| 1 |
Author(s):
Edsel P. Inocian.
Page No : 1-2
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Transforming the Future of Medical and Allied Health Publications: Introducing the International Journal of Medicine and Health Innovations Perspectives (IJOMAHIP)
Abstract
We have adopted a novel approach to starting a new journal that differs from conventional ones in a number of significant aspects. Dedicated to multidisciplinary research, IJOMAHIP promotes innovation, global knowledge exchange, and collaboration among researchers, clinicians, educators, healthcare practitioners, and policymakers in the medical and allied health sciences through timely peer review and open access.
| 2 |
Author(s):
Rhea Faye D Felicilda-Reynaldo, Dana Monday, Lydia Kim, Jonas Preposi Cruz.
Page No : 3-30
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Nurses’ Perspectives on Medical Pluralism: Knowledge, Attitudes, and Safety Interventions in a Multicultural Context—A Mixed Methods Pilot Study
Abstract
Medical pluralism, the simultaneous use of conventional medicine and complementary and alternative medicine (CAM), is widely practiced by patients from multicultural backgrounds. However, nondisclosure of CAM use to healthcare providers poses safety risks. Nurses play a crucial role in ensuring patient safety, yet little is known about their knowledge, awareness, attitudes, and interventions regarding medical pluralism. 3This mixed method pilot study assessed the knowledge, awareness, attitudes, and safety interventions of medical-surgical and telemetry nurses regarding patient engagement in medical pluralism. A sequential explanatory mixed-method design was employed. The study surveyed 150 nurses from two affiliated medical centers in Hawaii, followed by in-depth interviews with 15 participants. The survey assessed nurses’ knowledge, awareness, attitudes, and safety interventions regarding medical pluralism, while interviews explored workplace factors influencing nursing practice. Data were analyzed using descriptive and inferential statistics, along with thematic analysis of qualitative responses. Majority of nurses had low-to-moderate knowledge of CAM and medical pluralism, with most learning about CAM informally rather than through formal education. Nurses’ awareness of patients’ CAM use was largely dependent on patient disclosure rather than proactive assessment. Although many nurses expressed positive attitudes toward integrating holistic approaches, workplace environments often lacked clear policies or guidelines for managing medical pluralism. Safety interventions primarily involved interprofessional collaboration rather than independent nursing actions. The study highlights the need for enhanced nursing education and organizational policies to support nurses in addressing medical pluralism safely and effectively. Strengthening nurses’ knowledge and promoting proactive assessment strategies can improve patient safety and facilitate informed healthcare decisions. Future research should explore the impact of structured educational interventions on nurses’ competency in medical pluralism, as well as the development of standardized guidelines to enhance patient safety in diverse healthcare settings.
KEYWORDS: medical pluralism, nursing practice, complementary and alternative medicine, mixed-methods research, patient safety
| 3 |
Author(s):
Christine Adelaide Pelayo.
Page No : 31-39
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Acute Psoriatic Flare During Covid-19 Infection and Response to Molnupiravir: A Case Report
Abstract
COVID-19 is a global health problem caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), manifesting as influenza-like symptoms. This posed concerns to the population specifically to people with comorbidities. Among these comorbidities is psoriasis, a chronic inflammatory condition that manifests as generalized well-circumscribed erythematous lesions with silvery plaques. Psoriatic flares are triggered by factors such as stress and infection. In particular, there have been reports on psoriatic exacerbation following COVID-19 infection. The approach to treatment prior to COVID were the conventional synthetic disease modifying anti-rheumatic drugs (csDMARDs) such as methotrexate or biologic DMARDs that are effective in controlling exacerbations. However, aside from reports detailing response to topical medication, there is lacking evidence that could drive our approach in dealing with psoriasis exacerbations during COVID-19 infection. Local literature has been lacking and there has been no available data on the response to antivirals. This report thus aims to present the case of a 67-year-old female with psoriasis who was noted to have an acute psoriatic flare during COVID-19 infection. She was diagnosed with psoriasis 26 years prior and was maintained on topical steroids. Her last severe psoriatic flare was 14 years prior and since then has been in remission. She developed influenza-like symptoms 3 days prior to admission. Thereafter, erythematous maculo-papular rashes coalescing into plaques appeared. She tested positive for SARS-CoV-2 infection and was managed as a confirmed mild COVID along with a psoriatic flare. Molnupiravir, which is an orally bioavailable cytidine analog with antiviral activity used in COVID-19 treatment, was started on the first hospital day with methotrexate on the third day. No adverse events, fever lysed and lesions began clearing by the fifth day. This report provides additional input in establishing optimal treatment for psoriasis during COVID-19 infection.
KEYWORDS: acute psoriatic flare, COVID –19 infection, Molnupiravir, case report
| 4 |
Author(s):
Edsel P. Inocian.
Page No : 40-70
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Research Leadership in Healthcare Settings: A Conversational Search Engine-Aided Concept Analysis
Abstract
Research leadership in health care settings is increasingly recognized as a pivotal factor influencing institutional effectiveness, innovation, and development both on global and local scales. However, the way people perceive and respond to this concept is unclear mainly because of the difficulties in merging the various definitions that have developed across different fields, especially in healthcare settings. Hence, it is vital to clarify the meaning of “research leadership” and formulate its defining attributes, antecedents, consequences, and practical applications within the healthcare settings. Using the eight-stage concept analysis framework by Walker and Avant (2019) along with a conversational search engine that uses Large Language Models (LLMs) Perplexity AI, as a robust tool for its real- time web search capabilities and ability to provide comprehensive answers, "research leadership" was explored. A thorough literature search was completed covering peer-reviewed articles, full-text publications, and English-language materials from the last decade (2014–2025) from four online sources- EBSCOhost and PubMed databases; via Google Scholar search engine; and the Mendeley article access as well as Oxford, Merriam-Webster and Collins English dictionaries. After excluding articles that did not meet the eligibility criteria, a total of 24 articles were reviewed, and analyzed after until saturation was reached. This extensive literature review revealed key characteristics that emphasized the most frequently used terms associated with the concept. Following Walker and Avant’s methodology (2014; 2019), five defining attributes emerged as significant themes: 1. Strategic Vision and System Improvement; 2. Contextual Adaptation and Implementation; 3. Collaborative and Relational Leadership; 4. Workforce Support and Development; 5. Knowledge Translation and Evidence- Based Practice. Meanwhile, antecedents included: Core research competencies and skills; Supportive environment and adaptive and Ethical leadership styles. Meanwhile, four consequences were: 1. Performance Improvement;2. Stakeholder Success; 3. Adaptable Frameworks; and 4. Knowledge Translation. Lastly, a clearer definition was identified as the ability to empower individuals to spearhead research initiatives that demonstrably improve healthcare delivery and patient outcomes. This leadership is characterized by a strategic vision for system-wide enhancements, a commitment to sustained operational support for effective interventions, collaborative practices that foster team cohesion and engagement, targeted workforce training to develop research capacity, and effective knowledge translation to integrate evidence-based practices into clinical settings.
KEYWORDS: research leadership, healthcare settings, concept analysis, theory development, synthesis
| 5 |
Author(s):
Rhea Faye D. Felicilda-Reynaldo, SoYung Choi.
Page No : 71-86
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Dental Coverage and Cost-Related Delays in Dental Care Utilization Among U.S. Adults: A 2008–2017 NHIS Study by Citizenship Status
Abstract
Maintaining oral health is vital for overall well-being, yet immigrant communities in the United States continue to face inequalities in access to dental care. This research, which draws on data from the National Health Interview Survey conducted between 2008 and 2017, investigates dental coverage and delayed dental care utilization due to cost, stratified by citizenship status. By applying Andersen’s behavioral model of health services use, the study examines a representative dataset of 308,904 adults (weighted N ~ 100 million) through detailed descriptive statistics, trend analyses, and multivariable regressions. Results showed that non-citizens were consistently less likely to have dental coverage and more likely to delay dental care due to cost compared to U.S.-born citizens, although these disparities were largely explained by enabling factors such as income and insurance access. Naturalized citizens, despite improvements, still experienced notable disadvantages. Predisposing and need factors, including age, gender, health behaviors, and chronic conditions, also contributed to cost-related delays. However, structural socioeconomic barriers remained the most powerful determinants. Our findings underscore the urgent need for policies that expand affordable dental coverage and address systemic inequities. Strengthening enabling resources can significantly narrow disparities, ensuring that oral health access is equitable across citizenship groups. KEYWORDS: citizenship, social determinants of health, dental coverage, dental utilization, health disparities
