Preparedness,knowledge,and perception of nursing students about climate change and its impact on human health in India

Higher education plays an important role in all aspects of sustainability.Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health systems.In this study,we evaluated the preparedness,knowledge,and perception regarding climate change and its impact on human health among Indian nursing students.A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern,northern,and western parts of India.We used a structured online questionnaire with established validity and reliability to collect data.The data were analyzed using Statistical Package for the Social Sciences version 26 software.The results showed that more than half of the students reported experiencing excessive increase(362;56.2%)and decrease(374;58.1%)in temperature in recent years.Though more than three quarters of the students(494;76.7%)accepted the general truth that climate change is mainly caused by human activities,only less than half of the students(309;48.0%)perceived the impact of climate change to be high.Three quarters of the students(483;75.0%)had a high level of knowledge regarding climate change.The students who had a high level of knowledge about climate change exerted a high perceived impact of climate change(χ^(2)=75.47;P<0.01).More than half of the students(50.9%)felt that they needed information about climate change to be included in the nursing curriculum,and only one sixth of the students(16.1%)were highly confident about engaging in climate change-related conversation with patients.Most of the students who participated in the study had basic knowledge about climate change and its impact on human health.However,there is an observed gap between knowledge and their preparedness and confidence to engage in climate change actions.Hence,we propose to strengthen the nursing curriculum by integrating various curricular and co-curricular activities related to climate change,so that future nurses are empowered to become climate change advocates.

Building the Capacity of Health Professionals in Monitoring and Evaluation in a Public Health Institution: Experience of the National Institute of Public Health (NIPH) of Côte d’Ivoire

Background: In the context of the fight against HIV, a lack of skills in monitoring and evaluating the personnel in charge of activities has been identified at the national level. It was the subject of a priority axis of the national plan for monitoring and evaluating the fight against HIV (2006-2010) that was aimed at strengthening the capacities of actors in this area. To increase the critical mass of competent human resources in the short term, the National Institute of Public Health (NIPH) of Côte d’Ivoire organized monitoring and evaluation training sessions for healthcare professionals from 2011 to 2016. Methods: A single case study with multiple levels of analysis was carried out, combining a qualitative survey and a literature review. An evaluation was carried out six months after each training session. In addition, the results of the pre- and post-tests and of the daily and final evaluations that accompanied the various training sessions were used to provide further information. The qualitative data collected were analyzed using INVIVO 15 software. Results: Some 89 health professionals (69% men and 31% women) working at the national level (51% at the central level, including 58% in health programs) and in development partner agencies (37%) participated in this capacity building program. Most participants were senior health managers (56%), data managers (23%), and statisticians and computer scientists (10%). Almost all the trainings were financed by 16 technical and financial partners (85%), mainly the MEASURE Evaluation project (27%). Conclusion: M&E training, despite all its imperfections, has made it possible to identify M&E training needs at the national level and to increase the critical mass of national skills and to have some culture in M&E.

Using ChatGPT to promote college students’participation in physical activities and its effect on mental health

As one of the most famous large language models,ChatGPT has great potential for application in physical education.It can provide personalized exercise plans,a variety of exercise options,and interactive support.The integration of ChatGPT into the teaching process can promote college students’participation in physical activities and improve their mental health while expanding the traditional teaching environment and promoting the reform of traditional teaching methods.However,the application of ChatGPT faces challenges and obstacles in physical education.To make full use of ChatGPT in physical education,it can be combined with wearable devices and sports equipment to enhance the efficiency of interactions with users.Relevant policies are urgently needed to avoid the improper use of users’data.

Promoting International Students’Mental Health Unmet Needs:An Integrative Review

Background:There are increasing concerns about the mental health needs of international students.Previous studies report that international students experience additional challenges and higher levels of stress compared to domestic students.This integrative review aimed to identify perceived stressors,coping strategies and factors that contributed to accessing mental health services of international students.Methods:A systematic search was performed between January 2010 and December 2023 using PubMed,CINAHL,ProQuest,the Cochrane Library,Scopus and PsycINFO databases.A manual search was also performed that included reference lists of included articles;data was extracted and reviewed by three reviewers.A total of 21 studies were included in this review with a total of 4442 international students recruited,with ages between 17 to 43 years.Nineteen studies reported international students’gender,there were more females(n=2205)than males(n=1022).Ethnicity was reported in 18 studies.They included Asia,Europe,Latin America,North America,South America,Africa,the Middle East and Pacific Islands.This review adopted Whittemore and Knafl’s five-stage approach,with specific steps for problem identification,literature search,data evaluation,data analysis,and presentation.Results:The Health Belief Model was used to explain relationships among independent and dependent variables and guide the findings of this review.Three identified progressive themes emerged including Theme 1:understanding cultural variations with perceived stress;Theme 2:coping strategies in dealing with stress and challenges in the new environment;and Theme 3:perceived threats and stress affecting how international students perceived barriers and benefits to access counselling support services and mental health services.This integrative review presents an overview of mental health needs and factors contributing to the mental health and well-being of international students via the inclusion of studies with different designs,providing an in-depth understanding of the study phenomenon.The findings of this review may help university health providers,mental health professionals,academic institutions and policymakers better understand the multifaceted needs of international students.Conclusion:This review demonstrates the importance of increased cross-cultural interactions between international students and domestic student counterparts to enhance belongingness and connection to host countries.This may facilitate adaptation to new living and learning environments.It is crucial academic institutions offer programs that can be effectively implemented and sustained to meet the unmet mental health needs of international students.University orientation programs,student counselling and health services may integrate cultural events,social support groups,leadership programs and resilience models of acculturation to promote mental health and well-being among international students.While these studies show promising results,there is a need for further robust evaluative studies to develop culturally sensitive mental health promotion programs for international students.

The Risk Role of Defeat on the Mental Health of College Students:A Moderated Mediation Effect of Academic Stress and Interpersonal Relationships

Background:College students face significant academic and physiological changes,making them more susceptible to psychological issues such as depression,self-injury,and suicidal ideation.Feelings of defeat can exacerbate these risks by increasing academic stress.However,interpersonal relationships can moderate the impact of academic stress on students’mental health.Utilizing the presage–process–product model,this study aims to empirically investigate how feelings of defeat influence depression,self-injury,and suicidal ideation among college students.Additionally,it explores the mediating role of academic stress and the moderating role of various types of interpersonal relationships.Methods:A total of 1612 college students(750 females,862 males,mean age=19.64±0.62 years)were recruited through cluster sampling.Data were collected via offline questionnaires administered by a trained psychology teacher and a postgraduate student,ensuring high reliability with two examiners per class.Latent profile analysis(LPA)was used to examine the impact of defeat on mental health outcomes,while mediation analysis was conducted to assess the roles of academic stress and interpersonal relationships.Results:1.Defeat is identified as a significant risk factor for mental health issues among college students;2.Four distinct patterns of interpersonal relationships were identified:the interpersonal-relationship risk group,the father–child-relationship high-risk group,the general interpersonal-relationship group,and the superior interpersonal-relationship group;3.Academic stress partially mediates the relationship between defeat and mental health issues such as depression,self-injury,and suicidal ideation;4.Different interpersonal relationship models moderate the impact of academic stress on depression and suicidal ideation.Conclusion:Defeat is a significant risk factor for mental health problems in college students.Academic stress partially mediates the negative impact of defeat on mental health,while patterns of interpersonal relationships moderate this impact.Effective early prevention and intervention should focus on monitoring students’stress levels and fostering warm,positive parent–child relationships.

Linking Perceived Risk of Public Health Emergency to Psychological Distress among Chinese College Students: The Chain Mediation Role of Balanced Time Perspective and Negative Coping Styles

Background:With public health emergencies(PHE)worldwide increasing,the perceived risk of PHE has been one of the critical factors influencing college students’psychological distress.However,the mechanisms by which the perceived risk of PHE affects college students’psychological distress are not clear.The study’s purpose was to investigate the mediation roles of deviation from a balanced time perspective(DBTP)and negative coping styles between the perceived risk of PHE and psychological distress.Methods:A convenience sampling method was used to survey 1054 Chinese college students with self-reporting.Data was collected using the Public Risk Perception Scale(PRPS),the Zimbardo Time Perspective Inventory(ZTPI),the Simplified Coping Style Questionnaire(SCSQ),the PHE Anxiety Scale,and the Chinese version of the Patient Health Questionnaire(PHQ).The associations between the perceived risk of PHE,DBTP,negative coping styles,and psychological distress were clarified using the correlation analysis.Additionally,the mediating roles of DBTP and negative coping styles between the perceived risk of PHE and psychological distress were investigated using a structural equation model.Results:The findings revealed low to moderate correlations between the variables studied.Students’perceived risk of PHE was a positive predictor of their psychological distress(b=0.219,p<0.01).DBTP and negative coping styles played chain mediation roles between them with the effect being 0.009 and a 95%Boot CI of[0.003,0.023].This chain mediation model had an excellent fit index(χ^(2)/df=4.732,CFI=0.973,TLI=0.930,RMSEA=0.048,SRMR=0.047).Conclusion:These findings showed how the perceived risk of PHE affected college students’psychological distress.Specifically,these results suggested that improving students’mental ability to switch effectively among different time perspectives depending on task features and situational considerations and reducing their negative coping styles might be effective ways to promote their mental health.

Research on the Dilemma and Path of Mental Health Education for College Students from the Perspective of Home-School Cooperation

With the development of society and the advancement of education,the state has increasingly emphasized the importance of mental health education for college students.Mental health education for college students serves as an effective vehicle for psychological education in universities,with family and school education being the two critical fronts.To ensure the smooth implementation of mental health education for college students,it is imperative for schools and families to collaborate and cooperate closely,thus effectively promoting the healthy growth and comprehensive development of students.Given the current challenges such as inadequate awareness of home-school cooperative education,lack of mechanisms for home-school cooperation,and a singular platform for home-school cooperation,we need to comprehensively improve the overall quality of mental health education by unifying the ideology of home-school cooperative education,establishing a sound mechanism for home-school cooperation,innovating the platform for home-school cooperation,and enriching the content of home-school cooperation.

The Impact of Sports Games on the Psychological Health of Middle School Students

This study conducted a 16-week comparative experiment with 160 students from Jinan No.5 Middle School in Shandong Province as the experimental subjects.During the implementation of the experiment,the subjects were divided into two groups:an experimental group and a control group.The experimental group was subjected to physical exercise interventions using sports game teaching methods during physical education class,while the control group followed traditional physical education teaching methods.The results showed that the psychological health status of the students in the experimental group was significantly better than that of the control group after the experiment.The application of sports games helps to improve the psychological health of middle school students in the course of physical education,promoting a positive and forward direction in student psychology and is an effective means to enhance the psychological health level of middle school students.

A Study on the Impact of Cheerleading on the Psychological Health of Female College Students

This study investigates the effects of technical cheerleading and dance cheerleading on the psychological health of female college students by utilizing the Symptom Checklist-90(SCL-90),the Comprehensive Diagnostic Scale for Interpersonal Relationships,and the Social Adaptability Diagnostic Scale.The findings indicate the following:(1)Technical cheerleading has a highly significant impact on sensitivity in interpersonal relationships,paranoia,and psychoticism,and a significant effect on anxiety and hostility;dance cheerleading has a highly significant effect on paranoia;(2)Both technical and dance cheerleading have minimal impact on the overall score distribution of interpersonal relationships among female college students,but the dimensions of their effects differ;(3)The impact of technical cheerleading on the social adaptability of female college students is more pronounced than that of dance cheerleading.

Research on the Path of Ideological and Political Education in College Students’Mental Health Education Courses in Higher Vocational Colleges

In recent years,under the background of the deepening reform of China’s education system,the curriculum system settings,teaching methods,and teaching concepts of various colleges and universities have undergone major changes.As a curriculum concept,ideological and political education in courses does not reform a certain professional course,nor does it change the ideological and political course itself.Instead,it combines knowledge imparting and value output to guide students in a positive way.This article analyzes the ideological and political education in college students’mental health education courses.

How University Athletics Can Impact Mental Health among Student Athletes at the University of Evansville

In recent years, the NCAA student athlete population in the United States has surpassed 500,000, and is continuing to rise each year [1]. These student athletes work their entire lives academically and athletically to reach the ultimate goal: competing in university athletics. However, when these athletes reach university, they are met with non-stop training, homework, exams, and evolving social lives. We have conducted a study at the University of Evansville evaluating how participation in university athletics may impact mental health status among these student athletes, as well as measuring players’ awareness of accessible mental health resources. Over fifty percent of participants reported experiencing at least one mental health condition while competing in their sport;eighty percent reported having knowledge of the mental health resources available to them on campus, however, nearly thirty percent of those knowledgeable reported not knowing how to access these resources. This has indicated a gap in awareness and utilization of mental health resources among student athletes at the University of Evansville.

Implementation of an international medical student pen-pal club:survey outcomes of perceptions in cultural competency and global health

Background:Pen-pal clubs(PPC)are used worldwide for students to learn about different cultures and other skillsets without the need for travel.Many medical students are interested in global health opportunities abroad but costs,scheduling,and other barriers allow few to participate in such experiences.It is important that medical students have nuanced global medical perspectives and can contribute to the global medical community.Objective:The purpose of this study is to demonstrate that an international medical student PPC improves medical students'perspectives of cultural competency and global health engagement.Methods:In 2021,a novel medical student PPC was established that began between an American and Japanese medical school.Following a shareholders meeting,it was decided that the number of medical schools involved globally be expanded through previous institutional affiliations and online presences.In total,the club connected 50 American medical students and 52 medical students from 17 high-and middle-income countries.The primary form of communication was online;pen-pals were encouraged to communicate monthly using provided topics,although frequency and way of communication was their discretion.In February 2022,American PPC members were emailed a qualitative survey to assess the PPC's impact.Results:The survey was completed by 42%of American PPC members,95%of which were 22-26 years.Participants were preclinical medical students,60%whom were female and the majority either white(47%)or Asian(43%).Overall,the PPC positively influenced American medical students'perception of global medicine,medical education,and their cultural competency after joining the PPC compared to prior(P=0.004).Conclusion:PPCs encourage medical students to think from a global perspective and foster open-mindedness within varying social and cultural contexts.Having a global communication platform for students during medical school education may be an additional way to train aspiring global leaders.

Examination of emotional distress,depression,and anxiety in neurodiverse students:A cross-sectional study

BACKGROUND Neurodiverse students frequently encounter distinct challenges that can adversely affect their mental well-being.This research aimed to investigate emotional distress,depression,and anxiety among neurodiverse students,examine the interrelationships among these factors,and assess the impact of participant characteristics.AIM To address the problem of lack of data pointed out in the neurodiversity research in Nigeria,this study aims to examine the emotional distress,depression,and anxiety in neurodiverse students.METHODS A cross-sectional study was carried out involving 200 neurodiverse students in Nigeria.Participants filled out self-report questionnaires that measured emotional distress(Brief Emotional Distress Scale for Youth),depression(Center for Epidemiologic Studies Depression Scale Revised),and anxiety(State-Trait Anxiety Inventory).The data were analyzed using descriptive statistics,correlation analyses,Bayesian Mann-Whitney U tests,two-way ANOVAs,and Kruskal-Wallis tests.RESULTS Anxiety was found to have the highest prevalence(mean=68.8),followed by depression(mean=34.2)and emotional distress(mean=26.3).Significant positive correlations were identified among all three mental health factors,with the strongest correlation observed between depression and anxiety(rho=0.492,P<0.001).Moderate evidence indicated gender differences in emotional distress(BF10=2.448).The interaction between educational environment and diagnosis had a significant effect on emotional distress(F=3.106,P=0.017).Kruskal-Wallis tests indicated significant variations in anxiety levels across different educational settings(P=0.002),although post-hoc comparisons did not reveal significant differences among specific settings.CONCLUSION This research emphasizes the prevalence of mental health challenges among neurodiverse students,particularly concerning anxiety.The intricate relationships among emotional distress,depression,and anxiety highlight the necessity for thorough mental health support.The impact of educational settings and diagnoses on mental health outcomes stresses the importance of customized interventions.These findings are significant for educators,mental health professionals,and policymakers in formulating targeted support strategies for neurodiverse students.

Large multimodal models assist in psychiatry disorders prevention and diagnosis of students

Students are considered one of the groups most affected by psychological pro-blems.Given the highly dangerous nature of mental illnesses and the increasing-ly serious state of global mental health,it is imperative for us to explore new me-thods and approaches concerning the prevention and treatment of mental illne-sses.Large multimodal models(LMMs),as the most advanced artificial intelligen-ce models(i.e.ChatGPT-4),have brought new hope to the accurate prevention,diagnosis,and treatment of psychiatric disorders.The assistance of these models in the promotion of mental health is critical,as the latter necessitates a strong foundation of medical knowledge and professional skills,emotional support,stigma mitigation,the encouragement of more honest patient self-disclosure,reduced health care costs,improved medical efficiency,and greater mental health service coverage.However,these models must address challenges related to health,safety,hallucinations,and ethics simultaneously.In the future,we should address these challenges by developing relevant usage manuals,accountability rules,and legal regulations;implementing a human-centered approach;and intelligently upgrading LMMs through the deep optimization of such models,their algorithms,and other means.This effort will thus substantially contribute not only to the maintenance of students’health but also to the achievement of global sustainable development goals.

Study of Factors Associated with the Practice of Vaccination against COVID-19 among Medical Science Students in Dakar (Senegal)

Introduction: Almost a year after the start of the COVID-19 pandemic, Senegal embarked on a vaccination campaign to protect its population. The objective of this study was to identify the factors influencing the COVID-19 vaccination practices within a health training university in Dakar. Methodology: This was a cross-sectional, descriptive and analytical study carried out from October 21 2021 to February 21 2022 among students at the Elhadj Ibrahima Niass private University in Dakar, Senegal. A 28-question online questionnaire was sent to all students enrolled at the university during this period. Results: Of the 576 students who responded, the average age was 22.60 years, with females predominating (57.81%). Medical students accounted for 66.14% of participants, pharmacy 22.40% and dental surgery 11.46%. Of these, 42.01% were bachelor’s students, 29.51% master’s students and 28.47% doctoral students. Vaccination coverage was 50.35%. Students who considered COVID-19 to be very dangerous were more likely to be vaccinated (OR = 5.05 [2.24-11.9]). Those with poor knowledge of vaccines were less likely to be vaccinated (OR = 0.07 [0.03-0.18]), as were those with poor knowledge of contraindications to vaccination (OR = 0.49 [0.28-0.86]). No association was found between vaccination status and socio-demographic or educational characteristics. Conclusion: In view of the importance of knowledge about COVID-19 vaccination, our results suggest that it is important to involve health students in the Ministry of Health’s awareness-raising strategies, because their support is necessary for better public awareness.

Study on the Relationship between Mental Health Literacy and Psychological Symptoms of University Students: Mediating Effect of Grit

Background:The occurrence of mental health symptoms is higher in individuals aged between 18 and 24 years than in other age groups.Mental health literacy is derived from health literacy,and focuses on the knowledge,attitudes,and competencies that individuals need to acquire to manage their own health effectively.Low mental health literacy is associated with poorer mental health.Grit is also a known protective factor against mental disorders.Despite a heightened focus on mental health literacy and grit as important factors for decreasing mental health symptoms,knowledge of the effect of mental health literacy and grit on mental health symptoms is very limited.This study aimed to evaluate the relationship between mental health literacy and psychological symptoms and the mediating effect of grit on these relationships.Methods:This cross-sectional descriptive study used survey data from 178 university students in Korea.Data were collected between March and May 2022.The SPSS PROCESS macro(Model 4)was used to analyze the data.Results:Mental health literacy was not directly associated with psychological symptoms.However,an indirect pathway was observed between mental health literacy,depression,and anxiety,through grit.Conclusion:Mental health literacy affects psychological symptoms through grit.Therefore,to improve the mental health of university students,it is necessary to develop programs that increase mental health literacy and grit.

Digital interventions empowering mental health reconstruction among students after the COVID-19 pandemic

With the gradual end of the coronavirus disease 2019(COVID-19)pandemic,the reconstruction of students’mental health is urgently necessary.Digital interventions offer advantages such as high accessibility,anonymity,and accurate identification,which can promote the reconstruction of students’mental health through the provision of psychological support platforms,psychological assessment tools,and online mental health activities.However,we recognize that digital interventions must undergo many adjustments,and corresponding ethical norms require further clarification.It is crucial for different stakeholders to collaborate and work toward maximizing the effectiveness of digital interventions for the reconstruction of mental health after the COVID-19 pandemic.

Psychological Study on the Influence of Physical Exercise on College Students’ Anxiety

This study aims to explore the impact of physical exercise on the anxiety level of college students.We collected physical exercise data and anxiety self-assessment results from college students of different grades,genders,and ages from multiple universities in Guangdong Province through a questionnaire survey.The study used standardized scales to evaluate participants’physical exercise types,frequencies,intensities,and anxiety levels.The data analysis results showed that there is a significant negative correlation between college students’physical exercise and anxiety level,that is,the more frequent and intense the physical exercise,the lower the anxiety level.In addition,there are differences in the effect of different types of physical exercises on anxiety relief,with aerobic exercises such as running and swimming showing more significant anxiety-relieving effects.The research results provide valuable references for psychological health education and anxiety intervention strategies in universities and suggest promoting physical exercise to effectively alleviate college students’anxiety.

Psychology University Students’ Mental Health Status during COVID-19 Pandemic in Karachi, Pakistan

Purpose: The COVID-19 pandemic has brought challenges in various domains of life but for low and middle-income country university students very demanding situations have emerged. University students’ psychological well-being has always been an area of concern worldwide and higher rates of anxiety and depression have been extensively reported among this cohort. Objective: To determine the frequency of depressive symptoms, anxiety symptoms, and quality of sleep and the association of sleep quality and personality traits with anxiety and depressive symptoms among university students in Karachi, Pakistan in the context of the pandemic COVID-19. Method: This web-based cross-sectional study was conducted among the students of a renowned, private, and HEC-recognized university during March 2020 to April 2020. Google forms were used to disseminate the online questionnaire to screen for depression-Patient Health Questionnaire—PHQ-9, anxiety-Generalized Anxiety Disorder—GAD-7, sleep-quality-Pittsburgh Sleep Quality Index Scale— PSQI and personality traits-Short Term Big Five Inventory—BFI-S. Results: Among the total sample size of 227 students, a considerable proportion of student participants had symptoms of mild anxiety [34.8%], moderate anxiety [15.9%], severe anxiety [18%], mild depression [19.8%], moderate depression [21.5%], moderately severe depression [13.3%] and severe depression [12%]. The majority of them were poor sleepers [77.5%]. Poor sleep quality was also associated with the level of depression and anxiety with a p-value of tiousness, Extroversion & Neuroticism were comparatively more vulnerable to anxiety and depression than people with other traits. Conclusion: This study gives strong evidence that a large percentage of university students have been suffering from depressive and anxiety symptoms during the COVID-19 pandemic accompanied by poor sleep quality. Protecting students’ mental health is an inevitable target during health crises by developing preventive strategies and interventions to address the psychological well-being of university students. The findings also highlight the significance of personality traits as a relevant component of individual differences to respond to various health-related emergencies.

Health Related Physical Fitness Measures: Reference Values and Predictive Equations for Saudi Female College Students

Health related-physical fitness (HRPF) is critical for maintaining and enhancing health and quality of life. Purposes: To estimate the reference values and predictive equations for frequently used clinical field HRPF measures in a sample of Saudi female college students aged 18 - 24 years. Methods: In this cross-sectional study, body fat percentage (BF %) was estimated. Curl-up test (CUT) and sit and reach test (SRT) were applied in 216 students. The Queen’s College Step Test (QCST) was used to predict maximal oxygen consumption (VO2 max). Physical activity (PA) level was also measured using International Physical Activity Questionnaire (IPAQ). Results: The mean of BF %, SRT, CUT, and predicted VO2 max were 23.98% ± 6.13%, 17.10 ± 7.50 cm, 28.17 ± 7.72 number/min, and 39.58 ± 4.01 ml/kg/min respectively. There was no significant effect of age on all HRPF measures except for BF % (F (6,215) = 3.25, p (6,215) = 4.01, p strated that BMI was the predictor for BF % and SRT and explained 65% and 4% of total variance respectively. IPAQ score, age, and height were the predictors of CUT counting 17% of total variance. While, BMI and IPAQ score were the predictors for VO2 max and explained 13% of the total variance. Conclusion: Reference values can be used clinically in the evaluation of HRPF, in the rehabilitation process as well as in designing a program to improve the HRPF for female college students with consideration of age, height, BMI, and PA level for a particular population.