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Religiosity and spirituality are central to the lives of Filipinos, yet limited research has examined their role in well-being. Although traditionally viewed as distinct constructs, religiosity and spirituality are deeply intertwined among Filipinos, with religious practice serving as a pathway for cultivating spiritual experience. Given the established role of spiritual experience in well-being, daily spiritual experience may represent a key mechanism through which religious practice translates into greater life satisfaction, yet research directly examining this mediating pathway remains limited. A further concern is that widely used spirituality measures, including the Daily Spiritual Experience Scale (DSES; Underwood and Teresi, Annals of Behavioral Medicine 24:22-33, 2002), have been criticized for containing items that overlap with mental and social health outcomes, raising tautological questions about observed associations. The present study addressed both concerns. A theistic 5-item version of the DSES was validated among Filipino Catholics and demonstrated superior psychometric fit over the full 13-item version. Using this validated measure, the study examined whether private religious practices predict life satisfaction and whether daily spiritual experience mediates this relationship in a sample of 1,189 Filipino Catholics (Mage = 18.86, SD = 4.67). Results showed that private religious practices positively predicted life satisfaction, with daily spiritual experience serving as a significant mediator. These findings suggest that private religious practices enhance life satisfaction by fostering an experiential sense of closeness to God that is distinct from general psychological well-being, while also providing a psychometrically robust measure of theistic spirituality for future research among the Filipino faithful.

Educational Engagement Modules (EEMs) are teaching materials for educators and students that facilitate a deeper understanding of key epidemiological methods and concepts. Each EEM poses a series of questions using a recently published paper in Annals to further understanding of a specific study design or epidemiological concept and to encourage critical thinking and careful evaluation. This EEM focuses on information bias in the following article: Ranker LR, Katz-Wise SL, Gordon AR, Korkodilos R, Xuan Z, Nelson KM. Sexual orientation identity and attraction changes among youth: prospective versus retrospective measurement. Ann Epidemiol. 2025 Dec;112:8-14. doi:10.1016/j.annepidem.2025.10.006. Epub 2025 Oct 6. PMID: 41061832 [1].

Gastric cancer (GC) remains a leading cause of cancer-related mortality worldwide. Malnutrition is highly prevalent in GC patients and is linked to poor prognosis and increased disease burden. While nutritional support is known to improve outcomes and reduce complications, a comprehensive analysis of the research landscape is lacking. This study provides a bibliometric assessment of scientific literature regarding GC and nutrition. Publications from the 21st century to the present were retrieved from the Web of Science Core Collection. Bibliometric and visualization analyses were conducted using VOSviewer, Pajek, and the R package "bibliometrix." A total of 1760 articles were analyzed. Publication volume grew steadily after 2016, peaking in 2022. The United States, China, and Japan emerged as the leading research hubs. Key contributing institutions include Wenzhou Medical University, Sun Yat-sen University, and Ohio State University. Annals of Surgical Oncology is the most prolific and cited journal. Research primarily centers on the prognostic impact of nutrition and strategies to enhance patients' nutritional and immunological status. This study is the first bibliometric analysis of the global research landscape concerning GC and nutrition. By identifying current hotspots and emerging trends, it provides a valuable reference for researchers aiming to optimize nutritional interventions and improve patient outcomes.

The purpose of this analysis was to systematically map the intellectual structure, thematic evolution, and collaborative patterns of research in the field of deep-breathing exercises (DBEs). A comprehensive bibliometric analysis combined with Latent Dirichlet Allocation-based topic modeling was conducted using publications retrieved from Web of Science, Scopus, and PubMed. A total of 2,017 publications published between 1940 and 2024 were included. Bibliometric indicators were used to examine publication trends, leading journals, authors, countries, and collaboration networks, while Latent Dirichlet Allocation was applied to identify dominant research themes. The annual number of publications increased steadily over time, with a marked rise after 2011 and a peak observed in 2020. The most productive countries were the United States, Italy, and Germany, while the leading journals included Chest and The Annals of Thoracic Surgery. Collaboration analyses revealed limited international and interinstitutional research networks. Topic modeling identified three major thematic clusters: (1) education and training-focused DBE interventions, (2) application of DBE following cardiac and thoracic surgery, and (3) postoperative complication prevention and rehabilitation. This bibliometric and topic modeling analysis provides a structured overview of the intellectual organization and thematic evolution of DBE research in surgical and perioperative care. Rather than evaluating clinical effectiveness, the findings highlight prevailing research priorities, collaboration gaps, and underexplored areas. These insights may support perianesthesia nursing by informing future research agendas, encouraging interdisciplinary collaboration, and guiding the strategic development of DBE-related studies.

Perioperative care for oesophageal cancer (OC) patients is crucial in optimising surgical outcomes and improving recovery. This study aims to conduct a bibliometric analysis to explore the frontier trends in perioperative care for OC patients. Publications from 1997 to 2024 were retrieved from the Web of Science Core Collection database. The bibliometric analysis utilised VOSviewer, CiteSpace and the R package 'bibliometrix' to visualise collaborations, keyword co-occurrences and emerging research trends. A total of 816 publications were identified, with an annual growth rate of 9%. The United States led in publication volume (206, 25%), followed by Japan (173, 21%) and China (128, 16%). University of Amsterdam emerged as the most prolific institution, contributing significantly to the field in publications (68). Hofstetter Wayne stood out with publications and citations of 16 and 1751. The Diseases of the Esophagus and Annals of Surgery were the top-ranked journal, with the highest publications (68) and citations (2041). The co-occurrence network revealed four major clusters, including epidemiology, chemoradiation therapy, surgical therapy and complications. Keyword burst analysis emphasised terms such as 'postoperative complications', 'multicenter' and 'open label'. This bibliometric analysis provides a comprehensive overview of the research developments in perioperative care for OC patients. It highlighted key trends and emerging research frontiers, including perioperative fluid management in OC patients. Future trends emphasise open-label clinical trials and the development of multimodal treatment strategies to improve survival outcomes. These findings offer valuable insights for advancing clinical and scientific progress in the field.

Neoadjuvant therapy (NAT) is increasingly being applied in gastric cancer (GC) and is recognized by international guidelines. This study aims to analyze the current status, hotspots, and research trends of NAT in GC through bibliometrics. Relevant publications were collected from Web of Science (SCI-Expanded) and PubMed. We utilized Citespace to analyze countries, institutions, and keywords, and employed Vosviewer to examine authors and their co-cited authors, as well as journals and their co-cited journals. The analysis encompassed 2666 documents. The overall number of publications showed an upward trend. The top-producing countries, institutions, authors, and journals in this field were: The People's Republic of China and Chinese Academy of Medical Sciences - Peking Union Medical College, Huang, Changming, and Annals of Surgical Oncology. The most frequently cited author and journal are Al-batran and the Journal of Clinical Oncology, respectively. Key research areas in this field include: diverse NAT strategies; open-label trials and survival outcomes; and technology empowerment. Potential future research trends encompass: deep learning applications; immune checkpoint inhibitors; nivolumab; and immunotherapy. We used bibliometrics to conduct a visual analysis of the application of NAT in GC. Research hotspots include diverse NAT strategies, open-label trials and survival outcomes, and technology empowerment.