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The study aimed to analyze the trajectory and professional practice of graduates of a Residency Program in Obstetric Nursing. It was qualitative, exploratory-descriptive research carried out with twenty-nine members of the residency program in obstetric nursing private in a higher education institution in the central region of Rio Grande do Sul. Data were collected through an online questionnaire from March to July 2021 and interpreted by content analysis. The following categories emerged from the data analysis: Contribution of training to the current scenario of maternal and child health; Difficulties and challenges: the confrontations of training; and from the training received to the expected training. It was revealed that all graduates were female, being few with previous experience when entering the residency program and, after completion, most continued to work in various spaces of maternal and child and obstetric care.

Different types of high schools in Taiwan have the same physical education curriculum. In this cross-sectional study, we investigated the difference in the prevalence of metabolic syndrome between senior and vocational high school students. We retrospectively collected health check-up data from 81,076 first-year senior and 68,863 vocational high school students in Taipei City from 2011 to 2014, including their blood pressure, height, weight, waist circumference, fasting blood glucose, total cholesterol, triglyceride, and HDL-c levels. The prevalence of metabolic syndrome was determined using definitions from the Taiwan Pediatric Association (TPA), International Diabetes Federation (IDF), and de Ferranti et al. The prevalence of metabolic syndrome was 1.73% (senior and vocational high school students: 1.22% and 2.33%, respectively) using TPA criteria, 1.02% (0.69% and 1.40%, respectively) using IDF criteria, and 5.11% (3.92% and 6.51%, respectively) using de Ferranti et al. criteria. The most prevalent risk factors overall were increased blood pressure and central obesity. Given the significantly higher prevalence of metabolic syndrome in vocational school students regardless of the criteria, and that metabolic syndrome causes future adult health risks, the physical education curriculum and health education program in vocational schools should be strengthened to decrease the risk and prevalence of metabolic syndrome.

Background Visual impairment refers to a deficiency in one or more functions of the visual system, while hearing impairment refers to a loss of auditory function, defined either by its impact on communication and daily activities or by clinical thresholds of hearing ability. Individuals with these disabilities encounter various challenges including limited educational opportunities, restricted access to academic resources, and delays or shortages of support services. This study aimed to provide data for improving the health and well-being of individuals with visual or hearing impairments by analyzing health education interventions using classification criteria of the International Classification of Functioning, Disability and Health (ICF). Methods The scoping review followed Arksey and O’Malley’s methodology and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, organizing research questions by population, concepts, and contexts. Data included studies on health education interventions for individuals with visual or hearing impairments, sourced from Cochrane, Ovid MEDLINE, and Google Scholar. A specific search strategy with relevant keywords was used. The selection focused on intervention studies evaluating the effects of the intervention for these individuals globally. Two researchers independently reviewed full-text articles and extracted data into a standardized table, with results summarized using descriptive statistics. Results The literature search identified 3,168 articles, 34 of which were selected for analysis (19 concerned individuals with visual impairments, while 15 studies concerned individuals with hearing impairments). Health education interventions for the visually impaired mainly focused on skill acquisition and development, primarily delivered through face-to-face sessions. Healthcare providers predominantly facilitated these interventions within healthcare institutions. Similarly, health education interventions for the hearing impaired primarily focused on acquisition and development, mainly through face-to-face interactions. The dropout rate in the interventions ranged from 0% to approximately 50%. Outcome variables included physical function, psychosocial factors, behavior-related variables, and knowledge-related variables derived from the ICF in both cohorts. Conclusions This scoping review presented an examination of tailored health education interventions for individuals with visual or hearing impairments. Delivered largely through face-to-face sessions by healthcare providers, these interventions focused on skill acquisition and development, addressing physical function, psychosocial factors, behavior-related changes, and knowledge improvements. The wide range of dropout rates revealed barriers such as accessibility and sustainability. These findings emphasize the need for innovation and targeted strategies to improve the effectiveness and inclusivity of health education programs.

Background/Aim The Kaiser Permanente (KP) Northern California Heart Health for South Asians (HHSA) Program is a two-hour educational class that provides culturally relevant lifestyle and dietary recommendations to South Asian (SA) patients, in an effort to reduce their known disproportionate burden of cardiovascular (CV) disease. We evaluated the impact of the HHSA Program on CV risk factors and major adverse CV events (MACE). Methods A retrospective cohort study identified 1517 participants of SA descent, ≥ 18 years old from 2006 to 2019. We evaluated the change in risk factors with program attendance (median follow up of 6.9 years) for systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides (TG), LDL, HDL, BMI, and HbA1c. We also performed a propensity matched analysis to evaluate differences in MACE including stroke, myocardial infarction (MI), coronary revascularization, and all-cause mortality. Results There were significant improvements in DBP, TG, LDL-c, HDL-c, BMI, and HbA1c at one year follow up and sustained improvements in DBP (-1.01mmHg, p = 0.01), TG (-13.74 mg/dL, p = 0.0001), LDL-c (-8.43 mg/dL, p = < 0.0001), and HDL-c (3.16 mg/dL, p = < 0.0001) levels at the end of follow up. In the propensity matched analysis, there was a significant reduction in revascularization (OR 0.33, 95% CI 0.14–0.78, p = 0.011) and mortality (OR 0.41, 95% CI 0.22–0.79, p = 0.008), and a trend towards reduction in stroke. Conclusions Our study demonstrates the efficacy of a culturally tailored SA health education program in improving CV risk factors and reducing MACE. The program highlights the importance and value of providing culturally tailored health education in primary CV disease prevention.

Health education is a crucial consideration in the healthcare system and has the potential to improve global health. Recently, researchers have expressed interest in streamlining health education, utilizing digital tools and flexible curriculums to make it more accessible, and expanding beyond disease and substance abuse prevention. They have also expressed interest in promoting global health through health and safety promotion programs. Amidst the COVID-19 pandemic, climate change, the refugee crisis, and overpopulation, healthcare crises are erupting all over the world. A lack of health education has and will continue to have a profound impact on community healthcare indicators, particularly in low-income nations. Current priorities within the health education sector include digitization, equity, and infectious disease prevention. Studies and data from university journals and other academic databases were analyzed in a literature review. Health education programs have a significant positive impact on attitudes and behaviors regarding global health. Improving upon these programs by digitizing them and expanding upon the scope of health education will help ensure that such interventions and programs make a significant difference.

Since 1948, the World Health Organization (WHO) has launched numerous programs aimed at improving health conditions around the globe, ranging from efforts to eradicate smallpox to education programs about the health risks of smoking. In setting global health priorities and carrying out initiatives, the WHO bureaucracy has faced the challenge of reconciling the preferences of a small minority of wealthy nations, who fund the organization, with the demands of poorer member countries, who hold the majority of votes. InThe World Health Organization between North and South, Nitsan Chorev shows how the WHO bureaucracy has succeeded not only in avoiding having its agenda co-opted by either coalition of member states but also in reaching a consensus that fit the bureaucracy's own principles and interests. Chorev assesses the response of the WHO bureaucracy to member-state pressure in two particularly contentious moments: when during the 1970s and early 1980s developing countries forcefully called for a more equal international economic order, and when in the 1990s the United States and other wealthy countries demanded international organizations adopt neoliberal economic reforms. In analyzing these two periods, Chorev demonstrates how strategic maneuvering made it possible for a vulnerable bureaucracy to preserve a relatively autonomous agenda, promote a consistent set of values, and protect its interests in the face of challenges from developing and developed countries alike.

Older adults have the highest incidence of delayed treatment, complications, and deaths compared to other age groups. Nevertheless, knowledge and understanding about acute myocardial infarction, especially symptoms and perception of calling for 1669 (emergency services), are needed to inform care-seeking decisions during an acute myocardial infarction. This study aimed to explore the effectiveness of a health education program among patients with acute myocardial infarction. A single-blind randomized controlled trial was applied, and one hundred twenty-two hospitalized older patients with acute myocardial infarction were included between June 2022 and February 2023. The intervention group received a health education program and a handbook; the control group received routine care. The study outcomes were measured before and after receiving the intervention. Finally, t-tests, Mann–Whitney U test, Chi-square, Wilcoxon Signed Rank test, and adjusted analysis compared the outcomes. The 115 remaining for data analysis comprised 57 in the control and 58 in the intervention groups. We found that knowledge, perceived susceptibility, benefits of calling 1669, barriers, self-efficacy, cues to action, the possibility of calling 1669, and the first of action when having an acute myocardial infarction were improved. However, two patients in the control group (1455 min to make a decision), while only one in the intervention group (240 min), were readmitted. In conclusion, a health education program improves self-reported knowledge, belief, and decision-making. However, future research should investigate readmission rates and response times further. Finally, educational programs should be tailored to accommodate older adults’ specific needs and limitations on clinical practice and research. Clinical Trial Registration Number : TCTR20220602001 on 02/06/2022

Introduction: Telehealth approaches have demonstrated benefits in improving positive airway pressure (PAP) compliance in patients with obstructive sleep apnea (OSA), improving access to healthcare resources, and improving health outcomes for rural communities. Methods: This quality improvement (QI) pilot study implemented weekly telemedicine visits for four weeks of PAP therapy in rural patients newly diagnosed with OSA. Epworth Sleepiness Scale (ESS) scores were compared prior to and at one month of therapy. PAP compliance was compared between rural patients who received the telemedicine intervention and a group of patients not receiving the telemedicine intervention. Results: Compliance rates were higher in the intervention group. There was not a significant difference in compliance for the intervention group (M = 63.22, SD = 32.78) versus the control group (M = 46.40, SD = 36.24), t (46) = 1.69, p = 0.099. ESS scores were significantly greater prior to one month of therapy (M = 8.38, SD = 5.70) compared to after one month of therapy (M = 2.83, SD = 2.65), t (23) = 5.22, p < 0.001, d = 1.07. Discussion: This QI pilot study utilized telemedicine to remove barriers to care, improve PAP compliance, and improve health outcomes for this underserved, rural population.