Feeling Of Well-being Research Articles

Nature and Mindfulness to Cope with Work-Related Stress: A Narrative Review.

In recent years, work-related stress has grown exponentially and the negative impact that this condition has on people’s health is considerable. The effects of work-related stress can be distinguished in those that affect workers (e.g., depression and anxiety) and those that affect the company (e.g., absenteeism and productivity). It is possible to distinguish two types of prevention interventions. Individual interventions aim at promoting coping and individual resilience strategies with the aim of modifying cognitive assessments of the potential stressor, thus reducing its negative impact on health. Mindfulness techniques have been found to be effective stress management tools that are also useful in dealing with stressful events in the workplace. Organizational interventions modify the risk factors connected to the context and content of the work. It was found that a restorative workplace (i.e., with natural elements) reduces stress and fatigue, improving work performance. Furthermore, practicing mindfulness in nature helps to improve the feeling of wellbeing and to relieve stress. In this paper, we review the role of mindfulness-based practices and of contact with nature in coping with stressful situations at work, and we propose a model of coping with work-related stress by using mindfulness in nature-based practices.

Ramadan fasting in a sample Algerian population with diabetes

IntroductionA considerable proportion of Muslims around the world are affected by diabetes. Ramadan fasting, a religious obligation for adult Muslims, is associated with increased risks of acute complications in patients with diabetes. In spite of these complications and an exemption provided by the Quran, many Muslims with diabetes, including a considerable number of Algerians, insist to fast. There is a scarcity of studies examining fasting patterns in Algerian people with diabetes. ObjectiveTo compare between fasting (≥1day) and non-fasting people with diabetes in terms of general characteristics and the frequency of acute complications during Ramadan in a sample Algerian population. MethodsThis cross-sectional study was undertaken in 2021 and included outpatients with T1DM or T2DM followed by Mustapha Bacha’s university-hospital’s diabetology’s department, Algiers, Algeria. Data were collected using a purposely designed questionnaire and were analysed using SPSS ver.27. Results458 participants were included, 53.1% female, 88.2% with T2DM, with a mean age of 59.8 (±13.55) years and a mean diabetes duration of 12.8 (±9.36) years. Participants fasted a mean 20.5 ± 13.53 days (T1DM: 6.3 ± 11.00; T2DM: 22.3 ± 12.72). A feeling of well-being and religious convictions were the dominant fasting decision-making factors in people with a high risk score. There was an increase in dietary and sugar intakes in 21.6% and 42.3% of the population respectively, a reduction in sleep duration in 34.5% and a lack of medical adjustment in the majority of participants. The risk score (IDF-DAR 2021) was significantly lower in the non-fasting group compared with the fasting group both in the general population and within the high risk category. No difference in the frequency of acute diabetes-related complications was found. ConclusionPeople with diabetes who fast during Ramadan tend to be younger, predominantly males and with a shorter diabetes duration compared with non-fasting people. The risk score (IDF&DAR 2021) remained significantly higher in non-fasting participants even when compared with fasting participants within the same high risk category. Acute diabetes-related complications do not appear to be more frequent in the fasting population. Access and adherence to pre-Ramadan diabetes self-management educations should be improved.

Exploring the Integration Between Colour Theory and Biodiversity Values in the Design of Living Walls

Designing green infrastructure in cities requires vegetation that has multiple outcomes and functions, particularly using plants that have both attractive visual or aesthetic features and high biodiversity values. Plantings that have high visual appeal are more highly valued by people and increase their feeling of wellbeing. Increasing biodiversity in cities is one of the major challenges facing urban planning and design. However, balancing biodiversity and aesthetic outcomes in urban planting design is complex, and to date there are few methods that can be used to guide plant selection. To address this knowledge gap, we investigated the use of a colour theory framework for planting arrangements to see if we could design vegetation that is highly aesthetic and has high biodiversity. We did this by configuring planting combinations for living walls in Malmö, Sweden, using principles based on Johannes Itten’s colour theories. The plant combinations on each wall were graphically arranged using (1) colour analysis of each plant and (2) design of the plant species into two colour schemes: light-dark colour concept and a complementary colour concept. For each species used in the compositions we created a biodiversity classification, based on its pollination value, “nativeness” and conservation value as a cultivar; and a plant visual quality classification, based on the performance from living walls studies. The graphical colour composition and interlinked biodiversity value were then compared to designs created with randomly selected plant species. The results showed that it is possible to design a living wall based on colour theory without compromising with biodiversity outcomes, namely species richness, pollination and the nativeness of the species. The results also indicate the potential application of this design approach to deliver greater aesthetic appreciation and enjoyment from plantings. While more work is needed, this study has shown that a theoretical colour framework can be a useful tool in designing green infrastructure to improve delivery of both cultural and regulatory ecosystem services.

Stage and symptoms of bipolar disorders

Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks. During mood swings, there may be features of psychosis (delusions and hallucinations) that are mood-congruent. Although psychotic symptoms are seen only in a minority of patients, they explain the early terminology of manic–depressive psychosis. Stage 1a is defined as mild or non-specific symptoms of mood disorder and intervened as formal mental health literacy; family psychoeducation; substance abuse reduction; cognitive behavioral therapy. Euphoric means the experience of pleasure or excitement and intense feelings of well-being and happiness. Certain natural rewards and social activities, such as aerobic exercise, laughter, listening to or making music, and dancing, can induce a state of euphoria. Racing thoughts are consistent, persistent, often intrusive thoughts that come in rapid succession. There is a direct link between depression and anxiety and racing thoughts. Whereas jumping from topic to topic as in the flight of ideas can be observed by others, ascertainment of racing thoughts requires asking the child whether his or her thoughts seem to be going too fast.

Migraine, interferon \u03b21a and siponimod immunomodulator therapies

BackgroundAutoimmunity seems to play a great role in the pathogenesis of migraine headache pain. There is far more evidence that interferon can exacerbate migraines. We report a case where remission of severe comorbid migraine attacks happened with the start of interferon β1a (Merck, Netherlands) immunomodulation therapy. Therapy for multiple sclerosis was decided according to the severity of the debilitating comorbid migraine headache pain rather than the evolution of multiple sclerosis the far more serious disease.Case presentationA 63-years old patient suffered for 30-years from migraine headache of severe disability assessment scale (MIDAS) Grade-IV = 27. He also suffered for 25-years from optic-sensory relapsing remitting multiple sclerosis (RRMS). Subcutaneous interferon β1a 44-µg immunomodulation therapy for 4-years resulted in multiple sclerosis complete remission. The start of interferon β1a therapy for multiple sclerosis seemed to help resolving the comorbid migraine attacks. The visual aura premonitory symptom preceding migraine headache would end up with a feeling of post visual aura clearer field of vision and a feeling of wellbeing. As the patient developed secondary progressive multiple sclerosis (SPMS), oral siponimod 2 mg (Novartis, Ireland), currently the only available therapy for SPMS, replaced his interferon therapy. This was associated with a relapse of migraine severe attacks. Reverting back to interferon therapy was again associated with migraine headache remission.ConclusionsInterferon β1a might be an efficic therapy for “autoimmune migraine”. With numerous immunomodulators currently available for other systemic autoimmune diseases associated with comorbid migraine; examining the effect of these immunomodulatory therapies on comorbid migraine headache could be beneficial in finding a specific immunomodulator therapy for “autoimmune migraine”.

Impact of Aerobic and Anaerobic Field Tests on Physical Fitness of Female Athletes

Success in sports and many other group activities requires a total feeling of well-being as well as specialized and strategic skills in individual and team activities. One of the fundamental characteristics that influence athletic performance is viewed as PF. The main objective of this study was to analyze the impact of aerobic and anaerobic systems on PF of female athletes. This paper is a part of doctoral thesis and one of the objectives of this thesis was “to analyze the impact of aerobic and anaerobic fitness on the PF of female athletes”. The study used an experimental design with pre and post-test. Only female players of basketball and netball participated from two different universities namely “Lahore College Women University (LCWU)’ and “The University of the Punjab (PU)” from Lahore, Pakistan. Stratified random sampling method was used to collect data. In addition to demographic data, detailed information on health status was also collected through “Student-Athlete Health History Questionnaire” as part of the inclusion criteria. An equal number of participants were assigned to the control group (n=52) and the experimental group (n=52). . The training program started with a pre-test and the training was implemented three times a week for 8 weeks under the direct supervision of trained instructors at LCWU and PU on alternate days. The score of each training session was recorded for each participant in all the fitness tests, and a post-test was performed at the end of the training. Scores of the 20-meter shuttle run test were used to measure aerobic fitness. Mean scores agility and speed tests were used to measure anaerobic fitness. Mean scores of all the tests were computed to generate scores for PF. Mean comparisons were performed under descriptive analysis and Paired Sample t-test and Univariate Analysis of Variance was performed for hypothesis testing. Paired Sample t-test for all three fitness variables showed “a significant difference for aerobic fitness from pretest to posttest as t (207) = 0.89, p = 0.000 and a significant difference for anaerobic fitness was also found as t (207) =110, p = 0.000 and similarly, a significant difference for PF from pretest to posttest was found as t (207) = 95, p=0.000.” A significant impact of aerobic fitness on PF was found (F=3.08, p=0.000) and a significant impact of anaerobic fitness on PF was also found (F=2.36, p=0.005). The results of the study concluded that aerobic and anaerobic fitness showed significant improvement in PF of female athletes. Aerobic fitness showed significant effect on CRF, muscular strength, muscular endurance, flexibility and agility of the participants with no significant effect on BMI and anaerobic fitness showed significant effect on muscular strength and speed only.

Effects of Repeated Low-dose Caffeine Ingestion During a Night of Total Sleep Deprivation on Physical Performance and Psychological State in Young Recreational Runners

Background: Caffeine is frequently consumed by athletes to maintain alertness in conditions of sleep loss. However, the effect of caffeine ingestion during total sleep deprivation during aerobic exercise remains questionable. Objectives: The present study aimed to assess the effects of repeated intake of low-dose caffeine during a night of total sleep deprivation on endurance performance and psychological states. Methods: Twelve recreational runners performed four test sessions in a double-blind randomized order after a placebo or 6 mg/kg of caffeine ingestion after a baseline night (BN) or three doses of 2 mg/kg of caffeine during a night of total sleep deprivation (TSD). At each session, they completed an exhaustive run around a 400 m athletics track and performed the Feeling Scale test. ANOVA with repeated measures followed by paired t-tests was used to analyze the data. Results: In comparison with BN, the TSD condition significantly impaired running performance (P < 0.001). On the contrary, caffeine administration improved endurance running performance (P < 0.001) and increased feeling of well-being (P < 0.05) after TSD night as compared to placebo. Conclusions: Repeated ingestion of low-dose caffeine is an effective way to mitigate the negative effects of total sleep deprivation on endurance performance and mood states.

Meaning of Education and Wellbeing: Understanding and Preventing the Risk of Loss of Meaning in Students.

The phenomenon of malaise is on the rise at universities, reflecting a deteriorating psychological state that is a combination of anxiety and stress factors. This psychological and emotional upheaval within students is indicative of a fundamental existential issue. In fact, hidden behind the choice of an educational program is the significance given by the student to their life goals. It is this dimension of attributing meaning to one’s education and, more broadly, to one’s life (the existential dimension) that we have sought to explore. We hypothesized that a stable investment in one’s life goals and a sense of psychological wellbeing during one’s studies could be fostered by reflective work done alongside the educational process. Our research took the form of a mixed methodological approach to the attribution of meaning to education, including an interpretive phenomenological analysis (IPA), and the experimentation of support for the meaning of education. Four dimensions of meaning were found to be observable in varying degrees in all students, each playing a specific role. Moreover, this research has confirmed that the meaning of studies is not to be understood solely in terms of education, but is part of a singular life story. Reflective work, developing meaning, facilitated by others (advisor, teacher, etc.) can help preserve/restore the feeling of wellbeing. It should be noted that, as the work presented in this article predates the pandemic, we will not address the amplifying effects of this health crisis on existential issues, which some recent studies are beginning to highlight.

Digital transformation and its impact on our digital wellbeing

The pandemic has transformed how we engage with digital technologies. Technology is now used to support all facets of our daily lives, including work, learning, and enjoyment (Schleicher, 2020). While the pandemic may have accelerated our adoption, this upward trend has been happening for many years, and we are no longer in a world where the digital, virtual or online can be viewed as separate from our everyday life (Myers, Erikson & Small 2013). The effects of digitalisation have been felt at all levels, including education. As educators we can be optimistic, pessimistic or pragmatic about many of these changes, but they cannot be ignored (Gluckman & Allen, 2018). 
 The influence of digital transformation has highlighted the critical need to better manage our students' and our wellbeing. Wellbeing, as a concept has been challenging to define due to its complex and multi-faceted nature. More recent approaches have shifted towards ideas around the quality of life and the notion of flourishing in the positive psychology movement (Dodge et al 2012). In an endeavour to explain wellbeing which moves from the binary positive versus negative wellbeing, Dodge et al (2012), proposed that wellbeing is “the balance point between an individual’s resource pool and the challenges faced” (p. 230). In other words, people's wellbeing can be positively influenced if they are given the resources to address and overcome the adversities they face. Using their balance metaphor, a person's feeling of wellbeing can be stabilized when they feel that they have the psychological, social and physical resources and skills necessary to meet a particular psychological, social and/or physical challenge. This approach, therefore, acknowledges the see-saw effect of wellbeing but also that individuals have agency over their wellbeing.
 So what does this mean for student wellbeing in the context of learning technologies? As highlighted by Gluckman and Allen, (2018) “to understand wellbeing in the 21st century requires an understanding of transformative digital technologies as drivers of change not just in human material circumstances, but also in human values and organisational systems that support wellbeing.” (p. 10). Therefore, when considering digital wellbeing we need to acknowledge the transformative power of digital technology to drive both positive and negative outcomes and ask how we can tip the balance by leveraging the positives of this transformation.
 The presentation will explore the challenges that digital transformation brings to education and how as educators we can tip the balance to leverage technology to support our student’s and our digital wellbeing. The presentation will also focus on ways as educators we can use learning technologies to support students with the resources and skills to enhance their digital wellbeing.

Effects of Serotonin and Cortisol Hormones on Development of Diabetes Mellitus Type 2 Disease Authors

Diabetes Mellitus (DM) type 2 is chronic metabolic disease that characterized by elevation of serum glucose level (hyperglycemia) due to insulin hormone reduce or insulin cells resistance, that generate many complications such as retinopathy. Serotonin is hormonal neurotransmitter commonly found in brain cell but it also present in beta cells of pancreas. It is key hormone that stabilizes mood, feelings of well-being, and happiness. cortisol hormone is steroid hormone product and release by some of adrenal gland layers with a diurnal cycle manner and consider as primary stress hormone , it play role in many functions in body such as bio-molecular metabolisms . The objective of the study is the effects of serotonin and cortisol hormones on development of DM type 2 disease. Also the present study Included this study compared between un-control DM type2 patients (group 1) and controls persons (group 2) , all individuals in this study were age 50-60 years of both genders .All individuals were measured serum serotonin and cortisol hormones level with focus on present of depression or not .Results of study shows reduce of serum serotonin concentration level with increase of cortisol concentration level in uncontrol DM type 2 group compare with control group. Also the un-control DM type 2 group have depression situation when compare with control group . This study confirms that decreased serum serotonin concentration level and increase of cortisol concentration level can act as support to development of DM type 2 disease

Understanding the process of patient empowerment and their well-being in the context of outpatient services

PurposeThis study has conceptualized and empirically investigated how the psychological empowerment process is generated from a patient's cognitive knowledge and participation at different recovery places that results in a state of empowerment and predicts positive outcomes.Design/methodology/approachData were collected from 150 physiotherapy outpatients who have been attending a series of physiotherapy courses at clinic and concurrently progressing with home physio exercise plan. Data were analyzed using structural equation modeling (SEM) with SmartPLS software.FindingsThe results reveal that psychological empowerment best formed when patient centric knowledge is combined with place-based behavioral experiences that are gathered via healthcare encounters and experience patient gained outside of the clinic. Patients' involvement at different environmental settings contributes to patients' empowerment which further assists their well-being.Practical implicationsUnderstanding the process of empowerment in different environmental contexts can help healthcare organizations to better design patient empowerment strategies and support patients through the empowerment journey to demonstrate their capability to achieve more effective health recovery outcomes.Originality/valuePatient empowerment is a concept of growing importance in the healthcare industry, yet the journey about how patients are being empowered within their sphere has not been well studied in the past. To the authors' knowledge, this study is the first study that discusses the utilization of patient empowerment must be aimed at both the process and the outcomes. This study provides empirical insights to understand the factors that formulate patient empowerment and predicts positive patient outcomes such as feelings of well-being.

Beyond Survival in AL amyloidosis: Identifying and Satisfying Patients’ Needs

The survivorship needs of patients with light-chain (AL) amyloidosis are complex, as is the diagnosis and treatment itself. Early diagnosis is critical in improving patient outcomes; however, given the nonspecific nature of the symptoms, most patients with AL amyloidosis require evaluation by multiple specialists, resulting in significant delays in diagnosis of up to 3 years. An early and accurate diagnosis can help reduce the psychological toll of the patient’s journey to diagnosis. Given the high symptom burden and complex process of diagnosis, it is not surprising that patients with AL amyloidosis report worse health-related quality of life than the general population. Organ dysfunction associated with AL amyloidosis also may make the treatment directed towards plasma cell clone difficult to tolerate, leading to morbidity and mortality. Furthermore, supportive care requires an integrated, multidimensional and patient-centered approach to improve survival and feelings of well-being, as organ responses lag behind hematologic responses. The impact of AL amyloidosis is often devastating for the patient and may last beyond the effects of treatment. Future research is needed to study and assess the needs of survivors of AL amyloidosis utilizing valid, reliable and standardized measures.

Caring Spaces: Individual and Social Wellbeing in Museum Community Engagement Experiences

ABSTRACT This paper explores the narratives of participants in museum community engagement projects in Scotland. Emphasis is placed on how taking part in museum community engagement projects can have a positive impact on the participants’ wellbeing. This qualitative study employed a dialogical research strategy, which involved careful and mindful choreography of the context and space within which interactions between researcher and participants emerged. Semi-structured walking interviews with five participants were conducted in the summer of 2019 at two museums in Glasgow: Kelvingrove Art Gallery and Museum and The Lighthouse. All participants had taken part in at least one museum community engagement project in Glasgow. Participants’ narratives reveal the positive impacts that “caring spaces” engendered through museum community engagement work have on overall feelings of wellbeing, achieved through deep processes of critical reflection, which resulted in enhanced self-esteem and confidence, and a heightened awareness of participants’ situated ontology in the context of broader issues of social inequality and identities. Museum community engagement projects, when practiced and experienced as “spaces of care,” have a critical role in enhancing individual and social wellbeing amongst participants themselves, particularly in terms of identifying long-term educational and self-worth legacies.

Knowledge, Attitude, and Practice Related to Alcohol use among Undergraduate Students

Background: The increasing production, distribution, and promotion of alcohol have seen drink-related problems emerging as a major public health concern in India, especially in college-going young adults. The percentage of the population drinking alcohol aged less than 21 years has increased from 2% to more than 14% in the past 15 years as revealed by Alcohol and Drugs Information Centre India. Objective: The objective is to evaluate knowledge about alcohol intake, attitude and practice methods toward alcohol consumption in undergraduates. Materials and Methods: A total of 500 undergraduates from engineering and medical streams were included in the study. Undergraduates were given a validated Student Alcohol Questionnaire. Information given by the students was analyzed. Results: 93% of students believe that many people drink to escape from problems, loneliness, and depression. 54% of students think that responsible drinking can result in relaxation, enhanced social interactions, and feeling of well-being. 74% of students' opinion is that many people drink because of peer group pressures and to gain adult status. About 76% of students agreed to the statement that approximately 10% of fatal highway accidents are alcohol related. Only 22% of students are aware of the fact that blood alcohol content of 0.1% is the legal definition of alcohol intoxication in driving. Alcohol was consumed by 31% of males and 17% of females at least once in their lifetime. 70% of boys and 64% of girls of those who consumed alcohol had experienced vomiting and hangover. Twenty (4%) students reported that they drove car after having several drinks or involved in a fight at least once in their lifetime. Conclusion: There is a necessity for more studies to evaluate the reason for increasing inclination of students toward the consumption of alcohol.

Perception of Well-Being and Quality of Life in Obese Patients After Bariatric Surgery.

Bariatric surgery is the treatment of choice for effective weight reduction in patients with morbid obesity. The influence of the surgery, mostly consisting of laparoscopic sleeve gastrectomy, on mental health is less clear. This study aims to define the influence of bariatric surgery on the perception of well-being and the general quality of life in obese patients. This is a study in which 52 obese patients, 90% of whom are women, were surveyed for the long-term persistence of weight reduction, physical activity, mood, perception of self-confidence, self-worth, and other psycho-socio-emotional factors relating to the general quality of life before and after bariatric surgery. We confirmed persisting effectiveness of surgery for weight reduction. Further, we found that weight reduction was accompanied by enhanced physical activity and amelioration of obesity-related somatic and psycho-emotional maladies. Notably, the perception of self-confidence and self-esteem distinctly improved, resulting in better social interactions and communications. We conclude that psychological improvements resulting from bariatric surgery make the feeling of well-being and general quality of life better, which is liable to drive positive health outcomes.

The burnout construct with reference to healthcare providers: A narrative review.

Burnout syndrome is a psychological response to long-term exposure to occupational stressors. It is characterized by emotional exhaustion, cognitive weariness and physical fatigue, and it may occur in association with any occupation, but is most frequently observed among professionals who work directly with people, particularly in institutional settings. Healthcare professionals who work directly with patients and are frequently exposed to work overload and excessive clinical demands, to ethical dilemmas, to pressing occupational schedules and to managerial challenges; who have to make complex judgements and difficult decisions; and who have relatively little autonomy over their job-related tasks are at risk of developing clinical burnout. In turn, clinical burnout among clinicians has a negative impact on the quality and safety of treatment, and on the overall professional performance of healthcare systems. Healthcare workers with burnout are more likely to make mistakes and to be subjected to medical malpractice claims, than do those who are burnout-naïve. Experiencing the emotional values of autonomy, competence and relatedness are essential work-related psychological needs, which have to be satisfied to promote feelings of self-realization and meaningfulness in relation to work activities, thus reducing burnout risk. Importantly, an autonomy-supportive rather than a controlling style of management decreases burnout risk and promotes self-actualization, self-esteem and a general feeling of well-being in both those in charge and in their subordinates. The purpose of this article is to discuss some of the elements constituting the burnout construct with the view of gaining a better understanding of the complex multifactorial nature of burnout. This may facilitate the development and implementation of both personal, behavioural and organizational interventions to deal with the burnout syndrome and its ramifications.

Integrated Management of Type-2 Diabetes Mellitus Associated Hyperlipidemia with Naturopathy, Yoga and Diet Control: A Case Report

Diabetes mellitus is a syndrome-like systemic problem that has multi-organ complications. Early intervention may prevent several manifestations of different organs. Diabetes disrupts the healing process, immunity, and may result in renal complications, and retinopathies. Our increasing sedentary lifestyle, bad food habits and lifestyle choices like smoking and drinking are responsible for the progression of this dreaded disease. Various causes of diabetes may be pathological, hereditary, congenital, faulty lifestyle, pancreatic malfunction and the build-up of toxins in the body. Many treatment modalities are available for the management of this condition but none of these give promising results with long-term drug dependency. The drug used in the treatment may have unwanted side effects. Yoga acts like a panacea for diabetes. Yoga provides an ideal cure for diabetes management. Yoga therapy is perceivably quick in the earlier stages and extremely beneficial after continuous practice for hyperglycemia. Yoga improves the psychological makeup and general feeling of well-being. In the present case report, I have discussed a case of diabetes associated with hyperlipidemia with naturopathy, yoga, and diet modification.

Creative Art: Connection to Health and Well-Being

This paper explores the association between creativity and health. We examined the literature to investigate if participating in creative arts such as dance and movement, music, visual art therapy, and creative writing has a beneficial effect on health and well-being. Recently, there has been an increased interest in studying how participatory and receptive arts can enhance wellness. Increasingly new research shows a correlation between creativity, improved feelings of well-being, and other positive health outcomes. Studies in this area indicate that engaging in creative arts brings about psychosocial, physiological, and behavioural responses that may help to decrease loneliness, depression, pain, and many other health-related issues. We reviewed and analyzed how creative arts can create channels for expressing emotions and improve physical, mental, and spiritual health. In this review, we define and discuss: 1) Creative Art Activities and Health; 2) Receptive and Participatory Engagement: Well-Being and Social Connectedness; 3) Health and Well-being in Later Stages of Life; 4) Art therapy and Children; 5) Creativity and Well-Being during COVID-19; 6) Specific Art Therapies and Their Beneficial Effects. We anticipate this review could underpin further research in health promotion. We also aim to encourage partnerships between the fields of health and creative arts to develop strategies to further their collaboration.

Spiritual Well-Being in The Experience of Indonesian Pilgrims (Systematic Review and Phenomenological Approach)

Hajj is often synonymous with experiences of mysticism. Scientifically this experience has high Divine values. The purpose of this article is to reveal the dynamics of spiritual well-being in the experiences of Indonesian pilgrims. The qualitative method used in this study consists of two parts, namely the systematic review method and the phenomenological method. The results obtained from a systematic review analysis of spiritual well-being is a feeling of well-being between a person and God, self, social communists and the environment. This spiritual well-being will be inherent in a person's personality including life goals, religious orientation and individual existence in their social life. The results of the systematic analysis of this review serve as an objective source as a guide for researchers to explain the psychological dynamics of the mysticism phenomenon of hajj pilgrims in Indonesia. A very interesting result, this spiritual well-being can increase self-transcendence. The experience of mysticism can be implemented in a positive meaning of life. Such as gratitude, self-forgiveness, flourishing or feeling yourself one with God and the creation of mindfulness when doing worship, also positive towards the future. This experience for the pilgrims is not interpreted as merely a story in religious rituals, but more than that it becomes a transcendent in the entire domain of an individual's spiritual life. Analysis of mysticism experiences also does not focus on experiential content including the positive or negative side of experiential content, but rather focuses on the essence of appreciation and even changes in the meaning of life and individual spiritual satisfaction. The essence of the spiritual experience of the hajj pilgrimage can be an interesting and rich discussion and lesson in the study of Sufism. This research can be an entry point for the development of the concept of Hajj Mabrur at a later date.Keywords: Spiritual Well-being, Pilgrims, Hajj, Indonesia

Nutrient-Dense, Functional Foods Enhance Hair, Skin, and Nail Appearance

Objective The American diet is nutrient-poor and rich in unhealthy compounds like sodium, sugar, and saturated fats. Whether food has an effect on appearance has not been fully elucidated. The purpose of this prospective, single-armed study was to evaluate the impact of consuming two nutrient-dense functional foods, which are low in salt, sugar, and saturated fats, on hair, skin, and fingernail health. Methods Both subjective (self-reported questionnaires and photographs) and objective (i.e., salivary pH and skin hydration) tests were used to evaluate appearance. Weekly compliance with nutrient-dense foods, body weight, and quality of life assessment were also recorded. Results Participants(n=28) consumed most of the nutrient-dense foods and remained weight stable, which was the goal of the study to exclude the effect of changes in body weight on appearance. Neither objective measurement of appearance showed significant improvements. Subjective measurements using questionnaires specific to hair, skin, and fingernails improved significantly over the 8-week study. Rating of photographs that the participants took of themselves improved significantly over the 8-weeks. These included reduced redness, decreased pore size, and better skin color. Using an acne-rating scale, a significant improvement was observed at week 8 compared to baseline. The quality of life parameters improved significantly including feeling of well-being, feeling full, having more energy, sleeping better, having less stress, and being more focused. Conclusion Inclusion of two nutrient-rich, functional foods in the diet improved the appearance of hair, skin, and fingernails. These foods were well-received and easy-to-prepare, leading to excellent compliance with the dietary protocol.