Search Results (2,042)

Background: Burn injuries have complex physical and psychological consequences, making holistic rehabilitation essential. This mixed methods service evaluation explored the acceptability and perceived benefits of a peer-supported breakfast group delivered as part of routine occupational therapy practice for adult inpatient burn survivors. Methods: A tailored survey integrating PROMIS items with open-ended questions was completed by nine participants. All English-speaking inpatients aged >18 years who attended were invited to participate. In total 36 patients attended and 9 completed the survey (n = 36; n = 9). A convergent design integrated open-ended survey responses with PROMIS patient-reported outcome items, analysed thematically and interpreted using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and MMR-RHS (Mixed Methods Reporting—Rehabilitation and Health Sciences) frameworks. Results: Quantitative findings suggested high perceived physical function and strong emotional support, with low anxiety and depression, and low social isolation. Reflexive thematic analysis generated four themes: fostering human connection and emotional wellbeing; restoring autonomy and confidence; preparing physically and psychologically for discharge; and the influence of the rehabilitation environment. Conclusion: While descriptive only, findings provide early insight into the value of peer-supported group activity in inpatient burn care. Larger controlled studies with baseline measurement are needed to evaluate effectiveness and implementation feasibility. Full article

Perovskite solar cells (PSCs) have emerged as a disruptive photovoltaic technology for aerospace and extreme environment applications, driven by their substantial power-to-weight ratio and mechanical flexibility. However, continuous operation under harsh conditions, characterized by the AM0 spectrum, deep vacuum, extreme thermal cycling, and ionizing radiation, exposes the fundamental thermodynamic instability of traditional organic–inorganic hybrid perovskites. This comprehensive review systematically synthesizes 131 recent studies to provide a holistic framework for designing ultrastable, radiation-hardened PSCs. We critically examine the underlying degradation mechanisms, including vacuum-induced volatile desorption, UV-triggered halide segregation, and thermomechanical fracture at buried interfaces. To overcome these critical barriers, we highlight advanced engineering strategies: the transition to all-inorganic CsPbX₃ and lead-free double/chalcogenide perovskites (e.g., Cs₂SnI₆, CaHfS₃), the implementation of dopant-free inorganic transport layers coupled with self-assembled monolayers (SAMs) for cascade band alignment, and the integration of polymeric scaffolds for fracture energy toughening. Furthermore, we emphasize the imperative shift toward solvent-free vacuum deposition techniques (ALD, PLD). A distinctive focus of this review is the integration of Artificial Intelligence; specifically, we evaluate Deep Learning architectures, such as Long Short-Term Memory (LSTM) networks, for predictive State of Health (SOH) monitoring, underscoring the vital transition from simulated to empirical datasets. Finally, coupled with Material Flow Cost Accounting (MFCA), this review outlines a strategic roadmap for the commercialization and deployment of autonomous, self-diagnosing photovoltaic platforms in next-generation satellite and deep-space missions. Full article

Background: Sexual health is a key component of quality of life and an essential aspect of holistic maternity care. During pregnancy, changes in sexual function are often accompanied by fears and misconceptions, which are influenced by healthcare professionals’ counseling. Objectives: The present study aimed to investigate the knowledge, attitudes, and perceptions of midwives and obstetricians/gynecologists in Greece regarding sexual activity during pregnancy. Methods: A cross-sectional study was conducted using an anonymous, self-administered questionnaire. Participants included 121 healthcare professionals (73 midwives and 48 obstetricians/gynecologists). Data were analyzed using appropriate non-parametric statistical tests and multiple linear regression analysis. Results: The majority of participants (97.5%) considered sexual activity during pregnancy to be beneficial. Midwives demonstrated significantly higher scores on the knowledge assessment compared to obstetricians/gynecologists (67.7 ± 18.0 vs. 54.8 ± 24.2, p = 0.001) and more frequently selected the questionnaire response indicating benefits for both the couple and the fetus (46.6% vs. 27.1%, p = 0.031). A higher proportion of midwives perceived that pregnant women do not receive adequate information regarding their sexual health (93.2% vs. 68.8%, p < 0.001). Obstetricians/gynecologists were more likely to recommend restrictions even in low-risk pregnancies. Conclusions: The findings highlight the need for improved education and standardized counseling protocols on sexual health during pregnancy, with particular emphasis on strengthening the role of midwives in delivering holistic, woman-centered care. Full article

Background: Adolescents and young adults (AYAs; aged 15–39) diagnosed with cancer face distinct challenges that are poorly addressed within traditional cancer care models. This qualitative study explored AYAs’ unmet supportive cancer care needs in Eastern Ontario (Canada) to inform the development of a tailored multidisciplinary program. Methods: As part of a larger mixed-methods study, AYAs receiving/post-cancer treatment in the Champlain region of Eastern Ontario were purposively recruited to complete a survey and a semi-structured interview. Demographic and interview data were analyzed descriptively and via thematic analysis, respectively. Results: Sixteen AYAs (M_age = 32.2 years [range: 19–42]; 56.3% female) were interviewed virtually using a co-designed, semi-structured guide between October 2024 and February 2025. Analysis revealed five themes (i.e., major care gaps) and 12 sub-themes, including: (1) lack of standardized fertility counselling, (2) neglected psycho-emotional impact, (3) limited sexual health education and support, (4) difficulty navigating the healthcare system, and (5) financial toxicity and the cost of being sick young. Conclusions: AYAs in Eastern Ontario face persistent gaps in supportive cancer care that undermine their quality of life. Our findings underscore the need for targeted system-level improvements and offer a foundation for co-designing an evidence-based regional AYA care model that better addresses the holistic needs of this growing population. Full article

Cardiac computed tomography (CT) has evolved into a pivotal tool in precision cardiology, enabling comprehensive, non-invasive evaluation of coronary anatomy, plaque composition, vascular function, and inflammation. From calcium scoring to advanced physiological imaging, CT now integrates multiple layers of cardiovascular information within a unified diagnostic framework. Coronary artery calcium (CAC) quantification provides a robust, reproducible measure of atherosclerotic burden and refines risk estimation beyond traditional algorithms, particularly in asymptomatic individuals with an intermediate likelihood. Building upon this anatomical foundation, coronary CT angiography (CCTA) extends evaluation to the anatomical and morphological characterization of coronary artery disease (CAD), identifying both obstructive and non-obstructive plaques with high prognostic accuracy. The addition of CT-derived fractional flow reserve (FFR-CT) and stress perfusion CT (CTP) bridges anatomy and physiology, improving identification of flow-limiting stenoses and guiding revascularization decisions while reducing unnecessary invasive procedures. Beyond luminal assessment, CT-derived biomarkers such as the perivascular fat attenuation index (pFAI) have introduced a new dimension of vascular inflammation imaging, revealing residual risk even in patients without significant stenosis and suggesting novel pathways for individualized therapeutic targeting. Driven by advances in artificial intelligence and photon-counting detector technology, cardiac CT is transitioning from a purely diagnostic modality to an integrative platform for cardiovascular phenotyping. Taken as a whole, this integration of structural, functional, and biological data provides a genuinely holistic view of coronary health. In practical terms, it shifts clinical decision-making from population-based risk models toward precision-guided patient-specific strategies. Full article

Background: The nursing process provides a structured framework for delivering safe, holistic, and patient-centered care; however, its implementation in primary healthcare settings, particularly in low-resource systems, remains inconsistent due to limited training and institutional support. Objectives: This study aimed to evaluate the effectiveness of a structured educational intervention in improving nurses’ knowledge and practical competencies in applying the nursing process in primary healthcare centers in Vlora, Albania. Methods: A quasi-experimental study was conducted with 32 nurses from five public primary healthcare centers. Sixteen nurses received a structured training program consisting of theoretical instruction and case-based practice, while sixteen nurses served as a control group. Pre- and post-intervention assessments were performed using standardized questionnaires and skill evaluation tools, and differences were analyzed using nonparametric statistical tests. Results: The results showed clear improvements in the intervention group across all domains, after the training. The reported use of the nursing process increased from 62.5% to 100%, while the use of Gordon’s Functional Health Patterns increased from 6.3% to 93.7%. The use of NANDA nursing diagnosis increased from 62.5% to 100%. The proportion of nurses reporting written nursing care plans increased from 62.5% to 93.7%, and the implementation and evaluation of care plans increased from 62.5% to 100%. The control group showed no comparable progress. Nurses who participated in the training also reported increased confidence and consistency in applying the nursing process in daily practice. Conclusions: These findings suggest that structured, competency-based training programs may improve immediate nurses’ theoretical knowledge and practical skills. Such training may contribute to improving the quality of nursing care, but further studies and longer follow-up and patient-related results are needed. Full article

Background: The transition to motherhood represents a critical life phase marked by profound biological, psychological and social changes. During this period, women’s nutritional practices are shaped not only by physiological needs but also by shifting identities, caregiving responsibilities and social expectations. Although nutrition during pregnancy and the postpartum period has been widely studied from a biomedical perspective, less attention has been paid to how women experience, negotiate and attribute meaning to food during the transition to motherhood. Objective: This systematic qualitative review aimed to synthesise existing qualitative evidence on women’s experiences of nutritional practices during the transition to motherhood, with particular attention to food as self-care, control, autonomy, identity formation and mental well-being. Methods: A systematic search of electronic databases was conducted to identify qualitative studies exploring women’s experiences of nutrition during pregnancy and early motherhood. Eligible studies employed qualitative methodologies such as interviews, focus groups or ethnographic approaches. Study selection followed PRISMA guidelines. Methodological quality was appraised using established qualitative appraisal tools. A thematic synthesis approach was used to integrate findings across studies. Results: The synthesis identified several interrelated themes: nutrition as a form of self-care and emotional regulation; loss of autonomy and heightened moral surveillance around food choices; food practices as a means of performing and negotiating “good motherhood”; and the emotional burden of dietary expectations in relation to mental health and identity. Women described navigating competing demands between their own nutritional needs and those of their infants, often within contexts of social judgement and limited support. Conclusions: Nutritional practices during the transition to motherhood extend beyond health behaviours and are deeply embedded in issues of identity, autonomy and care. Recognising the social and emotional dimensions of maternal nutrition may inform more holistic, woman-centred approaches to nutritional guidance and maternal health support. Full article

Background: Suryanamaskar (Sun Salutation) is a dynamic sequence of yoga that incorporates movement, breath and mindfulness, and is known for its many potential multidimensional health benefits. Despite the increasing volume of research, a comprehensive and domain-specific synthesis examining the multidimensional effects of Suryanamaskar and yoga-based interventions incorporating Suryanamaskar remains limited. Hence, the present study was designed to systematically review and synthesize the existing evidence related to the effects of Suryanamaskar and yoga-based interventions using Suryanamaskar sequence on various populations and outcome domains. Methods: This systematic review was conducted in accordance with the PRISMA 2020 statement and Cochrane Handbook recommendations. Literature searches were performed in PubMed, Scopus, Web of Science, and Google Scholar from database inception to 31 December 2025. Studies involving human participants and Suryanamaskar-based interventions reporting measurable physical, physiological, or psychological outcomes were included. Fourteen studies met the eligibility criteria. Study characteristics, intervention protocols, and outcome measures were extracted. Risk of bias was assessed using RoB 2 for randomized studies and ROBINS-I for non-randomized studies. Due to substantial heterogeneity, findings were synthesized narratively. Results: A total of 14 studies met the inclusion criteria. Overall, Suryanamaskar and yoga-based interventions incorporating Suryanamaskar were associated with improvements in physical fitness, physiological health, psychological well-being, and body composition across diverse populations. Most included studies reported favourable changes in physical fitness, physiological, psychological, and body-composition outcomes; however, the magnitude and consistency of findings varied substantially across study designs, participant populations, intervention protocols, and outcome measures. Conclusions: Promising but heterogeneous evidence suggests that Suryanamaskar and yoga-based interventions incorporating Suryanamaskar may contribute to improvements in physical fitness, physiological function, psychological well-being, and body composition across diverse populations. However, these findings should be interpreted with caution because of variability in study designs, intervention protocols, participant characteristics, and risk of bias. Although Suryanamaskar appears to be a practical, low-cost, and holistic intervention with potential applications in educational, sports, and health-promotion settings, further high-quality randomized controlled trials with standardized protocols and larger sample sizes are required to strengthen the evidence base. Full article

Agricultural commodity markets remain central to household survival across many developing economies, yet their volatility is rarely framed as an adolescent sexual and reproductive health problem. This mini review uses a structured narrative approach anchored in a screened evidence map of 1065 records, from which 50 papers were retained and 16 studies were prioritized for full synthesis. We define adolescent reproductive health holistically, including sexual agency, contraceptive information and use, pregnancy intention, antenatal and obstetric care, protection from coercion, and maternal and neonatal outcomes. The review provides a concrete answer to the primary question: agricultural commodity price volatility is a distal, context-conditioned determinant of adolescent reproductive health, not a uniform direct cause. Its effects operate mainly through food security, household income, labor allocation, school continuity, gendered bargaining power, and service access. Negative shocks more consistently erode nutrition, schooling, transport to care, and access to adolescent-friendly services, especially among rural girls in households with weak shock buffers. Positive shocks may increase births or union formation when income effects dominate, but they may also harm health when higher labor demand raises the opportunity cost of caregiving and service use. Direct adolescent-specific causal evidence remains limited; therefore, adjacent evidence on fertility, child health, schooling, and maternal or neonatal outcomes is interpreted through an explicit evidence hierarchy rather than treated as equivalent to direct adolescent evidence. Policy priorities include shock-responsive social protection, school retention, contraceptive supply continuity, adolescent-friendly care, and early warning systems that trigger health and education responses during commodity instability. Full article

Aflatoxins and fumonisins are two of the most prevalent and toxicologically significant mycotoxins contaminating global food supplies, particularly maize and groundnuts. Although several regulated mycotoxins contribute to food safety concerns, this review focuses on aflatoxins and fumonisins because they frequently co-occur in maize and maize products. Their widespread prevalence, distinct toxicological mechanisms, and combined health effects necessitate an integrated exposure and risk assessment. This review critically evaluates the current state of exposure assessment and its implications for human health. We examine the evolution of sample preparation techniques, highlighting the transition from traditional liquid–liquid extraction to advanced approaches such as QuEChERS and green extraction technologies that can handle the divergent physicochemical properties of lipophilic aflatoxins and hydrophilic fumonisins. Analytical methods are compared, from the robust but limited HPLC-FLD to the multi-analyte capabilities of LC-MS/MS and the emerging potential of aptamer-based biosensors. Furthermore, the review addresses the critical challenge of modified mycotoxins that evade routine detection yet may contribute to total toxicity. By synthesizing data on biomarkers of exposure and the mechanisms of co-exposure, we discuss the complex interplay between these toxins in the etiology of hepatocellular carcinoma and neural tube defects. The review concludes that mitigating the public health burden of mycotoxins requires a holistic strategy that integrates HRMS for non-targeted analysis with human biomonitoring to capture the accurate individual-level exposure. Full article

Staphylococcus aureus (Staph) infections are a pressing health concern in the White Mountain Apache (WMA) Tribal community, where invasive Staph infection rates far exceed those in the general U.S. population. This study explored community perspectives to guide culturally tailored education and prevention strategies. We conducted 42 in-depth interviews and focus group discussions with healthcare providers, traditional practitioners, and community members. Thematic analysis showed that participants had familiarity with the term “MRSA” (methicillin-resistant Staph), although many did not recognize it as a form of Staph, per se. Barriers to timely care-seeking included lack of transportation, stigma, and misconceptions about infection causes. With regard to biomedical approaches to prevention, participants preferred products like antiseptic nasal sprays and antimicrobial skin cleansers due to ease of use. Community members emphasized the need for simple, bilingual educational materials grounded in Apache culture and delivered by trusted figures. The findings underscore the importance of culturally grounded education and prevention approaches. Implementation and scaling of these strategies may enhance health literacy, reduce infection rates, and promote holistic wellness in Indigenous communities. Full article

Background: With the global population aging, osteoporosis and associated vertebral compression fractures are increasingly prevalent. While bone mineral density (BMD) remains the standard clinical parameter for diagnosing osteoporosis, it provides an incomplete assessment of holistic spinal bone health. Paraspinal muscles are essential for spinal stability and movement. This narrative review aims to evaluate the interplay between paraspinal muscle status and lumbar spine BMD, thereby providing a scientific foundation for comprehensive bone health management. Methods: A comprehensive literature search was conducted in PubMed using relevant keywords to identify studies evaluating the functional and morphological interactions between paraspinal muscles and bone mineral density. Discussion: Current evidence demonstrates a significant negative correlation between paraspinal muscle FI and lumbar spine BMD. High FI is identified as an independent risk factor for osteoporotic vertebral fractures and a robust predictor of postoperative complications. The relationship between paraspinal muscle CSA and BMD remains debated. Nevertheless, targeted high-impact and resistance training generate substantial mechanical loading through muscle contraction, providing biological stimuli for trabecular BMD preservation. Conclusions: Evidence highlights a critical synergy between paraspinal muscle status and bone mineral density, with muscle fat infiltration acting as a key marker for bone loss and fracture susceptibility. Integrating these muscle parameters with traditional BMD measurements improves fracture risk stratification and osteoporosis management. Full article

Background: Maternal postpartum hospital readmissions represent profound implications for maternal health outcomes and potential gaps in quality of maternal care. Objective: This study aims to synthesise evidence on risk factors for maternal postpartum hospital readmissions within 42 days of discharge following birth hospitalisation. Methods: An electronic database search utilised CINAHL, EMBASE (Ovid), and MEDLINE for relevant studies published from 1 January 2010 to 30 June 2024. The studies that investigated the prevalence and risk factors for 42-day postpartum maternal readmission and reported risk estimates, published in English, were included. The risk of bias was assessed using the Newcastle–Ottawa Scale (NOS) for case-control studies and cohort studies. The PRISMA guidelines were followed in reporting this review. The review protocol was registered on PROSPERO (CRD42023442269). Results: A total of 7758 articles were retrieved, ultimately including 60 studies. The rate of maternal postpartum readmissions varied from 0.1236‰ to 26%. Significant risk factors were extracted and categorised into five groups: maternal demographic and socio-economic factors; behavioural and lifestyle factors; health institution structural factors; obstetric and delivery characteristics; as well as maternal morbidity The most frequently cited risk factors which contributed to maternal postpartum hospital readmissions were age, race/ethnicity, substance use, caesarean delivery, length of maternal hospital stay, premature birth, and all maternal morbidities, especially mental health disorders, severe maternal morbidity, and hypertensive disorders of pregnancy. Conclusions: This systematic review identified complex and diverse risk factors associated with maternal postpartum hospital readmissions within 42 days after discharge following birth hospitalisation. This helps our understanding of the risk factors and the strength of association with maternal postpartum hospital readmissions. Future research should develop a multidimensional risk assessment framework to guide clinical practice in adopting holistic individualised approaches for postpartum risk evaluation, thereby reducing readmission rates and improving maternal health outcomes. Full article

Schools in Sweden support multilingual students’ language and knowledge development in various ways, including through pedagogical collaboration among multiple professionals. Despite the recognized benefits, however, little is known about how such pedagogical collaboration is understood and practiced by classroom teachers in Sweden. The purpose of the present study is to deepen the understanding of how teachers in the early years of schooling collaborate with heritage language teachers, Swedish as a second language teachers, and special educational needs teachers, in order to support language and knowledge development in second language learners. Individual semi-structured interviews were conducted with 15 Swedish teachers working in the early years of schooling, i.e., from reception year to Grade 3. The interviews were analyzed thematically. Results showed that teachers generally perceive collaboration with other professionals as beneficial. They conceptualized varying forms of pedagogical collaboration, encompassing frequent and flexible collaboration with close colleagues, interdependent collaboration with heritage language teachers (often complicated by structural constraints), and regular, structured collaboration within the student health team. Identified opportunities associated with pedagogical collaboration included the provision of holistic support for second language learners, as well as opportunities for professional development and collegial support. At the same time, several challenges were highlighted, including time-related and structural constraints that hinder collaboration, as well as language barriers and the influence of individual characteristics. Student health teams were highlighted as important for integrating expertise; however, limited teacher insight and the infrequent inclusion of Swedish as a second language teachers were reported to result in multilingual perspectives being overlooked. This study therefore recommends greater consideration of multilingual expertise in assessments of special educational needs and calls for further research on the role of student health teams in supporting second language learners. Full article

Direct sea discharge outlets served as critical conduits for urban sewage and industrial wastewater disposal, playing dual roles as pollutant dilution channels and hotspots for pathogens and antibiotic resistance genes. Traditional monitoring approaches relying on physicochemical parameters and fecal indicator bacteria failed to capture the latent and cumulative risks posed by complex microbial communities. In this review, a holistic microbiome perspective was adopted to systematically synthesize current knowledge on the bacterial community dynamics, assembly mechanisms, resistome–virulome coupling patterns, mobilome-associated risk characteristics, and emerging biomonitoring strategies in direct sea discharge outlets. By integrating high-throughput multi-omics technologies with ecological network analysis and machine learning, we delineated a paradigm shift from cataloging microbial presence to deciphering functional interactions, risk propagation dynamics, and proactive surveillance strategies. Furthermore, under the “One Health” framework, we discussed emerging research frontiers and future challenges in managing pollution at discharge outlets, aiming to provide a scientific basis for environmental risk management in coastal zones. Full article