Health Leadership and Quality of Life (Journal)
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Endoscopic detection of syndesmosis damages in patients with ankle fractures including external rotation
Full text linkBackground: Syndesmosis injury is a frequent and severe complication in the setting of ankle fracture, especially external rotation-type. Early, precise diagnosis is necessary for proper management to avoid long-term disability. Intraoperative Syndesmosis integrity assessment is important in planning the need for surgery.Aim: The purpose of the research is to assess the efficacy of intraoperative diagnostic techniques in diagnosing Syndesmosis injuries in patients with ankle fractures caused by external rotation, and to evaluate the precision of clinical assessment, imaging modalities, and direct intraoperative evaluation. 100 patients were enrolled in the research to provide credible and statistically significant results.Methods: A group of 100 patients with ankle fracture, i.e., those due to external rotation mechanisms, was evaluated by clinical examination, preoperative imaging (CT scans, MRI), and intraoperative testing (stress tests, fluoroscopy). Surgical exploration was used to confirm intraoperative diagnosis. Sensitivity, specificity, and accuracy of all the methods were compared to decide the most appropriate diagnostic method.Results: The intraoperative assessment was most accurate in diagnosing Syndesmosis injuries than preoperative imaging and clinical examinations. Stress tests and fluoroscopic control were most useful in detecting subtle syndesmotic disruptions, with a sensitivity of 92.7% and specificity of 86.7%. Preoperative imaging had moderate accuracy, while clinical examinations were less accurate in detecting occult injuries
Comprehensive Examination of Coffee Consumption Patterns and Their Impact on Liver Cancer Risk
Full text linkCoffee consumption has drawn increasing attention for its possible protective belongings against liver cancer, especially among high-risk populations. This research was designed to thoroughly examine the association among coffee intake and liver cancer risk diagonally diverse demographic groups. A cross-sectional survey involving 300 participants was conducted, collecting data on key variables, including age, smoking, alcohol consumption, and levels of coffee intake. Statistical analyses were accomplished utilizing SPSS software, employing logistic regression and chi-square tests to inspect the associations among coffee consumption, demographic factors, and liver cancer risk. The outcomes exposed that higher quantity of coffee intake were crucially linked to a reduced risk of liver cancer compared to lower consumption levels, suggesting a possible dose-response relationship. Among the demographic factors analyzed, age emerged as a substantial risk factor for liver cancer, with older individuals evincing a higher likelihood of expanding the disease. Additionally, smoking and alcohol consumption were recognized as significant lifestyle behaviors providing to liver cancer risk, further emphasizing the complicated nature of the disease. These findings highlight coffee’s possible as a protective dietary intervention for commuting liver cancer risk, especially in populations at greater risk due to age or other lifestyle factors. The study emphasizes the importance of incorporating coffee consumption into broader dietary and public health approaches for cancer prevention. Moreover, it advocates for further research to unravel the mechanisms underlying coffee’s protective effects and to advance adjusted dietary and lifestyle recommendations aimed at appreciably reducing liver cancer risk, eventually promoting improved health outcomes in unprotected populations
Analysis of Theoretical Foundations on Environmental Awareness in Early Childhood Education: A Systematic Review
Full text linkIntroduction: the growing global environmental crisis has increased the need to foster ecological awareness from the earliest stages of human development. In this context, environmental education in early childhood emerges as a fundamental strategy for planting long-term sustainable values and attitudes. Objective: this study aims to analyze, through a systematic review, the main academic research related to environmental education aimed at young children, identifying approaches, pedagogical strategies, and factors that promote ecological awareness in early childhood.Method: a systematic review was conducted of 68 scientific articles published between 2019 and 2025, selected from international academic databases. The studies were analyzed using thematic coding, considering variables such as the age of participants, type of educational intervention, the role of the family, teaching methodologies, and reported outcomes.Results: the active role of the family as an environmental education agent; the value of direct contact with nature; the use of innovative pedagogical resources such as storytelling, games, technology, and art; the cross-curricular integration of environmental education; and the emotional, cultural, and social factors that influence children\u27s relationship with the environment. Furthermore, a significant improvement in pro-environmental attitudes is observed when experiences are meaningful, contextualized, and collective.Conclusion: environmental education in early childhood is essential for shaping citizens committed to protecting the planet. Its effectiveness depends on a holistic integration between school, family, natural surroundings, and community. It is recommended to promote public policies that strengthen these bonds and invest in teacher training to ensure sustainability education from the early years of life
Meanings of Mental Health in Nursing Students
Full text linkIntroduction: The meanings are constructed from culture and according to them individuals carry out their actions in the world, being mental health one of the fields of action of nursing professionals, it is essential to address these meanings in nursing students that according to these will provide mental health care to the individual, family and communities. Objective: To understand the meanings in mental health that nursing students of a Colombian University have. Methodology: qualitative study, with an ethnographic approach, with information gathering techniques such as semi-structured interviews, observations recorded in the field diary, the analysis was qualitative of ethnographic type based on the dense description posed by Cliffort Geertz. Results: Interviews with 11 nursing students, recorded and transcribed, under descriptive, axial and selective coding process, with saturation of categories, thus ceasing the field work, the dense description is obtained obtaining findings such as those that raise the current article of Mental Health meanings from the individual-behavioral, social and biological, from the psychiatric, mental and from a positive and healthy perspective. Conclusion: positive mental health is present in the meanings that nursing students give to mental health
Nurses\u27 Autonomy and Its Determinants in Clinical Practice: A Scoping Review
Full text linkIntroduction: Nurses\u27 autonomy is a critical component of effective clinical practice, closely tied to professional competence, patient safety, job satisfaction, and organizational support. Despite its importance, autonomy remains variably defined and experienced across different healthcare systems and cultural contexts. This review explores the determinants, expressions, and implications of nurses’ autonomy based on an analysis of recent international studies.Methods: This research design uses a PRISMA-ScR in February 2024 based on PRISMA guidelines. Studies were taken from Esco, ScienceDirect, Google search, and PubMed and searched in English using the keywords nurse or nurses or registered nurse, clinical privilege or clinical autonomy or professional autonomy nurse, patient safety or quality of care from 2020 to 2024. Results: The findings reveal that nurses’ autonomy is positively associated with professional competence, role clarity, and supportive work environments. Autonomy enables nurses to participate in safety activities, advocate for patients, and contribute meaningfully to decision-making processes. Conversely, autonomy is often limited by hierarchical organizational structures, inadequate staffing, and a lack of managerial support. Studies also show that autonomy is context-dependent, with higher levels reported in critical care settings and among more experienced or specially trained nurses. Tools such as HSOPSC, SAQ, and NPC scales were commonly used to assess related variables.Conclusions: The review highlights that fostering nurses’ autonomy requires not only individual competence but also systemic change. Educational initiatives, leadership development, and non-punitive safety cultures are essential to empowering nurses
Wartime Challenges for Youth: Social Psychology Appraoches and Oportunities for Adaptative Coping
Full text linkIntroduction: In the context of the long-term military conflict a special attention is paid to the problem of socio-psychological adaptation of the young personality. It has been determined that the social environment, characterized by a significant level of frustration factors, has a significant impact on mass consciousness, in particular on the psychological state of youth, forming conditions for increased socio-psychological vulnerability. Methods: The work uses an interdisciplinary approach using general scientific methods of cognition: synthesis, systematization and generalization. For empirical analysis, statistical data processing methods, psychological methods of diagnosing adaptation strategies, as well as analysis of behavioral and cognitive models of overcoming difficult life situations were used. Results: Typological features of youth personality adaptation were established, characterized by cognitive, conative and emotional components. It was found that different types of adaptation significantly affect self-esteem, social activity and resilience of young people to psychotraumatic influences associated with military conflict. Emphasis is placed on the need to develop innovative concepts of mass consciousness regulation through the targeted use of mass communication tools, which is critically important for maintaining mental health and social stability.Conclusions: The paper proposes a conceptual approach to the development of programs for the socio-psychological adaptation of youth in conditions of military operations, with an emphasis on preventing frustration states, neurotic disorders, and psychological trauma by taking into account destructive life attitudes and value orientations
A Psychometric Evaluation of the Interpersonal Cognitive Distortions Scale: Implications for Mental Health and Quality of Life of College Students
Full text linkIntroduction: Interpersonal relationships are defined as mutual interactions as well as behaviours an individual experiences at varying levels. Interpersonal cognitive distortions have been found to affect the overall mental well-being of an individual and are also known to increase the risk of depression and suicide. The current study aims to establish psychometric properties of the Interpersonal Cognitive Distortions Scale among college students. Methods: The current study is a descriptive study with a non-probability convenience sampling with a sample size of 297 participants.Results: Face and content validity was adequately established for the scale. The scale has good internal consistency with a Cronbach’s alpha value of 0.910 and a Guttman split half coefficient of 0.83. The model showed a good fit with absolute indices such as x2, x2/df, TLI, NFI, CFI, RMR, RMSEA showing good fit value. The average variance extracted and composite reliability for all three factors were greater than 0.5 and 0.7 respectively thereby showing good convergent validity and composite reliability. The AVE values were greater than the squared intercorrelation, thereby showing good discriminant validity.Conclusion: The scale had demonstrated good psychometric properties, and it is suitable to use in a college setting demonstrating significant relevance in the overall well-being of students thereby aiding practitioners, clinicians, and academicians in ensuring student health and wellness
Ethical dilemmas of health misinformation and the importance of scientific dissemination
Full text linkIntroduction: Health misinformation represents an increasing ethical challenge in the digital age, as it affects individual and collective decision-making, undermining public health and trust in science. In this context, scientific dissemination becomes a strategic tool to counter the spread of false or misleading information.Objective: To analyze the ethical dilemmas derived from health misinformation and highlight the importance of scientific communication as a mitigation strategy.Methods: A systematic literature review was conducted using the PRISMA 2020 methodology. The search included databases such as PubMed, SciELO, Medline, Embase, Cochrane, and Google Scholar, complemented by generative artificial intelligence tools (e.g., ChatGPT-4, Gemini). Studies published between 2020 and 2025 in English and Spanish were considered.Results: A total of 896 documents were identified, of which 50 met the inclusion criteria. The analysis revealed the ethical impact of misinformation in health, such as the erosion of public trust, harmful decision-making, stigmatization, and political manipulation. Scientific dissemination was identified as a key strategy to foster education, critical thinking, media literacy, and community engagement
A Critical Analysis of Biomarkers and Diagnostics Strategies for Alzheimer\u27s Syndrome
Full text linkThese analyses assess the early recognition and prediction of Alzheimer\u27s disease (AD) by investigative biomarkers in the prodromal and transitional stages. The traditional diagnostic technique often fails to detect subtle cognitive modifications in the early stages, which leads to delayed interference and behavior. Data were gathered from 350 participants diagnosed with mild cognitive impairment (MCI), including cerebrospinal fluid (CSF) biomarker levels, neuroimaging scans, and clinical assessment. The research employs three Statistical analyses, using IBM SPSS Statistics version 30 including analyze the predictive validity of these biomarkers: regression analysis, and survival analysis. Regression analysis exposed a strong relationship between tau protein levels and the expansion from MCI to AD, with a coefficient of determination, representative of the power of CSF biomarkers in predicting AD onset. Survival analysis using Kaplan-Meier curves showed that participants with elevated amyloid plaque accumulation had a considerably higher risk of transitioning to AD. The researches underscore the limitations of the traditional diagnostic approach and emphasizes the importance of integrating other statistical method to improve early diagnosis. These findings suggest that refined statistical frameworks are crucial for enhancing the accuracy of AD diagnosis and advancing targeted treatment strategy
Balancing Tumor Control and Protecting Healthy Tissue in Radiotherapy Dosage Optimization
Full text linkRadiotherapy is an important part of treating cancer because it stops tumors from growing while hurting good cells around them as little as possible. The treatment goal is to give enough radiation to effectively target and kill cancer cells while saving normal tissue from harmful side effects. Optimizing the dose of radiation is a key part of achieving this careful balance. This paper talks about the ideas, problems, and progress made in figuring out the best radiation doses to kill tumors and protect good tissue at the same time. In the past, radiation treatment doses were set by regular guidelines that took into account things like the type, size, and position of the growth. But these methods don\u27t always take into account how different patients\u27 bodies are, how the tumor\u27s environment changes, or how healthy cells change when they are exposed to radiation. To fix this, individual treatment planning, made possible by improvements in imaging methods such as functional MRI and PET scans, is becoming more and more important for finding the best dose. These tools give us a more complete picture of the tumor\u27s location and biology in real time, which can help us apply radiation more precisely. New methods, like intensity-modulated radiotherapy (IMRT), proton treatment, and stereotactic body radiotherapy (SBRT), have made dose distribution more accurate. This means that bigger amounts can be sent to tumors while exposing healthy tissue nearby less. Biological models and dose-painting techniques are also becoming more popular. In these methods, the radiation dose is changed in different parts of the tumor based on how different they are, which makes the treatment even more effective. Even with these improvements, one of the biggest problems still is finding the best balance between the competing goals of controlling tumors and keeping healthy organs safe