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نتیجه جستجو - Anxiety

تعداد مقالات یافته شده: 79
ردیف عنوان نوع
1 A Review and Conceptual Analysis of Cancer Pain Self-Management
بررسی و تجزیه و تحلیل مفهومی از خود مدیریت سرطان-2021
Objectives: In this concept analysis article, we will clarify the concept “self-management of cancer pain” by identifying related antecedents, attributes, and consequences to further refine the conceptual and operational definitions of the concept. Design: A review was conducted.
Review/Analysis Methods: The Walker and Avant method was used for this concept analysis. Data sources: CINAHL, PubMed, and PsycInfo were searched systemically.A total of eight studies on “selfmanagement of cancer pain or self-care of cancer pain” published between 2004 and 2019 were identified.
Results: Attributes for self-management of cancer pain include self-efficacy, integration of methods for pain relief into daily life, decision-making related to pain management, process for solving pain-related issues, and initiation of interactions with healthcare professionals. Antecedents include knowledge regarding pain assessment and management, cognitive abilities, motivation, undergoing pain treatment, patient education and counseling, social support, and accountability from all parties involved. Consequences include pain control, improved quality of life, and increased opioid intake.
Conclusions: Self-management of cancer pain was reported to be a self-regulation process with the aim to encourage patients to use skills attained through development of self-efficacy, so they can actively participate in their pain management. This outcome may enhance their quality of life by decreasing their pain, depression, and anxiety and increasing the availability of social support.
مقاله انگلیسی
2 Plasma prolactin is higher in major depressive disorder and females, and associated with anxiety, hostility, somatization, psychotic symptoms and heart rate
پرولاکتین پلاسما در اختلال افسردگی اساسی و زنان بالاتر است، و در ارتباط با اضطراب، خصومت، شکایت جسمانی، علائم روان پریشی و ضربان قلب-2021
Background: Major Depressive Disorder (MDD) is linked to poor physical health including an increased risk of developing cardiometabolic disease (CMD), yet the underlying physiology of this relationship is not clear. One pathophysiological mechanism that may underlie this relationship is neuroendocrine dysregulation, including that of the hormone prolactin. Prolactin has a role in the regulation of stress, and it is linked to anxiety, hostility, and weight gain, which are all implicated in MDD and increased CMD risk. However, little research has examined plasma prolactin in association with psychological symptoms of MDD or biometric indices of CMD risk.
Method: Plasma samples of 120 participants (n ¼ 60 meeting DSM-5 criteria for MDD and n ¼ 60 control; age and sex matched) were analysed to assess prolactin concentration. Biometric data (BMI, waist circumference, blood pressure and heart rate) were collected, and participants completed the Brief Symptom Inventory (BSI) and Depression Anxiety Stress Scale (DASS).
Results: Plasma prolactin was higher in participants with MDD versus controls (8.79 T 5.16 ng/mL and 7.03 T4.78 ng/mL, respectively; F ¼ 4.528, p ¼ 0.035) and among females versus males (9.14 T 5.57 ng/mL and 6.31 T3.70 ng/mL, respectively; F ¼ 9.157, p ¼ 0.003). Prolactin was correlated with several psychological symptoms including anxiety, hostility and somatization, and with heart rate, but not with any other biometric measures.
Conclusions: The results of this study indicate that neuroendocrine dysregulation in MDD may extend to the hormone prolactin, with prolactin being specifically associated with a subset of related psychometric and car- diovascular measures.
Keywords: Major depressive disorder | Cardiometabolic disease | Prolactin | Anxiety | Hostility
مقاله انگلیسی
3 Knowledge, beliefs and management of childhood fever among nurses and other health professionals: A cross-sectional survey
دانش، باورها و مدیریت تب دوران کودکی در پرستاران و سایر متخصصان بهداشت و درمان: یک مرور مقطعی-2021
Background: Fever phobia, the unfounded fear regarding the potential harms of fever in children, has been internationally documented among parents. This fear causes anxiety in parents and health professionals are regularly consulted for advice. Objectives: This study aimed to investigate the knowledge, beliefs and recommended treatments among Australian nurses, pharmacists, general practitioners and paediatricians in the management of febrile children. Design, setting and participants: This was an online cross-sectional survey of Australian nurses, pharmacists, general practitioners and paediatricians designed to evaluate the knowledge and preferred recommendations in the management of febrile children. Methods: The health professionals were recruited via Facebook. Demographic information, knowledge, beliefs and preferred treatments were collected through the online survey, and responses were compared across professions. Results: Of the 839 health professionals who completed the survey, 52.0% correctly identified a fever as 38 ◦C or above. Overall, 23.6% underestimated the temperature that constitutes a fever. Respondents reported concerns leaving fever untreated in children, with dehydration (65.1%), seizures (65.2%), serious illness (34.4%) and brain damage (29.9%) the most common concerns. Pharmacists were more likely to hold these concerns. The beliefs that reducing a child’s fever with medication will reduce the risk of harm (34.7%) and prevent febrile convulsions (51.1%) were prevalent among respondents. These beliefs were more common among pharmacists. Pharmacists were also more likely to recommend parents monitor a child’s temperature (48.5%) and give medication to reduce fever (64.6%). Conclusions: Australian nurses, pharmacists, general practitioners and paediatricians reported many mis- conceptions surrounding the definition of fever, the potential harms of fever and its management, which may perpetuate parental fears. These misconceptions were most common among pharmacists. Continuing profes- sional development is essential to ease unfounded concerns and ensure the safe and judicious care of febrile children.
keywords: تب | کودک | پرستاران | داروسازان | پزشکان عمومی | مرورها و پرسشنامه ها | Fever | Child | Nurses | Pharmacists | General practitioners | Paediatricans | Surveys and questionnaires
مقاله انگلیسی
4 Can paracetamol lower stress and anxiety by blunting emotions during and after computer guided dental implant surgeries? Findings from a randomized crossover clinical trial
آیا پاراستامول می تواند استرس و اضطراب را با کاستن احساسات در حین و بعد از جراحی های ایمپلنت دندان با رایانه کاهش دهد؟ یافته های یک کارآزمایی بالینی متقاطع تصادفی-2021
Background/purpose: Dental implants insertion can be a major factor in stress and anxiety. The aim was to evaluate the paracetamol ability to lower stress and anxiety when compared with ibuprofen during and after computer guided implant surgery utilizing CAD/ CAM surgical template and a computer vision system for assessment.
Materials and methods: Thirty patients were enrolled in a crossover study design having bilateral missing lower molars. Patients were randomized into 2 equal groups with the first assigned for dental implant insertion in the lower molar area on one side with the administration of paracetamol (with 7-day follow-up) followed by 2-week washout period, then another implant was inserted on the contra-lateral side with ibuprofen. The second group received the same drugs but in reversed order. Salivary cortisol level was used to measure anxiety and a computer vision system was used to measure swelling. Visual-Analogue-Scale pain score from 0-to-100 was also utilized.
Results: Only 29 patients completed the study. Stress and anxiety was found to be significantly lower in paracetamol group (4.1  1.08 ng/mL and 6.2  0.94 ng/mL for paracetamol/ ibuprofen respectively). Pain score was 13.1  1.1 and 12.9  2.3 in paracetamol/ibuprofen groups respectively with no significant differences. Swelling showed significant difference favoring the paracetamol group (0.91  0.41 and 0.61  0.31 for paracetamol/ibuprofen respectively).
Conclusion: Paracetamol is effective in reducing stress by minimizing anxiety and blunting emotions of “fear-from-pain” so that pain is no longer perceived as much. However, paracetamol lacks the ability to control swelling at implant site. Computer guided flapless-implant surgery with immediate loading can be recommended for fearful patients.
KEYWORDS: ne-piece implant | Computer vision | system | Acetaminophen | Ibuprofen | Pain | Salivary cortisol
مقاله انگلیسی
5 Bridging the trust gaps in biometrics
پر کردن شکاف های اعتماد در بیومتریک-2021
Biometric systems promise to transform our lives by enhancing capabilities to rapidly detect, analyse and respond to human features and behaviours. Yet while we are at the dawn of the AI age, the potential applications of biometric tools have already triggered unease in the public and heightened scrutiny from policymakers. These concerns have emerged against the backdrop of a global ‘techlash’ fuelled by growing anxiety over privacy breaches, loss of data rights and disinformation.
مقاله انگلیسی
6 Identifying influential factors distinguishing recidivists among offender patients with a diagnosis of schizophrenia via machine learning algorithms
شناسایی عوامل موثر در تشخیص تکرار مجدد در بین بیماران مجرم با تشخیص اسکیزوفرنی از طریق الگوریتم های یادگیری ماشین-2020
Purpose: There is a lack of research on predictors of criminal recidivism of offender patients diagnosed with schizophrenia. Methods: 653 potential predictor variables were anlyzed in a set of 344 offender patients with a diagnosis of schizophrenia (209 reconvicted) using machine learning algorithms. As a novel methodological approach, null hypothesis significance testing (NHST), backward selection, logistic regression, trees, support vector machines (SVM), and naive bayes were used for preselecting variables. Subsequently the variables identified as most influential were used for machine learning algorithm building and evaluation. Results: The two final models (with/without imputation) predicted criminal recidivism with an accuracy of 81.7 % and 70.6 % and a predictive power (area under the curve, AUC) of 0.89 and 0.76 based on the following predictors: prescription of amisulpride prior to reoffending, suspended sentencing to imprisonment, legal complaints filed by relatives/therapists/public authorities, recent legal issues, number of offences leading to forensic treatment, anxiety upon discharge, being single, violence toward care team and constant breaking of rules during treatment, illegal opioid use, middle east as place of birth, and time span since the last psychiatric inpatient treatment. Conclusion: Results provide new insight on possible factors influencing persistent offending in a specific subgroup of patients with a schizophrenic spectrum disorder.
Keywords: Criminal justice | Criminal recidivism | Machine learning | Offender | Schizophrenia
مقاله انگلیسی
7 Does government information release really matter in regulating contagionevolution of negative emotion during public emergencies? From the perspective of cognitive big data analytics
آیا انتشار اطلاعات دولتی در تنظیم تکامل منفی احساسات منفی در مواقع اضطراری عمومی اهمیت دارد؟ از منظر تجزیه و تحلیل داده های بزرگ شناختی-2020
The breeding and spreading of negative emotion in public emergencies posed severe challenges to social governance. The traditional government information release strategies ignored the negative emotion evolution mechanism. Focusing on the information release policies from the perspectives of the government during public emergency events, by using cognitive big data analytics, our research applies deep learning method into news framing framework construction process, and tries to explore the influencing mechanism of government information release strategy on contagion-evolution of negative emotion. In particular, this paper first uses Word2Vec, cosine word vector similarity calculation and SO-PMI algorithms to build a public emergenciesoriented emotional lexicon; then, it proposes a emotion computing method based on dependency parsing, designs an emotion binary tree and dependency-based emotion calculation rules; and at last, through an experiment, it shows that the emotional lexicon proposed in this paper has a wider coverage and higher accuracy than the existing ones, and it also performs a emotion evolution analysis on an actual public event based on the emotional lexicon, using the emotion computing method proposed. And the empirical results show that the algorithm is feasible and effective. The experimental results showed that this model could effectively conduct fine-grained emotion computing, improve the accuracy and computational efficiency of sentiment classification. The final empirical analysis found that due to such defects as slow speed, non transparent content, poor penitence and weak department coordination, the existing government information release strategies had a significant negative impact on the contagion-evolution of anxiety and disgust emotion, could not regulate negative emotions effectively. These research results will provide theoretical implications and technical supports for the social governance. And it could also help to establish negative emotion management mode, and construct a new pattern of the public opinion guidance.
Keywords: Government information release | Cognitive big data analytics | E-government | Sentiment analysis | Public emergency events
مقاله انگلیسی
8 Exploring the autistic and police perspectives of the custody process through a participative walkthrough
بررسی دیدگاه های اوتیستم و پلیس روند بازداشت از طریق یک جستجوی مشارکتی-2020
Background: Research suggests that autistic individuals may be more likely to come into contact with police and have more negative experiences in police custody. However, limited information about the difficulties they experience during the custody process is available. Aims: This study explores the experiences of autistic individuals and officers during a walkthrough of the custody process to identify specific difficulties in these encounters and what support is needed to overcome these. Methods and procedures: A participative walkthrough method was developed to provide autistic individuals and officers an interactive opportunity to identify areas where further support in the custody process was needed. Two autistic participants and three officers took part in the study. Outcomes and results: Autistic participants reported negative experiences due to: i) the emotional impact of the physical setting and custody process ii) communication barriers leading to increased anxiety and iii) exposure to sensory demands. Officers highlighted three factors which limit their ability to support autistic individuals effectively: i) the custody context ii) barriers to communication and iii) knowledge and understanding of autism. Conclusions and implications: Adjustments are needed to the custody process and environment to support interactions between autistic individuals and officers and improve the overall wellbeing of autistic individuals.
Keywords: Autism spectrum conditions | Criminal justice system | Vulnerable detainees | Police custody | Police and Criminal Evidence Act 1984 | Access to justice
مقاله انگلیسی
9 A noble electrochemical sensor based on TiO2@CuO-N-rGO and poly (L-cysteine) nanocomposite applicable for trace analysis of flunitrazepam
یک حسگر الکتروشیمیایی اصیل مبتنی بر نانوکامپوزیت TiO2 @ CuO-N-rGO و پلی (L-سیستئین) قابل استفاده برای آنالیز ردیابی فلونیتراسپام-2020
Flunitrazepam or date rape medication with trade name of Rohypnol belongs to the benzodiazepines branch that is used as a sedative, anesthetic, anticonvulsant, muscle relaxant, and antianxiety drug. It is known as "drug of aggression" because of its very strong and longlasting effects on the central nervous system. The sedative influence of flunitrazepam drug increases with alcohol drinking, which causes mental and motor disorders and causes the victim to become silent. Due to its criminals use, its accurate measurement is crucial. In this work, a novel electrochemical sensor based on TiO2@CuO-N doped rGO, TiO2@CuO-N-rGO, nanocomposite and poly (L-cysteine), poly (L-Cys), is presented for trace analysis of flunitrazepam in aqueous solution. At first, TiO2@CuO-N-rGO nano-composite was synthesized by the sol-gel method and characterized by Raman spectroscopy, Fourier transform infrared, field emission scanning electron microscope, and X-ray diffraction analysis. Then, the suspension of the TiO2@CuO-N-rGO nano-composite was drop casted on the surface of the glassy carbon electrode (GCE/TiO2@CuO-N-rGO). After that, electro-polymerization of l-cysteine on the GCE/TiO2@CuO-N-rGO surface was performed by cyclic voltammetry (CV) method. The electrochemical characteristics of the GCE/TiO2@CuO-N-rGO/poly (L-Cys) surface was evaluated in the solution of ferri/ferrocyanide by electrochemical impedance spectroscopy (EIS) and CV techniques. The increase in current, change in oxidation peak potential, and the appearance of two reduction peaks indicated higher electron transfer rate with well-performed electrochemical process of flunitrazepam at the modified electrode surface compared to the bare GCE. These improvements originate from the synergistic effect of TiO2@CuO-N-rGO nanocomposite and poly (L-Cys). Finally, a linear relationship was resulted between the oxidation peak current and the concentration of flunitrazepam in the wide concentration range of 1 nM to 50 μM with a detection limit of 0.3 nM
Keywords: Flunitrazepam | Rohynol | Benzodiazepines | TiO2@CuO-N-rGO | L-cysteine | synergistic effect | Voltammetry
مقاله انگلیسی
10 Using actor-partner interdependence modeling to understand recent illicit opioid use and injection drug use among men in community supervision and their female partners in New York City
استفاده از مدل وابستگی متقابل بازیگر و شریک زندگی برای درک مصرف غیرقانونی مخدر اخیر و مصرف مواد مخدر تزریقی در مردان تحت نظارت جامعه و شرکای زن آنها در شهر نیویورک-2020
Background: The United States’ opioid crisis disproportionately affects individuals in the criminal justice system. Intimate partners can be a source of social support that helps reduce substance use, or they can serve as a driver of continued or increased substance use. Better understanding of the association between intimate partner characteristics and illicit opioid use and injection drug use among individuals in community supervision could be vital to developing targeted interventions. Methods: Using actor-partner interdependence models, we examined individual and partner characteristics associated with recent illicit opioid use and injection drug use among males in community supervision settings in New York City (n = 229) and their female partners (n = 229). Results: Higher levels of depression (aOR 1.98, 95% CI [1.39–2.82], p ≤ 0.01) and anxiety (aOR 1.98, 95% CI [1.42–2.75], p ≤ 0.01) were associated with recent opioid use among males in community supervision. Females with a partner having higher levels of anxiety were more likely to have recently used opioids (aOR 1.52, 95% CI [1.06–2.16], p ≤ 0.05). Males with a female partner with higher levels of anxiety (aOR 2.16, 95% CI [1.31–3.56], p ≤ 0.01) or depression (aOR 1.70, 95% CI [1.01–2.86], p ≤ 0.05) were more likely to recently inject drugs. Women with a male partner who had been in prison were more likely to have recently injected drugs (aOR 3.71, 95% CI [1.14–12.12], p ≤0.05), but women who had a male partner who had been arrested in the past three months were less likely to have recently injected (aOR 0.08, 95% CI [0.02–0.46], p ≤ 0.01). Conclusions: Results suggest that recent individual illicit opioid use and injection drug use is associated not only with individual-level factors, but also with partner factors, highlighting the need for couple-based approaches to address the opioid epidemic.
Keywords: Opioid use | Injection drug use | Mental health | Criminal justice | Dyads | Actor-partner interdependence model
مقاله انگلیسی
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