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The principal aim of our study is to provide a comprehensive overview of the trends in vascular intestinal disorder (VID) mortality with respect to different demographic factors and identify which patient populations are at the highest risk for mortality. Secondarily, we aim to examine and discuss the underlying reasons behind disparities in mortality rates.
Retrospective ecological study.
Centers for Disease Control and Prevention’s Wide-Ranging Online Data for Epidemiologic Research Multiple Causes of Death database of US residents.
375 938 patients residing in the USA ≥15 years old with VID listed on their death certificate between 1999 and 2022.
None.
Age-adjusted mortality rate (AAMR) across the overall population and stratified by gender, race, census region and urban/rural location.
There were 375 938 deaths overall, with 61.5% of deaths occurring in females and 38.5% in males. The overall AAMR was highest in 1999 and lowest in 2018, increasing from 2019 to 2021. American Indian and Alaska Native patients had the highest overall AAMR for the majority of the study period. In contrast, Asian or Pacific Islander individuals had the lowest overall AAMR. On average, AAMR was highest in the Midwest and lowest in the Northeast. For most of the study period, AAMR in rural areas remained higher than in urban areas.
While VID mortality has decreased overall, this study has revealed several nuances demonstrating disproportionately higher mortality among certain demographic groups and geographic areas. Efforts to improve preventative care, early diagnoses and effective interventions for these groups are necessary and would make a significant impact on the overall mortality from VID in the USA.
The rapid integration of digital technologies into academic and professional life has significantly increased screen time and workload, leading to growing concerns about digital fatigue and its impact on mental health. This study employs a qualitative research approach to investigate the perspectives of academic nurses on the effects of digital fatigue on their mental health.
This qualitative study utilized a pre-developed interview schedule to conduct in-depth interviews with 19 academic nurses residing in the northern region of Türkiye. All interviews were conducted online via Google Meet in accordance with participants’ availability and preferences. Participants were identified through snowball sampling based on predetermined inclusion criteria. Interviews continued until data saturation was achieved. The interviews were conducted without audio recording, and the data were collected through detailed field notes. The study data were evaluated using thematic analysis. The study was conducted and reported in accordance with the COREQ checklist.
Data analysis revealed four themes (Multidimensional impact of digital exposure, Social consequences of digital fatigue, Coping and support strategies, Institutional and policy-level challenges) and 11 subthemes (Physical effects, Mental effects, Cognitive effects, Social isolation, Disconnection from reality, Personal physical measures, Psychological measures, Social support, Environmental regulations, Work-life balance challenges, Need for education and awareness).
The study revealed the adverse effects of technology use by nurse academics in the digital age. It was determined that the social lives of nurse academics were negatively impacted by digital exposure, resulting in digital fatigue. It was also found that some nurse academics had difficulty coping with this fatigue. It is recommended to conduct research examining the relationship between the effects of digital fatigue on personality, digital literacy, mental health, and life satisfaction, addressing the impact of digital platforms that cause fatigue, and evaluating users' awareness levels of digital network fatigue. In this context, addressing digital fatigue requires the integration of psychiatric nursing approaches focused on mental health promotion and coping enhancement, together with public health nursing strategies emphasizing preventive interventions, digital hygiene policies, and institutional regulation to ensure sustainable and healthy academic work environments.
This study highlights the critical impact of digital fatigue on the mental health of academic nurses, emphasizing its potential to impair professional functioning and wellbeing. Recognizing and addressing digital burnout can inform the development of organizational strategies to promote healthier digital practices and a better work-life balance. The findings offer valuable insights for healthcare institutions to support the mental resilience of academic nurses in increasingly digitalized work environments.
Academic nurses shared their experiences and insights, contributing to a deeper understanding of how digital fatigue impacts mental health in healthcare settings.
With the increasing frequency and intensity of disasters globally—and their profound effects on the mental well-being of healthcare professionals, particularly nurses—the psychological distress experienced by nurses following natural disasters has become a pressing issue. This study aims to explore prevalent patterns and effective interventions for supporting nurses’ psychological recovery after disaster exposure, ultimately aiming to propose an optimal recovery model.
This systematic review will include qualitative, quantitative and mixed-methods studies, as well as relevant systematic reviews, published in English between 2010 and 2025. A comprehensive search will be conducted in PubMed, Web of Science, Scopus and Google Scholar. Study selection, data extraction and quality assessment will be performed independently by multiple reviewers, with methodological quality and risk of bias evaluated using the Mixed Methods Appraisal Tool. Due to anticipated heterogeneity, findings will be synthesised using thematic analysis.
This study protocol raises no ethical issues. The results will be shared through publication in peer-reviewed journals and presentations at appropriate academic conferences.
CRD420251014914.
Values and preferences are key determinants of optimal care, and variability in patient values and preferences often dictates differences in patient management. Clinicians’ views of patients’ values and preferences may differ across cultural aspects and stage of training, but the extent to which this is the case remains uncertain. One key value and preference issue is the trade-off between quantity and quality of life, and this issue is particularly prominent among patients with dementia. We therefore propose to investigate the extent to which physicians’ perceptions of optimal management for patients living with advanced dementia may differ due to cross-cultural factors and stage of medical training.
We will conduct a sequential explanatory mixed-methods study (QUAN -> qual). First, we will administer paper-based or electronic surveys during educational sessions, conferences and rounds to medical students, residents and physicians in ten countries, either in person or online. Following that, a qualitative inquiry, guided by the findings of the quantitative study and the principles of the interpretive description design, will inform an in-depth exploration of the predictive factors identified in the quantitative data analysis.
The Hamilton Integrated Research Ethics Board at McMaster University has approved this study (approval number 2024-17651). We will disseminate our findings in peer-reviewed publications and present results at conferences as oral and poster presentations.
International migrants comprise 3.6% of the global population and face systemic barriers to accessing sexual and reproductive health (SRH) services, such as contraception, safe abortion care and sexual function support. In high-income countries, policy frameworks vary widely, with migration status significantly influencing entitlement and access to host countries. This protocol outlines a planned study to systematically analyse SRH policies in high-income countries with strong migrant integration frameworks, aiming to identify policy gaps, assess inclusivity and inform recommendations to strengthen Australia’s SRH policy landscape.
This study employs a systematic policy analysis using the Joanna Briggs Institute scoping review methodology. Countries with ≥10% migrant populations and a Migrant Integration Policy Index health score ≥70 will be included. 13 countries meet these criteria, including Australia, Canada and Sweden. A comprehensive search of academic databases (PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature and ProQuest Public Health) and grey literature from governmental and non-governmental sources will be conducted. Data extraction will follow Bacchi’s ‘What’s the Problem Represented to Be?’ approach. Thematic analysis will combine deductive and inductive methods to examine the extent to which SRH policies address migrant and refugee needs, including sexual function, safe abortion care and fertility care. A comparative policy matrix will identify strengths, limitations and best practices.
As this study analyses publicly available policy documents, ethics approval is not required. Findings will be disseminated through peer-reviewed publications and policy briefs targeting stakeholders involved in SRH policy and migrant health.
This protocol is registered with the Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/AYZ6P
Sleep, a fundamental element of health, accounts for about one-third of our lives, and is as crucial as nutrition and exercise. Among university students, medical students are one subset that seems particularly susceptible to sleep problems, perhaps due to the length and complexity of their studies and being under a high level of stress. Yoga Nidra has been studied as a therapeutic intervention for various medical conditions. The aim of the study is to evaluate the efficacy of short-duration Yoga Nidra for improving sleep quality in students at a tertiary healthcare centre in Rishikesh, Uttarakhand.
A two-group parallel randomised controlled trial will be conducted among undergraduate medical students with a Pittsburgh Sleep Quality Index (PSQI) score >5. Efficacy of short-duration Yoga Nidra in comparison to sleep education will be evaluated for PSQI scores, heart rate variability, respiratory rate, pulse rate, body mass index, blood pressure, random blood sugar, lipid profile, interleukin 6, salivary cortisol, generalised anxiety disorder and depressive disorder. The intervention will be pre-recorded with the duration of 12 min. The intervention group participants will receive three sessions per week for 4 weeks. The sample size is 160 students. All analyses will follow the intention-to-treat approach using SPSS V.26. Descriptive statistics, test of associations, parametric and/or non-parametric methods (as appropriate) will be used to assess within and between group changes.
The Institutional Ethics Committee (All India Institute of Medical Sciences (AIIMS), Rishikesh) has approved the study (#AIIMS/ie,C/22/231) and the trial has been prospectively registered in Clinical Trials Registry-India: CTRI/2022/07/044426. The results will be published in a peer-reviewed journal.
CTRI/2022/07/044426.
This study aims to explore the relationship between nurses' knowledge, attitudes, and practices regarding older adult abuse and their caring behaviours, focusing on Iranian nurses.
A cross-sectional exploratory study.
A cross-sectional correlational design included 250 nurses from medical education centres in Ardabil. A three-part questionnaire assessed demographic characteristics, knowledge, attitudes, and practices regarding elder abuse and caregiving. Data were collected from August to October 2024 and analysed using ANOVA, t-tests, Pearson correlations, and multiple regression analysis.
The study's findings are significant, revealing a moderate level of knowledge among nurses about older adult abuse. There are significant positive correlations between knowledge, attitudes, and caring behaviours, with higher education levels associated with better caring behaviours. However, practice scores did not align with knowledge and attitudes, indicating barriers such as workload and lack of training.
The findings reveal a significant link between nurses' knowledge and attitudes toward older adult abuse and their caring behaviours. Positive attitudes are associated with higher Caring Behaviours Assessment scores, suggesting that educational programs should enhance nurses' understanding and empathy toward older adult care. Addressing the identified gaps in knowledge and practice can lead to improved patient outcomes and a more compassionate healthcare environment for older adults. It is crucial to provide continuous training and support to empower nurses to apply their knowledge in practice effectively.
The study highlights the necessity for regularly occurring targeted educational interventions to enhance nurses' understanding of older adult abuse. Implementing continuous professional development programs for nurses can significantly improve patient outcomes and reduce instances of abuse. Healthcare organisations should foster supportive environments that encourage the regular reporting of suspected cases of abuse and ensure that nurses are consistently updated on best practices. Increasing community awareness about elder abuse is crucial for safeguarding vulnerable older adults.
EQUATOR guidelines were followed using the STROBE reporting method.
This study did not include patient or public involvement in its design, conduct, or reporting. Only nurses were involved in data collection.
Polypharmacy, defined as the concurrent use of multiple medications, is a growing concern among the elderly, especially in low-income and middle-income countries such as Iran. This study aims to explore the prevalence and patterns of polypharmacy among the elderly in Iran, using health insurance claims data to identify common drug classes and coprescribed medications, with a focus on informing policy decisions and improving medication management.
Retrospective population-based observational study.
Nationwide data from the Iran Health Insurance Organization (IHIO) across 24 provinces.
1 876 527 individuals aged 65 years and older, insured by the IHIO from 2014 to 2017. Individuals with incomplete demographic information or lacking medication records in the database were excluded from the analysis.
Prevalence and patterns of polypharmacy, demographic factors associated with polypharmacy, and common drug classes used. Medications were classified using the Anatomical Therapeutic Chemical system. Polypharmacy was defined as the use of five or more medications, with cumulative polypharmacy considering total drug use over time, and consecutive polypharmacy focusing on the frequency of monthly drug use. Logistic regression and association rule mining were applied to explore demographic factors and medication patterns associated with polypharmacy.
Of the study population, 74.9% experienced cumulative polypharmacy over 6 months and 64.6% over 1 month, with 7.6% experiencing consecutive polypharmacy. Females and those aged 75–79 were more prone to polypharmacy. Systemic glucocorticoids were the most commonly used medications (50.02%), followed by HMG-CoA reductase inhibitors (42.73%) and platelet aggregation inhibitors (41.92%). Polypharmacy was most strongly associated with medications related to the alimentary tract and metabolism, cardiovascular system, nervous system and blood and blood-forming organs.
Polypharmacy is highly prevalent among the elderly in Iran, with significant variations by gender, age, insurance fund and region. The findings highlight the need for targeted interventions to manage polypharmacy and improve medication safety in this population.
FreshRSS 