Health Science Reports最新文献

{"title":"Perspectives on Continuing Care, From Home Care to Long-Term Care, for Older People Living With HIV: A Cross-Sectional Study","authors":"Jacqueline M. McMillan, Jessica Dalere, Farwa Naqvi, Vivian Ewa, Raynell Lang, Raman Brar, Katrina Milaney, Jeffrey A. Bakal, Hartmut B. Krentz, Patrick B. Quail, Caley B. Shukalek, Jenine Leal, Nolan E. Hill, Mark Randall, M. John Gill","doi":"10.1002/hsr2.70578","DOIUrl":"10.1002/hsr2.70578","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Older (≥ 50 years) persons living with human immunodeficiency virus (PLWH) comprise the majority of individuals receiving HIV care in high-income countries. PLWH experience the challenges of aging at earlier ages and accelerated rates, compared to people without HIV. Older PLWH who may benefit from more support may hesitate due to fear of stigma, discrimination, or past experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We assessed the views of older PLWH through an online survey. We sought participants' views, experiences, knowledge and preferences for delivery of continuing care support in Alberta, Canada. Participants were invited during clinic visits at the Southern Alberta Clinic in Calgary, Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 316 participants completed the survey. The mean age was 61 years (standard deviation ± 8) and 83.5% (<i>n</i> = 264) were men. Ten percent of participants (<i>n</i> = 32) currently receive help with activities of daily living, 70% of which was provided by family/friends. Nine percent expressed concern with receiving help, including financial (54%), loss of independence (31%), and privacy concerns (31%). Nearly 47% expressed concern about healthcare providers' knowledge of HIV, 63% expressed concern about their medical information being kept confidential, and 64% expressed concern about other residents learning of their HIV diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite a need, many older PLWH are hesitant to accept home care or move into supportive, facility-based living. This leaves a potential void in the necessary provision of care. This must be addressed to ensure equity, diversity, and inclusion, and to remove barriers in accessing health and social supports. The solutions to this urgent need lie with those with lived experience who can inform healthcare providers and policy-makers. To start, healthcare providers and policymakers must educate staff about the ongoing stigma and discrimination experienced by older PLWH and demonstrate to patients the value placed on patient privacy and confidentiality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact Statement</h3>\u0000 \u0000 <p>We certify that this work is novel clinical research that provides insight into the values and preferences of older people living with HIV regarding continuing care (from home care to supportive living and long-term care). This work is the foundation for creat","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671263","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":"The Prevalence Trend of Glaucoma by Age and Sex Difference in South Asia: A Systematic Review and Meta-Analysis of Population-Based Studies","authors":"Sujan Banik,&nbsp;Antara Ghosh,&nbsp;Hoimonti Debi","doi":"10.1002/hsr2.70542","DOIUrl":"https://doi.org/10.1002/hsr2.70542","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Glaucoma, a group of eye diseases, is a leading cause of irreversible blindness worldwide. However, reports on the prevalence of glaucoma in the South Asian region have not been up-to-date. This systematic review and meta-analysis aimed to estimate the pooled prevalence of glaucoma in South Asia and analyze its trends by age and sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adhering to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, a comprehensive search was undertaken on several electronic databases, including PubMed, Embase, Google Scholar, and Web of Science, to retrieve relevant studies published until June 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 17 population-based studies, including 77,790 subjects (37,950 male and 39,709 female), were included in the meta-analysis based on set inclusion criteria. The pooled prevalence of glaucoma in South Asia was 2.1% (95% confidence interval [CI] 1.7–2.6). Among the subtypes, the prevalence of primary open-angle glaucoma (POAG) was 1.6% (95% CI: 1.2–2.1), primary angle-closure glaucoma (PACG) was 0.7% (95% CI: 0.4–1.0), and secondary glaucoma was 0.3% (95% CI: 0.1–0.5). The prevalence trend of glaucoma increased with age and was higher in males. POAG prevalence was found to be higher in all age groups than the prevalence of PACG and highest in people &gt; 80 years old (7.25% vs. 2.12%). The prevalence of POAG was also higher in males (2.26%) than in females (1.61%), whereas PACG prevalence was similar for both males and females.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights a significant burden of glaucoma in South Asia, particularly among older adults and males, with POAG being the most common subtype. These findings may assist public health leaders in understanding the scenario of glaucoma in South Asia and implementing public health strategies to combat glaucoma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646077","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":"The Cancer Burden in Sarawak, Malaysia: Sarawak Cancer Report","authors":"Shirley Siang Ning Tan,&nbsp;Lee Len Tiong,&nbsp;Kung Yee Wong,&nbsp;Mastulu Binti Wahab,&nbsp;Alan Yean Yip Fong,&nbsp;Choo Huck Ooi","doi":"10.1002/hsr2.70290","DOIUrl":"https://doi.org/10.1002/hsr2.70290","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Malaysia, like many developing countries, is undergoing epidemiologic transition where non-communicable diseases, including cancer, are emerging as a prevalent health burden. Sarawak is the largest state in Malaysia, located on the island of Borneo. Compiling region-specific cancer statistics is crucial for future planning and implementation of effective cancer management strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study utilized cancer data reported to the Sarawak State Health Department with a cancer notification form. Data was obtained from the State cancer database. Incidence, Age-Standardized Rate, frequency, cumulative rate, and lifetime risk were calculated. The population included Sarawak residents only who were defined as Malaysian citizens as well as permanent residents living in Sarawak at the time of diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between years 2011–2015, there were a total of 10,320 cancer cases (47.3% male). The incidence rate was approximately 16.6 persons per 100,000 population per year. An increasing trend was observed in cancer incidence with increasing age. Ethnic distribution reported the highest incidence among the Chinese (male cases:36.2% and female cases:36.4%), followed by the Iban (male cases:26.9% and female cases:24.5%), and Malay (male cases:18.3% and female cases:22.0%). The three most common cancers in male were colorectal (15.4%), nasopharyngeal (14.8%), and trachea, bronchus, lung (14.0%) cancer. In females, the first three common cancers were breast (27.9%), cervix uteri (11.6%), and colorectal (9.8%). There were wide disparities among common cancers across genders, different age groups and ethnic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The lifetime risk of a Sarawakian to develop cancer by age 75 is 1 in 11 in females and 1 in 10 in males. This present study provided a framework for the status and trend of cancer in Sarawak. These findings will provide additional information to guide strategy and resource planning in improving cancer care in Sarawak.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638836","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":"The Evaluation of Patient-Controlled Analgesia Compared to Standard Opioid Analgesic Therapy in Pain Management Among Patients With Sickle Cell Disease: A Systematic Review and Meta-Analysis Protocol","authors":"Maria Pramila D'Costa,&nbsp;Melita Sheela Alva,&nbsp;Seyed Aria Nejadghaderi,&nbsp;Salha Humaid Al Bloushi,&nbsp;Wafa Ibrahim Saleh Al Shizawi,&nbsp;Nikhil Muduli,&nbsp;Sana Ahuja,&nbsp;Salma Al-Amri,&nbsp;Alireza Mosavi Jarrahi,&nbsp;Nabeel Al-Yateem,&nbsp;Syed Azizur Rahman,&nbsp;Amina Mohammed Al-Marzouqi","doi":"10.1002/hsr2.70577","DOIUrl":"https://doi.org/10.1002/hsr2.70577","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Sickle cell disease (SCD) is an inherited blood disorder characterized by the production of abnormal hemoglobin S (HbS), leading to the deformation of red blood cells into a sickle shape under low oxygen conditions. These deformed cells impede blood flow, causing vaso-occlusive crises (VOCs), which result in severe pain, multiorgan damage, and increased mortality. Despite advancements in understanding the pathophysiology and management of VOCs, optimal pain management remains a significant challenge. This review aims to evaluate patient-controlled analgesia compared to standard opioid analgesic therapy in pain management among patients with SCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The relevant studies will be searched using a well-formulated search strategy using databases such as PubMed, Embase, Scopus, and Web of Science. It will be screened by two reviewers independently (screening phase), and further, the third reviewer may solve if any discrepancies are noted. The primary outcomes will be pain reduction in intensity and frequency of breakthrough pain reported using a standard pain scale. The secondary outcomes will be adverse reactions, mortality rate, length of hospital stay, and 30-day readmission. Then, the eligible studies are assessed for risk for bias and quality by two review members using the Newcastle–Ottawa Scale for observational studies or Cochrane Risk of Bias assessment tool version 2. Besides, it provides strong evidence in support of patient-controlled analgesia (PCA) as an optimal pain management strategy compared to other pain management strategies. It also explores PCA's safety profiles and common adverse events to provide evidence-based recommendations and establish a standard of care for treating SCD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PRISMA format of reporting systematic review and meta-analysis protocols will be followed while presenting the results of this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings potentially influence clinical practice, healthcare policy, and future research thereby guiding the development of evidence-based standards for VOC management in SCD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>CRD42024573178.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645990","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":"Prevalence and Clinical Parameters Associated With Chronic Total Occlusions in Patients With Chronic Coronary Syndromes: Insights From a Nationwide Registry","authors":"Armin Attar,&nbsp;Mehrab Sayadi,&nbsp;Alireza Hosseinpour,&nbsp;Emmanouil S. Brilakis,&nbsp;Fereshte Mehdizade,&nbsp;Zahra Namvar,&nbsp;Alireza Khosravi,&nbsp;Maryam Boshtam,&nbsp;Feridoun Noohi,&nbsp;Ahmadreza Assareh,&nbsp;Toba Kazemi,&nbsp;Hossein Farshidi,&nbsp;Arsalan Khaledifar,&nbsp;Maryam Abbaszadeh,&nbsp;Nizal Sarrafzadegan","doi":"10.1002/hsr2.70583","DOIUrl":"https://doi.org/10.1002/hsr2.70583","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The prevalence of coronary chronic total occlusions (CTO) among patients with chronic coronary syndrome (CCS) and their associations with clinical factors have received limited study. We analyzed a national database registry to determine the prevalence, location, and parameters associated with coronary CTOs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We identified all CCS patients without prior coronary artery bypass graft surgery (CABG) who underwent coronary angiography in the Persian CardioVascular Disease Registry (PCVDR). We compared the baseline demographics and characteristics of patients with vs. without at least one CTO lesion. We used logistic regression analysis to identify parameters associated with coronary CTOs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 40,161 patients with CCS who underwent coronary angiography between March 2019 and December 2023, 6805 (17.86%) had at least one CTO. CTO patients were significantly older (64.43 ± 8.96 years vs. 62.64 ± 9.54 years, <i>p</i> &lt; 0.001) and more likely to be men (75.3% vs. 54.4%, <i>p</i> &lt; 0.001). The left anterior descending artery (70.4%) and right coronary artery (16.5%) were the most common CTO lesion locations. Older age (adjusted odds ratio [aOR] 95% confidence intervals [CI] 1.024 (1.021–1.028), male gender (aOR 2.865 (2.685–3.058), any smoking (aOR 1.256 (1.145–1.378), diabetes mellitus (aOR 1.372 (1.288–1.460), and dyslipidemia (aOR 1.166 (1.096–1.239) were independently associated with the presence of a CTO.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Approximately 1 in 5 CCS patients without prior CABG undergoing coronary angiography in this national database registry had a CTO. Advanced age, male gender, history of smoking, diabetes mellitus, and dyslipidemia were associated with higher likelihood of coronary CTOs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70583","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645991","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":"Characteristics of Implementing Practice Development in Germany: A National Scoping Review","authors":"Anne Fahsold,&nbsp;Theresa Siegler,&nbsp;Anna Louisa Hoffmann-Hoffrichter,&nbsp;Sibylle Reick,&nbsp;Rebecca Palm","doi":"10.1002/hsr2.70546","DOIUrl":"https://doi.org/10.1002/hsr2.70546","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Practice development is a clearly defined concept internationally. In Germany, however, the concept is understood differently. For this reason, it is unknown how the concept is implemented in patient care and whether it corresponds to the international concept. The aim was to create an overview of practice development projects in Germany and to examine whether the practice development projects included meet the internationally defined criteria for practice development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was performed. For this purpose, a literature search was conducted in MEDLINE, CINAHL, CareLit, and GeroLit as well as by hand search in nonindexed German-language journals. Articles were included in the evidence synthesis regardless of their methodological quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven articles from 2012 to 2021 were included in the scoping review. The goals pursued by the projects focus on the implementation of evidence-based nursing and advanced practice nursing, the integration of university-trained nurses, the improvement of clinical care, and the competence development of nurses and leaders in the acute hospital setting. The review showed that few practice development projects incorporate the internationally recognized criteria of practice development and are based on the current international definition of practice development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It would appear beneficial and necessary to achieve a uniform understanding in Germany to undertake a process of concept clarification and to develop a definition of practice development for implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638837","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":"Perceived Connectedness to Nature in Fitness Enthusiasts, Golfers, and Climbers: A Cross-Sectional Comparative Study","authors":"Daniela Haluza,&nbsp;Markus Spletzer,&nbsp;Julia Ortmann,&nbsp;David Jungwirth","doi":"10.1002/hsr2.70555","DOIUrl":"https://doi.org/10.1002/hsr2.70555","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Connectedness to nature (CN) refers to the degree to which individuals feel a connection with the natural environment. CN has been associated with physical activity, life satisfaction, well-being, and pro-environmental behavior, making it a potential resource for both human and planetary health. This study aimed to compare self-reported CN levels among three groups of physically active individuals in the general adult population using two established CN measures: the Nature Relatedness-6 Scale (NR-6) and the Connectedness to Nature Single Item (CN-SI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A large sample of 3357 participants, consisting of 1214 fitness enthusiasts, 1115 golfers, and 1028 climbers, participated in three targeted cross-sectional online surveys. CN levels were assessed using the NR-6 and CN-SI scales. Differences between groups were analyzed using statistical comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Climbers exhibited significantly higher NR-6 scores compared to fitness enthusiasts and golfers, indicating a stronger sense of nature relatedness. However, CN-SI scores were highest among golfers. These findings suggest variations in CN perceptions depending on the type of physical activity performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Engaging in physical activity that involves direct interaction with nature, such as outdoor climbing, may enhance individuals' sense of connection with the natural environment. Given the negative health impacts of sedentary lifestyles, promoting outdoor physical activity could serve as a dual approach to improving both personal well-being and environmental awareness, fostering sustainability in the long term.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639298","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":"Psycho-Spiritual Challenges Faced by Palliative Health Care Providers in Bangladesh: A Multicenter-Based Descriptive Cross-Sectional Study","authors":"Mastura Kashmeeri,&nbsp;A. N. M. Shamsul Islam,&nbsp;Palash Chandra Banik","doi":"10.1002/hsr2.70574","DOIUrl":"https://doi.org/10.1002/hsr2.70574","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Palliative care providers play a crucial role in supporting patients with life-limiting illnesses by emphasizing the alleviation of suffering and enhancing quality of life. The intrinsic nature of palliative care, which often involves confronting death and dying, places considerable emotional and spiritual demands on caregivers. Psycho-spirituality, an integration of psychological well-being and spiritual dimensions, is vital for these providers to maintain their mental health and provide holistic care to their patients. Despite its importance, empirical studies focusing on the psycho-spiritual experiences of palliative care providers are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This multicenter-based, descriptive cross-sectional study aims to explore the psycho-spiritual challenges faced by palliative care providers. Data was collected from 160 licensed healthcare providers, through face-to-face semi-structured interviews conducted from August to September 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>The results indicate that younger healthcare providers (aged 20–39) report higher psychological stress compared to their older counterparts (<i>p</i> = 0.029). Males exhibited slightly higher stress levels than females (<i>p</i> = 0.036), and divorced individuals reported the highest stress levels (<i>p</i> = 0.01). Educational qualification (<i>p</i> = 0.017), and income levels (<i>p</i> = 0.001) showed significant correlations with spiritual status with higher educational attainment and income associated with better spiritual well-being. Doctors experienced higher psychological stress (<i>p</i> = 0.004) but also reported higher spiritual status compared to nurses and other healthcare workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings depict significant associations between sociodemographic factors and the psychospiritual well-being of healthcare providers. Understanding these associations is crucial for developing targeted interventions to support the well-being of palliative care providers, ultimately leading to better patient care outcomes. Future research should focus on expanding the scope.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646020","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":"Effect of Lateral Wedge Insole With and Without Thigh and Abdominal Muscle Strengthening Exercises on the Balance of Young People With Genuvarum: A Randomize Controlled Trial","authors":"Nafiseh Shahri,&nbsp;Aliyeh Daryabor,&nbsp;Mehdi Rezaei,&nbsp;Abbas Rahimi","doi":"10.1002/hsr2.70509","DOIUrl":"https://doi.org/10.1002/hsr2.70509","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aim</h3>\u0000 \u0000 <p>Genuvarum is a common lower limb deformity that affects the alignment of the leg in the frontal plane. This can lead to changes in the ground reaction force (GRF) and center of pressure (COP) of the foot, disrupting postural control strategies, and causing balance issues. This study aimed to determine the effect of strengthening exercises of thigh and abdominal muscles, along with use of a lateral wedge insole (LWI) on balance in young people with genuvarum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 40 individuals aged 18–40 with genuvarum were split into two groups, with 20 people in each group. Participants in one group received only LWI (LWI group), while those in other group received LWI along with thigh and abdominal muscle strengthening exercises (LWI + exercises group). Balance tests were conducted before and after the 4-week interventions under barefoot condition on a force plate. The tests included parameters related to COP in single- and two-legged standing for static balance, and loading rate of F0 and F1 while walking, peak vertical GRF, and time to reach stability while jumping-landing test for dynamic balance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the comparison between LWI + exercises group and LWI group, there was a significant decrease in variables related to COP during single-leg standing and F1 loading rate during walking (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Incorporating muscle strengthening exercises targeting muscles around the thigh and abdominal region, in addition to using LWI, can be beneficial in individuals’ rehabilitation with genuvarum, helping to prevent injuries related to poor posture control.</p>\u0000 \u0000 <p><b>Trial Registration:</b> The current study was a randomized clinical trial, registered in the Iranian registry of clinical trials (registration number: IRCT20221103056387N1).</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646076","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":"Student Paramedic and Practice Educator Experiences of Ambulance Placements. A Rapid Evidence Review","authors":"Joseph James Hudson Brown,&nbsp;Marishona Ortega,&nbsp;Gregory Adam Whitley","doi":"10.1002/hsr2.70552","DOIUrl":"https://doi.org/10.1002/hsr2.70552","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ambulance practice placements overseen by paramedic practice educators form an essential aspect of training for student paramedics; however, this approach, adapted from other healthcare professions, is a relatively new model for paramedicine and evidence regarding its application in prehospital contexts is limited. Therefore, this rapid evidence review aimed to explore student paramedic and paramedic practice educator experiences of ambulance practice placements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>EBSCOhost was used to search the Cumulative Index to Nursing and Allied Health Literature Complete and MEDLINE databases from inception to March 2024. Screening and data extraction was performed by one reviewer and verified by the second. Included studies were appraised using the Critical Appraisal Skills Programme qualitative checklist and thematic synthesis of results undertaken.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 134 records screened, seven were included in the review, representing 131 participants from the United Kingdom, Australia and New Zealand. Four themes were identified, including practice educator training and support, student-practice educator relationships, organization and communication, and operational factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Outdated workplace practices, personal factors, education-industry barriers and unpredictable working environments impacted student paramedic and paramedic practice educator experiences of ambulance practice placements. Better communication is needed between universities and ambulance services to improve the consistency of ambulance practice placements for student paramedics and paramedic practice educators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70552","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646078","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}