Search Results (13)

Understanding rural communities’ perceptions of the health impacts of extreme weather is vital for strengthening community resilience and adaptation strategies. This paper aimed to collate existing evidence on the perceptions of rural Australians regarding the health impacts of extreme weather events. A scoping review following PRISMA-ScR guidelines was conducted. Peer-reviewed empirical articles published up to 7 May 2025 were identified from Scopus, PubMed, and Web of Science. One author undertook two-step screening and data extraction, which was checked by another author, and data were analysed using a thematic approach. Of 242 non-duplicate articles screened, 34 were included, which discussed drought (n = 14), bushfire (n = 8), flood (n = 6), extreme heat (n = 4) or a combination of events (n = 2). Two main themes arose: (1) perceived severity, frequency and duration of extreme weather events; and (2) perceptions of health impacts. The second theme comprised six subthemes: mental health risks, social disconnectedness, disrupted connection to land, distress due to uncertainties, community resilience, and disproportionate effects on vulnerable groups. Evidence gaps included a lack of perspectives separated by gender and age and a shortage of voices of socio-economically disadvantaged groups. Future research should investigate how to understand rural communities’ resilience to develop targeted adaptation and mitigation strategies. Full article

Background: Hwa-Byung is a culturally bound syndrome prevalent in Korea, characterized by intense emotional distress and physical symptoms related to suppressed anger. Patients frequently report experiencing chest tightness, heat sensations, and globus pharyngeus (the sensation of a lump in the throat). These physical symptoms often accompany psychological distress and can exacerbate the sense of frustration and helplessness associated with the condition. The distinctive presentation of these symptoms highlights the necessity for therapeutic interventions that address both the emotional and physical aspects of Hwa-Byung. Conventional therapeutic methods, such as Emotion-to-Emotion Therapy (ETE), have shown efficacy in treating this condition. This study aims to assess the efficacy of Virtual Reality-based Emotion-to-Emotion Therapy (VR-based ETE) compared to conventional ETE, utilizing immersive digital platforms to enhance therapeutic engagement. Methods: This single-center, randomized, assessor-blind, parallel-group clinical trial will enroll 96 participants, evenly divided into two experimental groups and one control group. Over eight weeks, each participant will undergo 12 intervention sessions. Experimental group 1 will receive conventional ETE, experimental group 2 will receive VR-based ETE, and the control group will receive Hwa-Byung management training materials. The primary outcome will be the change in symptoms, measured by the Likert Scale for Major Symptoms of Hwa-Byung from baseline to 8 weeks. Secondary outcomes will include psychometric scales and physiological measures such as the core seven-emotions inventory short form, physical health questionnaire, stress response index, Beck depression inventory, state-trait anger expression inventory, state-trait anxiety inventory, functional near-infrared spectroscopy, and heart rate variability. For economic efficiency assessment, quality-adjusted life-years will be the primary outcome using the EuroQol-5 dimension, and the secondary outcome will be using the EuroQol visual analog scale. Discussion: ETE is a recognized oriental psychotherapy that enhances symptom management, self-regulation, and stress coping. VR is expected to deepen treatment immersion. By combining these strengths, VR-ETE may further improve emotion regulation and alleviate psychosomatic symptoms. If successful, this study will not only advance the treatment of Hwa-Byung but also contribute to the modernization of traditional Korean medicine through the integration of digital therapies. Full article

Children in developing countries such as India will experience severe consequences of climate change. Primary school students, in particular, are the most vulnerable to extreme weather conditions, such as heat waves intensifying due to climate change. This will adversely impair their development, well-being, and learning outcomes. However, significant research gaps exist in understanding and mitigating children’s vulnerabilities. There is an urgent need for a deeper understanding of the impact of heat waves on children’s health and well-being in India. Further, the discussion on the state of heat safety in Indian primary schools is limited. This study addresses these gaps by surveying 335 primary school teachers in seven Indian cities. The data gathered from the field survey offers a better understanding of classroom experiences and challenges encountered by children and teachers during heat waves. It underscores several aspects of students’ vulnerability to heat exposure and its adverse impact on their health, such as absence from school, physical symptoms of heat distress, etc. Furthermore, it highlights the pressing need for classroom heat risk management in light of climate change and makes several policy prescriptions in primary schools. Full article

Breast cancer (BC) is one of the most commonly diagnosed types of cancer in women. Oxidative stress may contribute to cancer etiology through several mechanisms. A large body of evidence indicates that physical activity (PA) has positive effects on different aspects of BC evolution, including mitigation of negative effects induced by medical treatment. With the aim to verify the capacity of PA to counteract negative effects of BC treatment on systemic redox homeostasis in postsurgery female BC patients, we have examined the modulation of circulating levels of oxidative stress and inflammation markers. Moreover, we evaluated the impacts on physical fitness and mental well-being by measuring functional parameters, body mass index, body composition, health-related quality of life (QoL), and fatigue. Our investigation revealed that PA was effective in maintaining plasma levels of superoxide dismutase (SOD) activity and tGSH, as well as peripheral blood mononuclear cells’ (PBMCs) mRNA levels of SOD1 and heat-shock protein 27. Moreover, we found a significant decrease in plasma interleukin-6 (≈0.57 ± 0.23-fold change, p < 0.05) and increases in both interleukin-10 (≈1.15 ± 0.35-fold change, p < 0.05) and PBMCs’ mRNA level of SOD2 (≈1.87 ± 0.36-fold change, p < 0.05). Finally, PA improves functional parameters (6 min walking test, ≈+6.50%, p < 0.01; Borg, ≈−58.18%, p < 0.01; sit-and-reach, ≈+250.00%, p < 0.01; scratch right, ≈−24.12%, and left, ≈−18.81%, p < 0.01) and body composition (free fat mass, ≈+2.80%, p < 0.05; fat mass, ≈−6.93%, p < 0.05) as well as the QoL (physical function, ≈+5.78%, p < 0.05) and fatigue (cognitive fatigue, ≈−60%, p < 0.05) parameters. These results suggest that a specific PA program not only is effective in improving functional and anthropometric parameters but may also activate cellular responses through a multitude of actions in postsurgery BC patients undergoing adjuvant therapy. These may include modulation of gene expression and protein activity and impacting several signaling pathways/biological activities involved in tumor-cell growth; metastasis; and inflammation, as well as moderating distress symptoms known to negatively affect QoL. Full article

Background and aims: Breast and ovarian cancers affect the lives of many women worldwide. Female cancer survivors often experience hot flashes, a subjective sensation of heat associated with objective signs of cutaneous vasodilatation and a subsequent drop in core temperature. Breast and Ovarian cancer patients also suffer from sleep difficulties and mental health issues. The present study aimed to assess the effectiveness of Bubble, a novel artificial intelligence–virtual reality (AI–VR) intervention for the treatment of hot flashes in female breast or ovarian cancer patients. Methods: Forty-two women with breast and/or ovarian cancer participated in the study. The mean age was 47 years (range: 25–60 years). Patients suffered from hot flashes at different frequencies. They used Bubble, a virtual reality (VR) mobile psychological intervention based on elements from both cognitive behavioral therapy and mindfulness-based stress reduction. The intervention took place in a VR environment, in a winter wonderland setting called Frosty. Patients were instructed to use Bubble at home twice a day (morning and evening) and when experiencing a hot flash. Participants were asked to use the application for 24 consecutive days. Before and after this 24-day period, patients completed self-report questionnaires assessing hot flashes, general psychiatric distress, perceived stress, illness perception, sleep quality, and quality of life. Results: Between pre- and post-intervention, participants reported a significant reduction in the daily frequency of hot flashes, stress, general psychiatric distress, several domains of QOL, and sleep difficulties, as well as an improvement in illness perception. In addition, they reported very high satisfaction with Bubble. Importantly, both age and baseline levels of psychopathology moderated the effect of Bubble on sleep difficulties. Discussion: This study showed preliminary evidence for the potential of VR interventions in alleviating hot flashes and accompanying mental distress among those coping with breast and ovarian cancer. VR is a powerful therapeutic tool, able to address mind–body aspects in a direct, vivid way. More studies are needed in order to fully understand the potential of this unique intervention. Full article

Researchers from across the world are seeking to develop effective treatments for the ongoing coronavirus disease 2019 (COVID-19) outbreak, which arose as a major public health issue in 2019, and was declared a pandemic in early 2020. The pro-inflammatory cytokine storm, acute respiratory distress syndrome (ARDS), multiple-organ failure, neurological problems, and thrombosis have all been linked to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) fatalities. The purpose of this review is to explore the rationale for using photobiomodulation therapy (PBMT) of the particular wavelength 1068 nm as a therapy for COVID-19, investigating the cellular and molecular mechanisms involved. Our findings illustrate the efficacy of PBMT 1068 nm for cytoprotection, nitric oxide (NO) release, inflammation changes, improved blood flow, and the regulation of heat shock proteins (Hsp70). We propose, therefore, that PBMT 1068 is a potentially effective and innovative approach for avoiding severe and critical illness in COVID-19 patients, although further clinical evidence is required. Full article

This paper focuses on the financial health prediction of businesses. The issue of predicting the financial health of companies is very important in terms of their sustainability. The aim of this paper is to determine the financial health of the analyzed sample of companies and to distinguish financially healthy companies from companies which are not financially healthy. The analyzed sample, in the field of heat supply in Slovakia, consisted of 444 companies. To fulfil the aim, appropriate financial indicators were used. These indicators were selected using related empirical studies, a univariate logit model and a correlation matrix. In the paper, two main models were applied—multivariate discriminant analysis (MDA) and feed-forward neural network (NN). The classification accuracy of the constructed models was compared using the confusion matrix, error type 1 and error type 2. The performance of the models was compared applying Brier score and Somers’ D. The main conclusion of the paper is that the NN is a suitable alternative in assessing financial health. We confirmed that high indebtedness is a predictor of financial distress. The benefit and originality of the paper is the construction of an early warning model for the Slovak heating industry. From our point of view, the heating industry works in the similar way in other countries, especially in transition economies; therefore, the model is applicable in these countries as well. Full article

The WHO estimates that, with the development of urbanization, 25% of the population is suffering from psychological and mental distress. Preliminary evidence has suggested that aquatic environments and riparian areas, i.e., waterscapes, can benefit psychological and mental wellbeing. The aim of this study was to identify the processes of waterscape psychological and mental health promotion through aliterature review. We propose a design framework of waterscapes for achieving psychological and mental health in the general population that often visits waterscapes, which has the function of therapeutic landscapes through values of accessibility, versatility, habitats, and biodiversity. According to theories, waterscapes can improve psychological and mental health to divert negative emotions through mitigation (e.g., reduced urban heat island), instoration (e.g., physical activity and state of nature connectedness), and restoration (e.g., reduced anxiety/attentional fatigue). By accessing water (e.g., streams, rivers, lakes, wetlands, and the coast) and riparian areas, people can get in close contact with nature and spend more time in activities (e.g., walking, exploring, talking, and relaxing). Waterscapes with healing effects can enhance psychological resilience to promote people’s psychological and mental health. Future research should focus on ensuring an adequate supply of waterscapes and promoting the efficiency of waterscape ecosystem services on mental health. Moreover, fora deep understanding of the complexity of nature–human health associations, it is necessary to explore more consistent evidence for therapeutic waterscapes considering the characteristics and functional mechanisms of waterscape quality, in terms of freshness, luminescence, rippling or fluidity, and cultural value, to benefit public health and biodiversity conservation. Full article

Global endeavors to respond to the problems caused by climate change and are leading to higher temperatures inside homes, which can cause skin conditions (such as eczema), lethargy, and poor concentration; disturbed sleep and fatigue are also rising. The energy performance of buildings is influenced by interactions and associations of numerous different variables, such as the envelope specifications as well as the design, technologies, apparatuses, and occupant behaviours. This paper introduces simple and sustainable strategies that are not dependent on expensive or sophisticated technologies, as they rely only on the actions practiced by the building’s occupants (movable window shading, and nighttime natural ventilation) instead of completely relying on high-cost mechanical cooling systems in buildings located in the main Eastern Mediterranean climates represented in the country of Jordan. These low-energy solutions could be applied to low-income houses in hot areas to avoid health problems, such as dermatological diseases, and save a significant amount of energy. The final results indicate that window shading has significant potential in reducing the cooling load in different climate zones. Natural ventilation exhibits high energy-saving abilities in climates that have cool nights, whereas its abilities in hot climates where nights are moderate is limited. Full article

Climate change is negatively impacting the mental health of populations. This scoping review aims to assess the available literature related to climate change and mental health across the World Health Organisation’s (WHO) five global research priorities for protecting human health from climate change. We conducted a scoping review to identify original research studies related to mental health and climate change using online academic databases. We assessed the quality of studies where appropriate assessment tools were available. We identified 120 original studies published between 2001 and 2020. Most studies were quantitative (n = 67), cross-sectional (n = 42), conducted in high-income countries (n = 87), and concerned with the first of the WHO global research priorities—assessing the mental health risks associated with climate change (n = 101). Several climate-related exposures, including heat, humidity, rainfall, drought, wildfires, and floods were associated with psychological distress, worsened mental health, and higher mortality among people with pre-existing mental health conditions, increased psychiatric hospitalisations, and heightened suicide rates. Few studies (n = 19) addressed the other four global research priorities of protecting health from climate change (effective interventions (n = 8); mitigation and adaptation (n = 7); improving decision-support (n = 3); and cost estimations (n = 1)). While climate change and mental health represents a rapidly growing area of research, it needs to accelerate and broaden in scope to respond with evidence-based mitigation and adaptation strategies. Full article

Artificial intelligence (AI), machine learning (ML) and big data are consistently called upon to analyze and comprehend many facets of modern daily life. AI and ML in particular are widely used in animal husbandry to monitor both the animals and environment around the clock, which leads to a better understanding of animal behavior and distress, disease control and prevention, and effective business decisions for the farmer. One particularly promising area that advances upon AI is digital twin technology, which is currently used to improve efficiencies and reduce costs across multiple industries and sectors. In contrast to a model, a digital twin is a digital replica of a real-world entity that is kept current with a constant influx of data. The application of digital twins within the livestock farming sector is the next frontier and has the potential to be used to improve large-scale precision livestock farming practices, machinery and equipment usage, and the health and well-being of a wide variety of farm animals. The mental and emotional states of animals can be monitored using recognition technology that examines facial features, such as ear postures and eye white regions. Used with modeling, simulation and augmented reality technologies, digital twins can help farmers to build more energy-efficient housing structures, predict heat cycles for breeding, discourage negative behaviors of livestock, and potentially much more. As with all disruptive technological advances, the implementation of digital twin technology will demand a thorough cost and benefit analysis of individual farms. Our goal in this review is to assess the progress toward the use of digital twin technology in livestock farming, with the goal of revolutionizing animal husbandry in the future. Full article

Extreme heat events at urban centers in combination with air pollution pose a serious risk to human health. Among these are financially distressed cities and neighborhoods that are facing enormous challenges without the scientific and technical capacity for planning and mitigation. The city of Camden is one of those economically distressed areas with a predominantly minority population, a high unemployment rate, high poverty rates, and poor air quality (PM_2.5 and ozone), and it remains vulnerable to heat events. This paper focuses on studying a coupled effect of Urban Heat Islands (UHIs) and Ozone-PM_2.5 pollution at the neighborhood-scale in the city of Camden, using fine scale remotely sensed land-surface temperature and air quality data from the Community Multiscale Air Quality (CMAQ) Modelling System in the Geographic Information Systems (GIS) platform. To assess the impact of urban microclimate on the city of Camden, NJ, residents’ health, we identified several environmental and social parameters as the root causes of vulnerability imposed by extreme-heat and poor air quality. Vulnerability in terms of environment and social wellbeing was spatially quantified as two conceptual vulnerability-index models (i.e., environmental vulnerability index (EVI) and a social vulnerability index (SVI)) using multiple linear regression algorithm. Factors such as remotely sensed earth surface properties, built-environment components, air quality, and socio-economic data were incorporated in a holistic geographic approach to quantify the combined effect. Surface temperature gradient and Proportional Vegetation (P_v) generated from 30 m resolution Landsat 8 were sampled along with other variables in the city of Camden, NJ. Models incorporating P_v suggest better fit than models with normalized difference vegetation index (NDVI). Water fraction (33.5%, 32.4%), percentage imperviousness (32.5%, 32%), P_v (20.5%, 19.6%), and digital elevation model (DEM) (9%, 8%) have the highest contributions in both models. Two output maps identified the vulnerable neighborhoods in the city through comprehensive GIS analysis: Lanning Square, Bergen Square, Central Waterfront, Gateway, Liberty Park, and Parkside. This can provide useful information for planners and health officials in targeting areas for future interventions and mitigations. Full article

Food allergies are one of the first manifestations of allergic disease and have been shown to significantly impact on general health perception, parental emotional distress and family activities. It is estimated that in the Western world, almost one in ten children have an IgE-mediated allergy. Cow’s milk and egg allergy are common childhood allergies. Until recently, children with food allergy were advised to avoid all dietary exposure to the allergen to which they were sensitive, in the thought that consumption would exacerbate their allergy. However, recent publications indicate that up to 70% of children with egg allergy can tolerate egg baked in a cake or muffin without apparent reaction. Likewise, up to 75% of children can tolerate baked goods containing cow’s milk, and these children demonstrate IgE and IgG4 profiles indicative of tolerance development. This article will review the current literature regarding the use of heated food allergens as immunotherapy for children with cow’s milk and egg allergy. Full article