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Very inspiring are the findings of a Canadian study revealing no notable changes in mental health and wellbeing pre-pandemic vs. post-lockdown among school-aged children (n = 476, 9–12 years old) from schools in socioeconomically disadvantaged communities participating in a school-based health promotion program targeting healthy lifestyle behaviors and mental wellbeing [5]. Conflict of Interest The author declares that she does not have any conflicts of interest. 1.CosmaAAbdrakhmanovaSTautDSchrijversKCatundaCSchnohrC.A Focus on Adolescent Mental Health and Wellbeing in Europe, Central Asia and Canada. Int J Public Health(2021)66.10.3389/ijph.2021.607199 10.RoudiniJKhankehHRWitrukE.Disaster Mental Health Preparedness in the Community: A Systematic Review Study.Health Psychol Open(2017)4(1):2055102917711307.10.1177/2055102917711307

Interventions to improve physical activity (PA) among adolescents continue to be a public health priority. To promote PA more effectively, we need to identify the main factors contributing to (not) engagement in PA in the perspective of adolescents themselves. Thus, we explored the barriers and enablers for sufficient moderate-to-vigorous physical activity (MVPA) in adolescents from their point of view. We used qualitative data collected as part of the international Health Behaviour in School-Aged Children study. We obtained data from 14-17 years old adolescents from the first year of Slovak high school. We conducted 11 online, semi-structured individual and group interviews with 24 participants in total (7 boys; mean age = 15.17, SD = 0.87) in Slovakia. We analysed the data using consensual qualitative research and thematic analysis. In the statements of adolescents, four main themes were identified regarding factors contributing to (not) engagement in PA among adolescents. 'Myself as a source' represents the importance of adolescents' own efforts, knowledge, physical predispositions and PA experience. 'How PA can be done' represents school as an opportunity for PA, and PA teachers and sports coaches as specialists who can create an enabling environment for sports. 'Others as a source' represents the social circle that can set a positive sports example and can encourage adolescent's efforts in PA. 'Factors outside' represents other factors that can inspire adolescents, e.g. by giving them a comfortable space and time to exercise, or can be a barrier to PA. The potential factors that include adolescents' perspectives can be more leveraged in designing supportive, inclusive, enjoyable, and skills-appropriate PA programmes.

The COVID-19 pandemic led to accepting a lot of various protective pandemic management-related measures (PanMan), which may have had a large impact on health care workers (HCWs) but evidence is scarce. We therefore explored the impact of measures during the second wave. We assessed the associations of PanMan with the Quality of Life (QoL) of hospital HCWs. We collected data from 215 HCWs (77.7% females, mean age 44.4), who were working at the COVID-related departments of one large hospital in eastern Slovakia via a questionnaire, specifically developed in direct collaboration with them. We assessed PanMan related factors, such as COVID-19 experience, information overload, non-adherence of the public, work stress, barriers and facilitators of health care provision, and QoL related factors, such as impact on family life and activities, housekeeping, relationships with relatives and mental well-being. To analyse the data, we used logistic regression models adjusted for age and gender. PanMan greatly impacted the QoL of HCWs, in particular family life, housekeeping and mental well-being (odds ratio, 6.8-2.2). The most influential PanMan factors were COVID-19 experience (3.6-2.3), work stress (4.1-2.4) and barriers in health care provision (6.8-2.2). Perceiving work stress had a negative impact on all QoL domains, even on relationships with the greatest impact. Conversely, the PanMan factors reducing the negative impact on QoL were training and colleagues' support (0.4-0.1). PanMan had a strong negative impact on the QoL of hospital HCWs during the second wave of the COVID-19 pandemic.

In the EU alone, these preventable AEs result in a loss of 1.5 million disability-adjusted life years (DALYs) and a cost of 19.53–43.65 billion euros in 2024 [3], with a significant impact on the quality of care. [...]workforce resilience is key to providing optimal care. Generative AI Statement The author(s) declare that no Generative AI was used in the creation of this manuscript. 1.BatesDWLevineDMSalmasianHSyrowatkaAShahianDMLipsitzSThe Safety of Inpatient Health Care.N Engl J Med(2023)388(2):142–53.PMID: 36630622.10.1056/NEJMsa2206117 2.PanagiotiMKhanKKeersRNAbuzourAPhippsDKontopantelisEPrevalence, Severity, and Nature of Preventable Patient Harm Across Medical Care Settings: Systematic Review and Meta-Analysis.BMJ(2019)366:l4185.PMID: 31315828; PMCID:

Objectives: Patient safety incidents (PSIs) are common in healthcare. Open communication facilitated by psychological safety in healthcare could contribute to the prevention of PSIs and enhance patient safety. The aim of the study was to explore medical professionals’ responses to a PSI in relation to psychological safety in Slovak healthcare.Methods: Sixteen individual semi-structured interviews with Slovak medical professionals were performed. Obtained qualitative data were transcribed verbatim and analysed using the conventional content analysis method and the consensual qualitative research method.Results: We identified eight responses to a PSI from medical professionals themselves as well as their colleagues, many of which were active and with regard to ensuring patient safety (e.g., notification), but some of them were passive and ultimately threatening patients’ safety (e.g., silence). Five superiors’ responses to the PSI were identified, both positive (e.g., supportive) and negative (e.g., exaggerated, sharp).Conclusion: Medical professionals’ responses to a PSI are diverse, indicating a potential for enhancing psychological safety in healthcare.

Spirituality and religious attendance (RA) have been associated with personal attitudes and values, and this may affect lifestyle. The aim of this study was to explore their association with adolescent leisure-time choices in a highly secular environment. A nationally representative sample of adolescents (n = 4,182, 14.4±1.1 years, 48.6% boys) participated in the 2014 Health Behaviour in School-aged Children cross-sectional study. We measured RA, spirituality (adjusted shortened version of the Spiritual Well-Being Scale), excessive television, computer games, and internet use, as well as participation in organized leisure-time activities. Compared to non-attending and non-spiritual respondents, respectively, both attending respondents and spiritual respondents were less likely to watch television and play computer games excessively, with odds ratios (ORs) ranging from 0.6 (95% confidence interval 0.5-0.8) to 0.92 (0.9-0.99). Only attending and only spiritual respondents were more likely to use the internet excessively, but this was not the case for those that were both attending and spiritual. Moreover, religious and spiritual respondents were more likely to be involved in at least one organised activity. ORs were 2.9 (1.9-4.3) for RA and 1.3 (1.2-1.4) for spirituality compared to their counterparts. The same pattern was observed for sporting and non-sporting activities combined (ORs 4.6 (3.0-7.1) and 1.5 (1.4-1.7), respectively) and regularly reading books or playing a musical instrument. Adolescent RA and spirituality are associated with a more active way of spending leisure-time. Further research should focus on understanding potential mechanisms that underlie these associations.

Background Adverse childhood experiences (ACEs) and poor family support and communication can increase emotional and behavioural problems (EBP). Therefore, we assessed the association of difficult communication with mother and with father separately with both emotional and behavioural problems (EBP), and whether adolescents’ communication with mother and with father moderates the association of adverse childhood experiences (ACE) with the EBP of adolescents. Methods We used data from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia, comprising 5202 adolescents aged from 11 to 15 (mean age 13.53; 49.3% boys). EBP were measured using the Strengths and Difficulties Questionnaire. We used generalized linear regression adjusted for age, gender and family affluence to explore the modification of the associations between ACE and EBP by communication (easy vs. difficult communication) with mother and father. Results Difficult communication or a complete lack of communication due to the absence of mother and father increased the probability of emotional (exp (b): 0.96, 95% CI: 0.92|1.00; and 0.95, 95% CI: 0.91|0.99, respectively) and also of behavioural problems (exp (b): 0.96, 95% CI: 0.92|1.00; and 0.94, 95% CI: 0.90|0.97, respectively). We found a statistically significant interaction of communication with father on the association of ACE with EBP, showing that the joint effects were less than multiplicative. Conclusion Difficult communication with mother and father is related to EBP among adolescents, and adolescents’ communication with father moderates the association of ACE with both emotional and behavioural problems among adolescents.

Previous research shows the beneficial effects of an intradialytic resistance training (IRT) on muscle function in haemodialysis patients. However, patients vary highly in their functional responses to IRT, may be due to effects of age and sex heterogeneities in adaptation. Therefore, the aim of this study was to investigate the degree to which the effects of IRT on the muscle function of haemodialysis patients vary by age and sex. We included 57 patients who completed a 12-week IRT (EXG) and 33 patients who received no IRT (CNG) during haemodialysis. Muscle function (MF) was assessed using dynamometry before and after a 12-week intervention and after a 12-week follow-up. After the 12-week intervention, we found a moderation effect of age in the relative (%) change (p = 0.011) and absolute (Δ) change (p = 0.027) of MF, and a moderation effect of sex in %MF (p = 0.001), but not in ΔMF (p = 0.069). Regarding patients’ age, the change of MF was only significantly different between EXG and CNG patients aged 60–70 years (%MF, EXG: + 34.6%, CNG: − 20.1%, p < 0.001; ΔMF, EXG: + 44.4 N, CNG: − 22.1 N, p < 0.001). Regarding patients’ sex, the change of MF was only significantly different between EXG and CNG female patients (%MF, EXG: + 23.9%, CNG: − 23.6%, p < 0.001). Age and sex did not significantly moderate changes in MF measures after 12 weeks of follow-up. We conclude that both age and sex of haemodialysis patients affect their functional response to IRT in the short term. Trial Registration: Intradialytic Resistance Training in Haemodialysis Patients (IRTHEP)—#NCT03511924, 30/04/2018, https://clinicaltrials.gov/ct2/show/NCT03511924 .

ObjectivesThe aim of this qualitative study was to identify the main factors that help and hinder adolescents’ wellbeing at school using their perspectives and experiences.MethodsWe used data from 45 adolescents in the first year of high school in Slovakia (mean age = 14.98; 22.2% boys). We obtained the data using 11 semi-structured group interviews conducted in 2020/2021. Participants were selected from three types of high school with regard to graduation system. Data was analysed using consensual qualitative research and thematic analysis.ResultsWe identified three main themes of factors contributing to their wellbeing at school: 1. School (atmosphere and organisation of life at school, physical environment, threats and the ability of school to deal with issues); 2. Relationships (with peers and teachers, and teachers’ behaviour towards them); 3. Myself (own perceived obstacles and resilience resources).ConclusionThe organisation of life at school, surroundings, threats and dealing with issues importantly affect adolescents’ wellbeing. Therefore, adjustment of physical environment and interpersonal competences of teachers, supporting of resilience resources of adolescents should be targets for interventions and prevention programmes at schools.

In line with the OA strategy of Swiss universities [3] and the Swiss National Science Foundation [4], which aim to achieve 100% OA publishing in Switzerland, SSPH+ decided to run its two journals – namely the International Journal of Public Health (IJPH) and Public Health Reviews (PHR) – as Gold OA journals. Since both journals mainly publish publicly funded research, SSPH+ considered it unethical to continue with the hitherto used hybrid model of IJPH. [...]JUFO ignores its own Level 1 criteria, both in downgrading the SSPH+ journals and in endorsing, apparently random, upgrading decisions. [...]this criterion is fully in line with the Guidelines of the International Committee of Medical Journal Editors, which emphasize the relevance of the independence and leading expertise of editors as a condition to guarantee the quality of peer review and to minimize conflicts of interest in editorial decisions [13]. [...]editorial decisions are not made by independent scientists, which increases the risk of conflicts between business-oriented criteria, such as collecting citations and scientific quality [14,15].