Hyperuricemia is a metabolic disorder that often occurs in the elderly and can progress to gout and other metabolic complications. Many elderly people are unaware of their elevated uric acid levels because symptoms often appear at an advanced stage. Health education and uric acid level testing are important strategies to increase knowledge and support early detection in the community. This study aims to analyze the increase in knowledge and support early detection of hyperuricemia through educational activities and uric acid level testing in the elderly. The study used a cross-sectional design in a community service activity conducted in Bungi Community Health Center in December 2025. A sample of 35 elderly people was selected using a purposive sampling technique. Data were collected through a knowledge questionnaire and uric acid level testing. Data were analyzed using univariate, bivariate, and multivariate methods using logistic regression. Health education significantly improved the elderly's knowledge level. Consumption of high-purine foods, body mass index, and a history of hyperuricemia were associated with elevated uric acid levels. Health education and uric acid examinations are effective in increasing knowledge and supporting early detection of hyperuricemia in the elderly in the community.

"Consensus-based management of endometriosis-associated pelvic pain: Results of a french delphi study".

Physiotherapy-led integrated care (PTICOPE) for bladder symptoms and functional independence: A secondary analysis of a randomized controlled trial.

Perceptions of public health education among medical students in Ireland: A qualitative study.

• Integrated OHS-WHP interventions have limited implementation in Australia. • Large Australian workplaces appear more likely to implement OHS-WHP interventions. • This self-reported study reports on useful practical insights into intervention content and delivery. Occupational health and safety (OHS) interventions traditionally target workplace ergonomic, psychosocial, and material risks, while workplace health promotion (WHP) interventions primarily focus on health education and behaviour change. The objectives of this study were: (1) to assess the extent to which Australian workers received and participated in integrated interventions; (2) to explore how they viewed three common examples of integrated interventions. A descriptive cross-sectional study was conducted in Australia in 2024. Eligible participants were employed in Australian workplaces under any contract type and were aged ≥18 years. Descriptive statistics summarised current practices and perceptions, while inferential statistics explored associations between variables. A thematic inductive approach was employed to analyse qualitative data. Of the 394 workers, mainly from the education, health, and retail sectors, only 25% reported they received integrated interventions, and these workers showed satisfaction (median 4/5). Of the workers receiving integrated interventions, 67.1% participated in integrated interventions with a frequency of 1–4 times/year. Organisational size was significantly and positively associated with the implementation of integrated interventions. Regarding the three examples presented, participants considered them useful (median 4/5) and supported their implementation, with the intervention addressing excessive sitting/musculoskeletal pain being most frequently implemented. High-quality intervention content and human-centred delivery were identified as key success factors that should be carefully considered during intervention planning. Overall, the current picture about integrated interventions in Australia highlights the requirement for genuinely meeting worker needs around intervention delivery and content relevance and addressing worker concerns about privacy and perceived compulsion to improve uptake and effectiveness.

Health education needs for home rehabilitation of patients after total knee arthroplasty: A qualitative study

The reach, effectiveness, implementation, and maintenance of a New York City harm reduction program enrolling priority populations who use meth, 2017-2022.

The therapeutic use of self, first articulated by Peplau in the 1950s, remains fundamental to mental health nursing practice, yet continues to be interpreted in diverse ways. This paper reports findings of a qualitative descriptive study, situated within a constructivist paradigm, exploring how experienced Australian mental health nurses understand and apply the therapeutic use of self in contemporary recovery-oriented contexts. Eleven mental health nurses participated in semi-structured interviews, with data analysed using reflexive thematic analysis. Three interrelated themes were developed: 'Diverse conceptualisations of the therapeutic use of self'; 'The prominence of self-disclosure'; and 'The nurse as a therapeutic instrument'. Participants described the therapeutic use of self as an intentional and reflective use of the professional self to foster connection, presence and trust. While the value of self-awareness and relational authenticity was acknowledged, self-disclosure emerged as a significant, ethically bounded strategy within a broader reflective orientation. By recognising the diverse conceptualisations of the therapeutic use of self, this study offers a more integrative formulation of the practice as relational, contextual and also experiential, with the prominence of self-disclosure reflecting evolving socio-cultural and recovery-oriented frameworks. Such recognition strengthens shared professional language, education and critical reflection in mental health nursing practice.

Perioperative Ostomy Care and Education Experiences by Patient and Caregiver Health Literacy.

Medical Student Knowledge, Perspectives, and Interest in Global Surgery: A Scoping Review.

Hospital-affiliated postpartum care centers are preferred by new mothers in Taiwan due to their medical resources and safety. However, overall maternal satisfaction is often influenced by "non-medical service"-related factors. These factors have yet to be adequately investigated empirically in the context of these centers. This study was designed to explore the relationship between core service dimensions and overall satisfaction at hospital-affiliated postpartum care centers, identify the key determinants of satisfaction, and provide recommendations for improvement. A cross-sectional design was employed, and a self-developed questionnaire was administered to a convenience sample of 300 postpartum women. The collected data were analyzed using hierarchical multiple regression supplemented by a qualitative content analysis of the open-ended feedback. After controlling for demographic variables, the regression results indicated three dimensions, including "housing environment" (β = 0.46), "care services" (β = 0.38), and "postpartum meal provision" (β = 0.34), collectively explained 98% of the variance in overall satisfaction. The qualitative analysis revealed that, despite high overall satisfaction, potential issues existed regarding facility convenience and provider-patient communication. "Postpartum meal provision" was identified as the dimension with the lowest satisfaction and greatest divergence, attributable to insufficient meal diversity and discrepancies in health education content. Service experience is the primary driver of satisfaction in postpartum women staying at postpartum care centers. Based on the findings, institutions should: (1) strengthen inter-departmental integration to minimize service-expectation gaps; (2) optimize the convenience of the housing environment and introduce value-added courses; and (3) leverage the role of nursing staff as bridges between cultural and scientific care. These measures may be expected to enhance client satisfaction and market competitiveness.

Boosting mental health literacy in Chinese universities: A randomized controlled trial of intervention efficacy.

Despite the proven efficacy of labor epidural analgesia, its utilization in China remains suboptimal, particularly among primiparous women. Providing relevant health education during routine prenatal care appears to be a viable approach. To examine the effects of an online and offline prenatal labor epidural analgesia education program on labor epidural rates in primiparas. A single-blinded, parallel-group randomized controlled trial. A total of 196 couples (primipara and spouse) were recruited from a tertiary hospital in Shenzhen, China. The couples were randomly allocated to the intervention or control groups with usual care only. The intervention comprised a series of web-based educational modules covering fundamental aspects of labor epidural analgesia, such as indications and contraindications, along with four weekly WeChat reminders. Additionally, participants received one group face-to-face education session lasting 30min and one individual consultation of 10-15min. Study outcomes included the rate of labor epidural analgesia, primiparas' intention to use labor epidural analgesia, fear of childbirth, and epidural analgesia-related misconceptions among couples. Data were collected at baseline (T0), immediately post-intervention (T1), and 12weeks post-intervention (T2). The effects of the intervention were evaluated using generalized estimating equation models. The intervention group had a significantly higher labor epidural analgesia rate than the control group after childbirth (P=0.001). Primiparas in the intervention group showed significantly greater improvements in intention to use labor epidural analgesia at T1 (P<0.001) and T2 (P=0.014), compared with the controls. In addition, primiparas in the intervention group demonstrated a significantly greater reduction in misperceptions of labor epidural analgesia at T1 (P<0.001) and T2 (P=0.040) compared with the control group. Decreased primiparas' fear of childbirth and spouses' misperceptions of epidural analgesia were found in the intervention group, but no significant group-by-time effect was detected. The online and offline prenatal labor epidural analgesia education program was effective in increasing labor epidural analgesia rates and in reducing misconceptions about labor epidural analgesia. However, the program had limited effects on reducing primiparas' fear of childbirth and correcting spousal misconceptions about labor epidural analgesia. We recommend that midwives and obstetric nurses provide online-offline labor epidural analgesia education during routine prenatal visits. Chinese Clinical Trial Registry (ChiCTR2400079767).

The 2023 Marburg virus disease (MVD) outbreak in Tanzania, which resulted in nine confirmed cases and six deaths (case fatality rate [CFR]: 66.7%), served as a critical stress test of the national health system, revealing significant gaps in outbreak preparedness across surveillance, laboratory capacity, and infection prevention and control (IPC). This narrative review examines how Tanzania's public health response evolved between the 2023 and subsequent 2025 outbreak and assesses how response strategies changed between the two outbreaks. The 2025 outbreak was limited to two confirmed cases with no further transmission, a marked contrast to the 2023 outbreak. Between the two outbreaks, Tanzania implemented several critical interventions, including expansions of PCR diagnostic capacity, integration of electronic tracing modules, and public health communication strategies. This review synthesizes publicly available reports from the World Health Organization (WHO), Africa Centers for Disease Control and Prevention (Africa CDC), the Tanzanian Ministry of Health, and peer-reviewed literature, and analysis focuses on three major response domains: infectious disease surveillance, IPC, and public health education as key factors associated with Tanzania's progress. The rapid containment of the 2025 outbreak suggests meaningful progress in Tanzania's public health capabilities and the need for continued, sustained investment in integrated surveillance systems and IPC infrastructure to maintain resilience against future outbreaks. Tanzania's adaptation and multi-level interventions between 2023 and 2025 provide a model for regional health security in Africa.

Prevention, on-site management, and public-health implications of sport-related mild traumatic brain injury in children and adolescents: A mixed-method study.

From animal ethics to climate change: Integrating human-animal-studies and one health into medical education.

Evaluation of self-weighing promotion interventions integrating health education with transparent priming and commitment nudges: A one-year randomized controlled trial

Climate change, planetary health and education in Africa - Some case studies and perspectives.

Non-communicable diseases (NCDs), such as type 1 diabetes, rheumatic heart disease, and sickle cell disease, impose significant health and social burdens in Nepal, particularly among children and young adults. To strengthen visibility, reduce NCD-related stigma, and foster engagement with the PEN-Plus program, a participatory design process was adopted to develop a national logo. This article outlines and critically reflects on the rationale, participatory development process, and symbolism behind the PEN-Plus Nepal logo, situating it within the broader field of health communication and social branding. Drawing on behavioral science theories and participatory design principles, the PEN-Plus logo was co-created with patients, health workers, government representatives, and communication experts. Ministry of Health and Population, National Health Education, Information and Communication Center officially endorsed the PEN-Plus logo, which now serves as a unifying symbol to raise awareness, foster community ownership, and support long-term advocacy for equitable severe NCD care in Nepal.

The inappropriate use of Traditional Chinese Medicine (TCM) poses significant health risks. Realgar (As4S4), an arsenic-containing mineral traditionally consumed during China's Dragon Boat Festival, may induce acute toxicity following ingestion. This case series describes 8 patients (age: 1 - 80 years), including 2 children, with clinically confirmed acute arsenic poisoning subsequent to Dragon Boat Festival ingestion of realgar-containing water. We systematically evaluated clinical manifestations, laboratory parameters, and environmental arsenic concentrations. Urinary arsenic quantification was performed in all cases, with intravenous 2,3-dimercaptopropane sulfonic acid (DMPS) sodium salt initiated as chelation therapy. All patients developed gastrointestinal manifestations (nausea, vomiting, and diarrhea) within 5 - 14 days post exposure, accompanied by biochemical evidence of hepatic dysfunction. Laboratory analyses confirmed elevated urinary arsenic concentrations (> 0.032 mg/L) and identified arsenic contamination in drinking water (> 0.01 mg/L), with both measures exceeding established safety thresholds. Multi-organ dysfunction syndrome (MODS) was observed in 3 patients. All cases demonstrated a favorable clinical response to intravenous DMPS sodium salt chelation therapy, achieving clinical improvements and subsequent discharge. This case series documented acute arsenic toxicity secondary to realgar consumption in both adults and children. The findings underscore the critical need for targeted public health education initiatives and enhanced regulatory oversight regarding traditional medicinal practices, particularly during cultural festivals. Furthermore, they emphasize the necessity for heightened clinical vigilance in the prompt diagnosis and management of arsenic poisoning associated with traditional cultural practices.