Healthcare

Background/Objectives: Although upper extremity dexterity problems are frequently reported in people with Parkinson’s disease (PwPD), valid and reliable scales for assessing upper extremity function and dexterity are limited. The objective of this study was to investigate the reliability and validity of the Action Research Arm Test (ARAT) and the Jebsen–Taylor Hand Function Test (JTHFT) in PwPD. Methods: Seventy PwPD and thirty HC were recruited. The test–retest reliability was evaluated by determining the intraclass correlation coefficient (ICC). MDC₉₅ was calculated by using ICC results. The concurrent validities of JTHFT and ARAT were determined by investigating their relationship with the Nine-Hole Peg Test (9-HPT), Hoehn and Yahr scale (H & Y), Unified Parkinson’s Disease Rating Scale (UPDRS), and motor symptoms (UPDRS-III). The cut-off times that best discriminated between PwPD and HC were investigated by plotting receiver operating characteristic (ROC) curves. Results: The ARAT and JTHFT showed excellent test–retest reliability (ICC = 0.937 to 0.995). The MDC₉₅ values for the ARAT were 0.38 for the dominant hand and 0.58 for the non-dominant hand. MDC₉₅ values for the JTHFT subtests and total scores ranged from 0.38 to 4.71. The ARAT, JTHFT subtests, and total scores demonstrated a fair-to-strong correlation with other outcomes (p < 0.05). The cut-off times that best differentiated JTHFT subtests and total scores ranged from 3.56 to 64.23. Conclusions: The JTHFT is a reliable and valid measurement tool for the assessment of manual dexterity in PwPD, while the ARAT is a reliable assessment tool in PwPD but does not have discriminant validity.

Background/Objectives: This study examined how health literacy, social support, and health-promoting behaviors influence the prevalence of metabolic syndrome among middle-aged and older women living in rural Republic of Korea. Methods: The participants were 300 women residing in three rural regions. Data were collected from 1 August to 15 September 2025, in cooperation with the Lifestyle Improvement Association. Results: Descriptive and multiple regression analyses were conducted using the collected data. The prevalence of metabolic syndrome was 46.3%, and 36.7% of the participants had one or two risk factors. Factors that significantly influenced metabolic syndrome included obesity (β = 0.36, p < 0.001), health literacy (β = −0.25, p = 0.015), health responsibility (β = 0.25, p < 0.001), subjective health status (β = −0.25, p < 0.001), and menopause (β = 0.16, p = 0.005), which explained 36.3% of the variance (F = 8.59, p < 0.001). Conclusions: Enhancing health literacy and promoting a stronger sense of health responsibility may help reduce the prevalence of metabolic syndrome among middle-aged and older women in rural Republic of Korea.

Background/Objectives: Women’s sexual quality of life is a multidimensional construct shaped by individual, psychological, relational, and health-related factors. This exploratory cross-sectional study aimed to identify selected determinants of sexual functioning in young women, with a particular focus on partner relationships and sexual dysfunction symptoms within the couple. Methods: Data from 199 female university students aged 18–30 years, recruited via Facebook, were analyzed. Participants completed the Female Sexual Function Index (FSFI) and an author-designed questionnaire assessing sociodemographic variables, relationship characteristics, and self-perceived sexual difficulties in themselves and their partners. Descriptive statistics, bivariate analyses, and multivariable linear regression models were used to examine factors associated with the FSFI total and domain scores. Results: In this self-selected, non-representative sample, over 75% of women reported at least one self-perceived sexual difficulty, while 35.2% obtained FSFI scores at or below the established cutoff, indicating an increased risk of female sexual dysfunction rather than a confirmed diagnosis. In multivariable analysis, higher intercourse frequency, greater overall sexual satisfaction in the last 12 months, and fewer self-reported dysfunction symptoms emerged as the strongest independent predictors of higher FSFI total scores. Women who perceived premature ejaculation in their male partners tended to report lower orgasm and satisfaction domain scores, although this perception was not independently associated with the FSFI total score after adjustment for individual and relationship factors. Conclusions: These findings underline the role of both individual and relational factors in young women’s sexual functioning and support a holistic, couple-centred perspective in sexual health assessment.