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Search Results (205)

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20 pages, 555 KB  
Review
Opening New Worlds of Meaning—A Scoping Review of Figurative Language in Autism Spectrum Disorder
by Bjørn Skogli-Christensen, Kristine Tyldum Lefstad, Marie Florence Moufack and Sobh Chahboun
Behav. Sci. 2025, 15(11), 1556; https://doi.org/10.3390/bs15111556 - 14 Nov 2025
Abstract
Figurative language (metaphor, idiom, irony/sarcasm) is central to pragmatic communication but is frequently challenging for children and adolescents with autism spectrum disorder (ASD). A scoping review was conducted to map pedagogical and clinical interventions that target figurative-language skills in school-age learners with ASD [...] Read more.
Figurative language (metaphor, idiom, irony/sarcasm) is central to pragmatic communication but is frequently challenging for children and adolescents with autism spectrum disorder (ASD). A scoping review was conducted to map pedagogical and clinical interventions that target figurative-language skills in school-age learners with ASD and to summarize reported outcomes. Following a PCC (Population–Concept–Context) framework and PRISMA-ScR reporting, systematic searches were performed in ERIC and Google Scholar (2010–2025). Eligibility required an ASD sample (ages 5–18), an intervention explicitly addressing figurative-language comprehension, and empirical outcome data from educational or related practice settings. Seven studies met inclusion criteria: five targeting metaphors, one targeting idioms, and one targeting sarcasm/irony. Interventions were predominantly delivered one-to-one or in small groups and emphasized structured, explicit instruction with visual scaffolds and stepwise prompting. Across studies, participants demonstrated clear gains on trained items. Generalization beyond trained material was most often observed for metaphor and sarcasm interventions, particularly when instruction highlighted underlying semantic relations or cue-based pragmatic signals; by contrast, the idiom program yielded item-specific learning with minimal near-term transfer. Limited follow-up data suggested short-term maintenance where assessed. Reported variability across individuals was substantial, underscoring the influence of underlying structural-language skills and social-pragmatic demands. Overall, the evidence indicates that figurative-language skills in ASD are amenable to targeted intervention; effective programs tend to combine explicit teaching, visual supports, multiple exemplars, and planned generalization opportunities. Given small samples and methodological heterogeneity, further classroom-based trials with longer follow-up and detailed learner profiles are needed. The findings support integrating figurative-language goals within individualized education and speech-language therapy plans, while aligning instructional complexity with each learner’s linguistic and pragmatic profile. Full article
(This article belongs to the Special Issue Language and Cognitive Development in Autism Spectrum Disorders)
29 pages, 9255 KB  
Article
Exploratory Learning of Amis Indigenous Culture and Local Environments Using Virtual Reality and Drone Technology
by Yu-Jung Wu, Tsu-Jen Ding, Jen-Chu Hsu, Kuo-Liang Ou and Wernhuar Tarng
ISPRS Int. J. Geo-Inf. 2025, 14(11), 441; https://doi.org/10.3390/ijgi14110441 - 8 Nov 2025
Viewed by 285
Abstract
Virtual reality (VR) creates immersive environments that allow users to interact with digital content, fostering a sense of presence and engagement comparable to real-world experiences. VR360 technology, combined with affordable head-mounted displays such as Google Cardboard, enhances accessibility and provides an intuitive learning [...] Read more.
Virtual reality (VR) creates immersive environments that allow users to interact with digital content, fostering a sense of presence and engagement comparable to real-world experiences. VR360 technology, combined with affordable head-mounted displays such as Google Cardboard, enhances accessibility and provides an intuitive learning experience. Drones, or unmanned aerial vehicles (UAVs), are operated through remote control systems and have diverse applications in civilian, commercial, and scientific domains. Taiwan’s Indigenous cultures emphasize environmental conservation, and integrating this knowledge into education supports both biodiversity and cultural preservation. The Amis people, who primarily reside along Taiwan’s eastern coast and central mountain regions, face educational challenges due to geographic isolation and socioeconomic disadvantage. This study integrates VR360 and drone technologies to develop a VR learning system for elementary science education that incorporates Amis culture and local environments. A teaching experiment was conducted to evaluate its impact on learning effectiveness and student responses. Results show that students using the VR system outperformed the control group in cultural and scientific knowledge, experienced reduced cognitive load, and reported greater learning motivation. These findings highlight the potential of VR and drone technologies to improve learning outcomes, promote environmental and cultural awareness, and reduce educational barriers for Indigenous students in remote or socioeconomically disadvantaged communities. Full article
(This article belongs to the Topic 3D Documentation of Natural and Cultural Heritage)
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17 pages, 521 KB  
Review
The Role of Theatre-Based Methodologies as Complementary Educational Interventions in Continuing Nursing Education: A Scoping Review
by Giovanna Artioli, Andreina Saba, Laura Saladino, Allison Alberti, Laura Macchetti, Maria Chiara Bassi, Sara Falbo and Federica Dellafiore
Int. J. Environ. Res. Public Health 2025, 22(11), 1657; https://doi.org/10.3390/ijerph22111657 - 31 Oct 2025
Viewed by 246
Abstract
Theatre-based methodologies are increasingly recognized as complementary approaches that can enhance nurses’ empathy, communication, critical thinking, and person-centred care, all essential for managing chronic illnesses. This scoping review aimed to map and synthesize evidence on the application of theatre in continuing nursing education. [...] Read more.
Theatre-based methodologies are increasingly recognized as complementary approaches that can enhance nurses’ empathy, communication, critical thinking, and person-centred care, all essential for managing chronic illnesses. This scoping review aimed to map and synthesize evidence on the application of theatre in continuing nursing education. A systematic literature search was conducted across five databases (PubMed, CINAHL, PsycINFO, Scopus, and Education Source) for publications in English and Italian up to 30 December 2024, supplemented by grey literature from ProQuest and reference screening via Google Scholar. Twenty-one studies met the inclusion criteria, identifying two main theatre methodologies, Forum Theatre and Drama, with four variations. These interactive methods were reported to foster reflective practice, enhance person-centred care, and improve interprofessional collaboration. Positive outcomes included improved nurse–patient relationships, quality of care, emotional engagement, cultural competence, teamwork, conflict management, and acceptance of diversity. Key facilitators were institutional support and active participation, while barriers included resistance to change and limited resources. These findings indicate that theatre-based education can serve as an effective complementary strategy to cultivate empathy, creativity, and reflective skills in continuing nursing education, supporting the development of holistic and patient-centred care practices. Further research is needed to explore the sustainability of acquired competencies in clinical practice. Full article
(This article belongs to the Section Health Care Sciences)
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29 pages, 3224 KB  
Review
The Impact of Climate Change on Water Quality: A Critical Analysis
by Madalina Elena Abalasei, Daniel Toma, Mihail Dorus and Carmen Teodosiu
Water 2025, 17(21), 3108; https://doi.org/10.3390/w17213108 - 30 Oct 2025
Viewed by 903
Abstract
Climate change affects both the quantity and quality of water resources, amplifying the water crisis, slowing progress toward achieving the Sustainable Development Goals (SDGs), and contributing to the needs of future generations. To address these challenges, this study presents an interdisciplinary synthesis of [...] Read more.
Climate change affects both the quantity and quality of water resources, amplifying the water crisis, slowing progress toward achieving the Sustainable Development Goals (SDGs), and contributing to the needs of future generations. To address these challenges, this study presents an interdisciplinary synthesis of the literature on the subject, highlighting the impact of climate change on water resources (surface water and groundwater). The escalating global demand for water, driven by factors such as population growth, urbanization, and industrial development, is placing significant pressure on water resources. This situation needs sustainable management solutions to mitigate the environmental impacts associated with increased water consumption and climate change. The methodology included bibliometric analysis using VOSviewer version 1.6.19, a software tool for constructing and visualizing bibliometric networks, and systematic analysis according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. 155 records were used in this review from a total number of 1344 documents searched in Science Direct, Scopus and Google Scholar databases. The results indicate that research on the consequences of climate change on water quality remains in its infancy. This study highlights the effects of climate change on water quality indicators, including physicochemical, microbiological, and micropollutants, as well as the implications for human health and water supply infrastructure. Climatic factors, such as rising temperatures and changing precipitation patterns, are particularly important because they control processes fundamental to sustaining life on the planet. The main conclusions are that climate change accelerates the degradation of drinking water quality and amplifies public health risks. These findings highlight the need for rigorous assessments and the development of integrated adaptation strategies involving collaboration among water operators, decision-makers, the scientific community, and climate change specialists. Full article
(This article belongs to the Special Issue Review Papers of Urban Water Management 2025)
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12 pages, 226 KB  
Article
Perceptions of Spectacle Use Among Undergraduate Students in Oman: Visual Symptoms, Convenience, and Disadvantages
by Janitha Plackal Ayyappan, Hilal Alrahbi, Gopi Vankudre, Zoelfigar Mohamed, Virgina Varghese and Sabitha Sadandan
Healthcare 2025, 13(19), 2525; https://doi.org/10.3390/healthcare13192525 - 6 Oct 2025
Viewed by 458
Abstract
Background: Globally, uncorrected refractive errors are recognized as the primary cause of visual impairment and blindness. According to a report by the World Health Organization (WHO), providing spectacle lenses at an affordable cost remains a significant challenge, particularly for underprivileged populations in developing [...] Read more.
Background: Globally, uncorrected refractive errors are recognized as the primary cause of visual impairment and blindness. According to a report by the World Health Organization (WHO), providing spectacle lenses at an affordable cost remains a significant challenge, particularly for underprivileged populations in developing countries. This challenge contributes to the low compliance with spectacle wear worldwide. However, the benefits of wearing spectacles are influenced by the perceptions of the population regarding spectacle use. Methods: A quantitative, cross-sectional survey-based study was conducted at a superior educative center in Oman, the University of Buraimi. Participants were recruited from the four major colleges, namely, the College of Health Sciences (COHS), College of Business (COB), College of Engineering (COE), and College of Law (COL), and the Center for Foundation Studies (CFS). This study was conducted over the period from 18 December 2022 to 18 December 2023. Essential data were collected using an electronic questionnaire facilitated by the Google platform. The initial section of the questionnaire outlines this study’s objectives and its benefits to the community. The digital survey comprises three sections: the first section addresses the sociodemographic profile of the participants; the second section explores perceptions related to spectacles; and the third section examines visual symptoms associated with spectacle wear. In this study, a pre-tested survey was administered following consultation with a panel of three subject matter experts who reviewed the clarity and content validity of the test items. Data analyses were performed using descriptive statistics, and linear regression was applied to assess the effect of socioeconomic profile on perceptions of spectacles. Additionally, data entry, processing, and analysis were conducted using SPSS 25 software. The overall mean score for spectacle-related visual symptoms was 2.51 ± 0.75, indicating a moderate level of symptom occurrence. Results: A total of 415 participants (N = 415) were included in this study, comprising 133 males (32.0%) and 282 females (68.0%). The most prominent symptoms related to spectacle perception were “light sensitivity” and “eye pain”, with mean values of 3.03 ± 1.30 and 3.04 ± 1.25, respectively. Additionally, 249 participants (60%) reported moderate concern regarding spectacle-related visual symptoms. Among female participants, 118 (41.8%) exhibited little concern about visual symptoms associated with spectacle wear, whereas this was observed in 25.6% of male participants. Descriptive statistics indicated the mean perceived spectacle-related disadvantages score measured on a scale of 0 to 4 was 2.88 ± 1.16 (57.69% ± 23.15% in percentages), reflecting a moderate perception of such disadvantages. The linear regression model demonstrated statistical significance, as indicated by the likelihood ratio chi-square = 199.194 (df = 15, p < 0.001). The most significant predictor was study major (χ2 = 72.922, p < 0.001). Conclusions: The present study indicates that undergraduate students generally exhibit a low perception of the disadvantages associated with wearing spectacles. Randomized sampling should be preferred in future studies to the convenience sampling technique. The most frequently reported visual symptoms include “light sensitivity and eye pain” among spectacle wearers. Therefore, it is imperative to implement health education programs and foundational studies across colleges to address these issues among undergraduate university students. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
29 pages, 6121 KB  
Review
The Phytochemical Composition and Molecular Mechanisms Involved in the Wound Healing Attributes of Bulbine Species—A Critical Review
by Mxolisi P. Voko, Abdulazeez A. Ogbe, Manoj G. Kulkarni, Roger M. Coopoosamy and Johannes Van Staden
Plants 2025, 14(19), 3045; https://doi.org/10.3390/plants14193045 - 1 Oct 2025
Viewed by 939
Abstract
Bulbine species (Asphodelaceae) are routinely used in many African communities to treat various dermatological disorders, including wounds, due to their relative accessibility, affordability, safety records, and reported efficacies. However, these reported biological activities lack robust empirical evidence and well-validated cellular mechanisms for plausible [...] Read more.
Bulbine species (Asphodelaceae) are routinely used in many African communities to treat various dermatological disorders, including wounds, due to their relative accessibility, affordability, safety records, and reported efficacies. However, these reported biological activities lack robust empirical evidence and well-validated cellular mechanisms for plausible applications. Hence, this review was aimed at investigating the bioactive compounds of Bulbine species linked to their cellular wound healing attributes, their toxicity, and cytotoxicity. A detailed literature search was conducted using Web of Science, Google scholar, and PubMed, followed by Scopus and VOSviewer (version 1.6.20) bibliographic analyses. Bulbine frutescens (L.) Willd. and Bulbine natalensis Baker safely mediate tissue healing and coagulation cascade as adaptogens and cytotoxic agents. The wound healing activities of the Bulbine species were linked to the synergistic wound healing or tissue repair properties of bioactive compounds (such as saponins, terpenoids, luteolin, and apigenin) via the expression of collagen type-I, alpha-2 (COL1A2) gene, collagen III, increase in the wound tensile strength, and anti-cytokine interleukin-10 (IL-10) mRNA. Bulbine species were also reported to contain specialised biomarker compounds (such as naphthoquinones, bulbine-emodin, and aloe-emodin) which mediate the activation of hydroxyproline, Aryl Hydrocarbon Receptor, transforming growth factor beta—β1 (TGFβ1), and the suppressor of mothers against decapentaplegic proteins (SMAD), which ultimately induce tissue granulation, myofibroblast differentiation, re-epithelialization, higher protein complexes, and scar tissue formations. These findings give credence to the wound healing therapeutic potential of Bulbine species. However, additional clinical studies are necessary to further ascertain the reported efficacies of Bulbine species’ bioactive principles, their overall safety, and the underlying cellular mechanisms involved in the wound healing process and carcinogenesis. Full article
(This article belongs to the Special Issue Ethnobotany and Biodiversity Conservation in South Africa)
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30 pages, 5591 KB  
Systematic Review
Clinical Outcomes of Severe Lassa Fever in West Africa: A Systematic Review and Meta-Analysis
by Azuka Patrick Okwuraiwe, Chizaram Anselm Onyeaghala, Obiageli Theresa Ozoude, Muritala Odidi Suleiman, Samirah Nndwan Abdu-Aguye, Nkolika Jacinta Ezekwelu, Tolulope Amos Oyeniyi, Ayodapo Oluwadare Jegede, Adaeze Elfrida Egwudo, Oluchukwu Perpetual Okeke, Olunike Rebecca Abodunrin, Folahanmi Tomiwa Akinsolu and Olajide Odunayo Sobande
Int. J. Environ. Res. Public Health 2025, 22(10), 1504; https://doi.org/10.3390/ijerph22101504 - 30 Sep 2025
Viewed by 609
Abstract
Lassa fever (LF) is an acute viral hemorrhagic fever that poses a substantial public health security threat in West Africa. The non-specific clinical presentation of LF, coupled with a lack of reliable point-of-care diagnostics, means delayed diagnosis, leading to severe complications and mortality [...] Read more.
Lassa fever (LF) is an acute viral hemorrhagic fever that poses a substantial public health security threat in West Africa. The non-specific clinical presentation of LF, coupled with a lack of reliable point-of-care diagnostics, means delayed diagnosis, leading to severe complications and mortality during epidemics. A systematic review and meta-analyses were performed by conducting an extensive online search using PubMed, Web of Science, Scopus, CINAHL, and Google Scholar (PROSPERO protocol identifier number CRD42024587426). Only peer-reviewed studies written in English were included in publications from 1 September 2014, to 31 August 2024. The analysis and reporting followed PRISMA guidelines. The quality of the included studies was assessed using the critical appraisal tools developed from the Joanna Briggs Institute Systematic Review Checklist for cohort studies. We included 19 studies that contained data from 4177 patients hospitalized with LF of any age. Most included studies employed a retrospective cohort design and were conducted in Nigeria (16/19; 84.2%). The mortality rate was highest in a Sierra Leonean study (63.0%), whereas a group-based analysis of Nigerian studies using a random-effects model identified Owo as having the highest mortality rate of 13% (95% CI: 6–23; I2 = 98%). The pooled mortality rate for severe LF was 19% (95% confidence interval [CI]:10–32). The most common complications of LF are acute kidney injury (AKI) at a pooled proportion of 19% (95% CI; 13–26; I2 = 89%)), followed by abnormal bleeding at a pooled proportion of 17% (95% CI; 9–30; I2 = 98%), and central nervous system (CNS) dysfunction at a pooled proportion of 15% (95% CI; 6–32; I2 = 98%). With one out of every five hospitalized LF patients likely to die in West Africa, accelerating the development of rapid diagnostic tests, licensed vaccines, and novel therapeutics is crucial. Strengthening community engagement and risk communication, developing regional treatment guidelines, decentralizing LF care units, and training healthcare workers using a harmonized curriculum will enhance early diagnosis and effective case management, thereby reducing severe complications and mortality. Full article
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14 pages, 2192 KB  
Communication
PARKA AI: A Sensor-Integrated Mobile Application for Parkinson’s Disease Monitoring and Self-Management
by Krisha Sanjay Bhalala and Hamid Mansoor
Bioengineering 2025, 12(10), 1059; https://doi.org/10.3390/bioengineering12101059 - 30 Sep 2025
Viewed by 824
Abstract
Parkinson’s disease (PD), a progressive neurodegenerative disorder affecting over 10 million people worldwide, necessitates continuous symptom monitoring to optimize treatment and enhance quality of life. Effective communication between patients and healthcare providers (HCPs) is vital but often hindered by fragmented data and cognitive [...] Read more.
Parkinson’s disease (PD), a progressive neurodegenerative disorder affecting over 10 million people worldwide, necessitates continuous symptom monitoring to optimize treatment and enhance quality of life. Effective communication between patients and healthcare providers (HCPs) is vital but often hindered by fragmented data and cognitive impairments. PARKA AI, a novel iOS application, leverages Apple Watch HealthKit data (e.g., tremor detection, mobility metrics, heart rate, and sleep patterns) and integrates it with self-reported logs (e.g., mood, medication adherence) to empower PD self-management and improve patient–HCP interactions. Employing a human-centered design approach, we developed a high-fidelity prototype using a large language model (LLM)— Google Gemini 1.5 Flash—to process and analyze self-reports and objective sensor-derived data from Apple Healthkit to generate patient-friendly summaries and concise HCP reports. PARKA AI provides accessible data visualizations, personalized self-management tools, and streamlined HCP reports to foster engagement and communication. This paper outlines the derived design requirements, prototype features, and illustrative use cases to show how LLMs can be used in digital health tools. Future work will focus on real-world usability testing to validate the application’s efficacy and accessibility. Full article
(This article belongs to the Special Issue Application of Artificial Intelligence in Complex Diseases)
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14 pages, 429 KB  
Article
The Wrist as a Weightbearing Joint in Adult Handstand Practitioners: A Cross-Sectional Survey of Chronic Pain and Training-Related Factors
by Noa Martonovich, David Maman, Assil Mahamid, Liad Alfandari and Eyal Behrbalk
J. Funct. Morphol. Kinesiol. 2025, 10(4), 372; https://doi.org/10.3390/jfmk10040372 - 26 Sep 2025
Viewed by 1135
Abstract
Background: Chronic wrist pain is becoming increasingly recognized among athletes engaging in wrist-loading activities such as handstands. However, its prevalence and associated risk factors in handstand practitioners have not been systematically studied. This study aimed to investigate the prevalence of chronic wrist pain [...] Read more.
Background: Chronic wrist pain is becoming increasingly recognized among athletes engaging in wrist-loading activities such as handstands. However, its prevalence and associated risk factors in handstand practitioners have not been systematically studied. This study aimed to investigate the prevalence of chronic wrist pain and to explore associated factors such as discipline, training habits, and pain management strategies. Methods: This cross-sectional study aimed to investigate the prevalence and associated factors of chronic wrist pain among handstand practitioners. Eligible participants were individuals aged 18 years or older, of any gender, who practiced handstands regularly (defined as at least once per week). Participants were recruited via a combination of open invitations on social media (Facebook, WhatsApp, Instagram) and direct outreach to movement studios and training communities. The survey was administered online using Google Forms and remained open for two months. Participation was voluntary and anonymous. Descriptive statistics were used to present sociodemographic characteristics, including age group, gender, sport discipline, and weekly training hours. Participants reported training habits, equipment use, pain history, and management strategies via a self-developed questionnaire designed for this study. Chronic pain was defined as recurring or persistent wrist pain. Descriptive statistics were used to summarize responses. Associations between chronic wrist pain and survey variables were analyzed using Chi-square or Fisher’s exact tests for nominal data, and Chi-square test for trend for ordinal data. A p-value < 0.05 was considered statistically significant. Results: A total of 321 participants were included in the study. The most represented age group was 25–34 years, comprising 123 (38.3%) of the participants. Gender distribution was 174 (54.2%) males and 147 (45.8%) females. The most common sport disciplines were Yoga (88, 27.4%), Capoeira (60, 18.7%), and Movement (52, 16.2%). Chronic wrist pain was reported by 182 (56.7%) of participants. Younger age was significantly associated with higher pain prevalence (p = 0.042). No significant associations were observed between chronic pain and weekly training hours, warm-up routines, brace use, or grip device use. Female participants demonstrated more proactive pain management behaviors (p = 0.016). Sport discipline and training practices showed non-significant trends toward pain differences. Conclusions: Chronic wrist pain is common among handstand practitioners, particularly among younger athletes. These findings suggest that injury risk may relate more to training intensity and biomechanics than to simple training volume. Further research incorporating objective diagnostics and standardized intervention protocols is warranted. Full article
(This article belongs to the Section Functional Anatomy and Musculoskeletal System)
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20 pages, 665 KB  
Article
Effective Interprofessional Communication for Patient Safety in Low-Resource Settings: A Concept Analysis
by Mercy Ngalonde Katantha, Reinhard Strametz, Masumbuko Albert Baluwa, Patrick Mapulanga and Ellen Mbweza Chirwa
Safety 2025, 11(3), 91; https://doi.org/10.3390/safety11030091 - 18 Sep 2025
Viewed by 3835
Abstract
Background: Implementing effective interprofessional communication (IPC) in low-resource settings is challenging, primarily due to limited awareness and understanding of the concept. This analysis examined the concept of effective IPC for patient safety in low-resource settings. Its key attributes, antecedents, consequences, and empirical referents [...] Read more.
Background: Implementing effective interprofessional communication (IPC) in low-resource settings is challenging, primarily due to limited awareness and understanding of the concept. This analysis examined the concept of effective IPC for patient safety in low-resource settings. Its key attributes, antecedents, consequences, and empirical referents were identified. Methods: The Walker and Avant framework was used to analyze effective IPC. A literature review was conducted using PubMed, CINAHL, Embase, and Google Scholar, covering research from 2014 to 13 May 2025. Results: Effective IPC embodies clarity, accuracy, consistency, trust, collaboration, and timely information exchange. Strong leadership commitment, transparent communication, ongoing training, and a systematic incident reporting method contribute to better patient safety (PS) and improved healthcare outcomes. Conclusions: Effective interprofessional communication (IPC) is crucial for enhancing patient safety (PS). The concept and its attributes are unclear and underutilized in low-income countries like Malawi due to inadequate training, lack of standardized tools, weak leadership support, and limited psychological safety. Effective IPC should be integrated into preservice training, standardize PS education, and foster collaboration in clinical settings. Full article
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30 pages, 2065 KB  
Review
Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations
by Aglaia Zafeiroudi, Ioannis Tsartsapakis, Ioannis Trigonis, Olga Kouli, Dimitrios Goulimaris and Charilaos Kouthouris
Healthcare 2025, 13(17), 2230; https://doi.org/10.3390/healthcare13172230 - 5 Sep 2025
Viewed by 1164
Abstract
Background/Objectives: Mindfulness has expanded from seated meditation to include embodied practices emphasizing somatic awareness and emotional regulation. Dance offers a creative, accessible pathway to mindfulness, especially in non-clinical settings where movement-based approaches may better support self-regulation, interoception, and well-being. This scoping review investigated [...] Read more.
Background/Objectives: Mindfulness has expanded from seated meditation to include embodied practices emphasizing somatic awareness and emotional regulation. Dance offers a creative, accessible pathway to mindfulness, especially in non-clinical settings where movement-based approaches may better support self-regulation, interoception, and well-being. This scoping review investigated empirical studies on dance-based mindfulness interventions targeting non-clinical, amateur and recreational populations. Methods: Six databases (PubMed, PsycINFO, Scopus, ERIC, Web of Science, and Google Scholar) were searched for peer-reviewed studies published between 2010 and 2025. Eligible studies combined dance with mindfulness and somatic movement practices and were conducted with non-professional participants of all ages in non-clinical settings. Study selection, data extraction, and appraisal followed PRISMA-ScR guidelines. Results: Ten empirical studies met the inclusion criteria, spanning diverse populations from primary school children to older adults. Interventions included Dance/Movement Therapy, ballet with yoga, Sufi-inspired group dance, and school- or community-based mindful movement programs. Reported outcomes included improvements in body awareness, emotional regulation, stress reduction, self-compassion, social connection, and overall well-being. A thematic synthesis identified five domains: (1) psychological and emotional outcomes, (2) embodiment and self-compassion, (3) relational and social benefits, (4) feasibility and acceptability, and (5) sustained and preventive effects. Conclusions: Dance-based mindfulness interventions in recreational contexts show promising psychosomatic and emotional benefits. Although the current empirical base is limited and methodologically diverse, this scoping review provides a necessary foundation for understanding this emerging field. There remains a strong need for interventions that are theoretically grounded, culturally sensitive, and pedagogically integrated, particularly within classroom-based dance educational contexts. Full article
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18 pages, 978 KB  
Review
Pediatric Asthma in the Inland Empire: Environmental Burden, Gaps in Preventive Care, and Unmet Needs
by Catherine Kim, Christine Gharib and Hani Atamna
Children 2025, 12(9), 1183; https://doi.org/10.3390/children12091183 - 4 Sep 2025
Viewed by 1047
Abstract
Background: Asthma is the most prevalent chronic illness in children worldwide, contributing to significant morbidity, health care utilization, and economic burden. In the United States, approximately five million children are affected by asthma. This review explores the environmental contexts and lifestyle determinants of [...] Read more.
Background: Asthma is the most prevalent chronic illness in children worldwide, contributing to significant morbidity, health care utilization, and economic burden. In the United States, approximately five million children are affected by asthma. This review explores the environmental contexts and lifestyle determinants of pediatric asthma, with a focus on the Inland Empire (IE) region of Southern California. The IE’s unique geographic landscape and importance as a major transportation hub highlights its critical role for understanding how both environmental and structural factors exacerbate asthma burden within the pediatric population. Variables such as household income, parental education levels, and lack of community-based asthma programs were explored. Despite significant burdens, the IE remains under-represented in asthma research, contributing to persistent disparity. Methods: A narrative literature review and regional data analysis were conducted via PubMed, Scopus, and Google Scholar (2000–2025), alongside data from the CDC, CDPH, and American Lung Association. Key words used included “pediatric asthma, Inland Empire, air pollution, asthma disparity, emergency department utilization, socioeconomic status.” Inclusion criteria were: (1) studies or reports focusing on pediatric asthma (ages 0–17), (2) articles addressing environmental, socioeconomic, or health care-related risk factors, and (3) research with either national, state-level, or IE-specific data. Exclusion criteria were: (1) articles not in English, adult-only asthma studies, and (3) publications without original data or reference to pediatric asthma burden, management, or outcomes. Titles and abstracts were screened for relevance, and full texts were reviewed when abstracts met inclusion criteria. A total of 61 studies, reports, and data sources met this criterion and were included into this review. Results: The IE—comprised of San Bernardino (SB) and Riverside Counties— is home to four of the top five most polluted cities in North America. Vehicle emissions and industrial waste are concentrated in the region due to limited air circulation from surrounding mountains that entrap pollutants. Pediatric asthma ED visit rates in SB and Riverside were 60.5% and 59.3%, compared to California’s average of 56.7%. Hospitalization rates for children aged 0–4 were also higher in SB (24.4%) compared to the state average (17.3%). The elevated rates among school-aged children underscore the crucial need for interventions aimed at improving air quality, enhancing asthma management, and increasing access to preventive health care. Conclusions: Pediatric asthma in the IE reflects heightened environmental risks, socioeconomic barriers, and gaps in health care access. Addressing these disparities requires targeted interventions, policies, and region-specific research to enhance long-term management strategies and outcomes for vulnerable pediatric populations. Full article
(This article belongs to the Section Pediatric Allergy and Immunology)
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24 pages, 1750 KB  
Systematic Review
A 15-Year One Health Approach to Antimicrobial Resistance in Kuwait from Hospitals to Environmental Contexts: A Systematic Review
by Ahmad Al-Dhumair, Mohammad Al-Hasan, Hanan Al-Khalaifah and Qadriya Al-Mutawa
Life 2025, 15(9), 1344; https://doi.org/10.3390/life15091344 - 25 Aug 2025
Cited by 1 | Viewed by 1414
Abstract
Kuwait has reported a problematic increase in the prevalence of Antimicrobial Resistance (AMR). However, the absence of studies that analyze AMR from combined human, agricultural (animal), and environmental domains limits our ability to assess the extent of the problem in Kuwait. Therefore, this [...] Read more.
Kuwait has reported a problematic increase in the prevalence of Antimicrobial Resistance (AMR). However, the absence of studies that analyze AMR from combined human, agricultural (animal), and environmental domains limits our ability to assess the extent of the problem in Kuwait. Therefore, this systematic review provides a comprehensive insight into the AMR status in Kuwait regarding humans, agriculture (animals), and the environment from the perspective of the One Health approach. A systematic search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify the relevant literature on AMR in Kuwait. Multiple online electronic databases, including the Cochrane Library, Google Scholar, Web of Science, PubMed, BioMed Central (BMC), and Scopus, were searched to perform a narrative synthesis and meta-analysis. Twenty-eight studies published between 2009 and 2024 were included in this study. Domain-wise distribution varied, with 11 studies related to clinical settings, 11 to the environment, 4 to agricultural (animal), and 2 to both clinical and community settings. The narrative synthesis indicated a high occurrence of AMR bacteria in human, agriculture (animal), and environmental domains. In human domains, the dominant AMR isolates belonged to four Gram-negative species: E. coli, K. pneumoniae, P. aeruginosa, and Acinetobacter baumannii. In agriculture (animals), Salmonella isolates from poultry display high resistance to cefotaxime, ampicillin, and amoxicillin. Camel milk analyses revealed that 80% of bacterial isolates are resistant to antibiotics such as penicillin, tetracyclines, and carbapenems. An environmental analysis of sewage, seawater, sediment, and aerosol samples documented widespread antibiotic resistance genes (ARGs) with resistance mechanisms such as extended-spectrum beta-lactamase, carbapenemases, and colistin. The cross-domain analysis identified the overlapping of ARGs. Regarding the One Health approach, none of the studies used this approach to interlink these sectors. Meanwhile, the meta-analysis indicated a high resistance rate in humans (34.05%, 95% CI (22.81 to 46.27, p < 0.0001, I2 = 98.94%)), agriculture (animals) (67.42%, 95% CI (30.30 to 94.93, p < 0.0001, I2 = 97.40%)), and environment (69.86%, 95% CI (48.80 to 87.26, p < 0.0001, I2 = 98.78%)). The reported spread of AMR and the overlap of resistance genes among isolates across the domains demonstrate the interconnected nature of AMR in Kuwait. These findings underscore the need to adopt the One Health approach to strengthen surveillance, implement control measures, and enhance public education strategies to address the complexity of AMR challenges in Kuwait. Full article
(This article belongs to the Section Pharmaceutical Science)
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20 pages, 696 KB  
Systematic Review
An Examination of the Relationship Between Social Support Networks and Opioid Misuse Among American Indian/Alaska Native Populations: A Systematic Review
by Samuel Asante, Allen Shamow and Eun-Jun Bang
Healthcare 2025, 13(16), 2072; https://doi.org/10.3390/healthcare13162072 - 21 Aug 2025
Viewed by 728
Abstract
Background/Objectives: This systematic review addresses the disproportionate impact of the opioid epidemic on American Indian and Alaska Native (AI/AN) populations by examining the socio-ecological and social network factors that influence opioid use and misuse. While previous reviews have largely focused on treatment [...] Read more.
Background/Objectives: This systematic review addresses the disproportionate impact of the opioid epidemic on American Indian and Alaska Native (AI/AN) populations by examining the socio-ecological and social network factors that influence opioid use and misuse. While previous reviews have largely focused on treatment modalities or structural determinants such as socioeconomic status and rurality, few studies have explored the role of social networks as risk or protective factors, particularly within AI/AN communities. Methods: Applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, the review synthesized findings from three scholarly databases (PubMed, EBSCOhost, ProQuest), six institutional repositories (e.g., Indigenous Studies Portal), and one academic search engine (Google Scholar). Studies that examined the influence of social network domains on opioid misuse in AI/AN populations in the United States, reported quantitative or qualitative data, and were published between 2010 and 2022 were included in this review. Study quality was assessed with the JBI Checklists for Analytical Cross Sectional Studies and Qualitative Research. Of the 817 articles initially identified, 7 met the inclusion criteria, with most studies focusing on AI/AN adolescents and young adults, a demographic shown to be especially susceptible to opioid misuse. Results: The review identified several social network domains that significantly affect opioid use patterns, including familial relationships, peer associations, community dynamics, educational influences, cultural traditions, social media engagement and the effect of historical and intergenerational trauma. These domains can function either as protective buffers or as contributing factors to opioid misuse. Conclusions: The findings underscore the necessity for future longitudinal research to elucidate the causal pathways between these social network factors and opioid behaviors, particularly concerning trauma and digital media exposure. Furthermore, the study highlights the importance of culturally grounded, evidence-based prevention strategies that address the multifaceted social environments of AI/AN individuals. Such approaches are critical to fostering resilience and mitigating the opioid crisis within these historically marginalized populations. Full article
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12 pages, 558 KB  
Review
The Challenge of Rebuilding Gaza’s Health System: A Narrative Review Towards Sustainability
by Eduardo Missoni and Kasturi Sen
Healthcare 2025, 13(15), 1860; https://doi.org/10.3390/healthcare13151860 - 30 Jul 2025
Cited by 1 | Viewed by 3014
Abstract
Background: Since the election of Hamas in 2006, Gaza has endured eight major military conflicts, culminating in the ongoing 2023–2025 war, now surpassing 520 days. This protracted violence, compounded by a 17-year blockade, has resulted in the near-total collapse of Gaza’s health [...] Read more.
Background: Since the election of Hamas in 2006, Gaza has endured eight major military conflicts, culminating in the ongoing 2023–2025 war, now surpassing 520 days. This protracted violence, compounded by a 17-year blockade, has resulted in the near-total collapse of Gaza’s health system. Over 49,000 deaths, widespread displacement, and the destruction of more than 60% of health infrastructure have overwhelmed both local capacity and international humanitarian response. Objectives: This narrative review aims to examine and synthesize the current literature (October 2023–April 2025) on the health crisis in Gaza, with a specific focus on identifying key themes and knowledge gaps relevant to rebuilding a sustainable health system. The review also seeks to outline strategic pathways for recovery in the context of ongoing conflict and systemic deprivation. Methods: Given the urgency and limitations of empirical data from conflict zones, a narrative review approach was adopted. Fifty-two sources—including peer-reviewed articles, editorials, reports, and correspondence—were selected through targeted searches using Medline and Google Scholar. The analysis was framed within a public health and political economy perspective, also taking health system building blocks into consideration. Results: The reviewed literature emphasizes emergency needs: trauma care, infectious disease control, and supply chain restoration. Innovations such as mobile clinics and telemedicine offer interim solutions. Gaps include limited attention to mental health (including that of health workers), local governance, and sustainable planning frameworks. Conclusions: Sustainable reconstruction requires a durable ceasefire; international stewardship aligned with local ownership; and a phased, equity-driven strategy emphasizing primary care, mental health, trauma management, and community engagement. Full article
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