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Occurrence and Prevention of Substance Use Disorder Among Anaesthesiology and Intensive Care Medicine Residents in Indonesia: A Pilot Study 印度尼西亚麻醉学和重症医学住院医师药物使用障碍的发生和预防:试点研究
Q4 Medicine Pub Date : 2024-02-12 DOI: 10.5812/ijhrba-143304
Lius Hariman, Syafri Kamsul Arif, M. R. Ahmad, S. Gaus, Haizah Nurdin, Alamsyah Ambo Ala Husain
Background: Substance use disorders (SUD) in the population of anaesthesiology and intensive care medicine (ICM) residents have the potential to cause fatal occupational risks. Currently, there are no epidemiological reports regarding the prevalence of SUD among doctors in Indonesia and anaesthesiologists in particular. The purpose of this study was to estimate the occurrence of SUD among anaesthesiology and ICM residents in Indonesia and to recognize the SUD prevention strategy implemented in each teaching hospital. Methods: This was a survey-based observational study using a three-part questionnaire consisting of 20 binary questions, which was pertained to the sociodemographic details, the occurrence and prevention of SUD. Participants were recruited from 16 residency programs with a total of 1 127 active residents registered at the Indonesian College of Anaesthesiology and Intensive Care. All returned surveys were reviewed and scored by hand. The data were compiled and analyzed with numbers and percentages. Results: Returned surveys from 353 residents yielded a 31.3% response rate. Residents from 13 out of 16 registered residency programs in Indonesia participated in this survey. The occurrence of SUD among anaesthesiology and ICM residents in Indonesia was 0.5%. As much as 77.3% of respondents never had toxicological screening. Moreover, 18.2% of respondents were not aware of any routine toxicology screening in their program. Conclusions: The majority of anaesthesiology and ICM residents in Indonesia have risk factors for developing SUD. The need for policies, training, education, and SUD prevention strategies must be immediately addressed.
背景:麻醉学和重症监护医学(ICM)住院医师群体中的药物使用障碍(SUD)有可能导致致命的职业风险。目前,还没有关于印度尼西亚医生,尤其是麻醉科医生中药物滥用症发病率的流行病学报告。本研究的目的是估计印度尼西亚麻醉科和重症医学科住院医生中 SUD 的发生率,并了解各教学医院实施的 SUD 预防策略。研究方法这是一项以调查为基础的观察性研究,调查问卷由三部分组成,包括 20 个二元问题,涉及社会人口学细节、SDD 的发生和预防。参与者来自16个住院医师培训项目,共有1 127名在印度尼西亚麻醉学和重症监护学院注册的在职住院医师。所有回收的调查问卷都经过了人工审核和评分。数据以数字和百分比的形式进行汇总和分析。结果:共收到 353 位住院医师的调查问卷,回复率为 31.3%。来自印度尼西亚 16 个注册住院医师培训项目中 13 个项目的住院医师参与了此次调查。印尼麻醉科和内科住院医师的 SUD 发生率为 0.5%。77.3%的受访者从未进行过毒理学检查。此外,18.2%的受访者不知道他们的项目中有任何常规毒理学筛查。结论印尼大多数麻醉科和内科住院医师都存在罹患 SUD 的风险因素。必须立即解决政策、培训、教育和 SUD 预防策略方面的需求。
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引用次数: 0
Is there a Correlation Between Internet Use and Sleep and Cognitive Function Among Medical Students? 医学生使用互联网与睡眠和认知功能是否相关?
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.5812/ijhrba-135628
Mahshad Saberi Najafi, Sima Garmehi, Maryam Emadzadeh, Seyed Alireza Sadjadi, Mahboubeh Eslamzadeh
Background: Currently, the Internet is widely used by students for academic purposes; however, excessive Internet use might have negative consequences on students’ academic performance, sleep quality, and cognitive abilities. Objectives: This study aimed to investigate the relationship between Internet usage, sleep quality, and cognitive function among medical students. Methods: This analytical cross-sectional study was conducted on 525 pre-internship medical students, including 304 first- and second-year students, 113 third-year students, and 108 externs, within 2019 and 2021 at Mashhad University of Medical Sciences, Mashhad, Iran. The participants were selected using a stratified sampling method. All participants completed the Cognitive Ability Questionnaire (CAQ), Internet Addiction Questionnaire (IAQ), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using SPSS software (version 22). Results: According to the IAQ, 430 participants (81.9%) were categorized as average Internet users, 94 participants (17.9%) had occasional or frequent problems, and 1 participant had significant problems with Internet use. Mean PSQI and CAQ scores were significantly higher among participants with occasional or frequent problems/significant problems than the average Internet users (P < 0.001 each). The total IAQ score showed a positive correlation with total CAQ (r = 0.439, P < 0.001) and total PSQI (r = 0.264, P < 0.001) scores. Among the PSQI subscales, sleep latency (P = 0.032), daytime dysfunction due to sleepiness (P < 0.001), sleep efficiency (P = 0.001), and overall sleep quality (P < 0.001) were worse in participants with occasional or frequent problems/significant problems than in average Internet users. Conclusions: Excessive Internet use negatively affects the sleep quality and cognitive performance of medical students.
背景:目前,互联网被学生广泛用于学习目的;然而,过度使用互联网可能会对学生的学习成绩、睡眠质量和认知能力产生负面影响。研究目的本研究旨在调查医学生使用互联网、睡眠质量和认知功能之间的关系。研究方法这项分析性横断面研究的对象是伊朗马什哈德市马什哈德医科大学的 525 名实习前医学生,包括 304 名一年级和二年级学生、113 名三年级学生和 108 名实习生。研究人员采用分层抽样法选出。所有参与者均填写了认知能力问卷(CAQ)、网络成瘾问卷(IAQ)和匹兹堡睡眠质量指数(PSQI)。数据使用 SPSS 软件(22 版)进行分析。结果根据 IAQ,430 名参与者(81.9%)被归类为普通互联网用户,94 名参与者(17.9%)偶尔或经常有问题,1 名参与者有严重的互联网使用问题。偶尔或经常出现问题/有严重问题的参与者的 PSQI 和 CAQ 平均得分明显高于一般互联网使用者(P < 0.001)。IAQ 总分与 CAQ 总分(r = 0.439,P < 0.001)和 PSQI 总分(r = 0.264,P < 0.001)呈正相关。在 PSQI 子量表中,偶尔或经常出现问题/重大问题的参与者的睡眠潜伏期(P = 0.032)、嗜睡导致的日间功能障碍(P < 0.001)、睡眠效率(P = 0.001)和总体睡眠质量(P < 0.001)均比普通网民差。结论过度使用互联网会对医学生的睡眠质量和认知能力产生负面影响。
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引用次数: 0
Relation of Corona Anxiety, Cognitive Emotion Regulation, and Distress Tolerance with Domestic Violence 电晕焦虑、认知情绪调节和压力承受能力与家庭暴力的关系
Q4 Medicine Pub Date : 2023-12-08 DOI: 10.5812/ijhrba-133759
Elham Taheri, Mahdi Amiri, Narges Ensan
Background: The coronavirus pandemic and the preventive measures implemented in response to it have presented family structures with significant challenges and tensions, leading to an increase in domestic violence cases during quarantine. Objectives: This study aimed to assess the impact of corona anxiety, cognitive emotion regulation, and distress tolerance on domestic violence among couples during quarantine. Methods: In this descriptive-analytical study, the study population included all married individuals who participated in the research through invitations. Three hundred and fifty participants were included in the research by available and targeted sampling. Data were collected using the Conflict Tactics Scale (CTS-2), Corona Disease Anxiety Scale (CDAS), Distress Tolerance Scale (DTS), and Emotion Regulation Strategies Questionnaire (ERQ). Results: The findings indicated that the variables of corona anxiety, cognitive emotion regulation, and distress tolerance could significantly predict domestic violence among couples. Among these variables, cognitive emotion regulation was the most suitable predictor of domestic violence. The study also revealed a significant positive relationship between corona anxiety and domestic violence (with a correlation coefficient of 0.051, P = 0.001). Additionally, there were negative relationships between cognitive emotion regulation and domestic violence (-0.45), as well as between distress tolerance and domestic violence (-0/38; P = 0.001). Conclusions: The research findings highlight the importance of addressing corona anxiety, emotional regulation, and distress tolerance to mitigate domestic violence among couples. Managing these factors can contribute to reducing the incidence of domestic violence in couples.
背景:新型冠状病毒大流行及其实施的预防措施给家庭结构带来了重大挑战和紧张,导致隔离期间家庭暴力案件增加。目的:本研究旨在评估冠状病毒焦虑、认知情绪调节和痛苦耐受对隔离期间夫妻家庭暴力的影响。方法:在这个描述性分析研究中,研究人群包括所有通过邀请参与研究的已婚个体。通过现有的和有针对性的抽样,350名参与者被纳入了研究。采用冲突策略量表(CTS-2)、冠状疾病焦虑量表(CDAS)、痛苦耐受量表(DTS)和情绪调节策略问卷(ERQ)收集数据。结果:冠状焦虑、认知情绪调节和痛苦耐受性对夫妻家庭暴力有显著预测作用。在这些变量中,认知情绪调节是家庭暴力最合适的预测因子。研究还发现,冠状焦虑与家庭暴力之间存在显著正相关(相关系数为0.051,P = 0.001)。认知情绪调节与家庭暴力呈负相关(-0.45),痛苦容忍与家庭暴力呈负相关(-0/38;P = 0.001)。结论:研究结果强调了解决冠状焦虑、情绪调节和痛苦容忍对减轻夫妻家庭暴力的重要性。管理这些因素有助于减少夫妻家庭暴力的发生。
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引用次数: 0
Attitudes Toward Marijuana Use Among Public University Students in Tehran 德黑兰公立大学学生对吸食大麻的态度
Q4 Medicine Pub Date : 2023-12-07 DOI: 10.5812/ijhrba-139679
Sina Sadat Dolatshahi, Akram Nezhadi, Jahangir Jahangiri, B. Dolatshahi
Background: Substance use is a global mental health issue and a significant challenge in many countries. As reported by the United Nations, marijuana had the highest production, trafficking, and consumption rates in 2022. Attitudes play a crucial role in influencing substance use, including marijuana. Examining attitudes can help predict individuals’ readiness for consumption, and established attitudes can shape their behavior. Objectives: This study aimed to investigate the prevalence of lifetime marijuana use and attitudes regarding perceived harms, benefits, addictiveness, and reasons for use among students from Tehran universities. Additionally, it seeks to explore gender differences in these attitudes. Methods: This cross-sectional survey was conducted between June 2021 and January 2022 among 538 students from Tehran universities, comprising 44% men and 55.6% women. The sample size of 538 individuals was selected using convenience sampling. Lifetime marijuana use was self-reported, and attitudes were assessed using a validated marijuana attitude questionnaire rated on a 4-point Likert scale. Gender differences were analyzed using descriptive statistics and chi-square tests. Results: Overall, 17.5% of participants reported lifetime marijuana use, with a significantly higher prevalence among males (25%) compared to females (10.37%; P < 0.05). Most students (86%) considered marijuana to be addictive, especially females (92%) compared to males (78%) (χ2 = 17.6; P < 0.05). A larger proportion of females (74%) than males (58%) believed that marijuana was difficult to control (χ2 = 10.08; P < 0.05). While 93.5% acknowledged the existence of side effects, more males (39%) perceived benefits from marijuana use compared to females (28%; P < 0.05). The reported benefits included feelings of happiness (53%), stress and anxiety reduction (50%), and improved concentration (38%). Conclusions: The study revealed that both female and male students perceived marijuana use as equally harmful. However, female students exhibited a more negative attitude toward marijuana use compared to their male counterparts. Specifically, female students considered marijuana to be more addictive (92% vs 78% in males; χ2 = 17.6; P = .001) and harder to control (74% vs 58% in males; χ2 = 10.08; P = .001) than male students. This more negative attitude among female students regarding marijuana’s addictiveness, side effects, and controllability corresponded to lower actual usage rates (10.37% vs 25% in males), suggesting that their negative attitudes may act as a deterrent. It seems the existence of a more negative attitude toward marijuana in females makes them less inclined to use it, potentially having a protective role. Conversely, male students reported higher usage rates alongside a more positive attitude toward marijuana.
背景:药物使用是一个全球性的精神卫生问题,也是许多国家面临的重大挑战。据联合国报道,2022年大麻的产量、贩运率和消费率最高。态度在影响包括大麻在内的物质使用方面起着至关重要的作用。调查态度可以帮助预测个人的消费准备,而既定的态度可以塑造他们的行为。目的:本研究旨在调查德黑兰大学学生终身使用大麻的流行程度,以及他们对大麻的危害、益处、成瘾性和使用原因的态度。此外,它还试图探索这些态度的性别差异。方法:这项横断面调查于2021年6月至2022年1月在德黑兰大学的538名学生中进行,其中44%为男性,55.6%为女性。采用方便抽样法,样本量为538人。终生大麻使用情况是自我报告的,态度是用一个有效的大麻态度问卷评估的4分李克特量表。性别差异分析采用描述性统计和卡方检验。结果:总体而言,17.5%的参与者报告终生使用大麻,男性(25%)的患病率明显高于女性(10.37%;P < 0.05)。大多数学生(86%)认为大麻会上瘾,尤其是女性(92%)和男性(78%)(χ2 = 17.6;P < 0.05)。认为大麻难以控制的女性比例(74%)高于男性(58%)(χ2 = 10.08;P < 0.05)。虽然93.5%的人承认存在副作用,但更多的男性(39%)认为使用大麻有好处,而女性(28%;P < 0.05)。报告的好处包括幸福感(53%),压力和焦虑减轻(50%),注意力集中(38%)。结论:研究表明,女性和男性学生都认为使用大麻的危害是一样的。然而,与男生相比,女生对吸食大麻的态度更为消极。具体来说,女生认为大麻更容易上瘾(92% vs男性78%;χ2 = 17.6;P = .001)且更难控制(74% vs 58%;χ2 = 10.08;P = .001)。女生对大麻的成瘾性、副作用和可控性的消极态度与较低的实际使用率相对应(10.37% vs 25%),这表明她们的消极态度可能起到了威慑作用。女性对大麻的消极态度似乎使她们更不倾向于使用大麻,这可能起到保护作用。相反,男性学生的使用率更高,对大麻的态度也更积极。
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引用次数: 0
Effectiveness of Transdiagnostic Therapy Based on the Research Domain Criteria Framework Compared with Treatment as Usual and Transcranial Direct Current Stimulation for Adult Nonsuicidal Self-injury: A Randomized Controlled Trial 基于研究领域标准框架的跨诊断疗法与常规治疗和经颅直流电刺激治疗成人非自杀性自伤的效果比较:随机对照试验
Q4 Medicine Pub Date : 2023-12-05 DOI: 10.5812/ijhrba-140120
Hossein Farrokhi, I. Bigdeli, A. Mashhadi, Seyed Ruhollah Hosseini
Background: Nonsuicidal self-injury (NSSI) is a serious and prevalent problem among the adult population. Despite its significant issue in clinical settings, there is a lack of effective, evidence-based, and affordable treatment options for NSSI. Objectives: This study aimed to compare the efficacies of transdiagnostic therapy based on the Research Domain Criteria framework (TTB-RDoC) with treatment as usual (TAU) and transcranial direct current stimulation (tDCS) in the treatment of adult NSSI. Methods: A total of 68 males aged 18-30 years diagnosed with NSSI participated in this randomized controlled trial (RCT). Participants were randomly assigned to 3 groups: TTB-RDoC (n = 24), TAU (n = 22), and tDCS (n = 22). Nonsuicidal self-injury and transdiagnostic symptoms were assessed at baseline, post-treatment, and during a 12-month follow-up. Results: Both TAU and TTB-RDoC treatments resulted in significantly lower ratings across all measures compared to tDCS at post-treatment (all P values < 0.001). TAU and TTB-RDoC showed significantly greater reductions in NSSI (P = 0.001 [post-treatment]; P = 0.001 [follow-up]) compared to tDCS. Conclusions: TTB-RDoC treatment may be an effective strategy to improve long-term treatment outcomes in adult NSSI.
背景:非自杀性自伤(NSSI)是成年人中一个严重而普遍的问题。尽管在临床环境中存在重大问题,但缺乏有效的、循证的、负担得起的自伤治疗方案。目的:本研究旨在比较基于研究领域标准框架(TTB-RDoC)的诊断治疗与常规治疗(TAU)和经颅直流电刺激(tDCS)治疗成人自伤的疗效。方法:随机对照试验(RCT)共68例男性,年龄18-30岁,诊断为自伤。参与者随机分为3组:TTB-RDoC (n = 24), TAU (n = 22)和tDCS (n = 22)。在基线、治疗后和12个月的随访期间评估非自杀性自伤和跨诊断症状。结果:与tDCS治疗后相比,TAU和TTB-RDoC治疗导致所有测量的评分显著降低(所有P值< 0.001)。TAU和TTB-RDoC治疗后自伤发生率显著降低(P = 0.001);P = 0.001[随访])。结论:TTB-RDoC治疗可能是改善成人自伤长期治疗效果的有效策略。
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引用次数: 0
Prediction of Social Media Addiction Among Female Adolescents Based on Parent-Adolescent Conflict and Parental Psychological Control 基于亲子冲突和父母心理控制的女性青少年社交媒体成瘾预测
Q4 Medicine Pub Date : 2023-10-12 DOI: 10.5812/ijhrba-134279
Elham Khodarahmi, Abbas Amanelahi, Zabihollah Abaspour
Background: Conflictual parent-adolescent interactions and parental psychological control to limit adolescents’ activities make them avoid their parents and then try to fill this emotional gap in other settings such as social media and networks. Objectives: The present study aimed to predict social media addiction among female adolescents based on parent-adolescent conflict and parental psychological control. Materials and Methods: Participants in this study were 412 female adolescents in Ahvaz city, who were divided into two groups: (1) with social media addiction (206 persons); and (2) without social media addiction (206 persons). The participants completed the Social Media Addiction Scale, Parent-Adolescent Conflict Scale, and Psychological Control Scale-Youth Self-Report. The data were analyzed with SPSS 25 software. Results: Discriminant analysis showed that the levels of parent-adolescent conflict (conflict with the father and mother) and parental psychological control were significantly different between the two groups of adolescents (i.e., with and without social media addiction). Furthermore, parent-adolescent conflict and parental psychological control, either alone or together, could predict social media addiction among adolescents. Conclusions: Conflict between parents and adolescents and parental psychological control can gradually push adolescents toward addiction to social media. Accordingly, it is important to pay attention to parent-adolescent conflict and parental psychological control in order to prevent social media addiction among adolescents.
背景:冲突的亲子互动和父母限制青少年活动的心理控制使他们回避父母,然后试图在社交媒体和网络等其他环境中填补这种情感缺口。目的:基于亲子冲突和父母心理控制对女性青少年社交媒体成瘾的预测。材料与方法:本研究以阿瓦士市412名女性青少年为研究对象,将其分为两组:(1)社交媒体成瘾组(206人);(2)无社交媒体成瘾(206人)。参与者完成了社交媒体成瘾量表、亲子冲突量表和心理控制量表-青少年自我报告。采用SPSS 25软件对数据进行分析。结果:判别分析显示,两组青少年(即有和没有社交媒体成瘾)的亲子冲突(与父母的冲突)和父母心理控制水平存在显著差异。此外,亲子冲突和父母心理控制,无论是单独的还是共同的,都可以预测青少年的社交媒体成瘾。结论:父母与青少年的冲突和父母的心理控制可以逐渐推动青少年对社交媒体的依赖。因此,重视亲子冲突和家长心理控制是预防青少年社交媒体成瘾的重要途径。
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引用次数: 0
The Mediating Role of Anxiety in the Relationship Between Mothers’ Cognitive Avoidance and Adolescents’ Digital Game Addiction 焦虑在母亲认知回避与青少年数字游戏成瘾关系中的中介作用
Q4 Medicine Pub Date : 2023-10-02 DOI: 10.5812/ijhrba-136246
Hellema Jahantigh, Sana Nourimoghadam
Background: Adolescents are vulnerable to addictive behaviors such as digital game addiction, and mothers’ cognitive avoidance can play a key role in initiating and intensifying these behaviors. Objectives: The present research tends to review the mediating role of anxiety in the relationship between mothers' cognitive avoidance and adolescents' digital addiction. Materials and Methods: The current research was a correlational-descriptive study. The sample consisted of 199 high school students in the city of Zahedan, along with their mothers between 2020 and 2021, who were selected by a convenience sampling method. Students answered the Digital Addiction Scale for Children (DASC) and the youth anxiety measure for DSM-5 (YAM-5), and their mothers answered the Sexton and Dagas Cognitive Avoidance Questionnaire (CAQ). Data were analyzed using Pearson's correlation coefficient test and path analysis in SPSS and AMOS-24 software. Results: The results of Pearson's correlation test indicated that adolescents’ digital game addiction had a significant positive relationship with the dimensions of mothers' cognitive avoidance and adolescent anxiety (P < 0.001). The results of the path analysis test indicated the positive and significant direct effects of mothers’ cognitive avoidance dimensions, including suppression (P < 0.05, β = 0.19), substitution (P < 0.001, β = 0.29), and avoidance (P < 0.05, β = 0.20), on adolescent anxiety, and the positive and significant indirect effects of suppression (β = 0.04), substitution (β = 0.06), and mothers’ cognitive avoidance (β = 0.04) on digital game addiction. Also, the findings indicated that the direct effects of adolescent anxiety (P < 0.01, β = 0.22) and mothers’ cognitive return attention (P < 0.001, β = 0.34) on children's digital game addiction were positive and significant. In addition, mothers' cognitive avoidance and adolescent anxiety explained 24% of the variance of digital game addiction in adolescents. Conclusions: The findings of the present study are consistent with the hypothesis of the importance of family factors in adolescents’ digital game addiction. Conducting such research can provide important practical approaches concerning prevention and intervention by providing essential information on the role of individual and family factors in the occurrence of digital addiction.
背景:青少年容易产生电子游戏成瘾等成瘾行为,而母亲的认知回避在引发和强化这些行为中起着关键作用。目的:本研究旨在探讨焦虑在母亲认知回避与青少年数字成瘾关系中的中介作用。材料与方法:本研究为相关描述性研究。该样本由2020年至2021年期间扎黑丹市199名高中生及其母亲组成,他们是通过方便抽样方法选出的。学生填写儿童数字成瘾量表(DASC)和DSM-5青少年焦虑量表(YAM-5),母亲填写Sexton and Dagas认知回避问卷(CAQ)。采用SPSS和AMOS-24软件进行Pearson相关系数检验和通径分析。结果:Pearson相关检验结果显示,青少年数字游戏成瘾与母亲认知回避、青少年焦虑维度呈显著正相关(P <0.001)。通径分析结果表明,母亲的认知回避维度,包括抑制(P <0.05, β = 0.19),替代(P <0.001, β = 0.29)和回避(P <抑制(β = 0.04)、替代(β = 0.06)和母亲认知回避(β = 0.04)对数字游戏成瘾的间接正向影响显著。此外,研究结果表明,青少年焦虑的直接影响(P <0.01, β = 0.22)与母亲认知回归注意(P <0.001, β = 0.34)对儿童数字游戏成瘾呈显著正相关。此外,母亲的认知回避和青少年焦虑解释了24%的青少年数字游戏成瘾差异。结论:本研究结果与家庭因素在青少年数字游戏成瘾中的重要作用假设相一致。通过提供关于个人和家庭因素在数字成瘾发生中的作用的基本信息,开展此类研究可以为预防和干预提供重要的实用方法。
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引用次数: 0
Heart Status Regarding Opium and Psychotropics Use in Corpses Referred to Birjand Legal Medicine Center from 2011 to 2018 2011 - 2018年河北省法医学中心转诊尸体使用鸦片和精神药物的心脏状况
Q4 Medicine Pub Date : 2023-09-28 DOI: 10.5812/ijhrba-134578
Ali Hosseininejad-Mohebati, Toba Kazemi, Marjan Farzad, Mostafa Jafarzadeh, Seyed Ali Moezi Bady, Nahid Azdaki, Saeede Khosravi Bizhaem
Background: Coronary artery disease has recently increased from 20 to 45%. Previous studies emphasize a wide range of risk factors for coronary atherosclerosis. The role of inflammatory factors has been proven in the development of coronary artery atherosclerosis. Drugs are effective in coronary artery atherosclerosis by stimulating inflammatory factors. Objectives: This study evaluated the heart status regarding the history of drug and psychotropics use in corpses referred to Birjand Legal Medicine Center from 2011 to 2018. Materiald and Methods: In this case-control study, corpses referred to forensic medicine with a history of substance abuse (case group) and no history of substance abuse (control group) were selected. The data included pathological and toxicological autopsy results. Data analysis was performed using Mann-Whitney and chi-square tests and Spearman correlation coefficient. Results: Of 193 corpses, 126 were in the case group and 67 in the control group. The mean age was 41.82 ± 16.84. The Mann-Whitney test showed that heart weight was significantly higher in cases than in controls (P = 0.018). Mean heart dimensions in the case and control groups were 13 × 10 × 7 and 13 × 9 × 6, respectively, with a significant difference in one dimension (P = 0.014). Coronary artery stenosis results showed mean RC = 52.49, LC = 55.97, CX = 61.84, and LAD = 69.90. There was no significant positive correlation between drug abuse and atherosclerosis (r = 0.119, P = 0.09). Also, a higher prevalence of atherosclerosis was seen in males. Conclusions: Drug use can be a risk factor for cardiovascular diseases in people with substance abuse by changing the physical characteristics of the heart. Further studies must investigate the effect of drug use on coronary artery disease development and the factors intensifying these effects.
背景:冠状动脉疾病最近从20%增加到45%。先前的研究强调了冠状动脉粥样硬化的多种危险因素。炎症因子在冠状动脉粥样硬化发生中的作用已被证实。药物通过刺激炎症因子对冠状动脉粥样硬化有效。目的:本研究评估2011 - 2018年Birjand法医学中心转诊的尸体药物和精神药物使用史的心脏状况。材料与方法:本病例-对照研究选择有药物滥用史的法医尸体(病例组)和无药物滥用史的尸体(对照组)。数据包括病理和毒理学尸检结果。采用Mann-Whitney检验、卡方检验和Spearman相关系数进行数据分析。结果:193具尸体中,病例组126具,对照组67具。平均年龄41.82±16.84岁。Mann-Whitney检验显示,患者的心脏重量明显高于对照组(P = 0.018)。病例组和对照组的平均心脏尺寸分别为13 × 10 × 7和13 × 9 × 6,其中一个尺寸差异有统计学意义(P = 0.014)。冠状动脉狭窄平均RC = 52.49, LC = 55.97, CX = 61.84, LAD = 69.90。药物滥用与动脉粥样硬化无显著正相关(r = 0.119, P = 0.09)。此外,男性患动脉粥样硬化的比例更高。结论:药物使用可以改变心脏的生理特征,从而成为药物滥用者患心血管疾病的一个危险因素。进一步的研究必须调查药物使用对冠状动脉疾病发展的影响以及加强这些影响的因素。
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引用次数: 0
The Impacts of Coronavirus Disease 2019 on Pediatric Dentistry Services and Oral Health Status of the Pediatric Population: A Narrative Review 2019冠状病毒病对儿科牙科服务和儿科人群口腔健康状况的影响:一项叙述性综述
Q4 Medicine Pub Date : 2023-09-25 DOI: 10.5812/ijhrba-134106
Nahid Ramazani, Saeede Ebrahimiyan Baghan
Context: The routine implemented by coronavirus disease 2019 (COVID-19) on people’s lives has had several consequences. Children have also been involved in this crisis. Concerning pediatric oral health, dental workers also reduced working load and postponed treatments. Therefore, the present review aimed to assess related articles and discuss the impacts of COVID-19 on pediatric dentistry and pediatric oral health status. Methods: Electronic search was performed using the following keywords: “Coronavirus, COVID-19, Dental Care for Children, Dental Health Services, Pandemics, and Pediatric Dentistry.” Web of Science, PubMed, MEDLINE, EMBASE, Cochran Library, Scopus, Google Scholar, and Google databases were searched from the beginning of the emergence of the COVID-19 pandemic. After a preliminary search, 156 articles were retrieved, finally reduced to 13. Both reviewers carried out screening and selection of articles independently. Results: Based on the scientific articles (n = 13) included in our study, pediatric dentistry was severely impacted during the outbreak. Some factors included quarantine, reduced professional workload, fear of COVID-19 in families, the possibility of carrying the virus by children, accompanying children to the clinic by adults, and the impossibility of tolerance by the children to perform strict personal protective protocols and altered intake habits during the pandemic. Moreover, dental professionals can prevent the further spread of COVID-19 by adhering to guidelines, including conducting primary triage, keeping the office not overcrowded, regular disinfection, and distance education. Conclusions: Policymakers must find a biosafety solution for vulnerable pediatric populations. Telecommunications and distance education are the solutions for promoting oral health during this period.
背景:2019冠状病毒病(COVID-19)对人们生活实施的常规产生了几个后果。儿童也卷入了这场危机。在儿童口腔健康方面,牙科工作者也减少了工作量,推迟了治疗。因此,本综述旨在评估相关文献,探讨COVID-19对儿童牙科和儿童口腔健康状况的影响。方法:使用以下关键词进行电子检索:“冠状病毒、COVID-19、儿童牙科保健、牙科保健服务、流行病和儿科牙科”。Web of Science、PubMed、MEDLINE、EMBASE、Cochran Library、Scopus、Google Scholar和Google数据库从COVID-19大流行出现之初开始进行检索。经过初步检索,检索到156篇文章,最终减少到13篇。两位审稿人独立进行了文章的筛选和选择。结果:根据纳入我们研究的科学文章(n = 13),儿童牙科在疫情期间受到严重影响。一些因素包括隔离、专业工作量减少、家庭对COVID-19的恐惧、儿童携带病毒的可能性、成人陪同儿童前往诊所,以及儿童无法容忍在大流行期间执行严格的个人防护方案和改变饮食习惯。此外,牙科专业人员可以通过遵守指导方针来防止COVID-19的进一步传播,包括进行初级分类,保持办公室不过度拥挤,定期消毒和远程教育。结论:决策者必须为弱势儿童群体找到生物安全解决方案。电信和远程教育是促进这一时期口腔健康的解决方案。
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引用次数: 0
Specific and Common Effects of Parenting Styles and Bullying on Internet Addiction 父母教养方式和欺凌对网络成瘾的特殊和共同影响
Q4 Medicine Pub Date : 2023-09-07 DOI: 10.5812/ijhrba-135000
Kolsom Siavashnasab, Mohammadreza Firouzi, Ghader Zadehbagheri
Background: Students' excessive and inappropriate use of the internet and related technologies is a severe problem in Iranian society. Extensive evidence demonstrates that parenting styles and bullying increase the risk of internet addiction in teenagers. However, more research is required to improve the existing knowledge about the impact of parenting styles and bullying on students' internet addiction. Objectives: This study aimed to investigate specific and common effects of parenting styles and bullying on female high-school students' internet addiction Methods: This was a descriptive-correlational study. The population comprised all female high-school students in Yasouj (Iran) in the academic year 2020-21, of whom 357 were selected by convenience sampling. The data collection instruments, distributed online, included Young Internet Addiction Questionnaire, Baumrind's Parenting Styles and Dimensions Questionnaire, and the Illinois Bully Scale. The data were analyzed by the analysis of variance based on structural equation modeling. Results: The explained variance (R2) of internet addiction for the specific effect of parenting style and bullying was 0.12 and 0.20, respectively. Moreover, the explained variance (R2) of internet addiction for the common effect of bullying and parenting style was 0.25. Conclusions: The results emphasize the importance of the specific and common effects of parenting styles and bullying on internet addiction. Therefore, programs should be developed to prevent internet addiction and other familial and social harms.
背景:学生过度及不当使用网路及相关科技,是伊朗社会的严重问题。大量证据表明,父母教养方式和欺凌行为会增加青少年网瘾的风险。然而,关于父母教养方式和欺凌对学生网瘾的影响,还需要更多的研究来完善现有的知识。目的:本研究旨在探讨父母教养方式和霸凌行为对女高中生网络成瘾的特定和共同影响。人口为2020-21学年Yasouj(伊朗)所有女高中生,通过方便抽样抽取357人。数据收集工具包括《青少年网络成瘾问卷》、《鲍姆林德父母教养方式与维度问卷》和《伊利诺伊州霸凌量表》。采用基于结构方程模型的方差分析方法对数据进行分析。结果:网络成瘾对父母教养方式和欺凌具体影响的解释方差(R2)分别为0.12和0.20。此外,网络成瘾对欺凌和父母教养方式共同影响的解释方差(R2)为0.25。结论:研究结果强调了父母教养方式和欺凌对网络成瘾的特殊和共同影响的重要性。因此,应该制定计划来防止网瘾和其他家庭和社会危害。
{"title":"Specific and Common Effects of Parenting Styles and Bullying on Internet Addiction","authors":"Kolsom Siavashnasab, Mohammadreza Firouzi, Ghader Zadehbagheri","doi":"10.5812/ijhrba-135000","DOIUrl":"https://doi.org/10.5812/ijhrba-135000","url":null,"abstract":"Background: Students' excessive and inappropriate use of the internet and related technologies is a severe problem in Iranian society. Extensive evidence demonstrates that parenting styles and bullying increase the risk of internet addiction in teenagers. However, more research is required to improve the existing knowledge about the impact of parenting styles and bullying on students' internet addiction. Objectives: This study aimed to investigate specific and common effects of parenting styles and bullying on female high-school students' internet addiction Methods: This was a descriptive-correlational study. The population comprised all female high-school students in Yasouj (Iran) in the academic year 2020-21, of whom 357 were selected by convenience sampling. The data collection instruments, distributed online, included Young Internet Addiction Questionnaire, Baumrind's Parenting Styles and Dimensions Questionnaire, and the Illinois Bully Scale. The data were analyzed by the analysis of variance based on structural equation modeling. Results: The explained variance (R2) of internet addiction for the specific effect of parenting style and bullying was 0.12 and 0.20, respectively. Moreover, the explained variance (R2) of internet addiction for the common effect of bullying and parenting style was 0.25. Conclusions: The results emphasize the importance of the specific and common effects of parenting styles and bullying on internet addiction. Therefore, programs should be developed to prevent internet addiction and other familial and social harms.","PeriodicalId":53452,"journal":{"name":"International Journal of High Risk Behaviors and Addiction","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79215268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International Journal of High Risk Behaviors and Addiction
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