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University Students Sexual Practices- An Insight Overview 大学生的性行为——一项洞察概述
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000208
S. Hashmi, K. Rai, F. Tanwir, Vikash, I. Ahmed, H. Tayyab, N. Rashid, S.L. Sharif, Sabihuddin Ahmed, Manahil Jeoffrey
Background: Sexually transmitted infections are an ever growing concern in developing countries. In Pakistan it has been an estimated 97,000 (0.1%) reported cases of HIV alone. Dearth of available information has made it difficult to assess the full extent of the STI problem. A reason for this shortage of data has been attributed to lack of awareness and research. This study aimed to evaluate the sexual practices of students in Karachi. Methodology: This cross sectional study was conducted at four colleges in Karachi, Pakistan. College students were included without any restriction of age and gender. Ethical approval was obtained from all institutions. Self-administered questionnaire was used to access the knowledge and practices of students regarding Sexually transmitted diseases. Frequencies and percentage were calculated for each variable. Results: In total 890 university students participated in this study with a response rate of 89%. Overall male participants were 515, while 375 females participated in the study. Almost 30% of the male and 49.6% of the female students knew that there is a vaccine for Human Papillomavirus (HPV) with Male/Female Odds ratio of 0.42( 95% C.I: 1.34-28). However 22.9% of male and 76.5% of female students (M/F OR: 0.29, 95% C.I: 0.34-0.7) believed that the oral sex is as threatening and unsafe as vaginal or anal sex. The most preferred method of contraceptive recognized by the students was condoms (males 14.7 % and females 8.6%, with M/F OR: 1.70, 95% C.I: 0.29-0.67) followed by oral contraceptive pills (males 6.2 %, females 7.7%, M/F OR: 0.80, 95% C.I: 0.72-24.3). Conclusion: Research needs to be undertaken to employ policies at an administrative level to introduce change in the curriculum and rectify related issues in order to conceive better sexual practices in adolescents.
背景:性传播感染在发展中国家日益受到关注。在巴基斯坦,仅报告的艾滋病毒病例就有97,000例(0.1%)。由于缺乏可用信息,很难评估性传播感染问题的全面程度。数据短缺的一个原因是缺乏认识和研究。本研究旨在评估卡拉奇学生的性行为。方法:本横断面研究在巴基斯坦卡拉奇的四所大学进行。大学生不受年龄和性别的限制。获得了所有机构的伦理批准。采用自填问卷了解学生关于性传播疾病的知识和做法。计算每个变量的频率和百分比。结果:共有890名大学生参与本研究,问卷回复率为89%。总共有515名男性参与者和375名女性参与者参与了这项研究。约有30%的男生和49.6%的女生知道有人类乳头瘤病毒(HPV)疫苗,男女优势比为0.42(95% ci: 1.34-28)。然而,22.9%的男生和76.5%的女生(男女比值:0.29,95% ci: 0.34-0.7)认为口交与阴道或肛交一样具有威胁和不安全性。学生最喜欢的避孕方法是避孕套(男生14.7%,女生8.6%,男女比值为1.70,95% ci: 0.29 ~ 0.67),其次是口服避孕药(男生6.2%,女生7.7%,男女比值为0.80,95% ci: 0.72 ~ 24.3)。结论:需要进行研究,在行政一级采用政策来改变课程和纠正有关问题,以便在青少年中设想更好的性行为。
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引用次数: 0
Lengthy Peer Review Times: What should be Done? 冗长的同行评议时间:应该怎么做?
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000200
I. Farooq
Peer review process is an important step, when it comes to publication of a manuscript and is directed towards facilitating the journal editor in making a decision. Unfortunately a delay in publication due to lengthy peer review processing times not only negatively affects the research potential of individual authors but also delays the publication of novel findings. Steps should be taken to make this process more efficient by taking measures to reduce long peer review times and to ensure well-timed publication of scientific research. *Correspondence regarding this article should be directed to: drimranfarooq@gmail.com
同行评议过程是一个重要的步骤,当涉及到手稿的出版,它是为了促进期刊编辑做出决定。不幸的是,由于冗长的同行评议处理时间而导致的发表延迟不仅会对单个作者的研究潜力产生负面影响,而且还会延迟新发现的发表。应采取步骤,通过采取措施减少冗长的同行审查时间和确保及时发表科学研究,使这一过程更加有效。*有关本文的信件应发送至:drimranfarooq@gmail.com
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引用次数: 2
Eating Disorders are Still Considered to be a FemalePsychopathology 饮食失调仍然被认为是一种女性的精神病理
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000220
Emilio J. Compte, Florencia Duthu
Eating disorders (ED) are usually considered a feminine pathology (Darcy & Lin, 2012; Striegel-Moore & Bulik, 2007), where the prevalence of male cases is considerably lower (Hoek, 2006). However, in many cases, men with ED go undetected because their problem is unknown and assessment is not always properly performed.
饮食失调(ED)通常被认为是一种女性疾病(Darcy & Lin, 2012;Striegel-Moore & Bulik, 2007),在那里男性病例的患病率相当低(Hoek, 2006)。然而,在许多情况下,患有ED的男性没有被发现,因为他们的问题是未知的,评估并不总是正确的。
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引用次数: 3
Long Acting Injectable versus Oral Antipsychotics in Reducing Hospitalization Outcomes in Schizophrenia: A Mirror-Image Study 长效注射抗精神病药物与口服抗精神病药物降低精神分裂症住院治疗结果:一项镜像研究
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000377
Karan Chawla, M. Bell, B. Chawla
Objective: The primary objective of this study was to assess the difference of hospitalization rates when switching patients with schizophrenia from oral antipsychotics to Long Acting Injectable (LAI) antipsychotic medications. Methods: A single centre mirror image design study of 44 patients was conducted in a community centre hospital. Data surrounding hospitalization was collected 12 months before and 12 months after switching from oral to LAI. Results: There was a 91% reduction in ward admissions and an 80% reduction in ER visits when switched to LAI (p<0.001). Of the 44 patients, 32 were admitted at least once whilst on oral therapy; after switching to LAI, only 5 patients were admitted. The total number of days spent on the ward on oral therapy was 1347 days, versus 59 days on LAI. After switching to LAI from oral therapy, mean length of stay in hospital per patient decreased by 30 days (p<0.001). Cost benefit analysis showed a net savings of $805,798.80 for 44 patients over the course of one year. Conclusions: The data from this study suggests that long acting injectable therapy is strongly superior to oral antipsychotics for the treatment of schizophrenia. A significant reduction in hospitalization rates and costs was seen.
目的:本研究的主要目的是评估精神分裂症患者从口服抗精神病药物转向长效注射(LAI)抗精神病药物后住院率的差异。方法:对某社区中心医院44例患者进行单中心镜像设计研究。从口服改为LAI前后12个月收集住院相关数据。结果:当切换到LAI时,病房入院率降低91%,急诊室就诊率降低80% (p<0.001)。44例患者中,32例在接受口腔治疗时至少入院一次;改用LAI后,仅有5例患者入院。口腔治疗在病房的总天数为1347天,而LAI为59天。从口服治疗转为LAI后,每位患者的平均住院时间减少了30天(p<0.001)。成本效益分析显示,在一年的过程中,44名患者净节省了805,798.80美元。结论:本研究的数据表明,长期注射治疗明显优于口服抗精神病药物治疗精神分裂症。住院率和费用显著降低。
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引用次数: 6
Continuance Group Intervention Protocol (CGIP) for a Unique Intervention 持续群体干预方案(CGIP)的独特干预
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000364
O. Levi, Yael Shoval-Zukerman
The Objective of this article was to describe in detail the protocol of continuance group intervention (CGI) and to present general efficacy of CGI based on interventions that were done by the Israeli Defense Forces (IDF) with reserve units that fought in the 2006 Lebanon War. Fifty-one Israeli reserves soldiers exposed to traumatic events participated in the study. They were divided into 5 intervention groups led by five pairs of commanders and trained therapists from the Unit for the Treatment of Combat-related PTSD (UTC-PTSD). PTSD and depression symptoms and levels of functioning were taken at pre-intervention, end of intervention and 6 months after the intervention (follow-up assessment). Analyses found that CGI helped in reducing post-traumatic and depressive symptoms at the end of intervention and 6 months follow-up. It also showed that patients' functioning had significantly improved by the end of intervention and at 6 months followup. It seems that an intervention based on these protocols is suitable for organizations in which there exists a hierarchical structure that includes a managerial echelon and an executive echelon (fire fighters, police, etc.) which embrace a common event but follow-up randomized controlled trials to determine CGI efficacy are needed.
本文的目的是详细描述持续群体干预(CGI)的协议,并根据2006年黎巴嫩战争中以色列国防军(IDF)预备役部队所做的干预,展示CGI的一般功效。51名经历过创伤性事件的以色列预备役士兵参加了这项研究。他们被分成5个干预组,由5对指挥官和训练有素的来自战斗相关创伤后应激障碍治疗单位(UTC-PTSD)的治疗师领导。在干预前、干预结束和干预后6个月(随访评估)测量PTSD和抑郁症状及功能水平。分析发现,在干预结束和6个月的随访中,CGI有助于减轻创伤后和抑郁症状。研究还表明,在干预结束时和6个月的随访中,患者的功能有了显著改善。基于这些协议的干预似乎适用于存在层次结构的组织,其中包括管理梯队和执行梯队(消防员,警察等),这些组织包含一个共同的事件,但需要后续随机对照试验来确定CGI效果。
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引用次数: 0
The Role of Pornography in Sexual Offenses: Information for LawEnforcement & Forensic Psychologists 色情在性犯罪中的作用:执法和法医心理学家的信息
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000148
S. Johnson
Many police investigators do not fully understand the role that pornography plays in violence. We have come to understand how sex offenders use pornography to support their deviant and violent fantasies which in turn support deviant and violent behavior. In addition, abusers, including those that commit domestic abuse or child abuse, almost all use pornography to feed their deviant and violent fantasies as well. With this understanding, it is imperative for the investigator to not only find the sexual offenders and physical batterer’s pornography but to review the pornography to determine the preference and intent of the offender’s crime. The offender’s pornography (the type, theme, and content of the pornography) is an indicator of what the offender would like to do, and in some cases, what they have already done. In fact, most pornography displays women whose facial expressions clearly are indicative of fear, discomfort, anger, frustration, surprise, or a neutral, void expression. These expressions are contrary to what we would expect of consensual, appropriate sexual partners.
许多警方调查人员并不完全了解色情在暴力中所起的作用。我们已经开始了解性犯罪者如何利用色情来支持他们的越轨和暴力幻想,而这些幻想反过来又支持越轨和暴力行为。此外,施虐者,包括那些家暴或虐待儿童的人,几乎都用色情来满足他们的越轨和暴力幻想。有了这样的认识,侦查人员不仅要发现性犯罪者和殴打者的色情内容,而且要对色情内容进行审查,以确定罪犯的犯罪偏好和犯罪意图。犯罪者的色情作品(色情作品的类型、主题和内容)是犯罪者想要做什么的一个指标,在某些情况下,他们已经做了什么。事实上,在大多数色情作品中,女性的面部表情明显是恐惧、不适、愤怒、沮丧、惊讶,或者是一种中性的、空虚的表情。这些表达与我们所期望的两厢情愿的、合适的性伴侣是相反的。
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引用次数: 4
Association between Postpartum Depression and Gnò3 C825T Polymorphism 产后抑郁与Gnò3 C825T多态性的关系
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000262
R. Xie, H. Xie, D. Krewski, M. Walker, S. Wen
Background: Postpartum depression (PPD), affecting mother’s and baby’s health and wellbeing, is a subtype of major depression with onset within 4 weeks after childbirth. G-protein β3 subunit gene C825T polymorphism has been shown to be associated with major adult depression. This study aims to investigate whether PPD is associated with GNβ3 C825T polymorphism in Chinese Han women. Methods: This was a case control study, nested to a cohort that was established in three hospitals in Changsha, Hunan, China between February and September 2007. PPD was measured using the Chinese version of Edinburgh Postnatal Depression Scale (EPDS) at two weeks postpartum with a score of 13 or higher as the cut-off. GNB3 gene Rs5443 (C/T) was determined with ligase detection reaction (LDR). Genotype and allele frequency of GNB3 gene Rs5443 polymorphism were compared between women with PPD and hospital and age-matched controls. Results: A total of 43 PPD cases and 86 matched controls were included in the final analysis. GNβ3 Rs5443SNP genotypes were CC = 23.30%, C/T = 51.2%, TT = 25.6%, C = 48.84%, and T = 51.16%, respectively, in PPD cases, and corresponding figures were CC = 30.20%, C/T = 39.50%, TT = 30.20%, C = 50.00%, and T = 50.00%, respectively, in matched controls (P>0.05). For PPD subjects, the genotypes were not associated with the clinical phenotype: EPDS total score and/or subunit scores (P>0.05). Conclusion: No association between GNβ3 rs5443SNP polymorphism and PPD is observed in the pilot data from a small sample of Chinese Han women. Replications of our finding from a large sample are needed.
背景:产后抑郁症(Postpartum depression, PPD)是一种重性抑郁症亚型,多发生于产后4周内,影响母亲和婴儿的健康和幸福。g蛋白β3亚基基因C825T多态性与成人重度抑郁症有关。本研究旨在探讨中国汉族女性PPD是否与GNβ3 C825T多态性相关。方法:这是一项病例对照研究,纳入2007年2月至9月在中国湖南省长沙市三家医院建立的队列。产后两周采用中文版的爱丁堡产后抑郁量表(EPDS)测量PPD,分值为13分或更高。采用连接酶检测反应(LDR)检测GNB3基因Rs5443 (C/T)。比较PPD妇女与医院对照和年龄匹配对照GNB3基因Rs5443多态性的基因型和等位基因频率。结果:最终分析共纳入43例PPD病例和86例匹配对照。PPD患者GNβ3 Rs5443SNP基因型分别为CC = 23.30%、C/T = 51.2%、TT = 25.6%、C = 48.84%、T = 51.16%,配对对照组相应数据分别为CC = 30.20%、C/T = 39.50%、TT = 30.20%、C = 50.00%、T = 50.00% (P < 0.05)。对于PPD受试者,基因型与临床表型:EPDS总分和/或亚单位评分无关(P < 0.05)。结论:在中国汉族女性小样本的试点数据中,未观察到GNβ3 rs5443SNP多态性与PPD之间的关联。需要从大量样本中复制我们的发现。
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引用次数: 0
Development and Validation of A New Tool for Assessing Risk of Falls in Acute Psychiatric Settings 一种评估急性精神病患者跌倒风险的新工具的开发和验证
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000330
V. Morici, S. Terzoni, P. Ferrara, A. Destrebecq
Background: Falls in hospitals are a global problem, due to their frequency and the consequences for the person, the operators, the organization. The literature shows that patients suffering from mental disorders, especially inacute settings, have specific characteristics that increase their risk. Two scales are available in literature for these patients, but one is not fully validated, and the other has unsatisfactory predictive validity. Furthermore, no tools exist in Italian. Aim: To create and validate a tool, in English and in Italian, to assess risk to fall in patients hospitalized acute psychiatric settings. Materials and Methods: upon literature review, a new scale was created and administered to the patients of two psychiatric services in different Italian hospitals. Validity and reliability of the scale were assessed by means of factor analysis, content validity index, and Cronbach’s alpha coefficient. Results: The scale consists of 11 items (CVI-S = 90.9%); 7 clinical experts have positively judged comprehensibility and the uniqueness of the items. 123 patients were screened (at admission, and after 24 and 48 hours), 10 of them reported falls; with a cut-off of 11 points, the scale showed 100% sensitivity and 80.2% specificity. Inter-rater reliability was high (Pearson's r = 0.93). Conclusions: the new scale seems easy to use and capable of predicting falls in psychiatric patients admitted to acute hospital units.
背景:医院摔倒是一个全球性问题,因为其发生频率和对个人、操作人员和组织造成的后果。文献表明,患有精神障碍的患者,特别是非急性情况下,具有增加其风险的特定特征。文献中有两种量表可用于这些患者,但其中一种未完全验证,另一种预测效度不令人满意。此外,意大利语中也没有工具。目的:创建和验证一个工具,在英语和意大利语,以评估病人住院急性精神病设置跌倒的风险。材料和方法:在文献回顾的基础上,创建了一个新的量表,并对意大利不同医院的两家精神科服务的患者进行了管理。采用因子分析、内容效度指数和Cronbach’s alpha系数对量表进行效度和信度评价。结果:量表由11个条目组成(CVI-S = 90.9%);7位临床专家对项目的可理解性和独特性给予了积极评价。123例患者接受了筛查(入院时、24小时和48小时后),其中10例报告跌倒;分界点为11分,该量表的敏感性为100%,特异性为80.2%。评估者间信度高(Pearson’s r = 0.93)。结论:新量表易于使用,并能预测急症住院精神病患者的跌倒情况。
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引用次数: 2
Antisocial Personality Disorder among Prison Inmates: TheMediating Role of Schema-Focused Therapy 监狱囚犯的反社会人格障碍:图式聚焦治疗的中介作用
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000166
Dr. A. O. Busari
This study investigated the mediating role of schema-focused therapy in the treatment of antisocial personality disorder among prison inmates. The participants of the study were three hundred (300) prison inmates of Agodi Prison in Ibadan, Oyo State, Nigeria. The instruments used for the study were Antisocial Personality Disorder Self- Test (APDSF), deployed for screening the participants, and Antisocial Personality Disorder Symptoms Questionnaire (APDSQ) developed by the researcher. Pre-test Post-Test, control group experimental design was adopted for this study. The data were analysed using ANCOVA. There was significant main effect of treatment on antisocial personality disorder of the prison inmates. There was significant interaction effect of treatment of participants based on gender. There was also significant interaction effect of treatment on prison inmates based on time of incarceration.
本研究探讨了图式聚焦疗法在监狱服刑人员反社会人格障碍治疗中的中介作用。该研究的参与者是尼日利亚奥约州伊巴丹市Agodi监狱的300名囚犯。研究工具为反社会型人格障碍自我测试(APDSF)和研究者自行开发的反社会型人格障碍症状问卷(APDSQ)。本研究采用前测后测、对照组实验设计。数据采用ANCOVA分析。治疗对监狱在押人员反社会人格障碍有显著的主效应。不同性别的被试在治疗上存在显著的交互作用。不同服刑时间对服刑人员的治疗也有显著的交互作用。
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引用次数: 4
A Blueprint for the Future Development of Psychotherapy 心理治疗未来发展蓝图
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000272
E. Gutiérrez, Carlos Libisch, O. Carrera
A dispassionate view of psychotherapy, leaving aside allegiances to particular schools, reveals it is extremely uncommon to find clear differences in efficacy between diverse treatment approaches (Luborsky et al., 2002). Even worse, when active treatments are compared to structurally equivalent placebos, only negligible effects are obtained in comparison to former treatments (Baskin, Tierney, Minami & Wampold, 2003). A plausible explanation for the apparent similarity in efficacy of different treatments is the existence of underlying common factors shared by all treatments which is ultimately responsible for the purported equivalence attained by different therapeutic approaches (Frank & Frank, 1993). This shared equivalence has been recently reinforced by the literature on placebo, and particularly research using neuroimaging techniques showing how patients’ expectancies interact with the clinical setting stimulating the rewarding brain circuitry.
抛开对特定学派的忠诚,对心理治疗的客观看法表明,在不同的治疗方法之间发现明显的疗效差异是极其罕见的(Luborsky et al., 2002)。更糟糕的是,当将积极治疗与结构等效的安慰剂进行比较时,与之前的治疗相比,只有微不足道的效果(Baskin, Tierney, Minami & Wampold, 2003)。对于不同治疗在疗效上的明显相似性,一个合理的解释是,所有治疗都存在潜在的共同因素,这些因素最终导致了不同治疗方法所达到的所谓的等效性(Frank & Frank, 1993)。最近,关于安慰剂的文献,特别是使用神经成像技术的研究,证明了患者的期望如何与临床环境相互作用,从而刺激了有益的大脑回路,从而加强了这种共享的等效性。
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引用次数: 0
期刊
International Journal of Emergency Mental Health and Human Resilience
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