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Cognitive and mood changes are frequently mentioned as complaints before, during and after menopausal transition. There is substantial biological evidence for such associations to occur, as there are many mechanisms through which estrogens can affect the brain, by regulating metabolism, increasing cerebral blood flow and dendritic outgrowth, by acting on nerve growth factors through co-localisation of receptors, via neurotransmitters synthesis and turn-over and many more. However, the evidence for objective and longer term changes in cognitive function and mental health over the menopausal transition and beyond is less clear. While hormone treatment including estrogens could potentially reverse these psychological issues, the evidence of long-term benefit is also inconclusive. However, for women with severe menopausal complaints, and particularly for those who undergo early menopause, including women with Premature Ovarian Insufficiency, personalised hormone treatment at least up to the natural age of menopause around 50 should be considered, which is probably safe up to 10 years of treatment, unless contraindicated. This paper reviews the evidence for changes in psychological health related to menopausal transition and hormone treatments.

Craniofacial tissue defects caused by trauma, developmental malformation, or surgery are critical issues of high incidence, which are harmful to physical and psychological health. Transplantation of engineered tissues or biomaterials is a potential method to repair defects and regenerate the craniofacial tissues. Revascularization is essential to ensure the survival and regeneration of the grafts. Since microvessels play a critical role in blood circulation and substance exchange, the pre-establishment of the microvascular network in transplants provides a technical basis for the successful regeneration of the tissue defect. In this study, we reviewed the recent development of strategies and applications of prevascularization in tissue engineering and regeneration of craniofacial tissues. We focused on the cellular foundation of the

BACKGROUND: Quality of life (QOL) and psychological health has been reported to be decreased among women with gynecological conditions such as uterine fibroids (UFs). MATERIALS AND METHODS: Women enrolled in the Comparing Options for Management: PAtient-centered REsults for Uterine Fibroids (COMPARE-UF) registry, receiving procedural therapy for symptomatic UFs, were eligible for this analysis if they completed a series of health-related QOL surveys administered at three time points (baseline, 6–12 weeks postprocedure, and 1 year postprocedure; n = 1486). Ethical approval for this study was obtained at each recruiting site and the coordinating center (NCT02260752, clinicaltrials.gov). RESULTS: More than 26% (n = 393) of women reported moderate anxiety/depression on the baseline anxiety/depression domain of the Euro-QOL 5-dimension instrument. At both the 6–12 weeks and 1-year postprocedural follow-up, there was significant improvement in the UF QOL symptom severity score (p

Objective/background Healthy sleep is vital for physical and psychological health, and poor sleep can result in a myriad of negative physical and psychological outcomes. Insomnia symptoms often manifest as a result of acute life stressors or changes, and COVID-19 experiences may be one such stressor. Other known predisposing factors to insomnia may moderate the impact of COVID-19 experiences on sleep. The present study aimed to determine current levels of insomnia severity in a US sample, to investigate the relation of COVID-19 experiences to insomnia symptoms, and to determine which individuals are most susceptible to this association. Methods Data were drawn from a larger online survey investigating sleep and health outcomes across the lifespan. COVID-19 experiences were assessed with the exposure and impact subscales of the CAIR Pandemic Impact Questionnaire (C-PIQ). The Insomnia Severity Index (ISI) measured insomnia symptoms. Biological, psychological, and social moderators were measured using other brief self-report measures. Results Insomnia symptoms prevalence was as follows: moderate-to-severe symptoms (25.5%), subthreshold symptoms (37.7%), and no symptoms (36.7%). Individuals’ COVID-19 experiences significantly predicted insomnia symptom severity [F(1,997) = 472.92, p Conclusions Although negative experiences with COVID-19 are associated with worse insomnia symptoms, this relationship is not the same for everyone.

To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic.The COVID-19 pandemic has extensively impacted global healthcare systems. We hypothesized that the degree of psychological impact would be higher for surgical providers deployed for COVID-19 work, certain surgical specialties, and for those who knew of someone diagnosed with, or who died, of COVID-19.We conducted a global web-based survey to investigate the psychological impact of COVID-19. The primary outcomes were the Depression Anxiety Stress Scale-21 (DASS-21) and Impact of Event Scale-Revised (IES-R) scores.4283 participants from 101 countries responded. 32.8%, 30.8%, 25.9% and 24.0% screened positive for depression, anxiety, stress and Post-Traumatic Stress Disorder (PTSD) respectively. Respondents who knew someone who died of COVID-19 were more likely to screen positive for depression, anxiety, stress and PTSD (OR 1.3, 1,6, 1.4, 1.7 respectively, all p0.05). Respondents who knew of someone diagnosed with COVID-19 were more likely to screen positive for depression, stress and PTSD (OR 1.2, 1.2 and 1.3 respectively, all p0.05). Surgical specialities that operated in the Head and Neck region had higher psychological distress among its surgeons. Deployment for COVID-19-related work was not associated with increased psychological distress.The COVID-19 pandemic may have a mental health legacy outlasting its course. The long-term impact of this ongoing traumatic event underscores the importance of longitudinal mental health care for healthcare personnel, with particular attention to those who know of someone diagnosed with, or who died of COVID-19.

Obesity is a disease with several potential causes and contributors. This article provides a focused overview of key known causes of obesity and factors that contribute to obesity. Obesity ultimately results from impaired energy storage mechanisms, such as dysregulation of hunger, satiety, digestion, fat storage, and metabolic rate. In addition, myriad contributors promote its expression, including dietary factors, sleep quality and duration, psychological health and well-being, and tobacco cessation, among others. This article concludes with a discussion of the clinical relevance of causes and contributors in obesity prevention and treatment, which is paramount to providing effective, individualized clinical management.

The primary aim of this study was to determine the efficacy of a psychological nursing intervention for improving sleep quality and alleviating anxiety and depression among hypopharyngeal carcinoma patients undergoing surgical resections.A total of 140 hypopharyngeal carcinoma patients undergoing surgical resections in our hospital from January 2017 to December 2020 were included and randomly assigned to a standard nursing group or psychological nursing group, with 70 cases per group. Sleep quality was assessed using the Pittsburgh sleep quality index (PSQI). The severity of anxiety symptoms and depressive disorders were evaluated using Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The functional assessment of cancer therapy-general scale (FACT-G) tool was used to evaluate the quality of life. Fear of progression (FoP) was also scored.Participants with hypopharyngeal carcinoma in the psychological nursing group demonstrated greater improvements in the primary outcome of global sleep quality (P=0.002) at postintervention compared to the participants in the standard nursing group. The psychological nursing group participants showed remarkably greater improvements in the subscale scores of global sleep quality characteristics (secondary outcomes) including daytime dysfunction (P0.001), subjective sleep quality (P=0.029), and sleep latency (P=0.006) at postintervention compared to those receiving standard nursing. Psychological nursing group participants had lower SAS and SDS scores compared to those in the standard nursing group (P0.001). The results revealed that participants who received psychological nursing intervention exhibited higher scores of all FACT-G subscales and lower scores of FoP compared to participants receiving standard nursing intervention (both P0.001). The global sleep quality scores shared positive associations with scores of SAS, SDS, and FoP (r=0.518, r=0.572, and r=0.395, respectively, P0.001).These data provide evidence that home-based psychological nursing intervention could improve sleep quality and alleviate anxiety and depression among hypopharyngeal carcinoma patients undergoing surgical resections.Chinese Clinical Trial Registry ChiCTR2100051463.

It has been 20 years since the September 11, 2001 terrorist attacks on America. The ongoing military conflicts in this region are the longest sustained conflicts in U.S. history. Almost 3 million military personnel have deployed, with over 7,000 fatalities and more than 53,000 wounded in action. The most common psychological health condition associated with combat deployments is PTSD. No data exist to compare the prevalence of PTSD across war eras. Therefore, a potential proxy for PTSD risk is the number of combat-related deaths, because this figure has been consistently tracked across U.S. military conflicts. This commentary includes a table of death statistics from major military conflicts, which shows that fewer military personnel have deployed, been killed, sustained wounds, and, one might conclude, suffered from PTSD than any other major U.S. military conflict in history. Advances in the military equipment, tactics, and healthcare programs perhaps mitigated casualties and suffering among Iraq/Afghanistan veterans compared to previous wars. The estimated causality differences across various military conflicts are not meant to minimize the significant contributions and sacrifices made by this new generation of military warriors but to help us gain perspective on military conflicts over the past century as we recognize the 20th anniversary of 9/11.

The past two decades have built on the successes of the Human Genome Project identifying the impact of genetics and genomics on human traits. Given the importance of exercise in the physical and psychological health of individuals across the lifespan, using genomics to understand the impact of genes in the sports medicine field is an emerging field. Given the complexity of the systems involved, high-throughput genomics is required to understand genetic variants, their functions, and ultimately their effect on the body. Consequently, genomic studies have been performed across several domains of sports medicine with varying degrees of success. While the breadth of these is great, they focus largely on the following three areas: 1) performance; 2) injury susceptibility; and 3) sports associated chronic conditions, such as osteoarthritis. Herein, we review literature on genetics and genomics in sports medicine, offer suggestions to bolster existing studies, and suggest ways to ideally impact clinical care.

Constant exposure of noise to the auditory system of the agricultural tractor opera- tor can cause physical and psychological problems. A field study was conducted in the Faisalabad and Narowal districts of Pakistan to examine the spread of tractor noise and its psychological effects on the safety of tractor operators driving tractors without cabins and other noise reduction measures. Four of the most common imple- ments used in Pakistan, including land scraper, cultivator, disk harrow and seed drill, were used to detect the changes in tractor noise at two speeds of 5.3 km/h and 10.6 km/h in all four directions. Lowest noise was produced during the field operation of the seed drill at a mean noise value of 81.9 dB(A) among all four implements. Disk harrow and cultivator were found to be the most noisy implement, and during oper- ation, the tractor operator was directly exposed to high noise levels of 86.9 dB(A) and 84.9 dB(A), respectively. This noise pollution caused psychological problems in agri- cultural tractor operators, as demonstrated by the highly positive correlations of de- pression, aggression, anxiety and stress. This trend had a negative effect on their social interactions relative to the comparable population of office employees. In or- der to mitigate the adverse health effects, tractor operators must be equipped with sound proof cabins or at least ear plugs because of direct exposure to high noise levels. Furthermore, a safe distance of 48 m or at least a warning distance of 26 m from the tractor must be maintained by farm workers.

Background: Quality of life in adenomyosis (AD) patients has been poorly investigated. Previous data suggest that AD has negative impact on the quality of life in these women. Methods: From Septemb...

Background: With the inclusion of Internet in daily lifestyle, it has become crucial to explore its purpose, effects on mental health and to understand the implications. As adolescence is a vulnerable age group, this study has taken Indian medical students in late adolescence to understand how Internet impacts their lives. Objectives: 1. To explore the severity of problematic Internet use ‘PIU’ in Indian medical students. 2. To assess its effects on psychological health and loneliness. 3. To correlate problematic Internet use with the purpose of use. Materials And Methods:185 first MBBS students of BMCRI (Mean age- 18.075 years) were administered 4 questionnaires- Young’s Internet Addiction test, UCLA loneliness questionnaire (Version 3), General Health Questionnaire (GHQ12) and a self administered questionnaire to assess purpose of Internet usage. Results: Out of 185 students, 67 were average users who showed control over their use of Internet and 118 had PIU (113 with frequent, 5 with significant problems). Significant positive correlation was found between PIU and psychological morbidity (r=0.3442, p

COVID-19 merupakan penyakit menular sehingga diperlukan perawatan khusus terlebih pada pasien ODGJ dengan COVID-19. Penelitian bertujuan mengekplorasi pengalaman perawat dalam merawat pasien ODGJ dengan COVID-19. Penelitian ini bertujuan untuk mengeksplorasi dan mendapatkan gambaran pengalaman perawat dalam merawat pasien ODGJ dengan COVID-19 di RSJ Sambang Lihum. Metode yang digunakan adalah kualitatif fenomenologi dengan pemilihan sampel secara purposive sampling, dengan jumlah sampel sebanyak 5 partisipan. Hasil penelitian menemukan 5 tema utama yaitu respon psikologis perawat dalam merawat pasien ODGJ dengan COVID-19, respon fisik perawat dalam menggunakan APD level 3, proses adaptasi perawat dalam merawat pasien ODGJ dengan COVID-19, perilaku pasien ODGJ dengan COVID-19 saat dilakukan perawatan dan cara merawat pasien ODGJ dengan COVID-19. Hasil penelitian menyimpulkan bahwa perawat dapat beradaptasi dalam merawat pasien ODGJ dengan COVID-19 melalui mekanisme koping dan upaya mempertahankan imunitas. Penguatan spiritual merupakan salah satu koping yang menjadi penyeimbang kesehatan fisik dan psikis perawat sehingga pengalaman perawat menjadi adaptif. Saran penelitian yaitu pengaturan pola kerja agar perawat tidak kelelahan saat bekerja dengan menggunakan APD level 3, pemberian pelatihan dalam menggunakan APD level 3 dan dukungan sarana dan prasarana untuk mendukung keselamatan dan kesehatan kerja dari perawat dalam memberikan pelayanan yang aman bagi pasien ODGJ dengan COVID-19.

Background: The Corona Virus Disease-19 pandemic has brought serious psychological impact among all group of people around the globe. Nepal is not exception on it. The long effect of it (around 2 years) has affected every aspect of individual’s life including the health-related quality of life (HRQOL) of the people). This study aimed to find out the HRQOL among patients’ family members who were visiting hospital during COVID-19 pandemic in Nepal. Methods: Cross-sectional analytical study was conducted among 200 family members (20 to 60 years) of patients visiting Patan Hospital, Nepal, during COVID-19 pandemic in July to August, 2021. A structured self-administered questionnaire- World Health Organization Quality of Life-Brief (WHOQOL-BREF) Version was used to measure the quality of life. Descriptive and inferential (ANOVA, Independent t-test) statistics was used for data analysis. P value was set at 0.05. Results: Out of 200 family members, 66.0% were male and mean age was 32.68±SD-9.360 years. About 20.0% had history of COVID-19 infection. Respondents’ overall QOL and satisfaction was neutral. The higher mean score (13.92±2.54) was found on social relation, followed by psychological health (13.68±1.74), physical health (13.14±1.54), and environmental health (12.53±1.74). There was significant association between education status and overall QOL and overall satisfaction (F=3.38, p=0.01; F=3.68, p=0.00, respectively). Furthermore, educational status and employment status were significantly associated with physical health domain (F=2.78, p=0.02; F=2.71, p=0.02, respectively). Conclusion: Overall QOL and satisfaction of respondents’ was neutral. The higher mean score was found on social relation, followed by psychological health, physical health and environmental health. Key words: COVID-19, Family members, Health related quality of life.

This scoping review summarizes current evidence with regard to the impact of bariatric surgery on psychological health in adults with obesity. While a large body of evidence reports major metabolic benefit and improved quality of life, there is also ample evidence suggesting an increased incidence of self-harming behavior, a greater likelihood of developing an alcohol problem and higher rates of completed suicide among bariatric patients. Being able to identify the "at risk" patient population requires more longitudinal research into the risk factors for psychological complications after bariatric surgery. Bariatric surgery remains an extremely valuable long-term treatment option for managing obesity; however, there is a need to invest in mitigating psychological complications after the surgery, such as depression, alcohol consumption, and other self-harming behaviors. ispartof: OBESITY SURGERY vol:31 issue:12 pages:5409-5417 ispartof: location:United States status: published

Background Nurses are a critical component of any healthcare system. The novel coronavirus pandemic has resulted in an increased workload for nurses and heightened stress. Aims To assess the psychological health over time of nurses working during the COVID‐19 pandemic and to examine the factors associated with stress, anxiety, and psychological wellbeing. Methods Nurses enrolled in the study between 2 July and 26 August 2020 andcompleted questionnaires about stress, anxiety, and psychological wellbeing at baseline and at a second time point T2 12 weeks later. A paired sample t‐test was used to examine whether changes in stress, anxiety, and psychological wellbeing were significantly different between baseline and T2. Linear regression models examined factors associated with psychological health outcomes. Results Of the 600 nurses initially enrolled, 484 (80.7%) completed psychological health measures at T2. Stress, anxiety, and poor psychological wellbeing scores were high at baseline. Unexpectedly, stress and psychological wellbeing significantly improved between baseline and T2, while anxiety levels increased. Younger nurses had higher baseline stress and anxiety scores. Conclusions This study demonstrates the potential beneficial effect of effective public health management of the COVID‐19 pandemic on nurses' stress and psychological wellbeing and highlights the importance of longitudinal research to understand psychological health in nurses.

Background: As a preventive measure to combat COVID-19 pandemic, India has undergone “lockdown” since March 25, 2020. The pandemic and lockdown can impose a psychological impact in the form of fear, anxiety, stress and insomnia etc. Aims and Objective: The aim of the current study is to assess the magnitude of anxiety, depression, stress and poor sleep quality among the adult population of Kolkata, West Bengal amidst COVID-19 pandemic. Materials and Methods: By this online survey using Google forms, a total of 435 responses were received. The online questionnaire comprises of Socio-demographic characteristics, COVID—19 Anxiety Scale (CAS), Perceived Stress Scale 4 (PSS 4), Patient Health Questionnaire-9 (PHQ 9) and Insomnia Severity Index (ISI). Results: COVID-19 related anxiety were almost similar across age groups, sex, marital and educational status. PSS score was found higher in ≤25 years and >40 years age group, those not currently married, students and homemakers. Patient Health Questionnaire scores were found significantly different across all background characteristics categories except for the level of education whereas Insomnia Severity index Scale scores were found significantly more among subjects not currently married and among subjects who were working from home. Conclusions: The current study provides evidence towards the negative psychological impact of the pandemic and reminds us about the need for widespread psychiatric services during and after pandemic.

The impact of the COVID-19 pandemic on mental health is an emerging problem globally. This study aimed to examine the mediating effect of chronic illnesses in the relationship between psychological health and the acceptance of the COVID-19 vaccine, prior to the national vaccine rollout in Malaysia. An online cross-sectional study was conducted in Malaysia between December 10, 2020, and February 9, 2021. In addition to the descriptive analyses, a mediation analysis was performed to examine the mediating effect of chronic illnesses in the relationship between psychological distress and the willingness to accept the vaccine. A total of 1738 participants completed the survey. The psychological distress levels were found to be significantly different across demographic factors such as age, gender, and social economic status. This study demonstrated a partial mediating effect of chronic illnesses in the relationship between psychological distress and vaccine acceptance.

Background. The negative dynamics of the health of the children population needs to increase attention to this problem, first of all — to provide an effective preventive component of medical care. Analyzing the reasons for the negative dynamics of the health status indicators in Ukrainian children, it is necessary to pay attention to the way of life, which occupies the leading position in the structure of the factors of influence on health. In view of this, we analyzed the peculiarities of lifestyle, eating behavior of high school students and their impact on the main quality of life parameters. Materials and methods. To achieve the goal, we studied lifestyle and eating behavior in 80 healthy high school pupils aged 14–17 years using a questionnaire containing questions about the family anamnesis, living conditions, day regime and nutrition. For the evaluation of the quality of life, we used international questionnaire MOS SF-36. Results. Eating behavior analysis has showed that 45 % of high school pupils take products of industrial production containing meat everyday. Fish plates occur in everyday diet significantly rare than meat ones, only in 13.75 % (p < 0.05). 16.25 % of children do not have fish plates at all. Dairy foods and milk are signed in everyday diet less than in a half of the surveyed children (35 %). We found a high percentage of adolescents who drink low-alcohol drinks (15 %). We revealed that 45 % of adolescents use the computer or watch TV more than 3 hours per day, only 22 % of exa­minees spend their time outside on fresh air more than 2 hours per day. The quality of life data revealed authentically higher indexes by the scale of viability in children spending outdoor more than 2 hours. We determined that in children who have proper meal every day, there are sufficiently higher indexes of community relief, value determined by the scale of psychological health and by the scale of viability (p < 0.05). We noted the sufficient decrease of viability index in group of children using computer for a long time (3 hours per day and more). In children go in for sport, there are significantly higher quality of life indexes determined by the scale of psychological health and by the scale of general health. Besides, in older children sleeping 8 hours per night, a sufficiently higher emotional stability is noticed determined by the scale of role-emotional functioning (p < 0.05). Conclusions. The diet of high school pupils does not meet the established standards. This may be a risk factor for gastroduodenal pathology in the future, and therefore requires systematic correction. In addition to rational nutrition, factors affecting the health status and the psycho-emotional status of high school pupils are controlled physical activity, regular outdoor exercise and limited use of the computer. The method of assessing the quality of life is a simple and informative mean for comprehensive study of the health status of high school pupils and can be recommended for widespread use in pediatrics.

Aim: This study aimed to investigate the prevalence of psychological health outcomes and associated factors among health-care workers (HCWs) during COVID-19 pandemic. Subject and Methods: This observational cross-sectional study was conducted on 550 HCWs at 4 different clinics (fever, clean, telemedicine, and mixed clinics) in Dubai Health Authority from July 2020 to September 2020. Severity of depression, anxiety, and stress was examined by calculating the Depression Anxiety Stress Scale (DASS-21) for each subscale, while insomnia was determined by Insomnia Severity Index (ISI) score. Factors associated with psychological symptoms were identified by univariate (ANOVA and independent t test), and independent factors were detected by multivariate linear regression analysis after controlling other variables. p value of Results: A total of 400 participants completed the survey. Majority of them were females (84.5%, n = 338) and aged between 18 and 31 (53.5%, n = 214). About 76.5% (n = 306) reported symptoms of depression, 315 (78.8%) anxiety, 254 (63.5%) stress-based, and 187 (46.8%) suffered from clinical insomnia. Frontline HCWs at fever clinic were at higher risk of developing burnout symptoms (p < 0.001). Furthermore, being younger, nonmarried, and nurse had no kids and changed accommodation during the crisis; all together were at higher risk of developing burnout symptoms (p < 0.05). Adjusted linear regression showed that age was the major independent factor affecting DASS-21 subscales without affecting the level of insomnia (Conclusion: This study revealed that COVID-19 outbreak has a significant psychological impact on frontline HCWs and the most vulnerable groups to psychological distress. Efficient support and interventions are needed to protect HCWs from being infected and promote their well-being.

Nepal is a geographically, ecologically, bio-culturally and ethnically diverse country. Cannabis has been a flora, used in various forms and ways and its effect has been variably a matter of concern in Nepal. Perception to its use has also been changing with time with the dynamics of various factors and trends around and in the world. The views of its proponents at times appear with relatively more powerful influence among people though the views of the opponents seem less, and relatively less influential. Proponents advocate for its legalization with highlights of its different uses and benefits whereas opponents, mainly mental health professionals point out sporadically its adverse consequences, mainly in psychological health. The purpose of this review is to explore the existing literature regarding cannabis use and abuse in Nepal. Search for articles for this review was performed in PubMed, Google Scholar, and Nepal Journal Online. We summarize and discuss about cannabis in various aspects in the Nepalese context. The overarching objective is to reflect upon the ongoing debate regarding its harm and benefits, thereby upon the issue of its legalization in Nepal.

Objectives To determine the association of physical activity and body image with psychological health outcomes and whether body image mediates the association of physical activity with psychological health among older female cancer survivors. Materials and Methods Data from the Women's Health Initiative (WHI) Life and Longevity after Cancer (LILAC) Study were used. Surveys assessed body image (appearance, attractiveness, scars), moderate-strenuous physical activity (min/week), and psychological health (depression, anxiety, distress). A mediation analysis was conducted to estimate the percentage of the total effect of physical activity on psychological health mediated by body image concerns. Results Among 4567 female cancer survivors aged 66–98 years, the average time since cancer diagnosis was 9.2 years. Approximately 50% reported no moderate-strenuous physical activity; 15% reported depressive symptoms, 6% reported anxiety, and 5% reported psychological distress; 3% had concerns with appearance, 20% had concerns with attractiveness, and 21% had concerns with scars. When unadjusted for body image concerns, every 30 min/week increase in physical activity was associated with lower risk of depressive symptoms (RR = 0.93, 95%CI: 0.90–0.96), anxiety (RR = 0.92, 95%CI: 0.87–0.97), and distress (RR = 0.92, 95%CI: 0.87–0.98). Body image concerns with appearance mediated 7%, 8.8%, and 14.5% of the association between physical activity and depressive symptoms, anxiety, and distress, respectively. Conclusion Older female cancer survivors reported body image concerns, which were associated with both physical activity and psychological health. Our findings suggest that interventions designed to address body image concerns in older female cancer survivors could serve to improve the benefit of physical activity on psychological health.

Over recent decades, psychological health interventions have assumed a more prominent role in the conduct and regulation of daily life. Conceptualised in the critical social sciences as psychologic...

OBJECTIVES The use of conventional treatment for work-related musculoskeletal disorders (WRMSDs) reduces the prevalence of pain, but with popularity of complementary alternative medicine (CAM) therapies for treatment, it is important to explore their use and impact on dental hygienists (DHs) quality of life (QoL). METHODS A cross-sectional survey research design was used with a non-probability sample of dental hygienists (n = 85) with WRMSDs who used CAM therapies. The WHOQOL-BREF was used to assess quality of life and compared with CAM use and frequency. Analysis included descriptive, t-tests, correlation and chi-square tests of independence. RESULTS The most commonly used CAM types were massage (81%) and chiropractic manipulation (67%) with 66% of respondents using two or more CAM therapies. Participants using five or less different CAMs (n = 46), compared with those using more than five CAM types (n = 35, M = 2.3, SD = 1.5), t (79) = 2.7, p = 0.01, had a higher average number of years before they noticed their WRMSD (M = 3.3, SD = 1.9). Participants reporting use of a higher number of CAM types also had lower QoL physical health domain scores (rho = -0.2, p = 0.03). CONCLUSIONS Dental hygienists used a variety of CAM approaches to manage WRMSDs and had a lower QoL across all domains (physical health, psychological health, social relationships and environment) than the normative mean. More research is needed to explore the use of CAM approaches, such as yoga, for prevention and management of WRMSDs to improve QoL.

Still an evolving field in travel medicine, psychological travel health has not yet been linked to tourist products that may affect travellers’ mental wellbeing. Dark tourism, the travel to sites linked to death, atrocities and suffering, is a product that, on the one hand, attracts people with a keen interest in death-related attractions and, on the other hand, may inflict psychological scars. Of particular concern are travellers with undiagnosed or diagnosed mental illness.This is the first article bringing travel medicine and dark tourism together. Understanding dark tourism is crucial to appreciate the wide variety of potential stimuli leading to anything from amusement to travel-related psychoses. Travellers’ motivations for and emotional responses to visits of ‘dark’ sites provide an important input into individually tailored psychological pre and post-travel health care. Relevant recommendations include suggestions for education, clinical practice and much needed further multidisciplinary research.

This study aimed to compare religiosity and religious coping (RC) between Brazilian and Dutch patients with chronic obstructive pulmonary disease (COPD) and to examine associations with physical and psychological health. Religiosity, RC, and physical and psychological health were cross-sectionally assessed in 161 patients with COPD (74 from Brazil and 87 from the Netherlands). Brazilian participants showed the greatest religiosity (p < 0.05), and weak correlations were observed between religiosity/RC and exercise capacity and quality of life (p < 0.05 for all analyses). Brazilian patients with COPD had higher religiosity than Dutch patients, and religiosity correlated with functional exercise capacity and quality of life.

Hypertrophic scars and keloids are caused by excessive tissue response to dermal injury due to local fibroblast proliferation and collagen overproduction. This response occurs because of pathologic wound healing due to dysregulation in the inflammatory, proliferative, and/or remodeling phase. Patients with hypertrophic scars or keloids report reduced quality of life, physical status, and psychological health. Hypertrophic scars or keloids will develop in 30 to 90% of individuals, and despite their prevalence, treatment remains a challenge. Of the treatments currently available for hypertrophic scars and keloids few have been adequately supported by studies with appropriate experimental design. Here, we aim to review the available literature to provide up-to-date information on the etiology, epidemiology, histology, pathophysiology, prevention, and management options available for the treatment of hypertrophic scars and keloids and highlight areas where further research is required.

Backgroumd: Tuberculosis (TB) is an infectious disease which is until now has not been able to be threated, i.e., because of patient non-adherence in taking anti-tuberculosis drug (ATD) Objective: The objective of this research is to study the relationship between patients adherence in taking ATD determined by MMAS-8 questionnaire with QoL of patient determined by WHOQOL questionnaire. Method: Tuberculosis patients who undergo treatment for at least 4 weeks are the subjects in this study. This study was conducted by a cross-sectional method using the MMAS-8 and WHOQOL-BREF questionnaire of tuberculosis patients at Ibrahim Adjiand Gumuruh primary health care during March - August 2018. Result: Based on MMAS-8 questionnaire filled out by 75 patients, there was 69% of high adherence, 15% moderate, and 16% has low adherence in taking ATD. Of the 6 characteristic factors (i.e., age, sex, occupation, income, education and length of treatment), only gender (p0.01) and occupation (p0.03) factors that influence the patient adherence significantly. Based on MMAS-8 and WHOQOL-BREF questionnaire analyses, there is only psychological health aspect (domain two) that have a significant (p = 0.01) correlated with patient adherence. Conclusion: Based on the results,the psychological health of tuberculosis patients play an important role in patient adherence.

Entender quais fatores afetam a qualidade do transporte público aumenta a probabilidade de acertos no planejamento viário urbano, melhorando assim a experiência diária dos passageiros. O deslocamento é uma parte necessária para qualquer atividade a ser realizada fora da residência do indivíduo. Assim, a qualidade do serviço de transporte ofertado interfere no tempo gasto e na saúde física e psicológica de seus usuários. Atualmente, a cidade de Cuiabá, capital de Mato Grosso, enfrenta problemas com a construção irregular de ondulações transversais, também conhecidas como lombadas, principalmente em vias definidas como rota do transporte coletivo por ônibus, o que pode impactar diretamente na qualidade do serviço. Este trabalho tem como objetivo analisar as possíveis implicações das lombadas na qualidade do serviço de transporte público coletivo oferecido na cidade de Cuiabá-MT. Elaborou-se para isso uma pesquisa de satisfação junto os usuários destes serviços. Complementarmente, mesurou-se o impacto operacional das lombadas no tempo de viagem dos ônibus através de um levantamento de campo, utilizando-se imagens captadas por meio de uma Aeronave Remotamente Pilotada (RPA) conhecida por drone. De forma geral, pode- se afirmar que os usuários percebem uma piora em sua experiência no transporte público ao passarem por lombadas. A medição de campo indicou que elas reduzem a velocidade de serviço e aumentam o tempo viagem efetivo.

Background. Post-traumatic stress disorder (PTSD) is a disorder that can occur after exposure to a traumatic event. Objectives. This study is designed to evaluate PTSD in front-line and non-front-line medical staff who provide care for COVID-19 patients. Material and methods. This cross-sectional study was conducted on 200 medical staff in two hospitals of Ahvaz. The inclusion criterion was having more than six months of service. Health providers with psychological disorders, a history of crises in the past six months or divorced subjects were excluded from the study. A demographic questionnaire and the PTSD questionnaire were completed by participants. The Independent t-Test, chi-square test and linear regression were used to analyze the data. Results. The total score of PTSD was 50.08 +/- 12.24 and 44.06 +/- 11.32 in front-line and non-front-line medical staff, respectively (p < 0.001). 10% and 1% of front-line and non-front-line medical staff had severe PTSD, respectively. Females were 7.47 times more likely to have PTSD compared to males. Medical staff who had a child were 6 times more likely to have PTSD compared with those without a child. Medical staff involved in the care of COVID-19 patients were 5.67 times more likely to have PTSD (p < 0.001). Health providers whose relatives died from COVID-19 were 10.59 times more likely to have PTSD. Conclusions. The results of this study showed that front-line medical staff are more susceptible to PTSD in comparison to non-front-line medical staff. Health policymakers should pay attention to the psychological health of medical staff in times of crises such as the COVID-19 pandemic.

Objectives: It was to determine the quality of life in patients with pulmonary tuberculosis from three establishments of the first level of care in Lima. Materials and methods: The approach was quantitative and the methodological design was descriptive-transversal. The population consisted of 64 tuberculosis patients who are in the process of treatment. The technique used was the survey and the measurement instrument was the WHOQOL-BREF questionnaire that assesses quality of life and presents 24 items distributed in four factors or dimensions (physical health, psychological health, social relationships and the environment). Results: The average age of the participants was 44 years. In relation to sex, 53.1% (n = 34) are men and 46.9% (n = 30) are women. Regarding quality of life, the medium level predominated with 57.8% (n = 37), followed by the low level in 35.9% (n = 23) and high with 6.3% (n = 4). In relation to the dimensions, in physical health the average level predominated with 73.4% (n = 47); in psychological health the average level was 75% (n = 48); in social relationships the average level with 56.3% (n = 36); finally, in environment the average level with 75% (n = 48). Conclusions: Regarding quality of life, the medium level predominated, followed by low and high. In relation to the dimensions, the medium level predominated in all.

Statement of the problem. The article presents the results of studying the parameters of the somatic and psychological health among juvenile convicts. The necessity of psychoprophylactic and correctional measures to reduce the risks of repeated offence is indicated. Adolescents who use psychoactive substances have a high level of maladjustment and poor control over their behavior, which leads to the commission of offenses. Materials and methods. The study is empirical in nature. The methodological and theoretical basis of the undertaken research is: systematic (B. F. Lomov), complex (B. G. Ananyev), activity-based (S. L. Rubinstein) and personality-oriented (K. A. Abulkhanova-Slavskaya, A. G. Asmolov, A. A. Bodalev, A.V. Petrovsky, K. Rogers, A. Maslow) approaches; the concept of formation of child’s personality and self-consciousness (V. S. Mukhina, V. V. Stolin, etc.); the position on the influence of activity and communication on the ontogenesis of children (L. S. Vygotsky, A. Ya. Varga, A. N. Leontiev, M. I. Lisina, A. S. Spivakovskaya, D. B. Elkonin, etc.). Theoretical and empirical research methods were used, which included the analysis of personal files of juvenile convicts, their questionnaires, methods of mathematical statistics in the automated workplace of a penitentiary psychologist (APM PP). Research results. Data on the state of somatic and psychological health of juvenile convicts serving sentences in the young offender institutions of the Siberian Federal Okrug Federal Penitentiary Service of Russia were obtained. Taking into account the obtained results, methodological recommendations for conducting preventive and psychocorrective work are compiled. The main areas of work of penitentiary psychologists will be: psychocorrection work with minors (work with motivation, values, attitudes, development of adequate self-esteem, self-regulation of behavior; prevention of dependent behavior, aggressive and auto-aggressive behavior, criminal infection) and their parents (correction of child-parent relations). Conclusion. The article presents and describes information about the state of somatic and psychological health of juvenile convicts serving sentences in the young offender institutions of the Siberian Federal Okrug Federal Penitentiary Service of Russia. Almost a quarter of juvenile convicts are prone to addictive behavior and have various diseases, including mental illnesses, which is significantly higher than among minors who have committed a crime for the first time. It is worth noting that addictive behavior begins to manifest itself quite early. The search activity of adolescent offenders leads to the use of psychoactive substances and alcohol. Such adolescents are predisposed to escape from reality by changing their mental state, are prone to an illusory-compensatory way of solving personal problems (alcoholism, drug addiction). The analysis of personal files shows that in many cases illegal acts were committed in a state of alcoholic, narcotic or toxic intoxication.

This community service activity is expected that students will be able to independently transfer soft skills to empower the community through KKN (Real Work Lectures) and the impact of independent campus activities will give students the ability to compete in the world of work and even open new job opportunities. One of the solutions offered in this community service activity is the provision of soft skills with the vision of preserving the art culture of batik, namely batik shibori or tye dye. Achievement of community service activities involving Undikma students as agents of change is the hope of helping social change in the community as psychological health first aid for disaster survivors, especially the Covid 19 pandemic. The implementation method consists of five stages, namely communication; observation and legalization, strategies; execution (socialization of activities and training of Shibori batik), and evaluation. The activity was carried out from 03 September 2020 to 02 June 2021 with the target being Undikma students as members of the NTB shibori community. Each target has succeeded in making Shibori batik techniques with folding and coloring techniques based on their own creations with satisfactory category achievements. Where’s ≥ 90% of the participants (targets) were able to follow and demonstrate basic shibori techniques in folding and tying fabrics which are shown in independent demonstrations (without discussing or asking questions) and able to make decisions independently at the selection stage and how to dye the fabric colors which will later be used the final product.

Healthy habits are the best way to avoid disease. But in the chaos of a woman’s daily life healthy living is not at all followed now a days. Along with overall health of a women vaginal health is also an important part. A healthy woman is a promise of a healthy life. Woman has to pass through different stages and phases of life in which physical and psychological changes occur. Also, she has to fulfil the dual responsibility at home as well at job. Hence, she needs perfect physical and psychological health. Safe, healthy and confident life is very much necessary, for that every woman needs a healthy yoni. An infection or change in the normal balance of vaginal yeast and bacteria can cause inflammation of the vagina. Shweta pradara is an annoying symptom which is present in many diseases or present a complication. Since Shweta Pradara is a symptom, not a disease, hence etiopathogenesis of principal disease would be etiopathogenesis of Shweta Pradara also. It can be said that it is a Kaphaja disorder in the region of Apana Vayu. Infections due to certain organisms in vagina and uterus also lead to white discharge. A female patient suffering from Shweta pradara was treated by Shamana chikitsa and Yoni prakshalana. She got excellent relief in symptoms by above treatment.

Introduction: The Australian Treatment Outcomes Profile (ATOP) is a brief instrument that measures self-reported substance use, health, and wellbeing in the previous 28 days for people in alcohol and other drug treatment. Previous studies have established the concurrent validity, inter-rater, and test-retest reliability of the tool. The current study sought to identify recommended cutoff scores for ATOP items for psychological health, physical health and quality of life that identify clients reporting clinically significant problems warranting further assessment and/or intervention, compared to cutoffs used by 'gold-standard' measures for these domains. Methods: Clients attending for treatment for problems with opioid (n = 144) or alcohol use (n = 134) completed the ATOP and comparison standardised questionnaires (Kessler-10, Short Form Survey 12 and the Personal Wellbeing Index) with a researcher. Receiver operating characteristics analysis, along with clinician perspectives, were used to recommend cutoff scores for ATOP items indicative of clinically significant problems. Results: A cutoff score of 5 or less out of 10 was identified as an optimal pragmatic cutoff for ATOP items relating to psychological health, physical health and quality of life items with regards to balancing sensitivity, specificity, and application in a treatment setting. Discussion and conclusions: The recommended clinical cutoffs will support clinicians and treatment services to identify clients who require further assessment and follow up for their psychological health, physical health and quality of life. The current study provides further evidence for the utility of the ATOP for individual clinical review, service planning and research.

Relying on the philosophy of the union of the body and mind, physical fitness has significant impacts on students’ psychological health. The present study explored how physical fitness influences academic burnout from an interpersonal perspective in school aged children. School bullying victimization was examined as the interpersonal mediator in our research model. A total of 429 Chinese elementary students participated in this study. Physical fitness was objectively assessed by trained evaluators while school bullying victimization and burnout were self-reported in surveys. Interestingly, regression results showed that verbal and relational bullying rather than physical bullying mediated the relationship between physical fitness and burnout. Specifically, verbal bullying victimization mediated the relationship between physical fitness and academic exhaustion; and both verbal and relational bullying mediated the relationship between physical fitness and academic cynicism. These findings disclosed the nature of psychological functioning of physical fitness and provided initial evidence on the interpersonal mechanisms relating school aged children’s physical fitness performance to academic burnout. The theoretical and practical implications for the interpersonal mediators and the nature of different types of school bullying were discussed.

Stress is indeed a life aspect that influences everyone, even though athletes seem to suffer from it one step ahead of others because of the extent they are expected to balance between coursework, workouts, and competitions, along with everyday life and family stress. Therefore, an efficient psychological health analysis for sportspersons is crucial in sports training. This paper introduces a Fuzzy-assisted Neural Network model for Psychological Health Analysis (FNN-PHA) to assess mental stress by monitoring the Electro Cardio Gram signal (ECG), Electroencephalogram (EEG), and Pulse rate. This paper integrates the fuzzy assisted Petri nets, fuzzy assisted k-complex detector, and fuzzy assisted transient time analyzer to ensure the psychological health analysis neural network model’s adaptive performance. The strength of the proposed fuzzy model demonstrates interpretability against the accuracy of different criteria. The simulation analysis shows that the FNN-PHA model enhances the prediction ratio of 98.7%, emotional stability of 96.7%, personal growth of 95.7%, physical fitness level of 97.8%, and depression ratio of 12.5% when compared to other existing models.

Objective. The aim of this research was access the effect of lockdown on the psychological health status of people. Methods. This was an online questionnaire survey developed and circulated among people using snow-ball sampling techniques from April to mid of June 2020. The online survey collected information on demographic data and psychosocial health elements. Results. This study included 604 peoples (59.1% were female and 40.8% were females) of Haryana. Of the total respondents, 57.6% were in age group of 18-30 years, 40.8% were in 31-45 years and 1.5% was in 45-60 years group. 90% of people have normal self- reported BMI, 6.5% were overweight, 3% were underweight and 0.5% people have obesity. 74% respondents were graduate, 11.5% postgraduate, 3.2% were PhD, and 9.2% were 12th pass. 31.8% were unemployed, 35.9% were student, 15.8% regular government employee, 4.7% were self- employed and 2.5% were adhoc/contract employee. 79.5% people reside in urban community and 16% in rural community and 4.5% in semi-urban area. Most of the respondents have agree with the statement that lockdown induced constant sense of insecurity (72.9%); anxiety (58.7%),psychological stress (66.4%); work & financial stress (52.4%), phobia of infection (50.9%); stigma towards symptomatic people, which might be because of simple flu (55.2%); stress from watching & listening COVID-19 news (38.6%); stress from practice of prevention measure (31.9%). Most of people also agree with that behavior-change modification (follow preventive regulations) can improve mental stress (53.2%). Conclusion. Majority of people has realized the lockdown have significant impact on psychological health status of people.

Purpose: The objective of this systematic review was to 1) determine how studies evaluated napping behavior in athletes (frequency, duration, timing and measurement); 2) explore how napping impacted physical performance, cognitive performance, perceptual measures (eg, fatigue, muscle soreness, sleepiness and alertness), psychological state and night-time sleep in athletes. Methods: Five bibliographic databases were searched from database inception to 11 August 2020. Observational and experimental studies comprising able-bodied athletes (mean age ≥ 12 years), published in English, in peer-reviewed journal papers were included. The Downs and Black Quality Assessment Checklist was used for quality appraisal. Results: Thirty-seven studies were identified of moderate quality. Most studies did not include consistent information regarding nap frequency, duration, and timing. Napping may be beneficial for a range of outcomes that benefit athletes (eg, physical and cognitive performance, perceptual measures, psychological state and night-time sleep). In addition, napping presents athletes with the opportunity to supplement their night-time sleep without compromising sleep quality. Conclusion: Athletes may consider napping between 20 to 90 min in duration and between 13:00 and 16:00 hours. Finally, athletes should allow 30 min to reduce sleep inertia prior to training or competition to obtain better performance outcomes. Future studies should include comprehensive recordings of nap duration and quality, and consider using sleep over a 24 hour period (daytime naps and night-time sleep period), specifically using objective methods of sleep assessment (eg, polysomnography/actigraphy).

Background. The internet addiction has numerous physical and psychological effects on health of the student’s faculty. Aim: Determine the physical and psychological effects of internet addiction among faculty of Nursing students at Port Said University. Setting: Faculty of Nursing, Port Said University. Subjects and Method: Design: A descriptive design was employed. Subjects: A sample of 124 students from the four academic years at faculty of Nursing, Port Said University, were involved. Tools: Three tools were used tool I. Internet use assessment sheet, tool II the Internet Addiction Test (IAT) to assess internet addiction. Tool III a measure of severity of physical and psychological symptoms as a result of using the internet scale. Results. The study results showed that headache represented a percent score of 60.48 ± 26. 44, while sleep problems represented percent score of 54.19 ± 27.20. The psychological problems percent score 43.68 ± 29.19. Furthermore, the moderate using the internet was 39.5% among the studied sample. Conclusion: The present study proved that headache, sleep problems and psychological symptoms (fear - depression -anxiety) respectively were the highest sever symptoms resulted from using the internet. There is significant relation between total scores of psychological symptoms, internet using scale and time of using internet. Recommendations: Improve attitude and knowledge regarding physical and/or psychological health hazards of using mobile phone and internet addiction.

Providing a “safe system of work” is the essence of the general duties that employers have to their employees under workplace health and safety regulations. Despite this, consistent and appropriate definition of what constitutes a safe system of work is almost non-existent. Available definitions tend to confuse a safe system of work with management practices intended to bring about a safe system, or conflate the broad system suggested in general duties clauses with procedures or work methods that are focused on particular hazards or tasks. This article develops a definition of safe systems of work which recognises the broad scope of the concept and includes psychological health and return to work processes. This definition can be used by a range of stakeholders to better communicate the scope of occupational health and safety duties and more consistently assess whether a safe system has been provided both before and after incidents occur.

Background: COVID-19 is an infectious disease with a wide range of physical and psychological health threats among health care workers, in particular, nurses because they spend a long time caring for their patients. Aims: To investigate the prevalence and predictors of depression, anxiety, and stress among Jordanian nurses. Methods: This study was conducted among 405 nurses using an online survey from March 3, 2020 to March 24, 2020. The Arabic version of the Depression, Anxiety, and Stress Scale (DASS) was used. Results: the findings of this study showed that depression, anxiety, and stress were highly prevalent among nurses (57.8, 42.4, and 50.1%, respectively). Those who had close contact with a coronavirus disease 2019 (COVID-19) patient showed stronger psychological reactions than their counterparts. The full regression models in terms of depression, anxiety, and stress which contained gender, number of children, and dealing with a person with COVID-19 were statistically significant (F (3, 216) = 11.801; p < 0.001), (F (3, 216) = 10.501; p < 0.001), and (F (3, 216) = 11.659; p < 0.001), respectively. Conclusion: In the COVID-19 pandemic, the levels of depression, anxiety, and stress are high among Jordanian nursing working in clinical settings. Hence, the mental health status of nurses should be given a priority, with a specific emphasis on those who are in contact with infected patients with COVID-19, female nurses, and those who have children.

The study used a random questionnaire that had been distributed to employees from various types of businesses, there were 157 respondents who filled in, and 134 data were processed by the author to analyze the company's strategy in maintaining employee well-being. Among them are: Demographics of respondents consisting of: Type of business entity, type of industry, size of company. In addition, we took data about the impact of the Covid-19 pandemic on companies. Strategies for maintaining employee well-being which include: a) implementation of strategies consisting of: types of wellbeing programs implemented by the company, description of the implementation of well-being programs before and after the Covid-19 pandemic. b) Dynamic implementation of strategies for maintaining employee wellbeing based on dimensions consisting of: application of wellbeing to improve physical health, psychological health, relationship, homework interface. Research result; an increase in the percentage of companies implementing well-being programs from 58% to 63%. The strategy applied by the company focuses more on the wellness program. Based on the dimensions of Employee well-being, companies implement more Physical Health programs by providing health care (masks, vitamins, hand sanitizers) and the lowest is Psychological Health.

Andrade RosárioNacha Samadi,de SouzaPerciliany Martins, AssunçãoPoliana Elisa, Pereira de OliveiraFernando Luiz, BearzotiEduardo, de Castro PintoKelerson Mauro,SouzaGabriela Guerra Leal.Resting heart rate variability in professors: Impact of psychological stress, obesity and blood pressure.Journal of Education, Health and Sport. 2021;11(5):11-25. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.05.001 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2021.11.05.001 https://zenodo.org/record/4733067 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2021. Revised: 26.04.2021. Accepted: 02.05.2021. Resting heart rate variability in professors: Impact of psychological stress, obesity and blood pressure MSc. Nacha Samadi Andrade Rosário1(nacha.rosario@aluno.ufop.edu.br), MSc. Perciliany Martins de Souza1(perciliany.souza@aluno.ufop.edu.br), Poliana Elisa Assunção1(popoelisa@gmail.com), PhD. Fernando Luiz Pereira de Oliveira2(fernandoluiz@ufop.edu.br), PhD. Eduardo Bearzoti2(eduardo.bearzoti@ufop.edu.br), PhD. Kelerson Mauro de Castro Pinto3(kelerson@ufop.edu.br), and PhD. Gabriela Guerra Leal Souza1(gabriela.souza@ufop.edu.br). Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil Department of Statistics, Federal University of Ouro Preto, Ouro Preto,Brazil SchoolofPhysical Education, Federal University of Ouro Preto, Ouro Preto,Brazil Corresponding author: Gabriela Guerra Leal Souza; Federal University of Ouro Preto, Department of Biological Sciences, Campus Morro do Cruzeiro, Laboratory of Psychophysiology – Ouro Preto, Minas Gerais – Brasil. CEP 35400-000; e-mail: gabriela.souza@ufop.edu.br; +55 (31) 3559-1991 / (31) 9 8864-2549Email Abstract Objective:University professors are prone to show physical and psychological diseases related to excessive workload. Such overwork can affect the functioning of the autonomic nervous system, leading to a decrease in heart rate variability (HRV). HRV reflects the continuous fluctuation of the R-R intervals due to sympathetic and parasympathetic actions in the heart and is associated with good physical and psychological health.We aimed to evaluate whether psychological stress and anthropometric and clinical variables influence HRV at rest in professors. Methods:University professors of both sexes (N=65; 41 men) participated. We collected Anthropometry and Clinical variables, Psychological stress, and HRV parasympathetic parameters (square root mean squares of the differences between RR intervals: RMSSD, number of successive differences between RR intervals, which are > 50 ms: NN50 and high frequency – HF). Results:Four principal components (PCs) represented 68.29% of the data total variation. Principal component 1 (PC1) was called the good cardiac regulation component. PC2 was called the component of reduced stress symptoms. PC3 was named favorable working conditions component. PC4 was denominated component of labor and physiological deregulation. Each HRV parameter was associated with each PC through the use of regression models. The RMSSD was positively associated with PC2. The NN50 was positively associated with PC2 and PC3. HF was positively associated with PC3 and PC4. Conclusions:HRV parasympathetic parameters, which represent good physical and mental health, are positively associated with the components of reduced stress symptoms, favorable working conditions, and labor and physiological deregulation. Keywords: heart rate variability; stress; blood pressure; obesity; anthropometry;professors. Abstrata Objetivo:Professores universitários são propensos a apresentar doenças físicas e psicológicas relacionadas à carga horária excessiva.Esse excesso de trabalho pode afetar o funcionamento do sistema nervoso autônomo, levando a uma diminuição da variabilidade da frequência cardíaca (VFC).A VFC reflete a flutuação contínua dos intervalos RR devido às ações simpáticas e parassimpáticas no coração e está associada a uma boa saúde física e psicológica.Objetivamos avaliar se o estresse psicológico e as variáveis antropométricas e clínicas influenciam a VFC em repouso em professores.Métodos:Participaram professores universitários de ambos os sexos (N = 65; 41 homens).Coletamos variáveis antropométricas e clínicas, estresse psicológico e parâmetros parassimpáticos da VFC (raiz quadrada da média dos quadrados das diferenças entre os intervalos RR: RMSSD, número de diferenças sucessivas entre os intervalos RR, que são> 50 ms: NN50 e alta frequência - HF).Resultados:Quatro componentes principais (PCs) representaram 68,29% da variação total dos dados.O componente principal 1 (PC1) foi denominado componente de boa regulação cardíaca.PC2 foi chamado de componente de redução dos sintomas de estresse.O PC3 foi denominado componente de condições favoráveis de trabalho.PC4 foi denominado componente do parto e desregulamentação fisiológica.Cada parâmetro de VFC foi associado a cada PC por meio do uso de modelos de regressão.O RMSSD foi positivamente associado ao PC2.O NN50 foi associado positivamente com PC2 e PC3.HF associou-se positivamente com PC3 e PC4.Conclusões: Osparâmetros parassimpáticos da VFC, que representam boa saúde física e mental, estão positivamente associados aos componentes de redução dos sintomas de estresse, condições favoráveis de trabalho e desregulamentação fisiológica e laboral. Palavras-chave: variabilidade da freqüência cardíaca; estresse; pressão sanguínea; obesidade; antropometria; professores.

Background: Independent association between legume intake and psychological disorders is not well documented. This study was carried out to examine legume consumption in relation todepression, anxiety, and stress in women in Tehran city of Iran. Methods: In this cross-sectional study, 458 women aged 20-50 years who referred to the health centers of Tehran University of Medical Sciences were selected by multistage cluster sampling method. The usual dietary intake in the past year was evaluated using a 168-item semi-quantitative food frequency questionnaire with confirmed validity and reliability. Legume intake was calculated by summing up the consumption of lentils, peas, chickpeas, and different kinds of beans including broad beans and chickling vetch. Psychological disorders were assessed using a validated depression, anxiety, stress scales questionnaires with 21items. In the logistic regression analysis, the results were adjusted to the confounding factors. Results: The mean age of the study participants was 31.85 ± 7.67 years. The prevalence of depressive symptoms, anxiety, and psychological distress among study participants was 34.6%, 40.6%, and 42.4%, respectively. After adjustment of the confounding variables, legume consumption had no significant association with depression (P = 0.72), anxiety (P = 0.17), and stress (P = 0.89). However, a significant association was found between moderate legume consumption and depression (OR: 0.52; 95% CI: 0.30–0.90; P = 0.01). Conclusion: Higher legume consumption has no significant relationship with depression, anxiety, and anxiety in women. However, a significant association was observed between moderate legume consumption and depression. Prospective studies are needed to confirm these findings.

Recently, technology has been suggested as an effective tool during COVID-19 pandemic. Therefore, this study examines the physical training fitness activities using electronic simulation games on fostering psychological health among university students during COVID-19 pandemic. A quasi-experimental pre-post-test design was employed. Students were divided into two groups, one experimental and the other controlled. The research community included female students at the preparatory year and supporting studies deanship at Imam Abdulrahman bin Faisal University in Saudi Arabia. The data were collected from a sample of 24 female students during the first semester of the academic year (2020-2021). The results revealed that the experimental group attained higher mean scores than students in control group in the study variables. The result of this study evidenced that game simulation devices promote positive psychological health among students. The study concluded that technology devices can be used for exercises and can be very effective in the teaching and learning process of physical education courses. © 2021 by authors, all rights reserved.

Background: Mental health is integrated into PHC as a strategy of WHO to fill the gap in mental health treatment. Part of this strategy needs a level of task shifting so that mental health care is provided by different level of PHC workers and not only specialists such as psychiatrists and psychologists. Objectives: To assess the knowledge and attitudes of family doctors regarding the provision of psychological health in PHCC and if there is an association between the certificates of these family doctors and their Knowledge and attitudes to psychological health. Subjects and Methods: A cross-sectional descriptive study with analytic elements was conducted in 8 family health care centers in Baghdad city/Al-Karkh. Data was collected via questionnaire form which consists of three domains: Domain one includes sociodemographic data, domain two was about knowledge and consists of (7) questions and domain three consisted of (12) questions about the attitude of physicians regarding mental health. A convenient sample of (83) family health care physicians were included in the current study. Results: The mean age of participants was 42 years (range: 27 – 53). The results revealed that 22.9% of participants were male, 77.1% were female. The percentage of mental illness seen by the physicians daily in the health care center was (15.7%). Physicians with higher degree certificates obtained higher knowledge scores in comparison to residents or practitioners as well as the females reported a significantly higher score of knowledge in comparison to males. Moreover, higher scores of positive attitudes were found. Conclusion: Family Physicians with higher certificates have more knowledge and attitude than other certificates.

The article sets out a new innovative approach to carrying out educational and preventive activity aimed at care about social and psychological health and prevention of HIV / AIDS on the basis of partnership of family, school and community; experience of implantation of the Program 15 in Ukraine is described and analyzed; the results if the first year implantation of the Program are highlighted. The Program is defined as innovative social and pedagogical technology. KEY WORDS: Program 15, social and pedagogical activity, HIV / AIDS, sexually transmitted diseases (STDs), community, technology, violence, public health hazard, cognitive an behavioral approach. DOI: http://dx.doi.org/10.15181/tbb.v73i1.1269