge Network databases for relevant literature from inception to Aug 2024. Two researchers independently screened the literature, extracted the information and evaluated the risk of bias of the included studies. Statistical analysis was performed using Stata/SE 16.0 software.</p><p><strong>Results: </strong>Twelve studies involving 2531 cases were included. Key findings versus non-pregnant women showed: significantly higher maternal D-dimer (Mean Difference (MD)=1.08, 95% Confidence Interval (CI): 0.61, 1.56) and fibrinogen (MD=1.57, 95%CI: 1.04, 2.10); and lower prothrombin time (PT) (MD=1.13, 95%CI: 0.43, 1.83) and activated partial thromboplastin time (APTT) (MD=0.73, 95%CI: 0.31, 1.16). Longitudinal trends across pregnancy trimesters were also significant: D-dimer increased from 0.24 mg/L to 0.46 mg/L and 0.72 mg/L (<i>P</i>=0.02); fibrinogen rose from 3.94 g/L to 4.38 g/L and 5.05 g/L (<i>P</i><0.001); and PT demonstrated statistically significant changes (<i>P</i>=0.00).</p><p><strong>Conclusion: </strong>Obstetric coagulation tests effectively reflect changing coagulation status during pregnancy, providing great value for early DIC prevention and intervention. Regular monitoring of key indices can help optimize clinical DIC management and offer more comprehensive strategies for obstetric patients.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2325-2341"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the Cycle: How Child Abuse and Neglect Ignite the Path to Addiction.","authors":"Nader Aghakhani, Béatrice Marianne Ewalds-Kvist, Sina Aghakhani, Pedram Abolfathpour","doi":"10.18502/ijph.v54i11.20401","DOIUrl":"10.18502/ijph.v54i11.20401","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2546-2547"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}