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Caffeine, Nicotine and Mdma Effects on the Brain Hippocampal Formation of Juvenile Experiential Models 咖啡因、尼古丁和 Mdma 对青少年经验模型大脑海马体形成的影响
Pub Date : 2024-08-09 DOI: 10.9734/indj/2024/v21i5447
Lola Adeola Adelakin, O. Fabiyi, O. Ogunbiyi, Isioma Konyeme, Joshua Oladele Owolabi
Introduction: Chronic exposure of MDMA in humans has been shown to produce negative neuroplastic alterations to the brain's white matter and microvasculature, as well as significant neurodegeneration in the striatal, hippocampal, prefrontal, and occipital serotonergic axon terminals. Adolescent exposure to nicotine damages hippocampus cells, and as a result, damages memory retention. Caffeine suppresses the actions of adenosine which is crucial for energy transfer and sleep promotion as long as it enters the brain, as it crosses the crosses the blood-brain barrier. The hippocampus is critical for the formation of new autobiographical and fact memories, hence, severe damage to the hippocampi in both hemispheres result in profound difficulties in forming new memories. This also affects the memory formed before the damage, resulting in anterograde and retrograde amnesia, respectively. This study compared the effect of Nicotine, MDMA and Caffeine on the hippocampus and memory of juvenile male Wister rats. Materials and Methods: Fifty (n=50) juvenile male Wistar rats (120g) were randomly distributed into 7 groups labeled A-G. Group A served as Control, Group B was administered 30mg/kg Caffeine, Group C was administered 50mg/kg Caffeine, Group D was administered 10mg/kg Nicotine, Group E was administered 20mg/kg Nicotine, Group F was administered 30mg/kg MDMA and Group G was administered 40mg/kg MDMA, for a period of 30 days. Rats were sacrificed after the experiment and their brains were harvested. Their hippocampi were excised and processed for histological, immunohistochemical and biochemical observations. Neurobehavioral studies were done before sacrifice. Analysis was done using Graph Pad Prism 8.0. P-value of ≤0.05 was regarded as significant, and data was expressed as mean ± SEM. Results: MDMA and caffeine caused neuron degeneration at low and high dose. There was no tissue disruption attributable to nicotine. Myelination was preserved generally across the treated groups, except groups F and G. There was general disruption in the dopamine and acetylcholine neurotransmitters levels, except group c, and a significant increase in serotonin neurotransmitters especially, in groups D-G. Conclusion: Caffeine, nicotine and MDMA induced neuronal disruptions of varying degrees in the hippocampus of the brain, and as such caused deleterious effects in the long/short-term memories, as evidenced in the behavioral analyses. The damage was dose dependent.
简介:研究表明,人类长期接触亚甲二氧基甲基苯丙胺会对大脑白质和微血管产生负面的神经可塑性改变,并导致纹状体、海马、前额叶和枕叶血清素能轴突末端发生显著的神经变性。青少年接触尼古丁会损害海马细胞,从而损害记忆的保持。咖啡因会抑制腺苷的作用,而腺苷对能量传递和促进睡眠至关重要,只要它进入大脑,就会穿过血脑屏障。海马体对新的自传体记忆和事实记忆的形成至关重要,因此,两个半球的海马体严重受损会导致新记忆的形成出现严重困难。这也会影响受损前形成的记忆,分别导致逆行性遗忘和顺行性遗忘。本研究比较了尼古丁、摇头丸和咖啡因对幼年雄性威斯特大鼠海马和记忆的影响。材料与方法将 50 只(n=50)幼年雄性 Wistar 大鼠(120 克)随机分为 7 组,标记为 A-G。A 组为对照组,B 组施用 30 毫克/千克咖啡因,C 组施用 50 毫克/千克咖啡因,D 组施用 10 毫克/千克尼古丁,E 组施用 20 毫克/千克尼古丁,F 组施用 30 毫克/千克摇头丸,G 组施用 40 毫克/千克摇头丸,为期 30 天。实验结束后,大鼠被处死,大脑被采集。切除大鼠的海马,并对其进行组织学、免疫组化和生化观察。神经行为研究在大鼠牺牲前完成。使用 Graph Pad Prism 8.0 进行分析。P值≤0.05为差异有显著性,数据以平均值±SEM表示。结果亚甲二氧基甲基苯丙胺和咖啡因在低剂量和高剂量下都会导致神经元退化。尼古丁不会造成组织破坏。除 c 组外,多巴胺和乙酰胆碱神经递质的水平普遍受到破坏,而 D-G 组的血清素神经递质则显著增加。结论行为分析表明,咖啡因、尼古丁和亚甲二氧基甲基苯丙胺会不同程度地破坏大脑海马体的神经元,从而对长/短期记忆产生有害影响。这种损害与剂量有关。
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引用次数: 0
Barriers and Attitudes towards Mental Health Services in Nigeria: A Systematic Review 尼日利亚对心理健康服务的障碍和态度:系统回顾
Pub Date : 2024-07-15 DOI: 10.9734/indj/2024/v21i5445
Ofor Casimir Chijioke, Ofonakara Uzochukwu, Ohanme Eugene Ohams, Nwakelu Benjamin Nwaforcha
Mental health services in Nigeria consists mainly of large government psychiatric hospitals. There are eight Neuropsychiatric hospitals and a similar number of teaching hospital psychiatric departments for a population of 200 million people. There is only one private community residential facility available with ten beds in Lagos State and it is administered by a religious organization for rehabilitation of persons with drug problems.In Nigeria, an estimated 20-30%of the population are believed to suffer from mental disorders.MEDLINE EntrezPubmed search was done in November, 2018. Studies conducted on mental health and mental health services in Nigeria done from 2009 till date were selected for review. The studies were grouped into two categories according to the key words used in the search. Category 1: Keywords used in the search: mental health,Nigeria.This search yielded a total of one thousand and fifty (1,051) publications. Category 2: Keywords used in the search: mental health services,Nigeria. Lack of incentives for health care workers and inadequate workforce were identified as some of the barriers against the use of mental health services in Nigeria. Other major barriers identified were- poor education, ignorance, and stigmatization. Absence of services in rural communities, waiting time at the facilities, bureaucracy in treatment and poor information management, high cost of service, travel distance, feelings of shame and loss of productive income were the barriers identified in some other studies conducted in Nigeria.
尼日利亚的精神卫生服务主要由大型政府精神病医院组成。2 亿人口中有 8 家神经精神病医院和类似数量的教学医院精神科。在尼日利亚,估计有 20%-30% 的人口被认为患有精神障碍。MEDLINE EntrezPubmed 搜索于 2018 年 11 月完成。选取了 2009 年至今在尼日利亚进行的有关精神健康和精神健康服务的研究进行综述。根据搜索中使用的关键词,这些研究被分为两类。第 1 类:搜索中使用的关键词:心理健康、尼日利亚。该搜索共产生了一千零五十(1,051)篇出版物。第 2 类:搜索关键词:心理健康服务,尼日利亚。在尼日利亚,缺乏对医护人员的激励和劳动力不足被认为是妨碍使用心理健康服务的一些障碍。其他主要障碍包括:教育水平低、无知和污名化。在尼日利亚进行的其他一些研究也发现了一些障碍,如农村社区缺乏服务、在设施中等待的时间、治疗过程中的官僚主义和信息管理不善、服务费用高、路途遥远、羞耻感和生产性收入的损失等。
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引用次数: 0
Pathological Grief in Geriatric Age Group Affected by COVID-19 Deaths: A Community-Based Study 受 COVID-19 死亡影响的老年群体的病理性悲伤:基于社区的研究
Pub Date : 2024-07-10 DOI: 10.9734/indj/2024/v21i5444
Sujith Babu Kallan, S. Bondade, Lalitha D Hiremath, Rama Krishna V M, Murali Thyloth, P. C. Goutham, S. Nandhana
Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise in prevalence of prolonged grief disorder (PGD) cases. Nevertheless, no research has looked at the PGD incidence among older Indians who have lost a loved one to COVID-19. The aim this research is to determine the prevalence of PGD and the demographics of older people who have experienced COVID-19-related bereavement. Methods: This is a cross-sectional study and house to house survey was conducted between August 2022 and August 2023. Forty geriatric adults aged above 60 years, who consented to participate were assessed for PGD. Demographic details and loss-related information were collected. Self-reported prolonged grief symptoms were measured using Pandemic Grief Scale (PGS) and Traumatic Grief Inventory Self Report (TGI-SR). Anxiety and depression were measured using Hamilton Rating Scale for Anxiety (HAM-A) and Hamilton Rating Scale for Depression (HAM-D). Multiple linear regression analysis was used to determine the associated factors of grief symptoms. Results: Our study indicates that individuals who experienced loss due to COVID-19 exhibited higher levels of grief. Most of the participants were females (65%). Prevalence of PGD was 10% by TGI-SR. HAM-A scores (14.28 +/- 1.42) were higher than HAM-D scores (12.02 +/- 1.58).   Conclusion: It is essential to counsel families early and offer supportive services to prevent pathological grief associated with COVID-19 deaths.
背景:研究人员担心,与 COVID-19 相关的死亡情况将导致长期悲伤障碍 (PGD) 病例的增加。然而,目前还没有研究对因 COVID-19 而失去亲人的印度老年人的 PGD 发病率进行调查。这项研究的目的是确定 PGD 的发病率以及经历过 COVID-19 相关丧亲之痛的老年人的人口统计学特征。研究方法这是一项横断面研究,在 2022 年 8 月至 2023 年 8 月期间进行了逐户调查。对同意参与的 40 名 60 岁以上的老年成年人进行了 PGD 评估。研究人员收集了详细的人口统计学资料和与失去亲人有关的信息。采用大流行性悲伤量表(PGS)和创伤性悲伤量表自我报告(TGI-SR)测量自我报告的长期悲伤症状。焦虑和抑郁的测量采用汉密尔顿焦虑评定量表(HAM-A)和汉密尔顿抑郁评定量表(HAM-D)。采用多元线性回归分析确定悲伤症状的相关因素。研究结果我们的研究表明,因 COVID-19 而失去亲人的人表现出较高程度的悲伤。大多数参与者为女性(65%)。根据 TGI-SR 分析,PGD 患病率为 10%。HAM-A 评分(14.28 +/- 1.42)高于 HAM-D 评分(12.02 +/- 1.58)。 结论必须及早向家属提供咨询和支持性服务,以预防与 COVID-19 死亡相关的病态悲伤。
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引用次数: 0
The Main Risks of Fetal Alcohol Syndrome: An Integrative Review 胎儿酒精综合症的主要风险:综合评论
Pub Date : 2024-06-08 DOI: 10.9734/indj/2024/v21i4443
Gilmar Dantas De Souza Filho, Henrique Almeida Assis Costa, Danielle Araújo Borsari, Erasmo Carlos Braulino, Plínio Regino Magalhães, Pericles Cristiano Batista Flores, Solange Aparecida Caetano, Elaine Aparecida Leoni, Thaisa Silva de Sousa, Marco Aurélio Aparecido Lucio
The consumption of alcoholic beverages by pregnant women poses a significant risk of harming the fetus, leading to permanent and irreversible physical, cognitive, and behavioral alterations. It can manifest as Fetal Alcohol Syndrome or Fetal Alcohol Effect, impair fetal development, and cause delays in labor. Identifying the consequences of maternal alcoholism on the fetus and newborn is crucial due to the toxic effects of ethanol and alcohol exposure biomarkers. This study presents an integrative literature review. Scientific articles available from 2009 to 2020 were searched and analyzed. According to the studies reviewed, alcohol consumption has increased over the years, particularly among women, especially adolescents, often as a result of life dissatisfaction. The research highlights the significant health risks associated with early alcohol consumption for both pregnant women and fetuses. Prevention of alcohol use is the most effective method to address this issue. These findings underscore the importance of healthcare professionals in implementing actions that support both users of the healthcare system and health promotion efforts.
孕妇饮用酒精饮料会对胎儿造成严重危害,导致永久性、不可逆转的身体、认知和行为改变。它可能表现为胎儿酒精综合症或胎儿酒精效应,损害胎儿发育并导致分娩延迟。由于乙醇和酒精暴露生物标志物的毒性作用,确定母体酗酒对胎儿和新生儿的影响至关重要。本研究对相关文献进行了综述。研究人员搜索并分析了 2009 年至 2020 年间发表的科学文章。根据所回顾的研究,近年来,酒精消费量有所增加,尤其是女性,特别是青少年,这通常是由于对生活不满意造成的。研究强调了过早饮酒对孕妇和胎儿健康的重大风险。预防饮酒是解决这一问题的最有效方法。这些研究结果强调了医疗保健专业人员在实施支持医疗保健系统用户和健康促进工作的行动方面的重要性。
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引用次数: 0
The Indiscriminate Use of Pesticides could Increase the Prevalence of Alzheimer's Disease? A Systematic Review 滥用杀虫剂会增加阿尔茨海默病的患病率吗?系统回顾
Pub Date : 2024-05-15 DOI: 10.9734/indj/2024/v21i4441
Kaynara Trevisan, Renata Cristina-Pereira, Breno Régis Santos, Paulo Eduardo Mendonça, Heberson Teixeira da Silva, Maria Tereza Gonçalves-Mendes, T. Aversi-Ferreira
Aims: This review aims to perform an extensive literature search about the pesticides problems and to associate with AD in qualitative analysis, mainly.Place and Duration of Study: Biomathematics Laboratory, Institute of Biomedical Sciences, Federal University of Alfenas, Alfenas, Brazil. Entre outubro de 2023 a abril de 2024.Methodology: For the purpose of this systematic review, articles from 2014 onwards with the descriptors Alzheimer's disease and pesticides; neurodegenerative diseases and pesticides, were sought. Among these, articles considered most pertinent to the objective of the present review were utilized, i.e., those whose subject matter was associated with the effects of pesticides, especially glyphosate, on dementias, particularly Alzheimer’s disease (AD).Results: After analyzed 35,590 articles, and applying exclusion criteria to journals with an impact factor equal to or lower than 4 and including topics most relevant to the objectives of this work, 35,526 articles were excluded, resulting in 64 remaining articles, of which 40 were qualitative in scope and 24 were quantitative. The articles considered most suitable for the objective of the present review were utilized, i.e., those whose topic was associated with the effects of pesticides, especially glyphosate, on dementia. The criteria for scrutinizing articles included a journal impact factor equal to or greater than 4 and the removal of duplicate articles using the freely accessible EndNote program from Web of Science. Articles and books on history and those outside the scope of the pesticide/AD relationship did not follow the criterion of having an impact factor equal to or greater than 4.Conclusion: There appears to be a relationship between the increase in pesticide use, particularly Glyphosate, and the rise in Alzheimer's disease prevalence.
目的:本综述旨在对农药问题进行广泛的文献检索,并在定性分析中将其与反式脂肪酸联系起来:巴西阿尔费纳斯联邦大学生物医学科学研究所生物数学实验室。研究时间:2023 年 12 月至 2024 年 4 月:为了进行此次系统性综述,我们搜索了 2014 年以来以阿尔茨海默病和杀虫剂、神经退行性疾病和杀虫剂为关键词的文章。在这些文章中,利用了被认为与本综述目标最相关的文章,即那些主题与农药,尤其是草甘膦对痴呆症,特别是阿尔茨海默病(AD)的影响相关的文章:分析了 35,590 篇文章,并对影响因子等于或低于 4 的期刊采用了排除标准,其中包括与本研究目标最相关的主题,因此排除了 35,526 篇文章,剩下 64 篇文章,其中 40 篇属于定性范围,24 篇属于定量范围。我们采用了被认为最适合本综述目标的文章,即那些主题与杀虫剂(尤其是草甘膦)对痴呆症的影响相关的文章。审查文章的标准包括:期刊影响因子等于或大于 4,并使用可免费访问的 Web of Science EndNote 程序删除重复文章。关于历史的文章和书籍,以及农药/AD 关系范围之外的文章和书籍没有遵循影响因子等于或大于 4 的标准:结论:杀虫剂(尤其是草甘膦)使用量的增加与阿尔茨海默病发病率的上升之间似乎存在某种关系。
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引用次数: 0
Study of the Relation between Aging and Pesticides: A Review 老龄化与杀虫剂之间关系的研究:综述
Pub Date : 2024-05-13 DOI: 10.9734/indj/2024/v21i4440
Renata Cristina-Pereira, Anna Luiza de Araújo Ribeiro, Anna Cláudia Ferreira Nunes, Luca Casale Guereschi, Maria Amália Garcia da Silveira Araújo, Maria Tereza Gonçalves-Mendes, Kaynara Trevisan, H. T. Silva, T. Aversi-Ferreira
Aims: The main aim of this study was to use specific data from the literature on ageing, correlating this with the pesticide contamination, in order to understand the relationship with an increasingly ageing population.Study Design: A systematic review was performed.Place and Duration of Study: Laboratory of Biomathematics of the Federal University of Alfenas, Minas Gerais State, Brazil, between April 2023 and August 2023.Methodology: A systematic search of articles was performed using the CAPES Periodic platform, a searcher from the Education Ministry of Brazil that contains Web of Science, Scopus, MedLine, from August 2020 to May 2023. For this review, the subject’s “aging theory”; “neuroscience and pathologies to aging”; “aging and aging-associated changes”; “pesticides and pesticide toxicity”; “pesticide toxicity and neurotoxicity”; “longevity and healthy aging”; “aging human and pesticides” were searched together using the type of material “articles” in English language. Some articles about “population growth”; “world population”; “population-aging” were used for epistemological composition of this work content subjects.Results: From the 19.720 articles after the exclusion and the inclusion criteria made with the subjects most pertinent to the objectives of this work; 19.570 articles were excluded, remaining 150 ones, of which 116 were qualitative in scope and 34 quantitative.Conclusion: The complex relationship between the pesticide contamination and the condition of the exposed individual may be associated with premature ageing and a greater susceptibility to debilitating age-related diseases. Although technology is increasingly improved in its innovations, health and environmental regulations have not been able to rid the production processes of their potential to pollute the environment and cause health problems for those exposed to them.
研究目的:本研究的主要目的是利用文献中有关老龄化的具体数据,将其与杀虫剂污染联系起来,以了解与日益老龄化的人口之间的关系:研究地点和时间:研究地点和时间:巴西米纳斯吉拉斯州阿尔费纳斯联邦大学生物数学实验室,2023 年 4 月至 2023 年 8 月:2020年8月至2023年5月期间,利用巴西教育部的CAPES Periodic平台(包含Web of Science、Scopus和MedLine)对文章进行了系统检索。在本综述中,"衰老理论"、"神经科学与衰老病理"、"衰老与衰老相关变化"、"农药与农药毒性"、"农药毒性与神经毒性"、"长寿与健康衰老"、"衰老的人类与农药 "等主题均使用英文资料类型 "文章 "进行检索。一些关于 "人口增长"、"世界人口"、"人口老龄化 "的文章被用于本研究内容主题的认识论构成:结果:从 19 720 篇文章中,根据与本研究目标最相关的主题制定了排除和纳入标准,排除了 19 570 篇文章,剩下 150 篇,其中 116 篇属于定性范围,34 篇属于定量范围:农药污染与接触者的状况之间的复杂关系可能与过早衰老和更易患衰弱性老年疾病有关。尽管技术革新日新月异,但健康和环境法规仍无法使生产过程摆脱污染环境的可能性,也无法使接触者摆脱健康问题。
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引用次数: 0
Negative Implications of Drug and Substance use on Mental Health 使用毒品和药物对心理健康的负面影响
Pub Date : 2024-05-11 DOI: 10.9734/indj/2024/v21i4439
Okoye, Nelyn Akunna, Udeji, Rosemary Nneka, Ordu, Charles Nkesi, Aneke, Emeka John, Offor, Chinazor Cordelia, Asanya, Chinyere Ada
Mental health refers to a person's emotional, psychological, and social well-being, which encompasses aspects such as thoughts, feelings, behaviors, and the ability to cope with life's challenges. Several factors including drug abuse have been recognized to cause mental health disorders; hence, the urgent need to globally address these factors. Drug abuse emerges as a complex public health issue, involving the misuse of legal and illegal drugs, with consequences extending beyond individual health. The relationship between mental health and drug abuse intensifies challenges, as drug misuse contributes to the development or worsening of mental health disorders. This review examined biological, psychological, and social determinants, and advocate for a standardized approach to address the complex issue of drug abuse. Various electronic databases, such as PubMed, Scopus, Web of Science, Medline, and others, were used to access resources, in which thirty-three (33) literatures were reviewed. Results of the reviewed literatures revealed that the impact of drug abuse on mental health involves neurobiological alterations affecting neurotransmitter levels and structural changes in the brain. This does not only affect individuals, but also results in societal burdens, such as increased healthcare costs and criminal justice involvement, compounded by the stigma surrounding mental health and substance abuse. The classification of drugs into legal and illegal categories highlights the diversity of substances and emphasizes the need to understand their effects on mental well-being. Categories include legal drugs, prescription medications, socially accepted substances, and illegal drugs with varying dependency potentials. Addressing mental health disorders induced by drug abuse requires a comprehensive approach, involving strategies like Integrated Dual Diagnosis Treatment (IDDT), Medication-Assisted Treatment (MAT), Cognitive-Behavioral Therapy (CBT), Motivational Interviewing (MI), Dialectical Behavior Therapy (DBT), Peer Support, 12-Step Programs, and Recovery-Oriented Systems of Care (ROSC). These methods guarantee a care continuum that centers on the individual and emphasizes recovery, acknowledging the relationship between mental health and drug abuse disorders. Nevertheless, the review highlights a research gap in that, in-depth research is needed to evaluate the effectiveness of the aforementioned interventions. Additionally, exploring innovative strategies to address challenges such as stigma, limited treatment accessibility, and the cyclical nature of addiction would enhance intervention effectiveness.
心理健康是指一个人的情绪、心理和社会福祉,包括思想、情感、行为和应对生活挑战的能力等方面。包括药物滥用在内的一些因素被认为会导致心理健康失调;因此,迫切需要在全球范围内解决这些因素。药物滥用是一个复杂的公共卫生问题,涉及合法和非法药物的滥用,其后果超出了个人健康范围。精神健康与药物滥用之间的关系加剧了挑战,因为药物滥用会导致精神疾病的发展或恶化。这篇综述研究了生物、心理和社会决定因素,并主张采用标准化方法来解决复杂的药物滥用问题。我们使用了各种电子数据库(如 PubMed、Scopus、Web of Science、Medline 等)来获取资源,其中审查了 33 篇文献。所查阅文献的结果表明,药物滥用对心理健康的影响涉及影响神经递质水平和大脑结构变化的神经生物学改变。这不仅影响到个人,还会造成社会负担,如医疗费用增加和刑事司法介入,再加上围绕精神健康和药物滥用的耻辱感。将药物分为合法和非法两类突出了药物的多样性,并强调了了解其对精神健康影响的必要性。这些类别包括合法药物、处方药、社会认可的物质以及具有不同依赖性的非法药物。解决由药物滥用引发的精神障碍需要采取综合方法,其中包括双重诊断综合治疗(IDDT)、药物辅助治疗(MAT)、认知行为疗法(CBT)、动机访谈法(MI)、辩证行为疗法(DBT)、同伴支持、12 步计划和以康复为导向的护理系统(ROSC)等策略。这些方法保证了护理的连续性,以个人为中心,强调康复,承认心理健康和药物滥用疾病之间的关系。然而,综述强调了一个研究缺口,即需要进行深入研究,以评估上述干预措施的有效性。此外,探索创新策略以应对污名化、有限的治疗机会和成瘾的周期性等挑战,将提高干预的有效性。
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引用次数: 0
Cramming Analysis Based on Time to Start Studying and Time the Exam being Held 基于开始学习时间和考试时间的补习分析
Pub Date : 2024-05-11 DOI: 10.9734/indj/2024/v21i4438
Ekarini Daroedono, Alifa Hasna Ramadhani Fachly, Ayu Aulia Salshabila, Debora Iriani Sanda Pasoro, Gabriella Hillary Kambu, Fachrul Destrian, Restu Fatimatuzzahra, F. E. Siagian
Aims: to explore the time that crammer start to study and  the time of exam being held and relate this two with the result of the remedial exams which conducted electronically (computer based).Study Design:  simple descriptive cross sectional studyPlace and Duration of Study: conducted during January to February 2024 in the faculty of Medicine, Universitas Kristen Indonesia, Jakarta-Indonesia. Sample: respondents who join the remedial exam during 2022.Methodology: electronic questionnaire regarding time to start studying being distributed prior the exam/test. Sufficient explanation regarding the research is given before consent is politely requested to each exam’s participant. Data obtained from questionnaire were combined with demography data (gender, place of residence) and the result of the exam.Results: Cramming conducted by 69.7% of our respondents, with the involvement of male student is more common compared to female student and regarding their place of residence, more student that live in their own house with their family do the cramming. Most of the perpetrator started studying at 20.00 – 24.00 pm. Students passing rate in this study were low. Female students score better when they did not cram while only male students who conduct cramming and still fail the exam get a slightly higher mean score than male students who fail the exam and did not cram. Female students got a slightly higher mean score than male students.Conclusion: Cramming is risk taking like gambling behavior. It can give negative impact to the perpetrator’s mental health. The phenomenon of cramming is quite common, especially among male student, but the passing rate was poor. Cramming mostly started late at night. Male students who fail the exam tend to get higher grades if they cramming while on the other hand our female student tend to get higher score in they did not cram.
研究设计:简单描述性横断面研究研究地点和时间:2024年1月至2月,在印度尼西亚雅加达克里斯汀大学医学系进行。研究方法:在考试/测试前发放有关开始学习时间的电子问卷。在礼貌地征得每位参加考试者的同意之前,会对研究内容进行充分解释。从问卷中获得的数据与人口统计学数据(性别、居住地)和考试结果相结合:69.7%的受访者有补习行为,与女生相比,男生的补习行为更为普遍。大多数肇事者在晚上 20:00 - 24:00 开始学习。本研究中的学生及格率较低。女生在不补习的情况下得分较高,而只有进行补习但仍未通过考试的男生的平均得分略高于未通过考试但未补习的男生。女生的平均得分略高于男生:补习是一种类似赌博的冒险行为。结论:补习是一种冒险行为,就像赌博一样,会对行为人的心理健康造成负面影响。补习现象相当普遍,尤其是在男生中,但及格率很低。补习大多在深夜开始。考试不及格的男生如果补习,往往会得到较高的分数,而另一方面,我们的女生如果不补习,往往会得到较高的分数。
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引用次数: 0
Interpreting Freudian Concept of Mind and Unconscious at the Time of Fall of Positivism 解读实证主义衰落时期弗洛伊德的心灵和无意识概念
Pub Date : 2024-05-03 DOI: 10.9734/indj/2024/v21i4437
Maria Tereza Gonçalves-Mendes, T. Aversi-Ferreira
This comment aims to bring Psychoanalysis as the precursor of a new vision about mental processes and the mind as a whole and allies this discovery to the change in the scientific thinking at the time of the beginning of Psychoanalysis, exemplified by the evolutions of quantum and relativistic physics, in counterpoint to the positivism in vogue, i.e., Freud showed a non-positivist thinking elaborating the Psychoanalysis.For this reason, it contextualizes the theories in relation to the brain and to the brain functions at the time of Freud, that sought in each brain region the correspondent for specific functions, exemplified mainly by Gall's phrenology. Although regional correspondents to the function of language have been found, such as Wernicke's and Broca's areas, it has not been possible to date to find specific locations for complex emotions and the behavior, even with Luria's attempts. The possible analysis of a mind that goes beyond the morpho-physiological limits of the brain was Freud's great contribution to the evolution of a scientific thinking regarding mental disorders. Finally, in this text, we intend to place Psychoanalysis as a non-positivist precursor of mind studies.
这篇评论旨在将精神分析作为有关心理过程和整个心灵的新视角的先驱,并将这一发现与精神分析开始时科学思维的变化联系起来,量子物理学和相对论物理学的发展就是例证,这与当时流行的实证主义形成了对立,即弗洛伊德在阐述精神分析时表现出的非实证主义思维、弗洛伊德在阐述精神分析时表现出了非实证主义的思维方式。因此,在弗洛伊德时代,他将理论与大脑和大脑功能联系起来,在每个脑区寻找特定功能的对应物,这主要体现在盖尔的齿孔学上。虽然已经找到了与语言功能相对应的区域,例如韦尼克区和布洛卡区,但迄今为止还无法找到复杂情绪和行为的具体位置,即使是卢里亚的尝试也是如此。对超越大脑形态生理学限制的心智进行可能的分析,是弗洛伊德对有关精神障碍的科学思维发展的巨大贡献。最后,在本文中,我们打算将精神分析作为心灵研究的非实证主义先驱。
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引用次数: 0
Clinician’s Opinion on Depression and Role of Escitalopram in the Management of Depression 临床医生对抑郁症的看法以及艾司西酞普兰在抑郁症治疗中的作用
Pub Date : 2024-05-02 DOI: 10.9734/indj/2024/v21i3436
Nilesh Shah M, Rajesh Kumar, Sathianathan R, Manushree Gupta, M. S, K. Kumar M
Background: Depression is an emerging severe disorder and a serious public health problem, which can often go undetected. It is associated with many disease conditions. Increase in non-communicable diseases, suicide rate, has made its incidence to increase. These will have a negative impact on patient’s quality of life and will increase the burden of morbidity and mortality. Objective: The aim of this study was to gain a deeper understanding of the role of escitalopram in the management of depression by collecting clinical insights and expert opinion from Indian clinicians through a set of questionnaire. Methodology: A cross sectional, questionnaire based study was conducted to collect opinion among doctors in the major Indian cities, about experience and satisfaction with current pharmacotherapy and role of escitalopram in the management of depression across India between June to October 2017. Convenient sampling method was used. The pretested questionnaire booklet titled CHEER (Clinicians Opinions on Depression and role of Escitalopram) study was sent to the doctors who were willing to participate. For this, physicians were requested to complete this survey and express their opinion towards the various aspect of managing depression. Results: Totally, 177 out of 200 clinicians shared their experiences and opinion from all over India. As per survey data, 58.19% of clinicians reported that in their clinical practice, on an average, more than 15 patients were diagnosed with depression in a month. Around 75% of clinicians say that incidence of depression was more common in the female when compared to the male patients. Reports showed that incidence of depression was more common in urban educated patients (47.11%). Depression was seen more commonly in the age group of 31-40 years. About 58% of clinicians reported that counselling was as important as pharmacotherapy. The survey report suggested that more than 90% of clinicians prefer escitalopram as a first-line therapeutic agent for treating depression. More than 87% of clinicians prefer escitalopram in combination with clonazepam to treat co-morbidity of anxiety depression in their clinical practise. Conclusion: The present survey report suggested that majority of clinicians (85%) preferred escitalopram to treat depression among the SSRIs and other antidepressants agents. Survey also showed that escitalopram has better efficacy and lesser adverse effects.
背景:抑郁症是一种新出现的严重失调症,也是一个严重的公共卫生问题,常常不被人们发现。它与许多疾病相关。非传染性疾病和自杀率的增加使抑郁症的发病率上升。这些都会对患者的生活质量产生负面影响,并增加发病率和死亡率的负担。研究目的本研究旨在通过一套调查问卷收集印度临床医生的临床见解和专家意见,从而深入了解艾司西酞普兰在抑郁症治疗中的作用。研究方法2017年6月至10月期间,在印度主要城市的医生中开展了一项基于问卷的横断面研究,收集他们对当前药物疗法的经验和满意度以及艾司西酞普兰在抑郁症治疗中的作用的意见。研究采用了方便抽样法。向愿意参与研究的医生发送了名为 "CHEER(临床医生对抑郁症和艾司西酞普兰作用的看法)"的预试问卷手册。为此,医生们被要求填写这份调查问卷,并表达他们对抑郁症管理各个方面的看法。调查结果显示在 200 名临床医生中,共有 177 名来自印度各地的医生分享了他们的经验和观点。根据调查数据,58.19% 的临床医生表示,在他们的临床实践中,平均每月有超过 15 名患者被诊断为抑郁症。约 75% 的临床医生表示,与男性患者相比,女性患者的抑郁症发病率更高。报告显示,抑郁症在受过城市教育的患者中更为常见(47.11%)。抑郁症多见于 31-40 岁年龄组。约 58% 的临床医生表示,咨询与药物治疗同等重要。调查报告显示,90% 以上的临床医生倾向于将艾司西酞普兰作为治疗抑郁症的一线药物。在临床实践中,超过 87% 的临床医生更倾向于将艾司西酞普兰与氯硝西泮联合使用,以治疗焦虑抑郁症并发症。结论本调查报告显示,在 SSRIs 和其他抗抑郁药物中,大多数临床医生(85%)首选艾司西酞普兰治疗抑郁症。调查还显示,艾司西酞普兰的疗效更好,不良反应更少。
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引用次数: 0
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International neuropsychiatric disease journal
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