Philippine Women's University

Respiratory diseases are increasingly influenced by meteorological variability, yet few studies have applied high-resolution environmental data and advanced forecasting models to quantify this relationship in climate-sensitive regions such as southern China.This study aims to characterize how climate variability drives respiratory disease dynamics by quantifying the influence of meteorological factors and constructing predictive models for early intervention. It further seeks to advance climate-resilient health surveillance through the application of machine learning and time-series forecasting techniques.A longitudinal dataset comprising daily meteorological indicators (temperature, humidity, precipitation, wind speed, atmospheric pressure, air quality index) and annual respiratory disease incidence was analyzed. Feature engineering, dimensionality reduction via Principal Component Analysis (PCA), and temporal lags were applied. Predictive models-Random Forest, Support Vector Regression (SVR), Long Short-Term Memory (LSTM), and Seasonal AutoRegressive Integrated Moving Average with eXogenous regressors (SARIMAX)-were evaluated using coefficient of determination (R²), Mean Absolute Error (MAE), and Root Mean Square Error (RMSE). Variable importance and Pearson correlation were used to interpret model behavior and epidemiological relevance.Respiratory incidence showed marked interannual fluctuations, with notable peaks in 2014, 2018, 2022, and 2024. Random Forest identified total precipitation (27%), average temperature (22%), and relative humidity (18%) as the most influential predictors. Air quality and wind speed also contributed to model accuracy. LSTM and SARIMAX models achieved high fidelity in forecasting both long-term and weekly trends, with low residual variance and strong temporal alignment with observed case data.This study provides strong empirical evidence that respiratory disease patterns in Baise City are closely linked to meteorological conditions. The integration of machine learning and time-series modeling establishes a scalable framework for real-time forecasting and early detection of climate-sensitive health risks. These findings advance the frontier of climate-health analytics and offer actionable pathways for embedding environmental intelligence into public health policy, resource planning, and resilience-building strategies in vulnerable regions.

Sichuan Qingyin is a traditional quyi genre renowned for its lyrical beauty, narrative expressiveness, and distinctive regional vocal style. This study investigates the artistic form and performance practice of Sichuan Qingyin through a case study of Zhai Haitang, a representative repertoire that integrates key stylistic features such as tonal precision, melodic ornamentation, and dialectal expression. Focusing on vocal training, dialectal characteristics, ornamentation techniques, and performance aesthetics, the research combines literature review, musical analysis, and practical performance experience to examine how Qingyin singers realize expressive intent while maintaining stylistic authenticity. Particular attention is given to the use of “haha qiang,” sliding tones, and tongue trills, as well as the interplay between melodic line and Sichuan dialect tonal patterns. The study demonstrates that the integration of traditional vocal training with contemporary pedagogical methods can enhance performance quality and preserve the genre’s cultural heritage. By providing detailed analysis of melody, ornamentation, and expressive techniques, this research offers valuable insights for the inheritance, teaching, and contemporary development of Sichuan Qingyin.

Housebound older adults residing in relatively isolated living environments for extended periods encounter a range of health and psychological challenges, stemming from limited mobility spaces and diminished social engagements. The fear of falling, a prevalent psychological issue among this demographic, is intricately linked not only to the actual risk of falling but also exerts a profound influence on their behavioral patterns and quality of life. This study aims to understand the current situation of fear of falling, i.e., FOF, among the Housebound older adults and analyze its influencing factors to provide a reference for formulating targeted nursing interventions. A cross-sectional survey was conducted from February to April 2025. FOF scores of 229 Housebound older adults individuals were estimated by analyzing their responses to a general questionnaire and the Fear of Falling Questionnaire-Reversed (FFQ-R). Participants' total FOF score was estimated as (41.90±9.95), representing a medium-to-high level of fear of falling. The results of univariate analysis indicated statistically significant difference in the FOF scores of the participants with different characteristics, namely, gender, marital status, education level, smoking history, drinking history, chronic disease history, living style, and fall history (P< 0.05). The results of multiple linear regression analysis suggested that gender, smoking history, chronic disease history, living style, and fall history were independent factors affecting fear of falling among the Housebound older adults. Based on our results, we recommend that community nurses should pay special attention to Housebound older adults, especially those who are female, live alone, or have a history of smoking, chronic disease, or falls and implement targeted nursing interventions to allay fear of falling among the Housebound older adults.

BackgroundChina faces escalating challenges in older care because of rapid population ageing and the high prevalence of multimorbidity among urban older adults. Traditional family-based and institutional care models are increasingly inadequate, necessitating innovative solutions like mutual aid older care. However, research gaps persist in understanding the prioritised needs of urban older with multimorbidity within mutual aid older care frameworks. This study evaluates and prioritises mutual aid older care needs for older adults with multimorbidity in urban Chinese communities, by integrating Maslow’s Hierarchy of Needs with the Kano Model.MethodsA cross-sectional survey was conducted among 240 older adults (aged ≥65, with ≥2 chronic conditions) across 25 urban communities in Hefei, China. Using a validated questionnaire, 43 service items across safety/health, daily life, learning/socialisation, spiritual, and entertainment domains were assessed. Kano Model categorisation and better-worse coefficient analysis were applied to classify needs (must-be, one-dimensional, attractive, indifferent) and rank priorities via sensitivity calculations.ResultsKey must-be needs included cooking, washing hair, and psychological counselling, while one-dimensional priorities emphasised exercise and travelling. Attractive needs featured telemedicine and cultural activities (e.g., Red Song Club). Indifferent items, such as pest control, had minimal impact on satisfaction. The analysis highlighted the centrality of physical health services, mental health support, and social engagement in enhancing quality of life.DiscussionUrban older adults with multimorbidity prioritise integrated care models addressing both basic survival needs and higher-order psychosocial well-being. Mutual aid older care frameworks must therefore balance healthcare accessibility with opportunities for social participation and emotional fulfilment. Future policies should adopt evidence-based, culturally tailored strategies to optimise resource allocation and foster sustainable ageing-in-place solutions. Limitations include geographic specificity and cross-sectional design, warranting broader longitudinal and mixed-method research.

Introduction: Nutritional problems in children, including underweight and stunting, remain a global health challenge, particularly in Indonesia. This study examines the influence of parenting styles and feeding practices on children's eating behavior, with family eating and activity habits as a mediating variable Methods: A cross-sectional survey design was employed in this study, involving 225 mothers of stunted and underweight children aged 2–5 years in Cimahi City, Indonesia. The study investigated key variables including parenting styles, feeding practices, family eating and activity habits, and children’s eating behavior. Data were gathered using validated questionnaires and analyzed using Structural Equation Modeling (SEM) with the Partial Least Squares (PLS) approach. This analytical technique enabled the examination of complex causal relationships and latent constructs, including mediation pathways. The research complied with ethical standards and received approval from the Health Research Ethics Committee of the Faculty of Health Science and Technology, Jenderal Achmad Yani University, Cimahi, on May 31, 2024 (Certificate No. 086/KEPK/FITKes-Unjani/2024). Results: The results showed that parenting styles (? = 0.222, t = 3.630, p &lt; 0.001) and feeding practices (? = 0.243, t = 3.640, p &lt; 0.001) significantly influenced children's eating behavior. Family eating and activity habits significantly mediated the relationship (? = 0.448, t = 6.401, p &lt; 0.001). Feeding practices and parenting styles also predicted family habits (f² = 0.369 and 0.462, respectively). Conclusion: These findings highlight the importance of family eating habits in shaping children's eating behavior and addressing malnutrition and stunting. Thus, family-based interventions are needed to improve healthy feeding practices and promote positive eating behavior in children at risk of malnutrition in Indonesia, aiming to achieve zero stunting and malnutrition.

The English language enables clear communication between service providers and international travelers from different linguistic backgrounds. Its widespread use enhances guest satisfaction, facilitates cross-cultural understanding, and supports the global competitiveness of tourism destinations. This exploratory study examined the perceptions of tourism hiring managers about English language confidence and self-presentation in relation to employability in the industry. Hiring managers (n = 25) were purposively sampled to be interviewed. Hiring managers perceived fluent English speakers as socially adaptable, and capable of adjusting communication styles to suit clients of different cultural backgrounds, which encourages inclusive and respectful interactions. Confident English speakers were also considered more effective in persuading clients, addressing inquiries, and closing sales, all of which are vital for guest satisfaction and business outcomes. In addition, those who communicated clearly in English were better at managing guest complaints, showing empathy, and solving problems independently. Applicants who appeared confident, spoke fluently, and carried themselves professionally made stronger first impressions and were seen as more competent. Their manner of speaking reflected their skills, preparedness, and alignment with the service standards expected in the tourism industry. Consequently, institutions must prepare students to meet these evolving expectations as hiring managers increasingly prioritize communication competence and professional demeanor. Enhancing English fluency not only improves individual job prospects but also supports the broader goal of providing high-quality, culturally responsive tourism services. Professionals who can present themselves confidently and communicate effectively across cultures will be essential for maintaining service excellence and strengthening organizational reputations.

In order to enhance the professional identity of undergraduate nursing students, provide references for additional research, and establish a theoretical foundation for subsequent nursing education, this paper reviews the professional identity of nursing undergraduates both domestically and internationally from the perspectives of research status, research methods, influencing factors, and related countermeasures. It also integrates the research conducted over the previous five years.

The wellbeing of medical students has emerged as a critical issue within medical education. High academic demands, prolonged study hours, and competitive environments contribute significantly to psychological distress, including depression, anxiety, and burnout. This systematic literature review synthesizes findings from 48 peer-reviewed studies published between January 2021 and April 2025 to explore the psychological, academic, and social determinants of wellbeing among medical students. Results indicate that maladaptive perfectionism, lack of emotional regulation, and inadequate support systems are key risk factors. Technological interventions, such as mobile-based mindfulness training and online counseling platforms, offer promising but limited solutions unless integrated into broader institutional frameworks. The review concludes by proposing a multidimensional model that combines curriculum reform, psychological resilience training, structured social support, and ethical use of technology to promote holistic student wellbeing.

Vision is foundational to children's learning and development, yet millions of school-aged children suffer from undiagnosed or untreated vision problems.Despite the critical role of vision in academic achievement, eye health is rarely integrated into school curricula globally.This study presents a systematic literature review of recent evidence (2020-2024) on the integration of eye health into educational curricula, analyzing models, stakeholder roles, barriers, and measurable impacts.Using PRISMA guidelines, 35 peer-reviewed articles were selected through searches on Scopus, PubMed, ERIC, and Google Scholar.Thematic analysis was conducted to identify dominant trends across curriculum integration models, educator and optometrist roles, policy constraints, and outcomes.Findings reveal that integrated models where eye health is embedded into science or health subjects enhance students' knowledge and behavior.Teachers trained in basic visual screening significantly improve early detection.Cross-sector collaboration between health and education authorities boosts sustainability.Key barriers include policy misalignment, funding gaps, and cultural beliefs about eyewear.Programs in India, Australia, and South Africa show strong outcomes in literacy improvement, academic gains, and cost-effectiveness.Integrating eye health into education is not merely a health intervention but a strategic investment in equity and academic potential.Policymakers must prioritize vision care within school health frameworks by empowering educators, engaging optometrists, and contextualizing approaches to local needs.

This study investigates the impact of growth mindset on academic resilience among students in Indonesia and Malaysia. A growth mindset, characterized by the belief that abilities can be developed through dedication and hard work, is hypothesized to enhance students' resilience in facing academic challenges. This comparative study employs a mixed-methods approach, utilizing quantitative surveys and qualitative interviews to gather data from students across various educational institutions in both countries. The findings reveal that students with a pronounced growth mindset demonstrate higher levels of academic resilience, evidenced by their ability to cope with setbacks and maintain motivation during difficult times. Moreover, cultural factors influencing mindset development and resilience strategies are explored, highlighting both similarities and differences between Indonesian and Malaysian students. The study concludes that fostering a growth mindset can significantly enhance academic resilience, suggesting implications for educational practices and interventions aimed at improving student outcomes. Keywords : Growth Mindset, Academic Resilience, Comparative Study, Indonesia, Malaysia, Educational Psychology, Student Outcomes.