Objective: The scientific literature indicates that there is a correlation between spiritual well-being and stress. However, there is a paucity of knowledge about the interrelationships between these two factors within the context of a Christian community. The objective of this study was to determine the relationship between spiritual well-being and stress in a sample of Peruvian Christians. Methods: This was a cross-sectional and correlational study. The sample consisted of 250 members of a Christian community in southern Peru. The sample was selected by nonprobabilistic purposive sampling. The Spiritual Well-Being Scale (SWBS) and the Stress Scale (SS-7) were used. Results: Negative and statistically significant correlation were found between spiritual well-being religious well-being and existential well-being with stress (p<0.001). The multiple regression analysis showed that spiritual well-being and sex accounted for 27.8% of the variance in stress levels (adjusted R2=0.278). Spiritual well-being (β=-0.512, p<0.001) has a significant negative effect on stress, while being female (β=0.114, p=0.035) is associated with higher stress levels compared to being male. The moderation effect was not significant, indicating that spiritual well-being influences stress similarly across both sexes (b=-0.0303, standard error=0.0405, t=-0.7469, p=0.456). Conclusion These findings support the integration of spiritual well-being into interventions for mental health promotion and prevention with an emphasis on stress; and confirm that the spirituality component of Christians can play an important role in lowering stress levels.

Objective: The scientific literature indicates that there is a correlation between spiritual well-being and stress. However, there is a paucity of knowledge about the interrelationships between these two factors within the context of a Christian community. The objective of this study was to determine the relationship between spiritual well-being and stress in a sample of Peruvian Christians. Methods: This was a cross-sectional and correlational study. The sample consisted of 250 members of a Christian community in southern Peru. The sample was selected by nonprobabilistic purposive sampling. The Spiritual Well-Being Scale (SWBS) and the Stress Scale (SS-7) were used. Results: Negative and statistically significant correlation were found between spiritual well-being religious well-being and existential well-being with stress (p<0.001). The multiple regression analysis showed that spiritual well-being and sex accounted for 27.8% of the variance in stress levels (adjusted R2=0.278). Spiritual well-being (β=-0.512, p<0.001) has a significant negative effect on stress, while being female (β=0.114, p=0.035) is associated with higher stress levels compared to being male. The moderation effect was not significant, indicating that spiritual well-being influences stress similarly across both sexes (b=-0.0303, standard error=0.0405, t=-0.7469, p=0.456). Conclusion These findings support the integration of spiritual well-being into interventions for mental health promotion and prevention with an emphasis on stress; and confirm that the spirituality component of Christians can play an important role in lowering stress levels.

Objective: The scientific literature indicates that there is a correlation between spiritual well-being and stress. However, there is a paucity of knowledge about the interrelationships between these two factors within the context of a Christian community. The objective of this study was to determine the relationship between spiritual well-being and stress in a sample of Peruvian Christians. Methods: This was a cross-sectional and correlational study. The sample consisted of 250 members of a Christian community in southern Peru. The sample was selected by nonprobabilistic purposive sampling. The Spiritual Well-Being Scale (SWBS) and the Stress Scale (SS-7) were used. Results: Negative and statistically significant correlation were found between spiritual well-being religious well-being and existential well-being with stress (p<0.001). The multiple regression analysis showed that spiritual well-being and sex accounted for 27.8% of the variance in stress levels (adjusted R2=0.278). Spiritual well-being (β=-0.512, p<0.001) has a significant negative effect on stress, while being female (β=0.114, p=0.035) is associated with higher stress levels compared to being male. The moderation effect was not significant, indicating that spiritual well-being influences stress similarly across both sexes (b=-0.0303, standard error=0.0405, t=-0.7469, p=0.456). Conclusion These findings support the integration of spiritual well-being into interventions for mental health promotion and prevention with an emphasis on stress; and confirm that the spirituality component of Christians can play an important role in lowering stress levels.

Objective: The scientific literature indicates that there is a correlation between spiritual well-being and stress. However, there is a paucity of knowledge about the interrelationships between these two factors within the context of a Christian community. The objective of this study was to determine the relationship between spiritual well-being and stress in a sample of Peruvian Christians. Methods: This was a cross-sectional and correlational study. The sample consisted of 250 members of a Christian community in southern Peru. The sample was selected by nonprobabilistic purposive sampling. The Spiritual Well-Being Scale (SWBS) and the Stress Scale (SS-7) were used. Results: Negative and statistically significant correlation were found between spiritual well-being religious well-being and existential well-being with stress (p<0.001). The multiple regression analysis showed that spiritual well-being and sex accounted for 27.8% of the variance in stress levels (adjusted R2=0.278). Spiritual well-being (β=-0.512, p<0.001) has a significant negative effect on stress, while being female (β=0.114, p=0.035) is associated with higher stress levels compared to being male. The moderation effect was not significant, indicating that spiritual well-being influences stress similarly across both sexes (b=-0.0303, standard error=0.0405, t=-0.7469, p=0.456). Conclusion These findings support the integration of spiritual well-being into interventions for mental health promotion and prevention with an emphasis on stress; and confirm that the spirituality component of Christians can play an important role in lowering stress levels.

Objective: The scientific literature indicates that there is a correlation between spiritual well-being and stress. However, there is a paucity of knowledge about the interrelationships between these two factors within the context of a Christian community. The objective of this study was to determine the relationship between spiritual well-being and stress in a sample of Peruvian Christians. Methods: This was a cross-sectional and correlational study. The sample consisted of 250 members of a Christian community in southern Peru. The sample was selected by nonprobabilistic purposive sampling. The Spiritual Well-Being Scale (SWBS) and the Stress Scale (SS-7) were used. Results: Negative and statistically significant correlation were found between spiritual well-being religious well-being and existential well-being with stress (p<0.001). The multiple regression analysis showed that spiritual well-being and sex accounted for 27.8% of the variance in stress levels (adjusted R2=0.278). Spiritual well-being (β=-0.512, p<0.001) has a significant negative effect on stress, while being female (β=0.114, p=0.035) is associated with higher stress levels compared to being male. The moderation effect was not significant, indicating that spiritual well-being influences stress similarly across both sexes (b=-0.0303, standard error=0.0405, t=-0.7469, p=0.456). Conclusion These findings support the integration of spiritual well-being into interventions for mental health promotion and prevention with an emphasis on stress; and confirm that the spirituality component of Christians can play an important role in lowering stress levels.

Cough is a very common symptom causing medical consult. Several remedies are readily available in the market however these are currently not recommended among the pediatric population due to a few reasons which include the benign nature of acute cough, limited effectivity and lack of support from the United States Food and Drug Administration (USFDA) due to abuse potential.

We report a case of a 2-year-old male, no known co-morbidities with a 2 week history of upper respiratory tract infection. Initial assessment showed viral infection hence patient was given medications for symptomatic treatment. However, l week after, patient still presented with symptomatic persistent coughing that disrupted his activities of daily living, hence antitussive medication was already prescribed. After another 7 days, there was still persistence of symptoms, hence patient was given a trial medication of Pregabalin 0.7 milligram/kg/dose which noted instant cough relief one hour after the initial intake. Patient also reported to be more playful, improved sleep at night and improved appetite. Patient received total of 2 doses of Pregabalin in the span of 48 hours. On the third day, patient was still coughing but reported to be significantly less frequent and more productive, hence medication was then put on hold. Patient continuously improved after 5 more days and was eventually cough free.

This case report demonstrates the adequacy of Pregabalin as a supportive antitussive medication in a patient with an acute cough secondary to a viral infection.

Introduction: Soil-transmitted helminthiasis (STH) remains to be highly prevalent in the Philippines, despite the implementation of school-based bi-annual mass drug administration and other preventive measures under the Garantisadong Pambata Program by the Department of Health (DOH). Methods: This analytical cross-sectional study determined the association between the level of knowledge and the actual practices of family care givers in the prevention of STH among school-age children belonging to low-income families in an urban barangay. Results: Among 193 respondents, 97.93% had good level of knowledge of STH prevention and control, 83.42% had good hand hygiene practices, but only 39.90% adhered to the recommended bi-annual anti-helminthic prophylaxis for their school-aged children. A positive association was noted between level of knowledge and actual hand hygiene practices, but this was not statistically significant (i.e., prevalence odds ratio = 5.3, p = 0.129). Among those who did not comply with the bi-annual anti-helminthic administration, there was a prevalence odds ratio (POR) of 0.66 that the family care giver was knowledgeable on STH prevention and control, and this negative association was not statistically significant (i.e., p = 0.529). Conclusion Level of knowledge on STH prevention was positively associated with hand hygiene practices but was negatively associated with compliance with the bi-annual deworming prophylaxis. But these associations were not statistically significant.
Hand Hygiene

Objective: Diagnostic cerebral angiograms (DCAs) are widely used in neurosurgery due to their high sensitivity and specificity to diagnose and characterize pathology using ionizing radiation. Eliminating unnecessary radiation is critical to reduce risk to patients, providers, and health care staff. We investigated if reducing pulse and frame rates during routine DCAs would decrease radiation burden without compromising image quality. Methods: We performed a retrospective review of prospectively acquired data after implementing a quality improvement protocol in which pulse rate and frame rate were reduced from 15 p/s to 7.5 p/s and 7.5 f/s to 4.0 f/s respectively. Radiation doses and exposures were calculated. Two endovascular neurosurgeons reviewed randomly selected angiograms of both doses and blindly assessed their quality. Results: A total of 40 consecutive angiograms were retrospectively analyzed, 20 prior to the protocol change and 20 after. After the intervention, radiation dose, radiation per run, total exposure, and exposure per run were all significantly decreased even after adjustment for BMI (all p<0.05). On multivariable analysis, we identified a 46% decrease in total radiation dose and 39% decrease in exposure without compromising image quality or procedure time. Conclusions We demonstrated that for routine DCAs, pulse rate of 7.5 with a frame rate of 4.0 is sufficient to obtain diagnostic information without compromising image quality or elongating procedure time. In the interest of patient, provider, and health care staff safety, we strongly encourage all interventionalists to be cognizant of radiation usage to avoid unnecessary radiation exposure and consequential health risks.

Objectives: This study aimed to present the Asia-Pacific consensus on long-term and sequential therapy for osteoporosis, offering evidence-based recommendations for the effective management of this chronic condition.The primary focus is on achieving optimal fracture prevention through a comprehensive, individualized approach. Methods: A panel of experts convened to develop consensus statements by synthesizing the current literature and leveraging clinical expertise. The review encompassed long-term anti-osteoporosis medication goals, first-line treatments for individuals at very high fracture risk, and the strategic integration of anabolic and anti resorptive agents in sequential therapy approaches. Results: The panelists reached a consensus on 12 statements. Key recommendations included advocating for anabolic agents as the first-line treatment for individuals at very high fracture risk and transitioning to anti resorptive agents following the completion of anabolic therapy. Anabolic therapy remains an option for in dividuals experiencing new fractures or persistent high fracture risk despite antiresorptive treatment. In cases of inadequate response, the consensus recommended considering a switch to more potent medications. The consensus also addressed the management of medication-related complications, proposing alternatives instead of discontinuation of treatment. Conclusions This consensus provides a comprehensive, cost-effective strategy for fracture prevention with an emphasis on shared decision-making and the incorporation of country-specific case management systems, such as fracture liaison services. It serves as a valuable guide for healthcare professionals in the Asia-Pacific region, contributing to the ongoing evolution of osteoporosis management.

True brachial artery aneurysms are rare. We present the case of a 47-year-old male who was referred to our clinic for the evaluation of progressive right arm claudication. He had suffered a gunshot wound in the right elbow 16 years before his symptoms. Computed tomography angiography revealed a thrombosed true brachial artery aneurysm. The patient was placed in the operating room, and aneurysm resection and reconstruction were performed using an interposition saphenous vein graft. His postoperative period was uneventful, and 1 year after the procedure, he remained asymptomatic. True brachial artery aneurysms associated with remote traumas are rare. This case illustrates the clinical presentation and successful management of arterial reconstruction using an autologous vein graft.