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This study aimed to examine how types of demanded healthcare information are associated with the need for support in cancer fear management among family caregivers (FCGs) of female cancer patients. The mindsponge theory was used in conceptual development and interpretation. Bayesian Mindsponge Framework (BMF) analytics were used for statistical analysis on a dataset of 48 spouses (husbands) and 12 other family members in five congested communities of Surabaya, Indonesia. Among the six types of healthcare information, FCGs with higher demand for cancer-specific information ( M Information_Cancer_FearManagement  = 0.41; S Information_Cancer_FearManagement  = 0.25) and information on cancer physical needs ( M Information_PhysicalNeed_FearManagement  = 0.32; S Information_PhysicalNeed_FearManagement  = 0.21) were more likely to need support in reducing the fear of female cancer patients. Meanwhile, FCGs with a higher demand for information on support services ( M Information_SupportServices_FearManagement  = − 0.33; S Information_SupportServices_FearManagement  = 0.22) were less likely to need support to reduce cancer patients’ fear. Other types of healthcare information have ambiguous effects on the need for support in reducing cancer-induced fear. This study underscores that the demanded cancer-specific information, such as information on cancer prognosis and therapeutic outcomes, and the demanded cancer physical needs information are priorities in information disclosure to FCGs to assist their role in cancer fear management.

Background and Aims Hypertension continues to be a significant health challenge, contributing to numerous deaths. Dietary factors are key risk factors for hypertension. Evidence indicates that consuming at least four different types of protein each week may help reduce the risk of developing high blood pressure. This study aims to analyze the impact of protein intake on the health status of household members living with hypertension in Gauteng province, South Africa. Methods This study applied a cross‐section design and stepwise binary logit regression to analyze the protein diet intake of 3278 households with members experiencing hypertension in eight Gauteng municipalities in South Africa. The study utilized nonmedical secondary data from the Gauteng City‐Region Observatory Quality of Life survey for 2021/2022, which included 13,168 randomly sampled households. Results The findings showed that consuming beans (B = 0.120; p = 0.066), chicken (B = 0.349; p < 0.001), tin fish (B = 0.244; p < 0.001), meat (B = 0.235; p < 0.001), offal (B = 0.128; p = 0.050), and dairy (B = 0.294; p < 0.001) was positively associated with a reduced risk of hypertension. Animal protein was preferred over plant protein. Hypertension was more common in low‐income households. Households with food expenditures of R0−R500, R501−R1000, and R1001−R2000 had probabilities of not suffering from hypertension that increased by at least 0.643, 0.799, and 0.826, respectively. Conclusions The study showed that consuming various proteins, particularly from beans, chicken, tin fish, meat, offal, and dairy, reduces hypertension health risks. It also shows that households with higher food expenditures experience lower hypertension prevalence, emphasizing the importance of dietary variety and financial resources in maintaining a healthy diet and reducing hypertension.

Introduction: Coronavirus Disease-2019 (COVID-19) pandemic has been happening for years now and no one can guarantee when this situation will end. The best thing that we can do in this new normal era is doing different self-care activity than what we usually do before the pandemic. This study aimed to analyze self-care differences before and after pandemic situation in the general population. Methods: This cross-sectional study involved 645 respondents living in five congested communities in Surabaya, Indonesia. Sample was enrolled by means of cluster random sampling. Variables on this study was self-care activities related to new normal activies among community. Valid and reliable questionnaire of self-care activities was used in data collection. Independent sample t test was used in data analysis. Results: Most respondents were female (54.6%) in their productive age (29.7 ± 11.5 y.o.), graduated (77.8%), private employee (35.5%), having no income (45.7%), and live with more than 3-5 family members at home (43.4%). Before pandemic, self-care was mostly sufficient (21.8 ± 5.9). After pandemic, self-care was improved greatly but still in sufficient level (28.5 ± 4.8). There was a significant self care difference before and after pandemic situation in the general population (p = 0.000). Conclusions: Self-care activities changes significantly after COVID-19 pandemic situation in the general population, but it was still in unoptimal level. Efforts to improve individual self-care in new normal era are needed to ensure this activity is implemented in its optimal level.

Home gardens serve as dynamic interfaces between environmental sustainability and human health, providing active, immersive engagement with nature. This perspective examines the extensive biological and psychological benefits of gardening, positioning it as more than a leisure activity but a transformative health practice. Biologically, home gardens reconnect individuals with soil microbiota, enhancing immune function, regulating endocrine responses, and improving air quality. Psychologically, gardening fosters mindfulness, emotional stability, cognitive function, and social cohesion, reducing stress, anxiety, and depression. These findings suggest that human care for nature reciprocally enhances personal health and community resilience. Thus, integrating gardening into public health policy through urban planning, healthcare prescriptions, and community initiatives could yield significant benefits for human well-being. Future research should explore optimal engagement levels, long-term health effects, and technological advancements that enhance accessibility. As evidence grows, it strengthens the case for home gardening as a key public health and sustainability strategy, demonstrating that tending to nature at home fosters both personal well-being and environmental enrichment.

Introduction Family caregivers (FCGs) of cancer patients usually utilize healthcare information to assist them in daily cancer care at home. However, there is another significant utilization in cancer care: promoting cancer adaptation. There are limited insights on how the utilization of healthcare information among FCGs may assist their role in promoting cancer adaptation, especially among female patients. In this study, we aimed to examine how types of demanded healthcare information affect the FCG’s role in promoting cancer adaptation. Methods This secondary analysis employed the Bayesian Mindsponge Framework and its analytics in the statistical analysis of a dataset on 60 FCGs of female cancer patients ( n  = 60), in five community settings in Surabaya, Indonesia. Results Findings showed that among the six types of demanded healthcare information, FCGs with a higher tendency to demand cancer-specific information are more likely to need support in catalyzing the adaptation of female cancer patients (β = 0.28, SD = 0.24). Meanwhile, FCGs with a higher demand for information on alternative therapies are less likely to need support in catalyzing cancer adaptation (β = -0.38, SD = 0.20). Other types of healthcare information have ambiguous effects on the need for support in promoting cancer adaptation. Conclusion This study reveals that the demanded cancer-specific information, e.g., cancer’s prognosis or likely outcome, must be prioritized during information disclosure to FCGs to promote cancer adaptation among female patients. By setting proper priority in health information disclosure among cancer stakeholders, especially FCGs, the facilitation of the cancer adaptation process can be optimized.

For centuries, fiction—particularly fables—has seamlessly combined storytelling, moral lessons, and societal reflections to engage readers on both emotional and intellectual levels. Despite extensive research on the benefits of reading and the emotional responses it evokes, a critical gap remains in understanding what drives readers to form deep emotional connections with specific works. This study seeks to identify the characteristics of a book that foster such connections. Using the Bayesian Mindsponge Framework analytics, we analyzed a dataset comprising 129 Amazon reviews of Wild Wise Weird by Professor Quan-Hoang Vuong, an influential Vietnamese scholar in the social sciences and humanities. The book is a collection of 42 fables that intertwine traditional storytelling with contemporary sensibilities, offering life lessons, humor, and social commentary. Of these reviews, approximately 66% expressed love for the book. The findings reveal that readers who describe the book as unique, whimsical, quirky, or innovative are more likely to express emotional attachment to it. Similarly, readers who are drawn to the book’s illustrations and characters tend to form stronger emotional connections. The cultural richness and representativeness of the book also emerged as significant factors in fostering readers’ emotional attachment. The book successfully captures the depth, charm, and moral essence of Vietnamese culture to a global audience while conveying a minimal sense of humor in the Zhuangzian (莊子) tradition. Readers have expressed heartfelt gratitude after engaging with the book, underscoring its success in fostering meaningful emotional connections. Thus, insights from this analysis offer actionable recommendations for stakeholders in the literary ecosystem, from authors and publishers to marketers, to enhance readers’ emotional attachment and commitment to books. Plain Language Summary What makes Readers Love a Fable? For centuries, stories—especially fables—have been a powerful way to share life lessons, spark emotions, and reflect on society. While many studies have shown that reading can be emotional and meaningful, we still do not fully understand what makes readers form a deep emotional bond with a particular book. This study set out to explore that question. We looked at 129 Amazon reviews of Wild Wise Weird, a collection of 42 fables that feature the quirky bird village with the Kingfisher, as the main character. The fables mix Zhuangzian (莊子) humor with fresh ideas, satires, and social messages about timeless and timely issues of our time. What we found was clear: people who described the book as unique, whimsical, quirky, or innovative were more likely to say they loved it. Many also connected deeply with the book’s characters and beautiful illustrations. Another important reason readers felt attached to the book was its cultural richness. The book shares Vietnamese culture in a heartfelt and meaningful way that resonates with readers from around the world. Many people even wrote messages of gratitude, saying the book made a lasting impact on them. Our study is one of the first to use quantitative data to explore the factors that contribute to people’s love of fiction books. The results offer helpful insights for a wide range of people. Teachers can use these findings to choose books that connect better with students. Writers can learn how to craft stories that truly speak to their readers. Publishers can more easily spot books that will make a strong emotional impact.

Aesthetics is a crucial ecosystem service provided by biodiversity, which is believed to help improve humans’ quality of life and is linked to environmental consciousness and pro-environmental behaviors. However, how aesthetic experience induced by plants/animals influences the belief in the occurrence and significance of biodiversity loss among urban residents remains understudied. Thus, the current study aimed to examine how the diversity of pets and in-house plants affect urban residents’ belief in biodiversity loss in different scenarios of aesthetic experiences (positive and negative aesthetic experiences at home due to plants/animals). Using the Bayesian Mindsponge Framework (BMF) analytics on a dataset of 535 Vietnamese urban residents, we found that the people’s aesthetic feeling about their house induced by plants/animals is positively associated with their belief in the occurrence and significance of biodiversity loss. The diversity of plants and pets is also positively associated with the level of biodiversity loss belief, but the effect is conditional on the aesthetic experience of the urban residents. Specifically, the positive association between species diversity and the belief only appears when urban residents feel that their houses’ aesthetics are negatively affected by plants/animals. Moreover, the association between pet diversity and biodiversity loss belief is less significant and reliable than that of plant diversity. These findings suggest that raising the houses’ aesthetics through in-house planting or pet ownership can potentially enhance biodiversity loss belief and subsequently build an eco-surplus culture among urban residents.

Introduction: Tuberculosis (TB) is a global public health problem and a leading cause of death from infectious diseases. The research objective was to determine the relationship between the theory of planned behavior, adherence and quality of life using the path model.Methods: This study employed a cross-sectional design with 154 tuberculosis patients. The research was conducted in all community health centers in the Buleleng, Bali. Data on subjective norms, attitudes, perceived behavior control, intention, physical and mental HRQoL domains and medical adherence were collected. Data were analyzed using a descriptive and structural equation model feature using structural equation model.Results: Most respondents have attitudes in the positive category and subjective norms in the good category. Perceived behavior is control in the good category, intentions in the good category and physical health in the good category. Almost all respondents have mental health in the good category and are married. All respondents in this study had adherence to treatment. The influence of subjective norms on intentions (p = <0.01), the influence of intentions on adherence (p = <0.01) and the effect of adherence on quality of life (p = <0.01) were found.Conclusion:Subjective norms are the most important part to influence intention. Adequate TB treatment causes HRQoL to improve.

Introduction: Systemic Lupus Erythematosus (lupus) and its unpredictable flares have lowering the patients’ quality of life significantly. Precipitating factors’ exposures need to be reduced by doing preventive behaviors to reduce the frequency of lupus flare. This study aimed to analyze the correlation between precipitating factors and preventive behavior in lupus patients. Method: This is a cros-sectional study. Population was all lupus patients doing regular check-up in Rheumatology Unit of Dr. Soetomo Public Hospital, Surabaya. Sample was lupus patients who did regular check-up in the period of October-December 2014 and matched to sample’s criteria. Sample size was 36 enrolled by means of total sampling. Independent variabel: precipitating factors of lupus flare; dependent variable: knowledge of lupus, attitude (self-efficacy) and preventive action towards exposures. Instruments used were questionnaire of lupus precipitating factors and ODAPUSHEBI (part 1,2,3). Data analysis used Spearman Rho correlation with α<0.05. Result: Most respondents are late adulthood, get married, high school graduates and actively working. The majority had lupus for 1-2 years. Precipitating factors were mostly physical stres (66.7%). Symptom of lupus that most often relapse was joint pain. Knowledge of lupus in all respondents was high, as for attitude mostly were high and most respondents doing optimal preventive action. There was no correlation between the precipitating factors of lupus flare with lupus knowledge (p=0.342) and attitude (p=0.651). There was a weak but significant correlation between the precipitating factors with preventive action (r = 0.360; p=0.031). Discussion: Precipitating factors of lupus flare vary among patients so that preventive actions taken adjust to the type of exposure. The preventive action taken optimally could minimize the recurrence of lupus flare. There is a correlation between the precipitating factors of flare with preventive action in lupus patients. 

Introduction: Meditation healing exercise (MHE) using the SKT technique is popular in Bangkok, Thailand, while in Surabaya, Indonesia, it is relatively new and unpopular. The attitude towards MHE depends on various internal and external factors. This study aimed to compare the attitude towards MHE between the elderly who are living with hypertension (HT) and/or diabetes mellitus (DM) in Bangkok and Surabaya.Methods: This was a comparative study involving 96 and 100 elderly individuals with HT and/or DM in the communities of Surabaya and Bangkok respectively. The sample was chosen according to the aforementioned criteria. The sample size was 196. The instrument used was a valid and reliable questionnaire. Descriptive statistics, the Levene test, and an independent sample T test were used for the data analysis.Results: The majority showed a positive attitude towards MHE; the higher Mean and lower SD was found in Bangkok (19.43 and 2.41). Out of the total, 87.5% and 96.0% elderly had good attitude towards MHE in Surabaya and Bangkok respectively. There was a significant attitude difference in relation to the aspect of preferring to practice MHE between Bangkok and Surabaya (p=0.004). Overall, there was no significant attitude difference between Bangkok and Surabaya (p=0.17).Conclusion: The elderly attitude towards MHE was mostly positive and good. The elderly in Bangkok prefer to practice MHE more than in Surabaya. There was no significant attitude difference in the elderly who are living with HT and/or DM between Bangkok and Surabaya. The implementation of MHE using the SKT technique has a high possibility of being accepted personally by the elderly in both sites.