Journals
2026 EN
Shaikh Afroze N. · Westcott Jordan B. · Breedlove Mize Mary Chase
+1 more
This study describes the prevalence of and relationships between suicide risk, substance use, and help-seeking intentions among college students, as well as knowledge and utilization of the 988 Suicide and Crisis Lifeline. The sample included 1,345 racially diverse college students from a large, urban university in the Southeastern United States. SPSS was used to test correlational relationships between help-seeking intentions and suicide or substance use. Descriptive statistics revealed current rates of suicide risk, substance use, and help-seeking intentions. Help-seeking intentions was negatively correlated with suicide risk, suicide behavior, and substance use frequency. Only 20 participants reported using the 988 Lifeline, while 56.6% of participants were unaware of the service. During a crisis, 21.9% of participants reported they would not contact any services. These findings suggest the need for crisis training across services and social supports, and greater public awareness of mental health and crisis services.
Journals
2026 EN
Huhtanen Andrew · Mathew Anu · Lewis Catherine
+3 more
Collaborative care models between optometry and ophthalmology can be a safe and viable way to improve patient access to paediatric eye-care services and reduce hospital paediatric load. Long waiting lists exist for paediatric ophthalmology services Australia-wide, yet some patients who are referred to the hospital may not require hospital-based treatment and instead can be seen in primary care. This audit assessed the safety and standard of care provided in a paediatric collaborative care model between a student-led university optometry clinic and a public ophthalmology clinic. Supervising optometrists in the optometry clinic were experienced in the care of paediatric patients. Collaborative care was provided for children with juvenile idiopathic arthritis, craniosynostosis (without strabismus/amblyopia), nasolacrimal duct obstruction or chalazion, following a co-developed care protocol. Outcome data (throughput, re-referrals, waiting list removals) were collected through both clinics. A retrospective case note audit (randomised record selection across the four included conditions) was undertaken, assessing percentage compliance against the co-developed care model protocol. Patient satisfaction with the collaborative care clinic was assessed by patient reported experience survey for clinic attendees in a one-month period. One hundred and fifty-seven of 169 children offered the care pathway received care through the collaborative model, with 209 patients being removed or prevented from being added to the Royal Children’s Hospital Ophthalmology waiting list. Collaborative care protocol compliance was 95%. Twenty-nine children were re-referred for ophthalmological intervention. Parents/guardians of 11 children completed the survey, reporting 100% satisfaction. Collaborative care between hospital-based ophthalmology and university-based optometry can be effectively implemented in a student-led clinic, resulting in reduced hospital wait times, high clinician adherence to protocols and high family satisfaction.
Resource
2026 EN
Fitchett George · Campbell Duane · Chang Catherine
+4 more
Healthcare chaplains recognize the importance of informed referrals for spiritual care; they are essential for spiritual care in outpatient settings. Research about the prevalence and harmful effects of religious/spiritual distress underscores the importance of effective methods for identifying patients who would benefit from spiritual care. Spiritual screening is a valuable way to help healthcare colleagues identify patients who would benefit from further assessment and spiritual care. To help spiritual care programs implement spiritual screening, in this article chaplains from six organizations with successful spiritual screening describe the development and implementation of their programs. The settings for these screening programs include hospital inpatients, oncology outpatient centers, palliative care, and population health. The descriptions include the screening questions used, how they are administered, and what it took to get them implemented. Common and unique features of these six approaches to spiritual screening are discussed along with areas for future research.
Journals
2026 EN
Champine Veronica M. · Niemiec Rebecca M. · Mola John M.
+1 more
Developing publicly supported policies that benefit native insect pollinators requires understanding public knowledge and beliefs, evaluating support for pollinator conservation policies, and testing whether messaging about native insect pollinators influences public support. We conducted a survey of 805 Colorado residents to address these gaps. Our findings revealed respondents believed honeybees were native to Colorado and didn’t feel knowledgeable about native insect pollinators. An experimental messaging intervention did not significantly increase concern for native pollinators or willingness to donate to their conservation. However, there was strong preexisting public support for nine hypothetical pollinator conservation policies, such as removing taxes on native plants, creating no-spray areas, and eliminating pesticides in schools. Respondents were willing to pay an average of $25.08 to subsidize roadside native plantings and $41.36 for a statewide beekeeper registration program. The widespread buzz about honeybees could be channeled into broader advocacy for overlooked native insects essential to healthy ecosystems.
Journals
2026 EN
Keske Catherine · Hoag Dana L.K. · Burkhardt Jesse
Researchers have identified, but not quantified, the economic value of drivers like sense of place (SOP) on perceptions related to wolf reintroduction, such as fair compensation for livestock losses. In this study, we utilize exploratory factor analysis and a choice experiment to investigate how SOP dimensions, like place attachment, place dependence, and economic dependence, affect willingness to pay (WTP) for sustainable wolf populations or perceived fair compensation in Colorado, where wolves were reintroduced in December 2023. By knowing how WTP is influenced by the building blocks of SOP, we can determine how SOP would be altered by the presence of wolves, and how different residents might react. For example, our research shows that those who find wolves as contributing positively to SOP would pay for more livestock loss compensation programs, thus creating opportunities to reallocate resources to those whose SOP was diminished because of economic dependence on agricultural production.
Journals
2026 EN
Hungerford Catherine · Blanchard Denise · Hickson Helen
+2 more
Although some countries have enacted laws against coercive control, there are mixed definitions of the associated patterns of behaviors, particularly when they are perpetrated against older people. Such definitional inconsistency is problematic as it can perpetuate the invisibility of coercive control, increase the risk of harm and isolation of victims, minimize the possibility of criminal charges being laid, and challenge researchers investigating the topic. This commentary provides an evidence-based definition of coercive control to support greater consistency in understanding and approaches to managing the behaviors and, in the process, improve healthcare, social policy, and research practices that better protect vulnerable older people.
Journals
2026 EN
Doshi Aarti S. · Naz-McLean Sarah · Balasa Rebecca
+4 more
Mass vaccination emerged as a key public health strategy during the COVID-19 pandemic. Yet, greater attention is needed to understand the shifting dynamics of vaccine messaging amid rampant uncertainty across the United States, including its impact on vaccine uptake behaviors over time. Our study presented a unique opportunity to longitudinally explore how perceived uncertainties in COVID-19 vaccine messaging shaped vaccine uptake behaviors among participants enrolled in a remote, nationwide COVID-19 trial in the United States. In-depth, semi-structured qualitative interviews were conducted virtually across two timepoints (T1: December 2020 to March 2021, n = 19; T2: January to February 2022, n = 11). Analysis was guided by immersion crystallization; an inductive and deductive approach to identifying themes and the relationships between them. Most participants (aged 32–74) resided in California (T1: 58%, T2: 45%) and self-identified as white (T1: 63%; T2: 73%) and/or cisgender women (T1: 63%; T2: 55%). All participants expressed interest in the COVID-19 vaccine at T1, among which 21% received their first dose as members of priority groups. By T2, all participants obtained the primary COVID-19 vaccine series, and 73% received a booster. Key themes included: (1) self-efficacy in the absence of cohesive information; (2) shifting guidelines heightened perceived barriers and uncertainties; and (3) unresolved messaging fueled skepticism and reduced trust in public health. Findings underscore how logistical and scientific uncertainties can be detrimental to long-term vaccine uptake, albeit acting in different ways. Communicating uncertainties necessitates iterative, public participation to advance health and scientific literacy, mitigate vaccine skepticism, and sustain vaccine uptake behaviors over time.
Resource
2026 EN
Qin Catherine · Helmy Youssef · Latasiewicz Marta
+2 more
To describe a rare case of Epstein-Barr virus (EBV)-associated primary vitreoretinal B-cell lymphoma in a patient receiving tofacitinib and methotrexate for psoriatic arthritis, highlighting the diagnostic challenges and clinical implications of iatrogenic immunosuppression. A 42-year-old man on combined tofacitinib and methotrexate therapy presented with recurrent vitritis refractory to corticosteroid treatment. Diagnostic investigations included aqueous and vitreous polymerase chain reaction (PCR) testing for viral DNA, flow cytometry for lymphoid clonality, and systemic imaging to exclude extraocular disease. PCR testing confirmed the presence of EBV DNA in both aqueous and vitreous samples, while flow cytometry demonstrated a monoclonal B-cell population consistent with lymphoma. Systemic evaluation revealed no evidence of extraocular involvement. Following diagnostic pars plana vitrectomy, intraocular inflammation resolved without the need for chemotherapy, and the patient remains disease-free under close surveillance. EBV-associated primary vitreoretinal lymphoma may arise in the context of combined methotrexate and JAK inhibitor therapy. This case highlights the importance of considering masquerade syndromes in steroid-refractory uveitis, incorporating EBV PCR testing into diagnostic workup, and recognizing the potential role of immunosuppression in ocular lymphomagenesis.
Resource
2026 EN
Martín-Bejarano García Manuela · Jackson Charlotte · Okhonskaia Liubov
+13 more
Despite improved outcomes with modern antiretroviral therapy (ART), children living with HIV (CLWHIV) may still face significant cognitive deficits. There are no published studies of the neurocognitive and neuroimaging status of CLWHIV in Eastern Europe. This was a cross-sectional study in a pediatric HIV referral center in St Petersburg, Russian Federation. Thirty-seven CLWHIV underwent brain magnetic resonance imaging (MRI) and completed the Wechsler Intelligence Scale for Children, third edition (WISC-III) as part of routine care in 2013–15. WISC-III scores were summarized for full-scale intelligence quotient (FSIQ), performance IQ (PIQ) and performance IQ (PIQ) (all with population mean 100), and for subtests of these scores. Factors associated with MRI abnormalities were assessed using logistic regression. Median [IQR] age at the time of the earlier assessment (either MRI or WISC-III) was 10.5 [8.7–11.9] years, 54% were female, 35/37 (95%) had initiated ART at a median age of 57 [27–93] months. Median WISC-III scores were within the average range: 99 [IQR 91–111, range 62–123] for FSIQ, 97 [IQR 85–111, range 67–129] for VIQ and 101 [IQR 94–106, range 62–129] for PIQ. Thirty-four children (92%) scored below average on at least one subtest score. Of 32 children who underwent MRI, 15 (47%) had at least one abnormality. Older age at ART start was associated with MRI abnormalities (OR 1.37 (95% CI 1.01–1.86), p = 0.05 per year increase). Although median group indexes were within the average range, a high percentage of CLWHIV underperformed in at least one subtest and might benefit from supportive interventions.
Journals
2026 EN
Shaukat Amal · Nadeem Muhammad · Qureshi Tahir Mahmood
+6 more
This study evaluated the antioxidant and angiotensin-I converting enzyme (ACE) inhibitory activities of processed Cheddar cheese fortified with cloves, cumin, or black pepper during 0–9 months of storage. Freeze-dried ethanol-soluble extracts (ESE) and water-soluble extracts (WSE) collected during ripening were also examined. The WSE of black-pepper cheese showed the strongest antioxidant activity, with higher DPPH radical scavenging ability (1516.4 ± 180 µmol Trolox equivalent/g) and reducing power (38.12 ± 0.38 µg/g), along with the highest total phenolics (82.48 ± 3.2 µg GAE/g). After simulated gastrointestinal digestion, the antioxidant properties significantly increased in all the treatments. Digested black-pepper cheese exhibited the highest total antioxidant activity (5752.8 ± 83.3 µg Trolox equivalent/g), while control cheese showed the lowest (4603.3 ± 86.2 µg Trolox equivalent/g). Overall, digested spiced cheeses showed superior antioxidant and ACE-inhibitory activities compared to their corresponding freeze-dried extracts. Results highlight digestion-released bioactive compounds and support spiced Cheddar cheeses as promising functional dairy products.