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Functional Status of the Children with Cerebral PalsyAnd Their Mothers’ Psychological Status: A Cross-sectional Study

Objective: The aims of this study were to assess the demographic characteristics and functional status of children with cerebral palsy (CP) and to evaluate the psychological status of their mothers.Results: A total of 101 patients were included in the study (%57,4% boys, %42,6% girls). Their mean age was 6,79±4,48 (1,5-18) years. Mothers’ mean age was 33,31±7,72 (20-53) years. The neurologic classification were as follows: diplegia 27,7%, tetraplegia 45,5%, hemiplegia 19,8%, dyskinetic or ataxic 6,9%. The GMFCS levels were as follows: level 1 11,9%, level 2 14,9%, level 3 17,8%, level 4 25.7%, level 5 29,7%. SCL-90-R outcomes were as follows: 38,6% somatization, 18,8% anxiety, 37,6% obsessive-compulsive, 36,6% depression, 32,7% interpersonal-sensitivity, 21,8% eating-sleeping disorder. We didn’t detect any significant correlation between the GMFCS levels of children and mothers’ physicological status. Childrens’ low WeeFIM scores were related with anxiety, obsessive-compulsive, depression, interpersonalsensitivity, paranoid ideation and eating-sleeping disorder. (p=0,009, p=0,017, p=0,009, P=0,0001, p=0,021, p=0,001 respectively). The presence of chronic disease was related with somatization, anxiety and depression (p=0,001, p=0,024, p=0,008 respectively). The presence of pain was related with somatization (p=0,0001).Conclusion: Lower WeeFIM scores of children with CP and chronic disease and pain presence in their mothers were detected as the factors that negatively affect psychological status of mothers.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 17-23

WAVES OF PORNOGRAPHY CONSUMPTION ILLNESS: A SIMPLE IDENTIFICATION IN GRADUATE STUDENTS

This study aims to identify waves of pornography consumption illness in graduate students of the Department of Accounting and Information Systems, Islamic University, Kushtia, Bangladesh. Data have been collected from 53 recent students using five points Likert Scale to assess the agreed level of the respondents from August 2020 to October, 2020. For analyzing data, different statistical tools namely mode, correlation analysis, regression analysis, factor analysis, Mann-Whitney U- Test, Kruskal Wallis Test etc. are applied. The value of Cronbach's Alpha is 0.74 indicating acceptable position in measurement of the degree of internal consistency and the included variables of the study have a suitable reliability for analysis of the undertaken study. The total variance of the dependent variable is explained by the identified dependent variable is amounted by 76 percent with three factors as Factor-1: Identification of social disorder; Factor-2: Identification of sleeping disorder; Factor-3: Identification of friendship disorder to be the most influential factors which actually reflect key factors of pornography consumption illness. The study suggests that the effective actions should be taken to learn and maintain the habitual facts of the recent graduate students to confirm the effective human resources to fulfill the requirements of providing the better service to the family, society and state.

Sleeping Disorders as a Symptom of Depression

Recently, people pay less attention to their sleep since there are a lot of stimulants to keep them awake more than sleeping. According to many reports, the results have shown that many are facing a serious condition, which is sleeping disorder. This condition is related to sleep and affects the ability to sleep well on a regular basis. It is a serious problem that if left untreated, the condition can lead to many more severe problems. There is a significant correlation between sleeping disorder and depression which is called “bidirectional relationship”. The studies show that sleeping disorders are a “symptom” of almost all types of depression such as Major Depressive Disorder, Bipolar Disorder, Seasonal Affective Disorder and so forth. On the other hand, depression itself can also be a cause of sleeping disorders. In addition, the studies show chronic sleep deprivation can cause the changes in Serotonin, which is the brain’s neurotransmitter, and will have a chance to lead to depression greater than acute sleep deprivation. As a result, people should raise awareness in sleeping and usually examine their sleep. To have less chance of depression, a person requires a healthy sleep period and effective care.

The impact of COVID-19 pandemic on the level of depression among health care workers: cross-sectional study

Background The outbreak of the novel Corona Virus Infectious Disease 2019 (COVID-19) has spread rapidly to many countries leading to thousands of deaths globally. The burden of this pandemic has affected the physical and mental health of the frontline health care workers (HCWs) who are exposed to high risk of infection and psychological stressors. Aims The aim is to measure the level of depression among healthcare workers in Saudi Arabia during COVID-19 pandemic to establish interventional strategies. Method A descriptive cross-sectional study was used to conduct the current study. The data of this study was recruited between 15 June and 15 July 2020 from healthcare providers who work in both public and private healthcare sectors in Riyadh and Eastern province in Saudi Arabia utilizing a self-administered questionnaire. The study was approved by the Institutional Review Board at Dr. Sulaiman Al Habib Medical Group (IRB Log No. RC20.06.88-2). Data were collected by using The Zung Self-Rating Depression Scale SDS. A total of 900 healthcare providers working in the healthcare setting during COVID-19 pandemic were invited to participate in the study. A total of 650 healthcare providers participated in the study by completing and submitting the survey. Results Almost 30% suffered from depression which can be divided into three categories; mild depression (26.2%), moderate/major (2.5%) and severe/extreme (0.8%). The finding shows that the level of depression among respondents at the age range of 31–40 years old was significantly higher than the level of depression among respondents with the age above 50 years old. Non-Saudi healthcare workers experienced more depression than Saudi workers. It also shows how nurses suffered from depression compared to their physician colleagues. Those who did not suffer from sleeping disorder perceived more depression as compared to those who are having sleeping disorder. Conclusion It is recommended that health care facilities should implement strategies to reduce the prevalence of mental health problems among healthcare providers and eventually it will improve their performance in provision of safe and high-quality care for patients.

A review of importance of Dhyan (Meditation) and Pranayama in Nidranash (Insomnia)

Sleep is naturally occurring process of human being which needs no instruction in normal state. Sleep helps in rejuvenation and nourishment of body, after every day’s exhaustion. But civilization has brought many more changes and human has contracted improper methods and attitude of life style which has hampered natural and correct practice of sleep. Dhyan and Pranayama are two procedures out of eight yog stated in Yogdarshana. These procedures have their impact through regulation of prana (respiration) and concentration of mind. Here in this article importance of dhyan and pranayama in the most common sleeping disorder, insomnia according to modern studies, known as Nidranash in Ayurved texts, is discussed. Keywords: Nidra, Nidranash, sleep disorders, Pranavayu, Dhyan, Pranayama.

Trends in benzodiazepine receptor agonists use and associated factors in the Belgian general older population: analysis of the Belgian health interview survey data

Background: Benzodiazepine receptor agonists (BZRA), which include benzodiazepines and z-drugs, are commonly prescribed for insomnia and anxiety in older adults, and used often long term. Yet, the risk–benefit ratio of BZRA use in older adults may be unfavorable and many recommendations suggest avoidance or a maximal treatment duration of 4 weeks. The aim of this study was to describe trends of BZRA use in older adults and associated factors. Methods: Using data from the Belgian Health Interview Survey in 2004 ( n = 3594), 2008 ( n = 2917), and 2013 ( n = 2048), prevalence standardized for age, sex, and region were calculated to assess trends of BZRA use in people ⩾65 years. Analysis of associated factors to BZRA use was performed using a sub-sample of 2013 data for which variables assessing sleeping disorder and anxiety disorder were not missing ( n = 1286). Variables from seven main topics were explored using multivariate logistic regression: socio-demographic factors, geriatric factors, comorbidities, subjective health and mental health indicators, social health indicators, medication use and healthcare services use. Results: Overall, standardized prevalence of BZRA use decreased significantly between 2004 and 2013 [22% to 18%, prevalence difference (95% confidence interval, CI): −4.0% (−6.8; −1.3)]. Factors associated with BZRA use in multivariable analysis included female gender [adjusted odds ratio (aOR) (95%CI) : 1.62 (1.14; 2.29)], poor mental health [aOR (95%CI): 1.73 (1.13–2.63)] a fall in the past 12 months [aOR (95%CI): 1.52 (1.02; 2.26), reporting a sleeping disorder [aOR (95%CI): 1.92 (1.35; 2.72)], polypharmacy [aOR (95%CI): 2.51 (1.75; 3.60)], and trazodone use [aOR (95%CI): 4.05 (1.64; 10.21)]. Conclusion: Despite an encouraging decline observed from 2004 to 2013, BZRA use remained highly prevalent in Belgian older adults. Promotion of alternatives to BZRA in treatment of sleeping problems need to be continued. Among BZRA older users, women, the oldest (⩾85 years) and high-risk subgroups should be targeted in deprescribing interventions.

Exploring the abnormal signal transduction mediated internet addiction and gaming disorders

: The world is connected by the internet. It is very useful because we use Google to find out any new topic, to search new places, to quest updated research, and to get knowledge for learnng. The person around the world can communicate with each other through the Google video conference talk. Internet is frequently used in smartphones, laptops, desktop, and tablet. Excessive affinity towards internet-based online data collection, downloading pictures, videos, cyber relationships, and social media may produce addiction disorders followed by different symptoms such as behaviors change, mind disturbance, depression, anxiety, loss of appetite hyperactivity, sleeping disorder, headache, visual fatigueness, trafficking of memory, attention-deficit, loss of efficiency in work and social detachment which may be caused by an imbalance of neurotransmitters. This is very difficult to control because of abnormal signal transduction in the brain. The present study is an attempt to discuss internet addiction disorder (IAD), internet gaming disorder (IGD), and give awareness to society to get rid of this addiction.

‘OpenHouse on Autism’ – In search of a bedtime routine. What to do when your child won’t sleep.

Emma Woodhouse, autism specialist with Clinical Partners, and sleeping disorder specialist Dr. Charlie Tyack discover practical ways to address challenges around getting your child to bed.