Kuntai capsule for the treatment of menopausal symptoms induced by GnRH-a therapy: A systematic review and meta-analysis of randomized controlled trials.

Beyond the bedside: Building career pathways to strengthen pediatric nursing.

Objective: To study architectural design to improve the mental, emotional and behavioral health of people, creating spaces that promote well-being, social interaction, productivity and stress reduction through factors such as lighting, distribution, colors, accessibility and connection with nature.Methodology: Narrative review of recent scientific literature (April 2022 - August 2023), consulting databases such as Scopus, Science Direct and Google Scholar. Ten relevant articles were selected after eliminating duplicates and non-relevant papers.Results: It is highlighted that well-designed spaces can promote physical activity, social engagement and reduce stress. Architectural elements that affect brain responses and behavioral patterns were identified, highlighting the importance of taking into account the emotional and cognitive needs of the user.Conclusions: It is essential to design environments that enhance quality of life and emotional well-being. Understanding spatial perception and environmental cognition allows architects to create functional spaces that meet the psychological and physiological demands of people, although more empirical research is needed to strengthen this evidence.

Introduction: Obstetric and gynecological violence continues to be a serious problem in developing countries, where women's reproductive rights are violated; therefore, it was proposed to analyze how humanized childbirth is provided in obstetric services to ensure maternal and neonatal health, as well as the strategies implemented in the care of the couple. Methods: A literature review study of original studies in Spanish, English and Portuguese was arried out, with a sample of 30 articles selected from indexed databases such as SCOPUS, SCIELO, CINALH, PUBMED and REDALYC. These sources were organized in an Excel matrix for analysis using the CASPe critical reading rubric to verify the rigor and scientific quality according to the selection criteria. Results: Humanized childbirth fosters the mother-baby bond, direct skin-to-skin contact, early initiation of breastfeeding and the participation of the woman, which improves the physical and emotional health of both, reduces postpartum complications and strengthens emotional bonds. In addition, it respects cultural beliefs and fosters an environment of family support, which makes it possible to face challenges such as resistance to change, infrastructure limitations and work overload. Conclusion: This approach promotes a safe, quality and family-centered environment, integrating strategies that promote the wellbeing of the trinomial, where emotional support and the reduction of unnecessary medical interventions favor natural childbirth, direct skin-to-skin contact, breastfeeding and family involvement, thus reducing the risk of complications in the puerperium.

This study investigates how gamified socio-emotional learning (SEL) promotes education for sustainable development and supports children’s holistic development. In order to evaluate gamified SEL interventions for children ages 4 to 12, 17 empirical studies published between 2015 and 2024 were reviewed using a thematic analysis literature review and co-word analysis. Eight major themes surfaced, and these results show that gamified SEL improves communication, empathy, emotional control, and teamwork–all of which are key qualities that are in line with SDG4. Additional recurrent themes including motivation, teamwork, and social-emotional abilities were brought to light by a supplemental co-word analysis of 122 articles. Collectively, the findings highlight the importance of inclusive, reflective, and culturally sensitive gamified approaches in promoting emotional health and lifelong learning. For educators, developers, and politicians looking to incorporate creative, values-based pedagogies into early education, the report provides evidence-based recommendations.

This study explored the experiences and perceived health and wellbeing benefits of participating in a campus community garden among university staff, students, and faculty. Community gardens are increasingly recognized for their potential to positively impact physical, mental, and emotional health, as well as increase social connection. Their impact within university settings, specifically in Canadian post-secondary contexts, remains underexplored. This qualitative study was conducted at a large Canadian university. Fourteen participants affiliated with the campus community garden (including students, staff, and faculty) participated in semi-structured, in-depth interviews. Data were analyzed using thematic analysis. Four key themes emerged: (1) the garden as a “third place”, (2) deepened connection to nature, (3) empowerment through knowledge and ability to grow food, and (4) community building. Findings suggest that campus community gardens offer a cost-effective and accessible approach to supporting mental wellbeing, food security, and connectedness to nature in post-secondary settings. By functioning as a third place and fostering engagement with nature, campus community gardens may provide students and staff with meaningful opportunities for community integration, improved wellbeing and personal growth. These findings support integrating community gardens into campus wellness strategies and sustainability initiatives.

Abstract Background The Functional Assessment Scale for Acute Hamstring Injuries (FASH) Questionnaire is a tool to assess the severity of symptoms and their impact on function and sports ability in patients with acute hamstring injuries. The study was to cross-culturally adapt and psychometrically validate a Simplified Chinese version of the FASH (SC-FASH). Methods Cross-cultural adaptation was performed in accordance with the internationally recognised guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. The FASH is a 10-item questionnaire. The sample size should be 5 to 10 times the total number of items on the scale. 150 participants with acute hamstring injuries were included in this study. Cronbach's α and the intra-class correlation coefficient (ICC) were used to assess reliability, and correlations between the SC-FASH and the Exercise-Induced Leg Pain Questionnaire (EILP), the Visual Analogue Scale (VAS) and the Short Form (36) Health Survey (SF-36) were used to assess construct validity. Results Between February and May 2025, 150 literate native Chinese speakers with hamstring injuries were recruited for a study. All the 10 items had an answer rate of 100%. The FASH was successfully adapted and translated into Simplified Chinese. Each item was appropriately correlated with the total items. Good reliabilities were observed in SC-FASH, evidenced by Cronbach's alpha of 0.88, an ICC 0.97 (95% CI, 0.96–0.98). The elimination of any one item did not result in a Cronbach's α < 0.80. Standard Error of the Mean (SEM) was 4.41. Good correlations were observed with EILP (0.68, p < 0.01), VAS (-0.62, p < 0.01), and physical function of SF-36 (0.62, p < 0.01). Moderate correlations were observed with role physical (0.46, p < 0.01), bodily pain (0.50, p < 0.01), and general health (0.44, p < 0.01). Fair to poor correlations were observed with vitality, social function, role emotional, and mental health domains of SF-36. Conclusion SC-FASH is recommended to evaluate the severity of hamstring muscle injuries and their impact on physical function and sports ability in Mainland China due to its good reliability, and validity.

Female heads of household face unique stressors related to economic survival and family care, yet few evidence-based interventions address their specific emotional health needs. This study aimed to evaluate the effectiveness of a structured emotional literacy and stress management program for female heads of household in two Latin American urban settings. A two-year longitudinal quasi-experimental study was conducted with 183 women (91 in Cartagena, Colombia; 92 in Valencia, Venezuela) aged 18–55 who maintained sole household responsibility. The intervention consisted of weekly community-based emotional literacy and stress management training sessions. Statistical analysis employed Latent Growth Mixture Modeling (LGMM), Multi-level Structural Equation Modeling (SEM), and Time-Varying Effect Models (TVEMs) to assess stress reduction, emotional regulation improvements, and program effectiveness over time. The analysis identified three distinct response patterns among participants. Direct effects of emotional literacy training on stress reduction (0.452) and emotional regulation (0.385) were statistically meaningful (p < 0.05) across both cities. Stress management coefficients improved from −0.384 at 6 months to −0.645 at 24 months, while intervention adherence declined moderately from 0.845 to 0.734. The intervention was most effective for women with moderate baseline stress levels and at least primary education. The structured emotional literacy and stress management program effectively reduced stress and improved emotional regulation among female heads of household in both urban settings. Municipal health departments should implement community health center-based stress management training integrated with primary healthcare services. Future research should examine program adaptations for rural communities and evaluate long-term effects beyond the two-year intervention period.

Relevance: Non-small cell lung cancer (NSCLC) remains a leading cause of oncological mortality globally and within Kazakhstan. Annually, approximately 5,000 new cases are identified in Kazakhstan, with 70% diagnosed at advanced stages (III–IV). Consequently, modern oncology prioritizes the assessment of Quality of Life (QoL) alongside survival rates. QoL metrics serve as vital indicators for prognosis and the comprehensive evaluation of inpatient and palliative care efficacy. The study aimed to conduct a comprehensive assessment of QoL in NSCLC patients and identify statistically significant clinical and social predictors influencing physical and emotional functioning. Methods: A hospital-based study was conducted involving 163 patients diagnosed with NSCLC. QoL was assessed using the EORTC QLQ-C30 (version 3.0), which includes functional, symptomatic, and global health/QoL scales. Statistical analysis utilized Student’s t-test, one-way analysis of variance (ANOVA), and multivariate logistic regression. Results: The mean QoL score was 55.25. The lowest functional values were recorded for role functioning (40.50) and physical functioning (52.10). Fatigue (71.80) and dyspnea (65.40) emerged as the most significant symptomatic burdens. Gender-stratified analysis revealed that women exhibited significantly lower role functioning (p=0.028) and higher financial difficulties (p=0.049), while men reported lower emotional functioning (p=0.037). Logistic regression indicated that female gender is a risk factor for diminished physical functioning (p=0.039). Furthermore, inadequate patient information provided by physicians (β=0.780, p=0.005) and «unemployed» status (β=0.550, p=0.045) were identified as statistically significant predictors of emotional dysfunction. Conclusion: The findings demonstrate that the disease burden is primarily concentrated in physical and role functioning. Modifiable psychosocial factors, such as informational support and employment status, were identified as critical predictors of emotional health.

Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxiety and depression and their association with caregiver mental and emotional health. This retrospective cross-sectional study analyzes self-reported data from the National Survey of Children's Health (NSCH) to examine associations between childhood anxiety and depression and their severity levels, and the mental and emotional health of primary caregivers. A series of binary and ordinal logistic regression was carried out to assess such associations. 54,103 caregiver reported responses were analyzed. 12.0% and 5.8% reported anxiety and depression in their children, respectively. Caregivers who report "very good" mental and emotional health have 1.905 (1.757-2.066; p < 0.001) higher adjusted odds of their children having anxiety compared those whose who answered "excellent." Logistic regression results showed that caregivers with "excellent" (0.449; 0.312-0.649; p < 0.001) and "very good" (0.547; 0.384-0.778; p < 0.001) mental and emotional health reported lower adjusted odds of anxiety severity in their children compared to those with "poor" mental and emotional health. Additionally, caregivers with "excellent" (0.328; 0.195-0.550; p < 0.001) and "very good" (0.463; 0.287-0.745; p = 0.002) mental and emotional health reported lower adjusted odds of depression severity in their children compared to those with "poor" mental and emotional health. Addressing social determinants of health, such as caregiver mental well-being, is essential in reducing the prevalence of mental health issues among children and ensuring the efficacy of evidence-based interventions.

ABSTRACT Many caregivers of patients with a stroke experience significant caregiver burden and impaired mental health. Since illness perceptions seem to play an important role in illness outcomes, not only in patients but also in caregivers, this study aimed to explore illness perceptions in stroke caregivers. It examined associations between caregivers’ illness perceptions, patient health, and caregiver outcomes (burden, depression, and anxiety) as well as the mediating role of illness perceptions between patient health and caregiver outcomes. Using a cross-sectional design, 115 stroke caregivers completed the following questionnaires: a modified version of the Illness Perception Questionnaire (IPQ-R) assessing caregivers’ illness perceptions, self-report questionnaires about caregiver burden (Burden Scale for Family Caregivers, BSFC), depression, and anxiety (Hospital Anxiety and Depression Scale, HADS) as well as a proxy version of the Stroke Impact Scale (SIS) assessing the stroke patient’s health domains. Poor caregiver outcomes on BSFC and HADS were mainly predicted by poor outcomes in SIS domains of patients’ emotional health and participation capabilities. Poor patients’ health status on SIS predicted caregivers’ illness perceptions (IPQ-R) of a chronic timeline, high consequences, and a strong emotional response. Caregivers’ illness perceptions, especially of many consequences and a strong emotional response, explained almost 50% of the variance in caregiver burden (BSFC), depression, and anxiety (HADS). The relationship between patients’ health in SIS domains and caregiver outcomes on BSFC and HADS was partially mediated by caregivers’ illness perceptions. Causal assumptions need to be verified in longitudinal analyses. Not just the patients’ health status itself but also caregivers’ beliefs about the illness strongly influence their well-being. Therefore, addressing illness perceptions within psychological assessment and in psychoeducational interventions should be central in supporting caregivers’ well-being.

ABSTRACT Leisure is important to facilitate midlife transitions, and yet research on leisure among middle-aged women in South Korea is limited. Studies on cycling among middle-aged Korean women are even more limited. Within the context of the Busan Women’s Cycling Association, this study explored the function and meaning of cycling in the lives of Korean women. Fifteen women from ages 47 to 77 participated in individual interviews. Findings indicated that regular cycling helped the women maintain a healthy lifestyle and experience a sense of accomplishment. Cycling improved their physical and emotional health by reducing stress and enhancing social relationships and support, while also allowing them to get away from home and connect to nature. Overall, participants regarded cycling as an essential act of selfcare that enabled them to negotiate constraints imposed by motherhood responsibilities and age-related health challenges.

BackgroundHealth/safety restrictions to control COVID‐19 in long‐term care (LTC) homes were very challenging for residents, their families, administrators, and staff. Mental and physical well‐being of residents declined with the imposed social isolation, workforce shortages, and loss of informal care provision by family/care partners. Unmet needs of older adults living with dementia manifest as behavioural expressions (e.g., irritable, agitated or aggressive behaviour). The [PIECES approach] (Physical, Intellectual, Emotional health, maximizing individual Capabilities for quality of life, living Environment and Social including a person's beliefs, culture, and life story) offers an evidence‐based framework to address behavioural expressions through team collaboration. Building on our previous work addressing virtual application of the PIECES approach with Registered Practical Nurses (RPNs) leading as PIECES champions in LTC homes, this study aimed to co‐design a ToolKit (i.e., website, resources, infographics) with the collaboration of residents, their family/care partners, RPNs, administrators, PIECES mentors, and Behavioural Supports Ontario (BSO) Leads. The ToolKit will contain resources supporting virtual care planning including the PIECES approach.MethodThis study employed a qualitative descriptive design. Four workshop sessions with two LTC homes in Ontario, Canada were held with residents, family/care partners, RPNs, and BSO Leads participating to co‐design a virtual ToolKit including the PIECES approach, and provide recommendations. Study collaborators attended sessions in person or by videoconferencing with the research team and PIECES mentors.ResultRecommendations for the information and web presence of the PIECES ToolKit included greater inclusion of infographics, embedded short video clips, reduced text, examples of communication memos and telephone scripts for engaging families, options to have the web page content read aloud, and practical user‐friendly tips to support communication technology (e.g., ZOOM) and preparation suggestions for virtual engagement for care planning. Further, separate sections specific to staff and family were advocated to meet unique needs, with limited available time, a range in familiarity with navigating websites, and improved to‐the‐point information.ConclusionThis project delivers an online accessible open resource available to guide staff and family in preparing for and implementing virtual team‐based care planning engaging family/care partners using the PIECES framework.

Postgraduate students often experience intense academic demands, future career uncertainties, and personal responsibilities that place considerable strain on their mental health. Self-compassion is an increasingly accepted way of coping with stress, also maintain emotional well-being. Postgraduate students may use Self-Compassion as a tool for coping with academic pressures and maintaining their Emotional Health. This study sought to determine which aspects of self- compassion are related to the mental well-being status of postgraduate students. Stratified random selection was used to select a total of 100 students from Haldwani, Uttarakhand. Data were gathered using Neff's 2003 Self-Compassion Scale and Jagdish and Shrivastava's 1995 Mental Health Inventory. Pearson’s correlation and t-tests were applied for analysis. The results revealed a modest positive relationship (r =.34) between self-compassion and mental health for Postgraduate students. There were no statistically significant differences in self-compassion or mental health between genders. The findings of this study suggest that developing and implementing Self-Compassion training programs may enhance postgraduate students' mental health and should be considered by universities as part of their guidance and support services. The study's findings suggest that establishing and implementing Self-compassion training initiatives may enhance students' mental health.

Children and adolescents encounter diverse life challenges, particularly during their early milestones. This paper focuses on emotional health and understands how the three clusters of Class 10, 11 &amp; 12, Cluster 8 &amp; 9 and Cluster 6 &amp; 7 are affected. The Student’s Emotional Health Assessment Tool- SEHAT, (2023) was administered to the sample of 6,216 students ranging from 10-18 years across India. Cluster based convenience sampling was used to collect the data. An exploratory design was used, and data analysis through descriptive and inferential statistics for different class clusters (6th - 7th, 8th - 9th, and 10th - 12th). Results indicated a statistically significant difference in emotional health between the three clusters, where cluster 2 (8th &amp; 9th grade) had the most affected emotional health. Results also showed a significant correlation among academic stress, bullying, interpersonal trauma, suicide/self-harm, and protective factors (e.g., family adjustment, peer support, emotional intelligence, and self-efficacy) across all three clusters. In the sample of 6216, from 27.47% to 41.37% of students had deteriorated emotional health in selective items of protective factors, internalizing behaviour, academic stress, bullying, inattention, suicide/self-harm and interpersonal trauma domains. The study's implications include the development of interventions targeting factors significantly impacting children’s well-being. Further research should explore through longitudinal studies to track emotional health over time to identify risk factors.

Cardiovascular health (CVH) is a critical component of overall health and well-being; however, understanding parents' views and opinions on heart health remains underexplored. Insights from parents are essential for designing interventions that promote intergenerational heart health. The purpose of this study was to examine parental perceptions of CVH and gain a deeper understanding of their perspectives on achieving CVH and the role it plays in lifelong health. We recruited participants and conducted semi-structured interviews with 21 parents of children under 18 and 4 children. Data were analyzed using thematic coding grounded in the constant comparative method to identify major themes and subthemes. Child interviews were analyzed separately. These interviews provided additional context for understanding how youth conceptualize CVH and insights into family communication on the topic. Thematic saturation was achieved, supporting the sample size's adequacy for qualitative analysis. Eight overarching themes emerged, including interest in participating in the study, parents' initial thoughts on CVH, definitions of heart health, information sources, family and community roles, heart health experiences, resources, and emotional health connections. Key findings revealed significant barriers to CVH, including limited access to fitness programs and healthy food due to cost and time constraints. While families supported CVH through shared activities, explicit discussions among family members were uncommon. Participants emphasized the impact of stress and negative emotions on heart health, highlighting a potential area for intervention. These findings highlight the need for flexible, community-based interventions that support CVH by engaging families and incorporating mental health promotion strategies. Effective strategies include enhancing community fitness and nutrition, programs to reduce cost barriers, offering flexible options to accommodate family schedules, and addressing emotional well-being. Healthcare providers can play a key role in these efforts by actively encouraging these strategies during patient interactions.

The prevalence of obesity in Indonesia has shown a consistent upward trend, reaching 23.1%, largely driven by dietary patterns that pose health risks. Food choices are influenced not only by social and personal factors but also by environmental cues, which are the focus of this study. This research aimed to investigate the effect of affective health cues presented through human motion picture videos on individuals’ healthy food choices. A quasi-experimental design was employed in the Psychology Laboratory at Universitas Negeri Semarang in December 2024, using a simulated supermarket setting with 186 student participants selected through purposive sampling. Data were analyzed using an Independent Samples t-test. The results indicated that the human motion picture intervention significantly influenced individual food choices (p &lt; 0.001, d = 0.98). These findings suggest that health cues play an important role in guiding individual decisions regarding healthier food options. In conclusion, environmental factors, such as health cues, can significantly impact healthy food selection and may serve as a strategic approach to reducing obesity rates in the future.

The social isolation measures implemented during the COVID-19 pandemic have exacerbated emotional loneliness, presenting significant challenges in the fields of public health and social psychology. This study examines the potential of landscape design in mitigating emotional loneliness. While prior research indicates that art therapy can reduce environmental loneliness and provides theoretical support for emotion-focused environmental interventions, systematic investigations into the role of landscape installations in alleviating emotional loneliness remain limited. Further exploration of their mechanisms and practical applications is necessary. Through case studies and questionnaire survey-based methods, this research evaluates how design elements—such as cultural references, color application, and function attributes—affect emotional loneliness relief. The findings demonstrate that design elements significantly enhance user interaction (β = 0.339, p < 0.01) and also directly alleviate emotional loneliness (β = 0.258, p < 0.01). User interaction, in turn, exerts a significant direct effect on emotional loneliness relief (β = 0.312, p < 0.01). Mediation analysis confirms that user interaction serves as a partial mediator, with the indirect effect supported by a 95% confidence interval excluding zero (95% CI: 0.065–0.148). Moreover, moderated mediation analysis indicates that interaction style moderates the path from user interaction to emotional loneliness relief. Specifically, the mediation effect is significant at medium and high levels of interaction style (Effect = 0.100–0.161). This study provides theoretical insights into the development of landscape design in relation to emotional health and offers empirical support for the implementation of landscape installations with psychologically supportive functions.

The therapeutic potency of cinema has rarely been studied to explain its impact on health, especially on discrimination against adolescents and youth. The objective of this study is to analyse the impact of cinema on the emotional health of individuals, focusing on coping and well-being, especially for the youth. Respondents 16-24 years of age were surveyed independently using an online questionnaire aimed at measuring emotional attachment to films, watching habits and perceptions regarding the impact of cinema on their psychological state. The analysis provided showed cinema played a pivotal role in reducing their stress and respondents reported that emotionally, films do affect them greatly and importantly change their mood. Most of the respondents watched films as a means of recreation and for over 70% of them films served as an important tool to relax after a stressful day providing them an escape from reality. Furthermore, a sizable number of respondents opined that they were able to gain emotional relief, catharsis and personal development through the medium of the film, especially those cinemas that portray their problems or view them from a different angle. The results indicate that cinema is one of the most potent means of the emotional problems for the youth because of issues that deeply touch them and those using films one can interpose between raw stress and responsiveness with ease.

Evidence is lacking on how birth complications affect postpartum wellbeing in low-resource settings, and how to support post-complication recovery in these settings. To address this gap, we conducted a mixed methods study at three county referral hospitals in Kenya to explore the impact of birth complications on mothers’ and families’ postpartum experiences and wellbeing. We used a convergent parallel study design, including a quantitative cross-sectional survey of 120 mothers at 5–10 weeks postpartum and qualitative semi-structured narrative interviews with 52 mothers and 19 family members at 1–2 weeks and 6–8 weeks after birth. The quantitative and qualitative strands were implemented and analyzed independently, then merged during interpretation. We found that birth complications often come as an unexpected physical, emotional and financial shock to mothers and families, with immediate impacts at delivery and lingering effects in the postpartum period. Complications have a “multiplier effect” above and beyond the typical challenges of childbirth and postpartum recovery, with ripple effects on the broader household. Mothers’ physical and emotional health are affected by quality-of-care gaps for complications in facilities, leading to subsequent post-discharge challenges. Mothers’ emotional wellbeing is closely linked with their baby’s health, feeding and growth. Our results offer a comprehensive view of postpartum wellbeing, adding to the evidence base on post-complication experiences. Our findings suggest key areas of opportunity, including patient-centered care improvements and resource linkages, to better support mothers and newborns with birth complications.