Is the green mark really recyclable?

I read the paper by López-Muñoz et al1 on ‘Life cycle assessment of routinely used endoscopic instruments and simple intervention to reduce our environmental impact’ with great interest. The green mark setting for parts that do not come into contact with the endoscope’s operating channel is a very simple and convenient method that can be carried out on site, and it was shown that the environmental impact of the equipment could be greatly reduced by recycling. However, as we read the paper, two questions came to mind. First, there is a possibility that the risk of nosocomial contamination was underestimated. There is insufficient evidence to show that the separation of equipment using the green mark system meets infection control standards. To evaluate the safety of the method and the risk of the nosocomial contamination of the biopsy forceps that are recycled, we conducted a simple bacteriological evaluation…

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Understanding stakeholders perceptions of the impact of extractive industries on adolescent health and well-being in Mozambique: a qualitative study

Objectives
Adolescent health is critical for achieving Sustainable Development Goal 3, ‘health for all at all ages’. In sub-Saharan Africa (SSA), mining projects hold promise for social and economic development. Yet, the extent to which the health and well-being of adolescents are impacted by industrial mining is poorly understood. In this paper, we aim to investigate how adolescent health and well-being is perceived by key informants and caregivers in communities that have been affected by industrial mining projects in Mozambique.

Design and settings
A qualitative study was implemented from May–July 2022 in two rural districts in Mozambique’s northern and central regions. Both districts have large industrial mining projects: a coal mine in Moatize district and a mineral sands mine in Moma district.

Participants
A total of 21 key informant interviews (KIIs) were conducted with a range of stakeholders, including health professionals and civil society and private sector representatives. In addition, four focus group discussions (FGDs) were conducted with adolescents’ caregivers.

Results
Through the combined results from the KIIs and FGDs, four main health concerns affecting adolescents in mining areas were identified: sexually transmitted infections, respiratory tract infections, diarrhoeal diseases and malaria. Mining activities were perceived to exacerbate negative health effects and contribute to poor health outcomes among adolescents. Although mining companies invested in public infrastructure, most participants did not perceive this investment as a positive contribution to the health and well-being of adolescents.

Conclusion
Our study sheds light on the multifaceted challenges perceived by stakeholders that adolescents residing in mining communities in Mozambique face. Insufficient priority is given to effective interventions that specifically target adolescent health in the two study mining areas. In order to leave no one behind, as stipulated by the sustainable development agenda, more emphasis should be placed on the role and responsibility of mining companies in adequately addressing adolescents’ unique health needs in mining settings in SSA.

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Latent profile analysis and influence factor study of well-being among nurses in China: a cross-sectional study

Objective
The present study employed latent profile analysis (LPA) to identify three distinct profiles of subjective well-being (SWB) among Chinese nurses. It further examined the factors influencing these profiles and aimed to provide a foundation for targeted interventions to enhance nurses’SWB.

Design
A cross-sectional study was conducted between November 2023 and March 2024.

Setting
Data were collected from three Class III Grade A hospitals in China.

Participants
A total of 2272 nurses were recruited for this study.

Outcome measures
Data collection used a demographic questionnaire, the SWB Scale, the Nurse Job Satisfaction Scale and the Perceived Social Support Scale. LPA identified distinct SWB characteristics, and influencing factors were analysed using 2 tests and multivariable logistic regression analysis.

Results
Nurses’ SWB was classified into three profiles: (1) high health concern–low well-being (27.3%), (2) moderate health concern–moderate well-being (41.1%) and (3) low health concern–high well-being (31.6%). Multivariable regression analysis revealed significant associations of gender, age, years of experience, professional title, position, self-perceived health, social support and job satisfaction with these profiles (p

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Embedding lived experience in mental health research: what we need to pack (and unpack) for the future in mental health research and translation

The incorporation of lived experience in mental health research has been a challenge for decades, pushing the boundaries of research to focus on the priorities of those most impacted. The people who should be the ultimate beneficiaries of research and its translation hold significant knowledge about both the topics of research and the way it should be respectfully conducted. However, despite policy, funding and most recently publishing directives that purport to support genuine lived experience-focused and -led research, progress remains slow, and debates are frequently still dominated by non-lived experience researchers in positions of power. In this paper, we explore some of the factors we need to consider to genuinely progress in mental health lived experience research, including restrictive and exclusionary thinking on authenticity, the ability to speak from multiple perspectives and the deeply personal intersections of experience in lived experience researcher identities. We then describe the ALIVE National Centre Embedded Lived Experience Research Model and an associated National Strategy for Lived Experience in Mental Health Research as responses to these pervasive issues.

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