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In histories of preventing and treating tuberculosis, many physicians came to prioritize the place and role of the home by the late nineteenth and early twentieth centuries. This was as true in the West as it was in the late Ottoman Empire. Also common, practices of scapegoating the poor and other marginalized populations as TB's sources and carriers were pervasive. In this article, we examine how ideas of health, TB, and home converged to accentuate class in the ostensibly objective public health literature and propaganda of late Ottoman and early republican Turkey. Analyzing both textual and graphic narratives found in primary sources written in Ottoman Turkish, our study explores how officials – lacking resources and alternatives – opted to pursue ambitious public health propaganda campaigns to at least achieve broad educational inoculation of the population. In doing so, rudimentary matters of treatment were taught and legislated in ways that aligned with the contemporary propagation of national citizenship. [ABSTRACT FROM AUTHOR]

Background: Human behaviors are powerful and possibly modifiable health determinants. Choosing the appropriate behavioral change model is essential for the effectiveness of any health intervention. The overall aim of the article is to present Pender's Health Promotion Model (Pender’s HPM), which remains still unknown in Bulgarian context. Methods: A desk review of publications in PubMed, Scopus and Google scholar with keywords "Nola Pender's Health Promotion Model" and "nursing theories" in Bulgarian and English. The search was conducted in February 2024. Results: Pender’s HPM – theoretical basis, definitions, and components are presented. HPM was developed by Prof. Nola Pender in 1982 and modified later because of the multiple practical applications. The essential contribution of this article is the creative and competent translation and introduction of Pender’s HPM definitions, assumptions, and components for the Bulgarian public health community. Pender’s HPM – applications are followed. Initially, HPM was created for the purpose of changing individual behaviors. Later, it has been used successfully for changing family dynamics, communities etc. The model has been used extensively in observational and interventional studies, including supporting healthy behaviors during COVID-19. Conclusion: Pender’s HPM is effective and flexible, offering fluent health promotion implementations. The model has its deserved place in nursing education and in the training of public health professionals. [ABSTRACT FROM AUTHOR]

ABSTRACT Context Objective Design Results Conclusions Starting face‐to‐face education while the COVID‐19 pandemic was ongoing was a risk for public health. Determining teachers’ initial reactions to public health practices during this high‐risk period may contribute to the redesign of public health and school nursing policies.The aim of this research is to examine the relationship between primary school teachers’ COVID‐19 fear levels and COVID‐19 vaccine attitudes.The research has a descriptive correlational design. The data were obtained from teachers working in primary schools (n = 430). Simple random sampling method was used in the data collection process. Data were obtained with the Scale of Attitudes Towards COVID‐19 Vaccine and Fear of COVID‐19 Scale.In the study, 50.5% of teachers reported that they were afraid of catching COVID‐19, 41.9% said their risk of catching COVID‐19 was “high,” and 87.7% reported that they voluntarily got the COVID‐19 vaccine. Of the teachers, 4.6% (n = 20) stated that they regretted getting vaccinated. A positive and significant relationship was found between teachers’ Fear of COVID‐19 Scale and COVID‐19 Vaccine Attitude Scale scores (r = 0.133, p < 0.001).During the pandemic, it was observed that teachers’ fear level of COVID‐19 increased with the start of face‐to‐face education. In addition, it is seen that teachers started to have doubts about some public health practices. This may indicate that public health nurses should take a more active role in school health practices. [ABSTRACT FROM AUTHOR]

Background: Community health workers (CHWs) are vital yet often invisible contributors to care coordination, health equity, and public health (PH) in medically underserved areas. The Atlanta Regional Community Health Workforce Advancement (ARCHWAy) Program leverages cross-sector partners to increase the number of CHWs on integrated care teams in metro Atlanta in the United States. Methods: The ARCHWAy Program provides an innovative educational curriculum guided by United States Department of Labor CHW competencies and cross-walked with the Georgia CHW Initiative competencies. The 12-week in-person/online curriculum includes 155 h of content on becoming a CHW, mental health first aid, social determinants of health, trauma informed care, population health, community outreach, engagement, and capacity building, resiliency, communication, care coordination, advocacy, emergency preparedness, health promotion/disease prevention, 20 h of simulation including motivational interviewing, point of care testing, first aid, and 80 h of experiential learning through field placements. Project team members represent racial, ethnic, linguistic, and gender diversity ensuring culturally congruent content. Results: Since program inception, the public health workforce in the region has been expanded by over 200 CHWs to date (goal of 446 CHWs) with specialized training offered in both English and Spanish. Discussion: Positioning well-trained CHWs as members of integrated care teams promotes health equity by advancing PH, strengthening the PH workforce, reducing health disparities, and helping underserved populations address social determinants that can undermine health. The ARCHWAy program, by increasing CHW employment readiness through developing field placements with cross-sector partners, aspires to set the standard for apprenticeships in CHW training programs. [ABSTRACT FROM AUTHOR]

This paper analyzes the cyclical process of an action research project conducted by a group of academics, policy advocates, and humanization supporters under the aegis of Brazil’s Unified Health System Research Program. The project uses a qualitative approach, based on Institutional Analysis and Intervention Research principles. As nested cycles often pass through reflection-action moments, the findings are presented according to several such moments: method construction, participation type, search for theories, and cyclical action research process. They suggest that AR’s cyclical nature can enrich knowledge production and transform healthcare practices, and that well-qualified advocates and humanization supporters can contribute to this by understanding local health needs and providing valuable suggestions to enhance administrative and healthcare actions. These findings underscore the importance of the cyclical nature of action research, which constantly deepens and adds flexibility to participation, knowledge and data production, thereby providing a crucial element which enables research to continue, despite adverse conditions, such as the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Digital games are an increasingly dominant form of digital entertainment with billions of players globally. While most of these games have a commercial focus, fields like public health and education have seen a growth of “serious games,” which aim to solve real world problems. In the context of biodiversity conservation, mobile games have been controversial, with some raising concerns around the way digital channels risk replacing the very nature they portray, therefore deepening a “nature‐deficit disorder.” We ran a randomized controlled trial to evaluate the impact of the mobile game “Kākāpō Run” on pro‐environmental behaviors amongst a cohort of 200 participants in New Zealand. Kākāpō Run was developed by a UK conservation charity, and aims to increase the support for Kākāpō conservation, as well as to increase pro‐environmental behaviors linked to Kākāpō conservation. Study participants completed a 10‐minute questionnaire before spending 1 hour playing their assigned mobile game over seven days. This was monitored by asking participants to share screenshots of their app usage for the duration of the experiment. After this, all participants re‐took the questionnaire. We found a positive impact across some knowledge and attitudes questions, behavioral intentions linked to willingness to volunteer time and support policies aiming to remove invasive predators, as well as manage pet cats actively. However, we found no change in willingness to donate or actual donations. This research showcases both the potential of mobile games for conservation outreach and marketing, and the importance of rigorous impact evaluation. We call for conservationists engaged in designing and promoting mobile games to approach game design and evaluation in a more research‐centered way to help develop an evidence base around the intended and unintended consequences of game playing. This mainstreaming of gaming science across conservation will be critical to allow mobile games to realize their potential as a leading communication channel. [ABSTRACT FROM AUTHOR]

Neural tube defects (NTDs), such as spina bifida and anencephaly, are severe congenital anomalies affecting the development of the brain and spine. These conditions are often linked to folic acid deficiency during early pregnancy, a modifiable risk factor. While high-income countries have implemented mandatory folic acid fortification in staple foods, resulting in significant reductions in NTD prevalence, low- and middle-income countries (LMICs) continue to experience disproportionately high rates of these birth defects. Folic acid supplementation and fortification are proven interventions for preventing NTDs, but many LMICs face political, financial, and logistical barriers to implementing these programs. This paper highlights the importance of mandatory folic acid fortification as a cost-effective public health intervention and advocates for its expansion in LMICs. It reviews the successes of fortification programs in high-income countries, explores alternative food vehicles like rice for regions with different dietary staples, and discusses the potential of multi-nutrient fortification strategies. Additionally, this paper emphasizes the need for global collaboration, enhanced monitoring and evaluation, and public health education campaigns to ensure that women of reproductive age, especially in LMICs, receive adequate folic acid. By addressing these challenges, the global health community can significantly reduce the incidence of NTDs, improve maternal and child health, and promote health equity worldwide. The time to act is now, as the benefits of folic acid fortification far outweigh the costs of inaction. [ABSTRACT FROM AUTHOR]

Background: For decades, Israel's economic policy has favored either outsourcing or privatization of public services, including healthcare, generating an ongoing and prolonged debate of this approach. In 1997 school health services (SHS) for elementary and middle school pupils was outsourced to a sub-contractor firm, reducing budget, but also standards, for nurses and physicians. Consequently, the service has dwindled and was focused more and more on vaccinations. Between 2007 and 2012, under full private contractor delivery, SHS quality diminished substantially, leading to a significant decline in vaccination coverage in the Southern District. In 2012, a decision was made to return SHS to state control. Methods: This study analyzes the delivery parameters of SHS between the period when the service was operated by a private contractor from 2011to 2/2012, and the subsequent provision of the service directly by Ministry of Health (MoH) between 3/2012 and 2013. We compared the rates of vaccination coverage, screening tests and health education programs. Results: A statistically significant increase in SHS delivery for vaccinations and screening was observed in the Southern District of MoH after the transfer of service from contractor. The increase was variable in different population subgroups, and especially notable in the Bedouin schools of the District, where the MMRV vaccination rose from 19.3% to 96.8%. However, a substantial and significant reduction in health education activities was also noted, overall from 24.9% to 5.0%. Conclusions: The findings suggest that substantial benefits can be derived from direct provision of SHS by MoH and its regional offices, especially in the areas of reduced accessibility and lower socio-economic status. The case study of SHS in the Southern District of Israel can serve as an important example highlighting the impacts of privatization vs nationalization, with potential implications in other fields. These insights should be integral to future discussions of healthcare service provision. [ABSTRACT FROM AUTHOR]

Objective: To describe the profile and professional trajectory of the obstetrics and gynecology (ObGyn) graduates over the past decade, at a referral university hospital. Methods: A cross‐sectional study was conducted, utilizing a survey that targeted graduates of the ObGyn residency program from the last decade, asking about demographics, medical undergraduate, residency details, post‐residency trajectory, satisfaction levels, and social media usage. A descriptive analysis was performed. Comparative analyses, including gender‐based differences, were assessed using chi‐squared or Fisher exact tests (P < 0.05). Results: Among 126 graduates, 84 agreed to participate (66.67%), predominantly comprising females with an average age of 33 years. Most identified themselves as white. The majority had pursued their undergraduate studies at the same institution (78.6%) and subsequently acquired specialized titles in ObGyn from the national society. Most of them were employed in both public and private sectors (71.08%). Male graduates held the majority of medical shifts in obstetrics. A significant gender‐based salary discrepancy was noted, favoring males. More than half of the professionals utilized social media for work‐related purposes. Many expressed the necessity for supplementary education beyond public health, particularly career management. Conclusion: The findings highlight a predominance of female and white individuals among the graduates. Overall, graduates expressed contentment with their education and professional engagements. A gender‐based income disparity was identified, favoring male graduates. Studies like this can provide insights for improving medical residency education. Synopsis: Graduates were mostly satisfied with ObGyn training, recognizing the increasing role of social media in their activities. A gender‐based income disparity favors male graduates. [ABSTRACT FROM AUTHOR]

The increasingly digital nature of modern societies necessitates continually examining how individuals interact in the public sphere. This systematic literature review comprehensively analyzes emerging research on public interaction across diverse contexts. By employing an innovative method of applying artificial intelligence on a large-scale academic corpus, we systematically identified and categorized eight major research clusters: social media and public discourse; public Governance in health and education; urban environments and data systems; group interaction dynamics; complex systems modeling; human-display interfaces; political processes; and public service design. Sub-topic mapping revealed key themes such as digital civic engagement, transport sustainability, behavioral dynamics, and socio-environmental impacts. Our interdisciplinary synthesis highlights public interaction as a multifaceted phenomenon intertwined with technological change, policy decisions, environmental factors, and social constructs. These insights underscore the need for holistic, cross-disciplinary approaches to navigate the challenges and opportunities of public interaction in our rapidly evolving digital age. This review provides a unified knowledge base to guide future research while informing decision-makers on cultivating participatory, adaptive, and sustainable public spheres. [ABSTRACT FROM AUTHOR]

DietNerd is a large language model-based system designed to enhance public health education in diet and nutrition. The system responds to user questions with concise, evidence-based summaries and assesses the quality and potential biases of cited research. This paper describes the system's workflow, back-end implementation, and the prompts used. Accuracy and quality-of-response results are presented based on an automated comparison against systematic surveys and against the responses of similar state-of-the-art systems through human feedback from registered dietitians. DietNerd is among the highest-evaluated of these systems and is unique in combining safety features with sophisticated source analysis. Thus, DietNerd could be a tool to bridge the gap between complex scientific literature and public understanding. [ABSTRACT FROM AUTHOR]

Introduction: The Department of Health and Human Services recently recommended rescheduling cannabis from Schedule I to Schedule III, which might have broad effects on public health outcomes related to cannabis. In this changing environment, understanding national patterns in how people obtain information about cannabis is critical to informing public health outreach and education. Methods: We surveyed American adults (≥ 18 years) between June 22nd-26th, 2023 using the AmeriSpeak panel. We assessed past year cannabis use, intentions for cannabis use, and where participants got their information about cannabis. We investigated differences by past year use and explored associations between demographic and cannabis use characteristics with information sources using logistic regression. Results: Participants (n = 1,161) were 48.3±27.3 years of age (mean±standard deviation), 51% female, and 27% reported past year cannabis use. The most common information sources used were friends/family (35.6%) and websites (33.7%), while the least common information sources were health/medical care providers (9.3%), employees at place of purchase (8.6%), and government agencies (4.7%). Past year cannabis use was positively associated with all information sources except government agencies and popular media articles. A higher proportion of those using cannabis medically (with or without recreational use) obtained information from a healthcare provider (16.4% vs. 5.2%, p = 0.006). Conclusions: As cannabis accessibility increases and legality continues changing, there is a strong need for better clinician education, improved public health outreach, and improved communication between patients and clinicians about cannabis. [ABSTRACT FROM AUTHOR]

Objectives: This study explores stakeholders' perspectives on the direct, social, economic, and cultural impacts of climate change on health in Indonesia and identifies possible strategies to enhance health system resilience. Methods: This study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines to ensure comprehensive and transparent reporting. Purposive sampling was used to select 22 stakeholders with relevant expertise, including government officials, representatives from international and professional health organizations, health workers, and community representatives. Semi-structured interviews were conducted, and data were analyzed using directed content analysis. Data saturation was reached when no new themes emerged. Results: The findings reveal significant challenges to Indonesia's health system due to climate change. Community awareness varies widely, with higher levels in disaster-prone areas. Socially, climate change has fostered community cooperation through collective adaptation efforts but has also led to tensions due to inequitable resource distribution. Economically, rising healthcare costs and financial instability, particularly in rural and disaster-prone regions, place a strain on the system. Culturally, there is a growing emphasis on environmental conservation, promoting eco-friendly practices and the integration of traditional and modern health approaches. Conclusion: Building health system resilience in Indonesia requires addressing the social, economic, and cultural impacts of climate change. Possible strategies include enhancing public health education, strengthening healthcare infrastructure, improving inter-agency coordination, and leveraging technology to support effective responses to climate-related health threats, ultimately promoting national health, social stability, and economic growth. [ABSTRACT FROM AUTHOR]

Background: Prior research predominantly examined the association between HIV-positive men who have sex with men (MSM) or those using injection drugs and hepatitis C virus (HCV) infection. However, limited attention has been given to understanding the association among HIV-negative MSM who do not inject drugs. This gap leaves apportion of the population unexamined, potentially overlooking important factor that may contribute to the transmission and prevalence of HCV. This study aims to investigate the relationship between non-injection drug use and HCV infection in this population. Methods: In this cross-sectional study, we analyzed data on 118 MSM who reported use of non-injection drugs. The participants were recruited from two inner-city communities in Houston, TX, between 2004 and 2007 and were negative for both HIV and hepatitis B virus infection. Latent class analysis (LCA) was used to identify drug use latent classes. Multinomial logistic regression analysis was used to evaluate the association between drug use latent class and HCV infection. Results: Four distinct latent classes of drug use were identified: class 1, persons ≥ 42 years of age who used only crack cocaine; class 2, persons approximately 42 years of age who used > 2 drugs; class 3, persons < 42 years of age who used > 5 drugs; and class 4, persons ≥ 42 years of age who used > 6 drugs. Class 4 was significantly associated with HCV infection. The odds of HCV infection in members of class 4 was 17 times higher than in class 2 members (adjusted odds ratio [aOR] = 16.9, 95% confidence interval [CI]: 1.4–205.4) and almost 22 times higher than in class 3 members (aOR = 21.8, 95% CI: 1.5–322.8). Conclusions: Among MSM with non-injection drug use, the subgroup of individuals who were ≥ 42 years of age and used multiple drugs (including heroin, speedball, methamphetamine, crack cocaine, and marijuana) had a high probability of HCV infection. Public health and education programs, as well as drug treatment and rehabilitation programs, should be developed for this high-risk subgroup of individuals to prevent HCV acquisition and transmission. [ABSTRACT FROM AUTHOR]

Background: High prevalence of inappropriate antibiotic use in different sectors of the community indicates a possible strong influence of social and cultural context, which may be influenced by social determinants of health and thereby affecting individuals' health-related behavior, including antibiotic use. And such health-related behavior is largely determined by individuals' health literacy. Objective: The purpose of this research was to examine the relationship between the Egyptian population's health literacy, antibiotic use, and antibiotic knowledge. Method: In Egypt, researchers used a cross-sectional study design, between the period of January and March 2024 using validated questionnaires and recruited a convenient sample of adults from seven governorates representing different geographic areas, and socioeconomic and educational backgrounds with the help of the validated questionnaires the HLS-EU-Q16, a shortened version of the European Health Literacy Survey Questionnaire (derived from the World Health Organization's Antibiotic Resistance: Multi-Country Public Awareness Survey) and, familiarity with drugs and understanding of antibiotic resistance via online methods and face-to-face interviews. Results: The survey included a participation of 500 persons in total. The participants' age distribution indicated that 28.8% (n = 144) were aged 18–24, while 27.4% (n = 137) were within the 25–34 age group. Moreover, a total of 274 participants, accounting for 54.8% of the sample, described themselves as female. Significantly, 60.7% of the patients indicated acquiring antibiotics without a prescription. The evaluation of health literacy (HL) levels among the participants revealed that 36.2% had problematic HL, while 8.4% showed inadequate HL. A strong positive link was found between the scores of antibiotic knowledge and the scores of HL (R = 0.876; P-value = 0.001). Conclusion: Overall, it is imperative to implement awareness-raising curricula and public health education initiatives without delay. Furthermore, it is highly advised to implement public health awareness initiatives about the appropriate use of antibiotics, alongside national policies aimed at regulating the availability and prescription of antibiotics. [ABSTRACT FROM AUTHOR]

Hand, foot, and mouth disease (HFMD) is a prevalent acute infectious disease caused by enteroviruses, presenting substantial public health challenges in Shanghai, especially among children. The dynamic nature of HFMD's etiology necessitates an ongoing evaluation of its epidemiological and virological trends to inform effective control strategies. This study aims to investigate the epidemiological patterns and viral evolution of HFMD in Fengxian District, Shanghai, China, with a focus on shifts in predominant viral strains over a 14-year period. We conducted a retrospective analysis of HFMD cases reported to the National Notifiable Disease Reporting System in Fengxian District from January 1, 2009 to December 31, 2022. Epidemiological trends, strain prevalence, and demographic impacts were assessed. A total of 27,272 HFMD cases were documented during the study period, with incidence showing pronounced seasonal fluctuations—peaking in spring and summer and a lesser peak in autumn. The disease incidence demonstrated significant positive correlations with several meteorological variables: daily average temperature (r = 0.30, P < 0.05), relative humidity (r = 0.20, P < 0.05), wind speed (r = 0.17, P < 0.05), and precipitation (r = 0.17, P < 0.05). Geographically, Nanqiao Town, Fengcheng Town, and Xidu Subdistrict reported the highest incidence rates. The demographic analysis revealed a male-to-female ratio of 1.60:1, predominantly affecting children aged 1–3 years. Prior to 2017, Enterovirus 71 (EV71) and Coxsackievirus A16 (CoxA16) were the primary detected strains; post-2017, Coxsackievirus A6 (CoxA6) emerged as the dominant strain. Statistical analysis confirmed significant year-to-year variations in virus detection rates, with decreasing trends for EV71 and other enteroviruses and an increasing trend for CoxA6. The findings indicate a distinct seasonal incidence of HFMD in Fengxian District. This study underscores the need for targeted public health education, enhanced surveillance, and proactive measures in childcare facilities to mitigate disease spread during peak seasons. Moreover, the evolving viral landscape warrants accelerated efforts in vaccine development against new strains to reduce HFMD incidence. [ABSTRACT FROM AUTHOR]

The objective of this paper is to identify the main challenges and opportunities for the training of public health professionals to strengthen the public health system and implement a new health care model in Mexico. This article describes how the reform of the public health system in Mexico poses challenges and opportunities for the training of health professionals. The use of new approaches in public health education is discussed, using as an example the implementation of a competencybased constructivist approach at the School of Public Health of Mexico/National Institute of Public Health (ESPM/INSP, in Spanish). The implementation of a new public health system in Mexico requires essential and specific competencies among the health professionals. The development of innovative models in education will allow progress in the training of public health professionals. To obtain the necessary skills for the implementation of this new model, it will be necessary to increase the relationship between research and teaching, use trans and multidisciplinary approaches, seeking a greater emphasis on practice and a reduction in schooling in educational programs. It will also be important to consider the development of cross-sectional competencies, ethical and gender aspects and an evaluation of these new educational models to strengthen future activities. [ABSTRACT FROM AUTHOR]

Objective: To describe the speaker and leadership development seminars during the 2023 EAO Summer Camp (SC). Materials and Methods: In September 2023, 24 participants joined the SC organized by the EAO Junior Committee (JC) in Lisbon, focused on enhancing public speaking and leadership skills. Facilitated by two experienced trainers, the program aimed to evaluate the participants' progress through pre‐, post‐training "immediate" and "delayed" (3 months after the event) anonymous questionnaires. The JC formulated a survey (JCS) addressing aspects of public speaking, presentation skills and leadership, how important the participants considered them and what type of training in this field they had received thus far. Results: Twenty‐three participants responded to the pre‐ and immediate post‐training surveys, 22 completed the delayed post‐training survey and 20 completed the JCS. The findings revealed increased confidence and comfort in public speaking post‐event, with sustained improvements over time, accompanied by positivity, pleasant feelings, and increased camaraderie. Post‐training delayed results also showed that reduced symptoms of anxiety before a speech were reported. The JCS highlighted that many participants had not properly acquired public speaking skills during university. Similarly, 19 out of 20 participants felt that leadership skills were important in contemporary dentistry but not properly taught in dental school curriculums. Conclusions: The 2023 EAO SC was a successful event providing advanced training in leadership and public speaking skills. However, a notable number of young dentists continue to experience anxiety when faced with presentations, indicating a potential need for additional training to relieve stress and enhance confidence. [ABSTRACT FROM AUTHOR]

Rapid localization of ROI (Region of Interest) for tomographic medical images (TMIs) is an important foundation for efficient image reading, computer-aided education, and well-informed rights of patients. However, due to the multimodality of clinical TMIs, the complexity of anatomy, and the deformation of organs caused by diseases, it is difficult to have a universal and low-cost method for ROI organ localization. This article focuses on actual concerns of TMIs from medical students, engineers, interdisciplinary researchers, and patients, exploring a universal registration method between the clinical CT/MRI dataset and CVH (Chinese Visible Human) to locate the organ ROI in a low-cost and lightweight way. The proposed method is called Two-step Progressive Registration (TSPR), where the first registration adopts "eye–nose triangle" features to determine the spatial orientation, and the second registration adopts the circular contour to determine the spatial scale, ultimately achieving CVH anatomical knowledge automated mapping. Through experimentation with representative clinical TMIs, the registration results are capable of labeling the ROI in the images well and can adapt to the deformation problem of ROI, as well as local extremum problems that are prone to occur in inter-subject registration. Unlike the ideal requirements for TMIs' data quality in laboratory research, TSPR has good adaptability to incomplete and non-thin-layer quality in real clinical data in a low-cost and lightweight way. This helps medical students, engineers, and interdisciplinary researchers independently browse images, receive computer-aided education, and provide patients with better access to well-informed services, highlighting the potential of digital public health and medical education. [ABSTRACT FROM AUTHOR]

The purpose of this study is to examine and characterize patterns of injury to the upper extremity caused by fireworks in a nationally representative sample of emergency department patients from 2011 to 2020. The National Electronic Injury Surveillance System was queried for upper-extremity injuries caused by fireworks between 2011 and 2020. One thousand two hundred fifty-one injuries were identified from the database representing 47,235 national cases that presented to emergency departments in the United States. Case frequency was stable during the period until 2020, which was nearly 70% higher than the previous 9-y average. Patients were generally young and male, with most cases in the 10-29-y age group and males over three times as likely to be injured as females. The most common injury was burn, and the week of July 4th accounted for 53% of cases alone. Diagnosis was also significantly associated with device type. These data can be used to target prevention measures and campaigns to specific patient populations most at risk of injury, specifically young males. They may also be used to highlight the impact of policy changes on availability of fireworks, the need for public health education coinciding with injury incidence peaks, and secondary pandemic effects. [ABSTRACT FROM AUTHOR]

This document is an editorial from the journal "Pedagogy in Health Promotion" celebrating its 10-year anniversary. The editorial highlights promising methods and practices for educators in the field of health promotion and public health. The article identifies five key areas of pedagogical practices: active learning and critical reflection methods, holistic and student-centered pedagogical activities, mentoring and anti-oppression oriented teaching approaches, resources to address mis/disinformation, and the inclusion and evaluation of Artificial Intelligence (AI) in public health pedagogy. The editorial provides specific examples and recommendations from articles published in the journal to guide educators in implementing innovative and effective teaching techniques. [Extracted from the article]

Generative artificial intelligence (genAI) technology is used among students, yet it remains unclear how public health students and instructors perceive it to be effective in a learning environment. We described how and why public health students and instructors are using genAI technology along with their perceived benefits and limitations of using genAI, noting where perceptions overlap. We surveyed public health students and instructors at a higher education institution in the United States. Student survey questions covered which genAI technologies they used, which activities they used genAI for, and perceived benefits and limitations of using genAI. Questions for instructors covered which genAI technology they used, course activities genAI was integrated, and perceived benefits and limitations of using genAI. Student respondents (n = 300) indicated using genAI technology for writing or clarifying concepts. Students and instructors (n = 62) agreed genAI technology could save time on tedious tasks and will be part of our future workforce. They agreed that appropriate use in the classroom will better prepare future professionals. Alternatively, students and instructors indicated genAI may impede learning, produce inaccurate information, and pose opportunities for unethical behavior. While students and instructors agree on many aspects of genAI technology, instructors should be explicit about their expectations and rationale for use of genAI technology in classrooms. [ABSTRACT FROM AUTHOR]

The article discusses the importance of data analytics (DA) and artificial intelligence (AI) competencies for public health professionals. It highlights the potential benefits of these technologies in improving population health outcomes, such as analyzing disease patterns, identifying risk factors, and informing targeted interventions. However, the article also acknowledges the challenges in integrating DA and AI into public health education and training programs, including the need for critical thinking skills and ethical considerations. The author suggests strategies for teaching these competencies, such as breaking down complex concepts, providing hands-on experience, and incorporating discussions on ethical implications. Overall, the article emphasizes the need for public health professionals to adapt to the AI revolution and contribute to shaping its development in a way that serves the public's best interests. [Extracted from the article]

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Introduction and purpose: The article focuses on the analysis of young people's awareness of the consumption of energy drinks, especially those containing caffeine. The aim of the study is to understand the level of knowledge about the awareness and consumption of energy drinks among students aged 18-25. This study was conducted using surveys and involving 202 participants. Material and Methods: The study was conducted using online anonymous surveys, involving 202 participants. The participants were students aged 18-25 both women and men. The results were analyzed according to the age and gender. Moreover, based on the available literature examining aspects related to the consumption of energy drinks. Results: The study shows that the vast majority of respondents (94.06%) are aware of the impact of energy substances on the body. The charts also illustrate that caffeine, as the main ingredient in energy drinks, is well understood in terms of cardiovascular effects. Moreover, the student community is aware of the link between excessive sugar consumption and the risk of cancer development. Discussion: The study shows that young people are aware of the negative impact of energy drinks on health. Nevertheless, not all areas of knowledge are clear to them. The continuous increase in the level of education can undoubtedly contribute to the introduction of healthy eating habits among students. Most respondents declare to drink energy drinks again, it should draw our special attention. Conclusions: It is worth noting the need for further education, especially in the field of metabolic syndrome. It also highlights the role of research and education in shaping public health awareness. Finally, the article suggests that further research and targeted educational programs are critical to improving public health, especially in the context of energy drink consumption. [ABSTRACT FROM AUTHOR]

Abstract Background Armed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe. Methods We conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe. Results We included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management. Conclusions The scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals.

Abstract Background Public health education (PHE) in social environments plays a crucial role in mitigating the impact of public health events, especially with the recent surge in global incidents. Social learning theory (SLT) provides a strong theoretical foundation for implementing PHE. The objective of this study is to conduct a systematic scoping review of PHE using SLT, synthesizing the target populations, types of research, main findings, and future directions. Methods The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review (PRISMA-ScR) guidelines. We conducted a comprehensive search of five electronic databases (Web of Science, Scopus, PubMed, ProQuest, and APA PsycInfo) for English articles related to PHE using SLT. Two reviewers independently screened the titles and abstracts. Descriptive statistics were utilized to analyze the characteristics of the articles included in the study, followed by a comprehensive narrative analysis of the results. Results Research on PHE using SLT mainly focuses on adolescents, students, special patients, and vulnerable populations. The study sample includes seven research types and nine commonly used experimental methods. Four modes of PHE using SLT are identified, along with four types of summarized research results. Conclusion PHE research based on SLT can be prioritized for preventing widespread infectious diseases, spreading fundamental public health information, and assisting patients with particular illnesses. To enhance the implementation of PHE, researchers and policymakers should integrate online and offline health education resources, ensure the accessibility of up-to-date information, and leverage digital technologies in PHE. More highly interactive and participatory health education courses will be established in social learning environments to encourage public participation in PHE.

Abstract Background Lassa fever (LF) presents significant public health challenges in Sierra Leone, particularly in the Lower Bambara Chiefdom. This study aims to deeply understand how knowledge and attitudes towards LF correlate with community-driven prevention and control measures. Methods A descriptive cross-sectional quantitative approach was used to conduct the research. Data from 2167 participants were collected using an Android-based survey from 1st February 2022 to 14th February 2022. Respondents' knowledge of LF causes, risk factors, transmission modes, and preventive measures were evaluated through a multiple-choice questionnaire, and attitudes toward prevention and control were measured on a 5-point Likert scale. Quantitative data were analyzed using SPSS version 26.0 and frequencies were presented in count, percentage, and table. Chi-square statistics were used to test for associations. Results Among the 2167 participants, over half were males (1184, 54.60%), farmers (1406, 64.90%), married (monogamous) (1428, 65.90%), and had never attended school (1336, 61.70%). Respondents demonstrated high knowledge levels of LF across socio-demographic groups (33% to 100%) and shared a positive attitude towards prevention and control (mean score of 26.77 on a 5–40 scale). Educational level, religious beliefs, and occupational status significantly influenced LF knowledge (p

Trace metals and metalloids are groups of chemical elements that naturally occur in low concentrations and cycle in the environment driven by natural processes and human activities. They have a persistent and bio-accumulative tendency in the environment, and certain trace metals and metalloids have become a public health concern. This study assesses the concentration of eleven trace metals and a metalloid in sediments and catfish muscle from five study sites in the Eastern Tanzanian River basin. Forty catfish tissues and fifteen sediment samples were collected and analyzed using ICP-MS. Concentrations of As, Cd, Co, Pb, and Zn did not exceed the United States Environmental Protection Agency (USEPA) guideline for pollution of sediments, while Al Cr, Al, Mn, and V with values ranging from (118.54 to 70154.55) indicating moderately polluted. The stations Java-Sadaani and Matandu showed the highest Cr, Ni, and Cu concentrations, but the potential ecological risk index (RI) was low (RI < 95). In the catfish muscle tissue, the levels of Cd, Pb, Cu, and Zn did not surpass the EU and FAO/WHO limits and results ranged from 2.22 to 35.22mg/kg. Low levels of accumulation of Cd, Pb, and As were found in this study compared to catfish muscles from other studies, whereas the concentrations of other trace metals and metalloids analyzed had comparable results. Biota/sediment accumulation factors (BSAF) were all < 1. The weekly metal intake (MWI) results ranged from 6.89E-04 to 2.43E+01 μg/know-1week-1, indicating a low risk as the value did not exceed the FAO/WHO established Permissible Tolerable Weekly Intake (PTWI). The non-carcinogenic health risk result THQ was 4.43E-02 and the carcinogenic health risks result HI was 4.42E-05 which indicated tolerable levels of risks as both the values of the Target Hazard Quotient (THQ) and the Hazard Index (HI) was < 1, and the carcinogenic target risk (TR) is < 0.0001. The highest TR values were observed for Cr and Ni. We recommend a continued monitoring of the changes in trace metal levels in the environment and biota together with continuous public health education on the dangers of high levels of trace metals. [ABSTRACT FROM AUTHOR]

The spatial delays of pulmonary tuberculosis (PTB) have been less explored. In this study, a total of 151,799 notified PTB cases were included, with median patient and diagnostic delays of 15 [interquartile range (IOR), 4–35] and 2 (IOR, 0–8) days, respectively. The spatial autocorrelation analysis and spatial–temporal scan statistics were used to determine the clusters, indicating that the regions in the southwestern and northeastern parts of Zhejiang Province exhibited high rates of long-term patient delay (LPD, delay ≥ 15 days) and long-term diagnostic delay (LDD, delay ≥ 2 days). Besides, the Mantel test indicated a moderately positive correlation between public awareness of suspicious symptoms and the LPD rate in 2018 (Mantel's r = 0.4, P < 0.05). These findings suggest that PTB delays can reveal deficiencies in public health education and the healthcare system. Also, it is essential to explore methods to shift PTB knowledge towards real changes in attitude and behavior to minimize patient delay. Addressing these issues will be crucial for improving public health outcomes related to PTB in Zhejiang Province. [ABSTRACT FROM AUTHOR]

Background Methods Findings Conclusion Health and education are interrelated and influence social, economic and lifestyle perspectives. Children with chronic illnesses experience barriers in the educational system regarding school attendance and social isolation. Gaining knowledge of compulsory education and how children with chronic illnesses are supported is crucial for the implications of future education policy and legislation in Scandinavia. This study compares Scandinavian legislation frameworks on compulsory education, chronic illness and school absence to form the basis of future research on education for children with chronic illness.The study uses a comparative approach to explore the support of children with chronic illnesses in compulsory education across Norway, Sweden and Denmark. The documents included are 3 education acts and 15 secondary documents, which are notes and guidelines for the education acts. The data were analysed using a manifest content analysis.We found four categories and six subcategories: (1) school obligation and rights; (2) chronic illness; (3) school absence: (a) categorisation of absence; (b) registration of absence; and (c) sanction; and (4) education support: (a) Hospital school support; (b) Home instruction support; and (c) technological support.This study's findings demonstrate the similarities and differences in the Scandinavian compulsory education legislation and guidelines regarding chronic illness and school absence. We found similarities across the countries regarding chronic illness and school absence. Still, the findings showed differences in the systematic registration of school absence and requirements for attendance with compulsory education in Norway and Denmark compared with compulsory schooling in Sweden. This knowledge will inform and enlighten future discussions and decisions in education and public health. The results can contribute to awareness of the opportunities for educational support and perspectives about education for children with chronic illnesses. Future research focusing on the experience of children with chronic illness and educational support is needed. [ABSTRACT FROM AUTHOR]

Background: Armed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe. Methods: We conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe. Results: We included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management. Conclusions: The scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals. [ABSTRACT FROM AUTHOR]

Background: Tuberculosis (TB) is a major infectious disease with significant public health implications. Its widespread transmission, prolonged treatment duration, notable side effects, and high mortality rate pose severe challenges. This study examines the epidemiological characteristics of TB globally and across major regions, providing a scientific basis for enhancing TB prevention and control measures worldwide. Methods: The ecological study used data from the Global Burden of Disease (GBD) Study 2021. It assessed new incidence cases, deaths, disability-adjusted life years (DALYs), and trends in age-standardized incidence rates (ASIRs), mortality rates (ASMRs), and DALY rates for drug-susceptible tuberculosis (DS-TB), multidrug-resistant tuberculosis (MDR-TB), and extensively drug-resistant tuberculosis (XDR-TB) from 1990 to 2021. A Bayesian age-period-cohort model was applied to project ASIR and ASMR. Results: In 2021, the global ASIR for all HIV-negative TB was 103.00 per 100,000 population [95% uncertainty interval (UI): 92.21, 114.91 per 100,000 population], declining by 0.40% (95% UI: − 0.43, − 0.38%) compared to 1990. The global ASMR was 13.96 per 100,000 population (95% UI: 12.61, 15.72 per 100,000 population), with a decline of 0.44% (95% UI: − 0.61, − 0.23%) since 1990. The global age-standardized DALY rate for HIV-negative TB was 580.26 per 100,000 population (95% UI: 522.37, 649.82 per 100,000 population), showing a decrease of 0.65% (95% UI: − 0.69, − 0.57 per 100,000 population) from 1990. The global ASIR of MDR-TB has not decreased since 2015, instead, it has shown a slow upward trend in recent years. The ASIR of XDR-TB has exhibited significant increase in the past 30 years. The projections indicate MDR-TB and XDR-TB are expected to see significant increases in both ASIR and ASMR from 2022 to 2035, highlighting the growing challenge of drug-resistant TB. Conclusions: This study found that the ASIR of MDR-TB and XDR-TB has shown an upward trend in recent years. To reduce the TB burden, it is essential to enhance health infrastructure and increase funding in low-SDI regions. Developing highly efficient, accurate, and convenient diagnostic reagents, along with more effective therapeutic drugs, and improving public health education and community engagement, are crucial for curbing TB transmission. [ABSTRACT FROM AUTHOR]

Background: The co-infection of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) and tuberculosis (TB) poses a significant clinical challenge and is a major global public health issue. This study aims to elucidate the disease burden of HIV-TB co-infection in global, regions and countries, providing critical information for policy decisions to curb the HIV-TB epidemic. Methods: The ecological time-series study used data from the Global Burden of Disease (GBD) Study 2021. The data encompass the numbers of incidence, prevalence, mortality, and disability-adjusted life year (DALY), as well as age-standardized incidence rate (ASIR), prevalence rate (ASPR), mortality rate (ASMR), and DALY rate for HIV-infected drug-susceptible tuberculosis (HIV-DS-TB), HIV-infected multidrug-resistant tuberculosis (HIV-MDR-TB), and HIV-infected extensively drug-resistant tuberculosis (HIV-XDR-TB) from 1990 to 2021. from 1990 to 2021. The estimated annual percentage change (EAPC) of rates, with 95% confidence intervals (CIs), was calculated. Results: In 2021, the global ASIR for HIV-DS-TB was 11.59 per 100,000 population (95% UI: 0.37–13.05 per 100,000 population), 0.55 per 100,000 population (95% UI: 0.38–0.81 per 100,000 population), for HIV-MDR-TB, and 0.02 per 100,000 population (95% UI: 0.01–0.03 per 100,000 population) for HIV-XDR-TB. The EAPC for the ASIR of HIV-MDR-TB and HIV-XDR-TB from 1990 to 2021 were 4.71 (95% CI: 1.92–7.59) and 13.63 (95% CI: 9.44–18.01), respectively. The global ASMR for HIV-DS-TB was 2.22 per 100,000 population (95% UI: 1.73–2.74 per 100,000 population), 0.21 per 100,000 population (95% UI: 0.09–0.39 per 100,000 population) for HIV-MDR-TB, and 0.01 per 100,000 population (95% UI: 0.00–0.03 per 100,000 population) for HIV-XDR-TB in 2021. The EAPC for the ASMR of HIV-MDR-TB and HIV-XDR-TB from 1990 to 2021 were 4.78 (95% CI: 1.32–8.32) and 10.00 (95% CI: 6.09–14.05), respectively. Conclusions: The findings indicate that enhancing diagnostic and treatment strategies, strengthening healthcare infrastructure, increasing access to quality medical care, and improving public health education are essential to combat HIV-TB co-infection. [ABSTRACT FROM AUTHOR]

Stroke is a leading cause of disability and mortality worldwide, and it disproportionately affects low- and middle-income countries (LMICs), which account for 88% of stroke fatalities. Prehospital stroke care delays are a crucial obstacle to successful treatment in these settings, especially given the limited therapeutic window for thrombolytic treatments, which may greatly improve recovery chances when initiated early after stroke onset. These delays are caused by a lack of public understanding of stroke symptoms, sociodemographic and cultural variables, and insufficient healthcare infrastructure. This review discusses these issues in detail, emphasizing the disparities in stroke awareness and reaction times between locations and socioeconomic classes. Innovative options for reducing these delays include the deployment of mobile stroke units and community-based educational campaigns. This review also discusses how technology improvements and personalized educational initiatives might improve stroke awareness and response in LMICs. The primary goal is to give a thorough assessment of the challenges and potential remedies that might serve as the foundation for policy reforms and healthcare improvements in LMICs, eventually improving stroke care and lowering disease-related mortality and disability. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to develop a culturally adapted Chinese version of the Value-based Stigma Inventory (VASI) and to evaluate its psychometric properties, including reliability and validity, among the general Chinese population. Methods: This study is a cross-sectional study. Convenience sampling was used to recruit 708 general citizens from Shenyang City, Liaoning Province, China. The VASI's internal consistency, split-half reliability, and test–retest reliability were tested to assess the translated scale's reliability. Several validity tests were performed, including expert consultation, exploratory factor analysis, and confirmatory factor analysis. Data were analyzed using SPSS 25.0 (IBM Corp., Armonk, NY, United States) and AMOS 23.0 (IBM Corp., Armonk, NY, United States). Results: The Chinese version of the VASI showed good reliability, with a Cronbach's α value of 0.808, and the dimensions ranged from 0.812 to 0.850. Test–retest reliability showed good temporal stability with a value of 0.855, and the split-half reliability value was 0.845, indicating a high degree of consistency. The scale also demonstrated good content validity with a content validity index of 0.952. After conducting exploratory factor analysis, a five-factor structure was identified, including factors of self-realization, personal enrichment, reputation, meritocratic values, and security. In the confirmatory factor analysis, all recommended fit indicators were found to be within the acceptable range, including χ2/DF = 1.338, GFI = 0.960, AGFI = 0.940, RMSEA = 0.031, TLI = 0.985, CFI = 0.989, IFI = 0.989, PGFI = 0.640, and PNFI = 0.729. Conclusion: The Chinese version of the VASI is valid and reliable among the Chinese general public. The five-factor structured scale effectively assessed public stigma against mental illness, including the value orientations associated with personal stigma. Given the harsh and widespread public stigma against mental illness, the findings from the questionnaire may inform the development of future public health education programs. Public health education is needed to reduce the stigma of mental illness, increase public awareness of mental health issues, and mitigate the continued stigmatization of mental illness. [ABSTRACT FROM AUTHOR]

Introduction: Rattlesnake (Crotalus spp., Sistrurus spp.) bites in the southwestern United States are associated with significant morbidity. This study aims to describe 25 years of rattlesnake encounters reported to the Arizona Poison and Drug Information Center to identify vulnerable populations and circumstances where encounters occur to create public education to reduce future bites. Methods: Cases of suspected rattlesnake encounters in Arizona reported to the Arizona Poison and Drug Information Center between 1999 and 2023 were analyzed to identify populations and circumstances associated with encounters. Results: A total of 3,808 cases were analyzed overall and by age subgroups. Most encounters occurred in men (69.9%), during the evening (16:00–21:59; 49.2%), in summer (41.9%), and close to home (38.2%). Most bites occurred to the lower extremity (51%). Children 0 to 12-years-old have more encounters than those 13-years-old and older in rural zip codes (27.7% versus 14.8%; P = 0.005), during spring (31.8% versus 22.3%; P = 0.0005), and during the evening (64.4% versus 48.1%; P < 0.001). Discussion: Rattlesnakes are encountered when rattlesnake and human behavior patterns overlap. Many people spend time outside during evening hours in the summer, and valuable resources like food, water, and shelter can be found near houses where humans spend much of their time. Most age groups have similar encounter circumstances but encounters among children 0 to 12-years-old differ in time of day, season, and urbanization level than encounters of those 13-years-old and older. Limitations of this study include underreporting of encounters, incomplete case details, potential reporting bias, potential snake misidentification, and geographic coverage of the poison center. Conclusion: Prevention of rattlesnake bites by reducing encounters is the most effective way to reduce suffering and healthcare costs. Future steps include creating and disseminating targeted public health education using the data collected. [ABSTRACT FROM AUTHOR]

This article discusses the impact of environmental exposures on chronic inflammatory dermatoses, such as contact dermatitis and eczema. These conditions are aggravated by factors such as allergens, irritants, pollutants, and climatic conditions. The article examines preventive and therapeutic strategies, evaluates epidemiological data and prevalence, and emphasizes the need for improved patient care and reduction of the overall burden of these dermatoses. The strategies include allergen identification and avoidance, use of protective gear, reduction of indoor and outdoor pollutants, adaptation of skincare routines based on climate, and the use of pharmacological and non-pharmacological approaches for treatment. The article also highlights the challenges of healthcare access and affordability, and the need for further research to understand the underlying molecular mechanisms. [Extracted from the article]

Toxoplasmosis, caused by the protozoan parasite Toxoplasma gondii (T. gondii), presents a significant global health concern, particularly for immunocompromised individuals and congenitally infected newborns. Despite its widespread prevalence, there are limited data on T. gondii seroprevalence and ocular toxoplasmosis in Romania. This review aims to summarize the research accomplished on the prevalence and epidemiology of human ocular toxoplasmosis in Romania. Ocular toxoplasmosis, a leading cause of infectious posterior uveitis worldwide, involves complex interactions between host immune responses and parasite factors. Clinically, it presents as focal necrotizing retinitis, characterized by active focal retinal lesions with adjacent chorioretinal scarring, often accompanied by vitreous inflammation and anterior chamber reactions. Diagnosis relies on clinical examination supported by fundus photography, optical coherence tomography (OCT), and serological assays. The authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, conducting a literature review on PubMed, Google Scholar, and Scopus. Our focus was on ocular toxoplasmosis in Romania, and we used keywords and specific MeSH terms. Finally, 17 articles met all the criteria, as summarized in the PRISMA diagram. This study underscores the need for improved diagnostic methods, increased research efforts, and comprehensive public health education to mitigate the burden of toxoplasmosis and ocular toxoplasmosis in Romania. [ABSTRACT FROM AUTHOR]

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Universities and colleges are often regarded as playing a key role in educating veterinarians and animal health workers who advise farmers on herd health and animal husbandry. However, to date, studies examining veterinary students' knowledge of zoonotic diseases of public health importance and the source of this knowledge, as well as their preparedness to respond to these diseases, have focused on the Global North rather than the Global South. This study takes Ethiopia as a case study in exploring veterinary medicine students' knowledge of zoonosis risks, infection control practices and biosecurity measures, recognizing that it is imperative to reconcile national-level veterinary education curricula with emerging global trends, such as One Health-focused training. This training advocates for a collaborative, interdisciplinary response at local, national, and international levels to the adverse impact of zoonotic diseases on animal health and productivity, and human and environmental health. Data for this study were collected through a pre-tested online questionnaire administered to 154 veterinary students from several universities in Ethiopia. The findings of this study suggest veterinary students were aware of the public health risks posed by zoonoses and the important role that collaboration between the disciplines of human and animal health can play in addressing zoonoses and emerging health risks. However, students demonstrated poor knowledge of the need to adopt infection control measures (ICPs) and biosecurity measures to reduce occupational risks and prevent within and between herd transmission of infection. Moreover, students' vaccination rates against zoonotic diseases associated with occupational risks, such as rabies, were low. The results of this study suggest that there are currently gaps in Ethiopia's veterinary curriculum and that enhancing veterinary students' access to information regarding infection control practices and biosecurity measures could contribute to reducing their future occupational exposure to zoonoses. This study highlights the policy implications of the current veterinary medicine curriculum in Ethiopia and the scope for aligning the curriculum with important global initiatives, such as One Health-focused training. [ABSTRACT FROM AUTHOR]

Background: Public health education (PHE) in social environments plays a crucial role in mitigating the impact of public health events, especially with the recent surge in global incidents. Social learning theory (SLT) provides a strong theoretical foundation for implementing PHE. The objective of this study is to conduct a systematic scoping review of PHE using SLT, synthesizing the target populations, types of research, main findings, and future directions. Methods: The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review (PRISMA-ScR) guidelines. We conducted a comprehensive search of five electronic databases (Web of Science, Scopus, PubMed, ProQuest, and APA PsycInfo) for English articles related to PHE using SLT. Two reviewers independently screened the titles and abstracts. Descriptive statistics were utilized to analyze the characteristics of the articles included in the study, followed by a comprehensive narrative analysis of the results. Results: Research on PHE using SLT mainly focuses on adolescents, students, special patients, and vulnerable populations. The study sample includes seven research types and nine commonly used experimental methods. Four modes of PHE using SLT are identified, along with four types of summarized research results. Conclusion: PHE research based on SLT can be prioritized for preventing widespread infectious diseases, spreading fundamental public health information, and assisting patients with particular illnesses. To enhance the implementation of PHE, researchers and policymakers should integrate online and offline health education resources, ensure the accessibility of up-to-date information, and leverage digital technologies in PHE. More highly interactive and participatory health education courses will be established in social learning environments to encourage public participation in PHE. [ABSTRACT FROM AUTHOR]

Background: Snakebite envenomation (SBE) and scorpion sting envenomation (SSE) are significant neglected tropical diseases that primarily affect impoverished communities in rural areas of developing nations. A lack of understanding about snake and scorpion species and their distribution exacerbates the disabilities and fatalities caused by SBE and SSE. In Sudan, particularly in regions affected by ongoing conflicts where healthcare resources are scarce, social media platforms offer a cost-effective approach to addressing public health challenges. Our aim in this study is to highlight the benefits of using social media for data collection and health promotion in such environments. Methods: We present a cost-effective communication and data collection strategy implemented at the Toxic Organisms Research Centre (TORC) of the University of Khartoum, focusing on a Facebook group, "Scorpions and Snakes of Sudan", as our primary social media platform. Additionally, we discuss the lessons learned and the initial impact of this strategy on enhancing population health literacy. Results: The group community is composed of ~ 5000 members from 14 countries. During the period from January 2023 to January 2024, we received 417 enquiries about snakes and scorpions belonging to 11 families and composed of 55 species. In addition, 53 other enquiries covered a range of organisms and their tracks (e.g., spiders, skinks, chameleons, foxes, sun spiders, centipedes, lizards, moth larvae, and insect tracks). The first photographic evidence of Malpolon monspessulanus in Sudan was via the group activities. The rare species Telescopus gezirae, the Blue Nile cat snake, is also documented via the group member's queries. Recognizing the evolving nature of social media use in public health, we also address the current limitations and evidence gaps that need to be addressed to effectively translate best practices into policy. Conclusion: In conclusion, utilizing Facebook as an institutional platform to share scientific information in simple Arabic language underscores the proactive roles that citizens, scientists, and public health stakeholders can play in leveraging social media for eHealth, eAwareness, and public health initiatives. This approach highlights the potential for collaborative efforts, particularly during crises, to maximize the benefits of social media in advancing public health. Author Summary: Snakebite envenomation (SBE) and scorpion sting envenomation (SSE) are significant public health issues worldwide, particularly affecting vulnerable populations such as children and agricultural workers. SBE alone affects millions of people annually, resulting in thousands of deaths and permanent disabilities. SSE is also a serious concern, with thousands of deaths reported annually but with a dangerous lack of information and in registered incidences, especially in countries such as Sudan. In Sudan, both SBE and SSE are prevalent, with specific regions experiencing higher incidences. To address these challenges, the Toxic Organisms Research Centre (TORC) at the University of Khartoum established a Facebook group, "Scorpions and Snakes of Sudan", to raise community awareness and collect data on venomous and nonvenomous organisms. The group has attracted nearly 5000 participants, mostly from Sudan, and has received enquiries from nine countries. The data collected through this platform provides valuable insights into the distribution and diversity of snakes and scorpions, aiding in public health interventions and education efforts. [ABSTRACT FROM AUTHOR]

Cow hide, commonly known as ponmo, is an edible product derived from the skins of large animals such as cattle, camels, and buffaloes. Ponmo is a popular delicacy in various regions of Nigeria. However, the unhygienic production practices of ready-toeat ponmo often lead to contamination and spoilage by microorganisms. This study aimed to assess the bacteriological quality of ready-to-eat cow hide (ponmo) sold by roadside vendors in Makurdi metropolis. Ten samples of ready-to-eat ponmo were collected from roadside vendors in five different markets: Wadata Market, Wurukum Market, North Bank Market, High-Level Market, and Modern Market. The samples were washed in distilled water, serially diluted and inoculated onto different media (Nutrient Agar and MacConkey Agar) using the pour plate method, followed by incubation at 37°C for 24 hours. The bacterial isolates were identified based on cultural, microscopic, and biochemical characteristics, revealing the presence of Staphylococcus aureus, Escherichia coli, Bacillus spp, and Proteus spp. Staphylococcus aureus was the most prevalent bacteria (46.67%), followed by Escherichia coli (35.56%). Statistical analysis indicated no significant difference (P ˃ 0.05) in bacterial load among the samples, with total bacterial counts ranging from 2.50 x 10^5 to 2.75 x 10^5 CFU/g. The presence of these bacteria, some of which can cause food borne illnesses, highlights the public health risks associated with consuming ready-to-eat ponmo. This study underscores the need for enhanced monitoring of ready-to-eat products and increased public health education for both vendors and consumers. [ABSTRACT FROM AUTHOR]

Introduction: Individual differences in learning, including students' learning styles, play a crucial role in enhancing the quality of teaching and learning. Learning styles refer to the preferred way an individual perceives, processes, and stores information. Students with different learning styles learn in distinct ways and respond differently to educational stimuli. The problem is important between the student learning style and the teaching method they prefer. This study evaluates by student learning style. Method: This descriptive-analytical study employed the VARK questionnaire to assess the learning styles of public health students from grades one to eight using a random sampling method. The collected data were analyzed using SPSS21 statistical software and descriptive-analytical statistics. Results: 34.83% of the students exhibited a single learning style preference. Among these, the most prevalent style was Visual (50%), with Kinesthetic (3.03%) being the least common. When considering all students, the distribution of learning styles was as follows, 50% of the view of the 50% visuality in the field; 34.85%; 12.12% of the kinetic and 3.03% kinetic. Among students with multiple learning style preferences, the most common combination was Auditory-Reading/Writing and Visual-Auditory. Conclusion: Understanding student learning styles helps faculty choose the most effective teaching methods. Aligning learning activities with student preferences can significantly improve the learning process and enhance the effectiveness of tutorials. However, the generalizability of these findings might be limited due to the sample size and the focus on a specific student population. [ABSTRACT FROM AUTHOR]

Issue Addressed: Human‐centred design thinking (HCDT) is gaining traction to develop appropriate public health interventions. The HCDT process helps frame problems with intention and encourages experimentation through collaboration. Public health graduates need an expanded toolkit to solve both the complex known problems of today, and the adaptability to solve the unknown problems of tomorrow. But how is the health promotion workforce being prepared with this innovation capability? This scoping review aims to provide a pedagogical understanding of teaching HCDT in public health education. Methods: The Arksey & O'Malley framework is used to structure this review. Peer‐reviewed articles written from 2000 to 2023 across eight databases were analysed. The data extracted included: author/year, setting, aim/purpose, participants, HCDT framework, HCDT methods, outcomes and challenges. Results: Nine relevant publications were included from a total of 208 records. The first reported use of HCDT in public health and health promotion teaching was in 2015. Teaching inspiration drew from established HCDT frameworks: d.school and IDEO which promote the iterative process of empathy/inspiration, ideation and testing/implementation. Conclusions: HCDT has been used for both designing public health curricula and for teaching students to apply it in their practice. First, HCDT methods can be used to problem‐solve teaching and learning issues such as creating inviting learning environments and designing an HCDT unit. Second, the teaching of HCDT can prepare and equip the public health workforce to solve problems requiring tailored solutions from an empathetic and iterative stance working as a team. The teaching and practice of HCDT exemplifies the process of social innovation in health promotion. So What?: As an emerging field, future studies and applications should include clarifying and evaluating the HCDT stages used. More publications will enable a fuller understanding and potentially advocate the necessity of teaching and learning HCDT in public health and health promotion. [ABSTRACT FROM AUTHOR]

Introduction We quantified the linear trend in combustible tobacco smoking among adolescents in the United States from 2014 to 2020, and then compared these trends across racial and ethnic categories. We also tested the effect of e-cigarette use on these trends for all-youth and across racial and ethnic categories. Aims and Methods We pooled and analyzed seven years of National Youth Tobacco Survey data for n  = 124 151 middle and high school students from 2014 to 2020. Weighted logistic regression analyses calculated the annual change in combustible tobacco smoking (ie cigarettes, cigars, and hookah) from 2014 to 2020. Stratified analyses examined linear trends for non-Hispanic White (NHW), NH-Black (NHB), Hispanic/Latino, and NH-Other (NHO) youth. All-models controlled for sex, grade level, and past 30-day e-cigarette use. Results Combustible tobacco smoking from 2014 to 2020 dropped by more than 50% for NHW youth, more than 40% for Latino and NHO youth, compared to just 16% among NHB youth. From 2014 to 2020, the odds of combustible tobacco smoking declined by 21.5% per year for NHWs, which was significantly greater than Hispanic/Latinos (17% per year; p  = .025), NHOs (15.4% per year; p  = .01), and NHBs (5.1% per year; p  < .001), adjusting for sex, grade, and e-cigarette use. Trends and disparities in trends by race and ethnicity were observed independent of e-cigarette use. Conclusions Combustible tobacco smoking declined for all-youth but at significantly different rates across races and ethnicities. Notably, declines in combustible tobacco smoking are lagging among NHB youth. Interventions are critically needed to address this disparity. Implications A direct, evidence-based intervention to reduce combustible tobacco smoking among NHB youth is critically needed. Such tobacco control initiatives should follow the Best Practices for Comprehensive Tobacco Control Framework, incorporating sustainable funding for school-based intervention, public health education, and adult cessation. [ABSTRACT FROM AUTHOR]

Aim of the study: The emergence of the COVID-19 pandemic has catalyzed a paradigm shift in emergency dental care, prompting a reassessment of traditional approaches and the adoption of innovative strategies to address evolving challenges. Introduction: This comprehensive study explores the multifaceted landscape of emergency dental care amidst the COVID-19 pandemic, delving into the integration of tele-dentistry, advancements in point-of-care testing, optimization of aerosol-reducing techniques, enhancements in personal protective equipment (PPE), and the pivotal role of public health preparedness and education. Materials and Methods: Through a meticulous review of existing literature and analysis of pertinent studies, this study elucidates the transformative impact of these innovations on emergency dental care provision. Results: Tele-dentistry has emerged as a valuable tool for remote assessment, initial guidance, and triaging of cases, while advancements in point-of-care testing facilitate rapid and accurate diagnosis of COVID-19 infection in dental settings. Moreover, optimization of aerosol-reducing techniques and advancements in PPE design contribute to minimizing viral transmission risks during emergency procedures. Furthermore, this study underscores the importance of robust public health preparedness and education in fostering a proactive approach to dental emergencies and instilling confidence in patients to seek timely care. Collaborative efforts among dental professionals, researchers, and public health authorities are essential in navigating the complexities of the COVID-19 pandemic and fortifying preparedness for future crises. Conclusion: This study advocates for the continued integration of innovative solutions and adaptive strategies in emergency dental care, guided by a commitment to patient safety, evidence-based practices, and interdisciplinary collaboration. By embracing these advancements, the dental community can navigate the challenges posed by the COVID-19 pandemic and emerge stronger, more resilient, and better equipped to ensure the oral health and well-being of individuals for generations to come. [ABSTRACT FROM AUTHOR]