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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
27.08.2026journal-article

Healthcare

Association of Physical Activity with Psychological Distress and Poor Mental Health Days Among Informal Caregivers of Older Adults: Findings from the 2023 BRFSS Caregiver Module

Damián Pereira-Payo, Raquel Pastor-Cisneros, María Mendoza-Muñoz, Amparo Rodríguez-Gutiérrez

Background/Objectives: Informal caregivers of older adults are a high-burden population for psychological problems, yet evidence on the relationship between physical activity (PA) and mental health in this population is still limited. The aim of this work is to examine the association between PA status and self-reported mental health indicators (psychological distress and the number of poor mental health days) among caregivers of older adults. Methods: This cross-sectional study used data from the 2023 Behavioral R …

27.08.2026journal-article

Blood Pressure Monitoring

Effects of home-based isometric handgrip or aerobic training on blood pressure variability and vascular health in older adults with elevated blood pressure and hypertension: secondary results from The HoldAge Trial

Diogo Pinto, Nuno Dias Rato, Catarina Garcia, Manuel Teixeira, Maria J. Marques, Teresa Amaral, Leonor Amaral, Ricardo Abreu, Cristiana Carneiro, Ana P. Oliveira, Daniela Figueiredo, Jorge Polónia, José Mesquita-Bastos, João L. Viana, Linda S. Pescatello, Fernando Ribeiro, Alberto J. Alves

Background Hypertension is a multifactorial condition that is likely to affect older adults. We evaluated the effects of home-based isometric handgrip training (IHT) or aerobic exercise training (AET) on vascular health of older adults with elevated blood pressure (BP) and hypertension. Methods The HoldAge trial (NCT04275032) was a two-center prospective randomized controlled trial. Eighty-four participants (46 women, 71.1 ± 3.6 years, BP: 137.1 ± 13.8/80.8 ± 8.3 mmHg) were randomized into IHT, AET, or usual medica …

27.08.2026journal-article

Inquiry@Queen's Undergraduate Research Conference Proceedings

Integrating Anti-Racism in Health Education

Bisola Olaseni

Systemic racism embedded within health education contributes to persistent health inequities, yet anti-racism training remains inconsistently integrated into undergraduate health sciences curricula in North American contexts. In response to identified gaps, Queen’s University developed GLPH 281: Racism and Health in Canada, a semester-long, credit-bearing course co-designed by faculty, students, and teaching assistants and embedded within the Bachelor of Health Sciences program. This study documents the implementat …

27.08.2026journal-article

Journal of Health and Social Behavior

Clinical Advocacy: How Physicians Fight Back against Bureaucratic and Financial Pressures

Alexandra E Brewer, Stefan Timmermans

The commercialization and corporatization of U.S. health care have intensified bureaucratic and economic constraints on clinical decision-making. Drawing on data from a 21-month ethnography of hospital-based clinicians, we introduce clinical advocacy as the often invisible work clinicians undertake to secure care that they judge medically appropriate when third parties external to the patient–provider relationship restrict medical practice. We identify four recurrent strategies of clinical advocacy: directly appeal …

27.08.2026journal-article

World Journal of Gastrointestinal Surgery

Motivational interviews and digital health guidance improve postoperative weight management in obese children

Xiao-Qian Dun, Si Chen

BACKGROUND Childhood obesity is a major public health issue, with obesity rates reaching 20.8% among 14-year-olds and increasing with age. Metabolic and bariatric surgery is the most effective treatment for moderate to severe obesity, but postoperative weight regain and reduced quality of life often occur due to poor lifestyle adherence. Digital health guidance interventions have shown benefits in improving disease understanding and quality of life, yet single interventions have limited effectiveness. Motivational …

27.08.2026journal-article

Psychology Travelogs

ОСОБЛИВОСТІ СТРЕСОПОДОЛАННЯ ФАХІВЦІВ СФЕРИ ПСИХІЧНОГО ЗДОРОВ’Я НА ЧЕТВЕРТОМУ РОЦІ ПОВНОМАСШТАБНОЇ ВІЙНИ В КРАЇНІ

Наталія ФРОЛОВА

Дослідження, результати якого представлено в статті, було проведене до четвертої річниці великої війни, в лютому-березні 2026 року. Метою емпіричної роботи було вивчення травматизації фахівців сфери психічного здоров’я та специфіки їх стресоподалання на четвертому році повномасштабного вторгнення. В опитуванні взяли участь 320 українських психологів та психотерапевтів. Актуалізовано питання щодо особливостей загального стану здоров’я надавачів психологічної допомоги та пошуку векторів його стабілізації шляхом вивче …

27.08.2026journal-article

Psychology Travelogs

ОСОБЛИВОСТІ ВИКОРИСТАННЯ ОБМАНУ ЯК ПСИХОЛОГІЧНОГО ЗАХИСТУ У ОСІБ ІЗ ПІДВИЩЕНИМ РІВНЕМ ТРИВОЖНОСТІ ТА СТРЕСУ

Олена КОСЬЯНОВА

У статті висвітлено результати теоретико-емпіричного дослідження обману як психологічного захисту в осіб із підвищеним рівнем тривожності та стресу. Роботу побудовано на матеріалах кваліфікаційного дослідження, присвяченого аналізу обману як захисної регулятивної стратегії, що активізується в умовах емоційного напруження, безпорадності та внутрішньої вразливості. У теоретичній частині узагальнено психоаналітичні та сучасні психологічні підходи до механізмів захисту, тривожності, сприйманого стресу й обману, зокрема …

27.08.2026journal-article

PLOS One

Co-producing access to care with young people living in Zambia through digital and vending machine-enabled innovation in sexual and reproductive health: A place-based, human-centred design research approach

Mary Darking, Helen Ayles, Steve Belemu, Paloma Chausa, Francisco J. Gárate, Enrique J. Gómez, Melleh Gondwe, David Lane, Deborah Kaluba-Milimo, Monde Mwamba, Musonda Simwinga, Jennifer Whetham, Jaime H. Vera

Digital health innovation can fail to move beyond prototype or pilot stages or achieve intended outcomes due to a lack of involvement and attunement to local context. This article shares the potential of place-based co-production to support the development, acceptability and usability of context-attuned, digital health service innovation for young people. To illustrate the approach, we report on a collaborative, interdisciplinary project involving a Zambian public health research partner based in Lusaka, Zambia, th …

27.08.2026journal-article

PLOS Global Public Health

Reciprocity in global health: How successes from the global south can inform global health interventions in Canada and the U.S

Tsitsi B. Masvawure, Mary Ndu, Charity Oga-Omenka

Global health has traditionally functioned as a project of high-income countries (HICs) addressing health challenges in low- and middle-income countries (LMICs). This “outward facing” orientation has created conceptual and operational boundaries that obscure the persistence of health inequities within HICs and perpetuates the false assumption that resource-rich nations have resolved fundamental health equity challenges in their own countries. In this essay we argue that HICs have global health problems of their own …

27.08.2026journal-article

Science of Nursing and Health Practices

L’Art d’accompagner : un projet de consolidation du raisonnement pédagogique des personnes dédiées à la supervision des infirmières et infirmiers diplômés hors Canada

Annia Steben-Roy, Myriam Gauthier, Nancy Cyr

Introduction : Dans un contexte de pénurie de personnel infirmier qualifié au Québec (Canada), l’intégration des infirmières et infirmiers diplômés hors Canada (IDHC) constitue une priorité. Toutefois, des enjeux persistent, notamment en matière de reconnaissance des compétences et d’adaptation aux pratiques locales, ce qui appelle à des stratégies innovantes pour soutenir leur intégration. Objectif : Décrire la démarche d’un projet d’intervention centré sur la formation et l’accompagnement d’infirmières et d’infir …

27.08.2026journal-article

Functional Foods in Health and Disease

Visceral fat reduction with 6-paradol-standardized fermented ginger extract among healthy Japanese adults: A randomized, double-blind, placebo-controlled, parallel-group study

Ayako Uchinaka, Yuichi Sano, Naoki Nakamura, Naoko Suzuki, Tsuyoshi Takara

Background: 6-Paradol, a minor constituent of ginger, has demonstrated fatty acid–degrading activity. Our previous study reported that a yeast-fermented ginger extract containing 6-‑paradol, produced using a Metschnikowia strain, exerted anti-obesity and visceral fat–reducing effects in mice fed a high-fat diet. Objectives: This study aimed to evaluate the effects of daily fermented ginger extract powder intake on visceral fat accumulation in healthy Japanese adults with body mass index (BMI) ≥25.0 and <30.0 kg/m2. …

27.08.2026journal-article

Journal of Law, Medicine & Ethics

America First Bilateral Health Agreements Threaten to Undermine the Multilateral Global Health Order

Sharifah Sekalala, Shajoe J. Lake, Allan Maleche, Maria Birungi, Frank Ssekamwa

Abstract During the second Trump administration, the United States has signed bilateral health agreements with at least 27 states across Africa and Latin America, reshaping how signatory countries finance, regulate, and monitor their health systems. Grounded in the America First Global Health Strategy, these agreements are being signed as US withdrawal from WHO restructures global health. This column explores how this turn to bilateralism risks weakening multilateral legal obligations on capacity development, acces …

27.08.2026journal-article

Frontiers in Health Services

Building and evaluating a social prescribing program for carer-employees: an intervention study

Allison M. Williams, Brooke Chmiel, Kate Mulligan, Sarah Neil-Sztramko, Winny Fung, Srija Biswas

Background Within a 12-month time window, and in partnership with the Canadian Institute for Social Prescribing (CISP), an extension of the Canadian Red Cross (CRC), we will develop and test a social prescribing (SP) program intervention in Hamilton, Ontario, Canada for Carer-Employees (CEs) - those who balance unpaid care of an adult dependent with paid employment. Given the emergence of SP programs geared towards unpaid carers more broadly, the development of an SP program specific to CEs will provide coordinated …

27.08.2026journal-article

Frontiers in Health Services

Construction and application of an eye care plan for ICU patients receiving prone position ventilation: a quasi-experimental study

Ren Yan, Peng Fei, Xing Xiao-Hong, Li Yang-Yang, Yu He-Hua

Objective To develop an eye care plan for patients in the Intensive Care Unit (ICU) undergoing prone position ventilation (PPV), and to preliminarily evaluate its clinical application effect. Method This study constructed an eye care plan for patients undergoing PPV in ICU based on evidence synthesis and expert consultation. Using convenience sampling method, this study established an intervention group (from August to November 2024) and a control group (from April to July 2024). Patients in the intervention and co …

27.08.2026journal-article

Frontiers in Public Health

Harnessing large language models in virtual CBT for university students’ academic anxiety: a preliminary randomized trial

Hao Fang, Zixi Huang, Lingxin Zhu, Qinling Dai, Minjian Hong, Hongyun Guo, Encong Wang

Academic anxiety is a common mental health problem among university students. It is often associated with reduced learning efficiency and an increased risk of depression. Cognitive behavioral therapy (CBT) is supported by an established evidence base, but its use in university settings is still limited by factors such as therapist availability, time, and physical space. To explore a new approach to digitally assisted intervention, this study integrated virtual reality (VR), large language model (LLM), and retrieval …

27.08.2026journal-article

Universal Library of Business and Economics

An Integrated Financial Analytics Framework for Health Plans - Risk Pool Estimation, Reserve Modeling, and Strategic Forecasting in Medicare Advantage and Exchange Lines of Business

Gitanshu Yadav

U.S. health plans operating in Medicare Advantage and the Affordable Care Act Exchange manage financial risk through three functions that are usually kept apart: IPA-level risk-pool estimation, IBNR reserve modeling, and state-level forecasting. This fragmentation causes the same underlying quantities to be estimated inconsistently, producing reserve inadequacy, forecast variance, and weak decision support. This monograph develops an integrated financial analytics framework that connects the three functions within …

27.08.2026journal-article

Journal of the American Heart Association

Toward a Deeper Understanding of Predicting Risk of Cardiovascular Disease Events for 10‐Year Atherosclerotic Cardiovascular Risk: Subgroup Fairness and Predictive Value of Social Determinants of Health

Haoyuan Wang, Ziye Tian, Riddhiman Bhattacharya, Mu Niu, Yingying Sang, Daniel M. Wojdyla, Haoyun Hong, Juan Zhao, Michael Pignone, Jennifer L. Hall, Sadiya S. Khan, Matthew Engelhard, Michael J. Pencina, Chuan Hong

Background The American Heart Association's Predicting Risk of Cardiovascular Disease Events model offers a modern, race‐free approach to risk prediction, but its subgroup fairness and the added value of social determinants of health (SDOH) remain underexplored. Methods To evaluate Predicting Risk of Cardiovascular Disease Events in 10‐year atherosclerotic cardiovascular disease prediction regarding fairness and value of SDOH predictors, we conducted a retrospective cohort study of 554 675 adults aged 30 to 79 year …

27.08.2026journal-article

Clinical Pediatrics

Sleep Health in School-Aged Children: A Qualitative Study of Community-Based Pediatric Providers’ Perspectives and Practices

Jessica Page, Grace Wang, Gillian Heckler, Rebecca Robbins, Judith Owens

Despite its importance for general health, sleep health is inconsistently addressed in pediatric primary care, particularly in minority and low-income school-aged children. This study aimed to (1) explore providers’ knowledge, perspectives, and practices related to sleep health in this population and (2) identify opportunities for improving education in clinical settings. Semi-structured interviews were developed and conducted with 12 pediatric providers from 3 community health care centers. Major themes were class …

27.08.2026journal-article

BMC Public Health

Association between visits to blue spaces within walking distance and mental health among older adults in Japan: a cross-sectional study from the Japan Gerontological Evaluation Study

Kazuki Matsumoto, Yu-Ru Chen, Yoko Matsuoka, Hiroaki Yoshida, Atsushi Nakagomi, Katsunori Kondo, Masamichi Hanazato

Abstract Background Exposure to blue spaces has been associated with better mental health, but most studies have focused on environmental proximity rather than actual use (frequency of visits and activity types) and have been conducted in Western countries. Evidence among older adults in Asian settings remains limited. This study examined the associations between frequency of visits to blue spaces within walking distance, activity types performed there, and mental health among older adults using data from 69 munici …

27.08.2026journal-article

Frontiers in Public Health

Prevalence and factors of frailty among community-dwelling older adults: a multimorbidity perspective

Shubing Feng, Pengpeng Wang, Hongxia Huang, Zhenhong Lin, Yuanhang Liu

Background Frailty is a geriatric syndrome that reduces quality of life and increases social burden. Existing frailty research predominantly focuses on hospitalized or nursing home-residing older adults, while surveys targeting community-dwelling older adults with multimorbidity remain scarce. Objective To investigate the prevalence and influencing factors of frailty among community-dwelling older adults with multimorbidity. Methods A cross-sectional survey was conducted from May to November 2025. Convenience sampl …

27.08.2026journal-article

Annual Review of Developmental Psychology

From Seconds to Seasons and Days to Decades: Timescales in Development

Aidan G.C. Wright

Developmental processes unfold across timescales ranging from seconds to decades, yet temporal assumptions often elude direct theoretical scrutiny. This review illustrates that decisions about timescale, including how time is defined, the density and duration of observations, the temporal windows encoded in measures, and the role time plays in statistical models, are essential, substantive theoretical decisions that determine what kinds of change a study can detect and what inferences it can support. The review fir …

27.08.2026journal-article

Health Research Journal of Indonesia

Analisis Bentuk Pemborosan Pada Manajemen Logistik Medis Di Instalasi Farmasi Rumah Sakit Surabaya

Diva Faradiba, Afif Kurniawan, Yura Witsqa Firmansyah, Firnanda Erindia

Manajemen logistik medis berperan penting dalam menjamin ketersediaan obat, alat kesehatan, dan bahan medis habis pakai di rumah sakit. Pengelolaan logistik yang belum optimal dapat menimbulkan pemborosan (waste) sehingga menurunkan efisiensi operasional dan mutu pelayanan. Penelitian ini bertujuan menganalisis bentuk pemborosan pada manajemen logistik medis di Instalasi Farmasi Rumah Sakit Surabaya menggunakan pendekatan Lean Hospital berdasarkan konsep Seven Wastes. Penelitian menggunakan metode kualitatif dengan …

27.08.2026journal-article

Health Research Journal of Indonesia

Evaluasi Implementasi Program Kesehatan Kerja pada Area Workshop dan Perkantoran di PT X

Reza Maria Nainggolan, Muhammad Jenar Susanto, Nico Linggi Pongmasangka

Program kesehatan kerja merupakan kewajiban perusahaan untuk melindungi dan meningkatkan derajat kesehatan pekerja sesuai dengan ketentuan PP No. 28 Tahun 2024 dan Permenaker No. 5 Tahun 2018. Penelitian ini bertujuan mengevaluasi implementasi program kesehatan kerja pada perusahaan layanan pemeliharaan ketenagalistrikan di Jakarta Timur. Penelitian menggunakan metode deskriptif kualitatif melalui observasi lapangan, wawancara dengan pekerja, serta telaah data sekunder hasil pengukuran lingkungan kerja. Hasil penel …