Status Variables Research Articles

Vitamin D Inadequacy and Its Relation to Body Fat and Muscle Mass in Adult Women of Childbearing Age.

To assess the correlation between vitamin D status and body composition variables in adult women of childbearing age, a cross-sectional study was conducted involving women aged 20-49 years. The participants were categorized based on their vitamin D status and further divided according to body mass index (BMI). Anthropometric and biochemical data were collected to compute body composition indices, specifically body fat and muscle mass. The sample included 124 women, with 63.70% exhibiting vitamin D inadequacy. Women with inadequate vitamin D status demonstrated a higher waist-to-height ratio (WHtR) and body adiposity index (BAI), along with a lower BMI-adjusted muscle mass index (SMI BMI), compared to those with adequate levels of vitamin D (p = 0.021; p = 0.019; and p = 0.039, respectively). A positive correlation was observed between circulating concentrations of 25(OH)D and SMI BMI, while a negative correlation existed between circulating concentrations of 25(OH)D and waist circumference (WC), WHtR, conicity index (CI), fat mass index (FMI), body fat percentage (% BF), and fat-to-muscle ratio (FMR). These findings suggest that inadequate vitamin D status may impact muscle tissue and contribute to higher body adiposity, including visceral adiposity. It is recommended that these variables be incorporated into clinical practice, with a particular emphasis on WHtR and SMI BMI, to mitigate potential metabolic consequences associated with vitamin D inadequacy.

Effect of frailty status on mortality risk among chilean community-dwelling older adults

IntroductionThe study of frailty and its effect on the risk of mortality in older people is of utmost importance, but understanding the critical factors is still limited. Our main objective was to analyze the association of frailty with all-cause mortality in a prospective community cohort of older people. MethodsA five-year longitudinal follow-up study was conducted with 1,174 community-dwelling older adults (men and women≥65 years old) from different Family Health Centers and community groups from Chile. We evaluated the functional risk, socioeconomic status, and anthropometric variables. The frailty status was evaluated by modified Fried criteria. ResultsThe diagnosis of frailty was reached in 290 older adult participants, who had significantly increased 5-year all-cause mortality independently of age, sex, cognitive impairment, and socioeconomic status (adjusted HR 1.51, 1.06–2.15). ConclusionFrailty is a predictor of increased mortality independently of age, sex, socio-economic and cognitive factors.

Brain compensatory mechanisms in depression and memory complaints in fibromyalgia: the role of theta oscillatory activity.

The different clinical presentations of fibromyalgia syndrome (FMS) might play independent roles in the unclear etiology of cognitive impairments and depressive symptoms seen in patients with FMS. Understanding how these clinical presentations are associated with the clinical and neurophysiological aspects of FMS is important for the development of effective treatments. To explore the relationship of memory complaints and depressive symptoms with the different clinical and neurophysiological characteristics of FMS. Cross-sectional data analysis from a randomized clinical trial. Baseline demographics and data on physical fitness, sleep, anxiety, depression, cortical excitability, and pain (clinical and mechanistic) from 63 subjects with FMS were used. Multiple linear and logistic association models were constructed. Final regression models including different sets of predictions were statistically significant (P < .001), explaining approximately 50% of the variability in cognitive complaints and depression status. Older subjects had higher levels of anxiety, poorer sleep quality, lower motor threshold, and higher relative theta power in the central area and were more likely to have clinical depression. Higher anxiety, pain, and theta power were associated with a higher likelihood of memory complaints. Depression symptoms seem to be associated with transcranial magnetic stimulation-indexed motor threshold and psychosocial variables, whereas memory complaints are associated with pain intensity and higher theta oscillations. These mechanisms might be catalyzed or triggered by some behavioral and clinical features, such as older age, sleep disruption, and anxiety. The correlation with clinical variables suggests that the increasing of theta oscillations is a compensatory response in patients with FMS, which can be explored in future studies to improve the treatment of FMS. ClinicalTrials.gov ID NCT03371225.

Examining the Relationships Between Lifelong Learning and Self-Confidence of Women Working in the Public Sector

The aim of this research, which emphasizes the importance of the concept of self-confidence in being a lifelong learner and tries to explain the place of self-confidence in the context of lifelong learning, is to reveal the relationship between the self-confidence levels and lifelong learning levels of women working in the public sector, the lifelong learning levels of working women and To examine their self-confidence in terms of various variables (age, profession, marital status, educational status, years of service). The research was conducted with the relational scanning model, one of the general scanning models. Data were collected with the Women's Self-Confidence Scale and the Employees' Lifelong Learning Scale. The sample group consists of 396 female employees working in the public sector in the center of a province located in the Western Black Sea Region. As a result of the research, it was determined that the self-confidence levels and lifelong learning levels of working women were high. While there was no significant difference between women's self-confidence levels and the variables of age, marital status, education level, professional group, and years of service; It was observed that the only variable that had a relationship with self-confidence was income level. A significant relationship was found between the lifelong learning level of women and the variables of age, education level, occupational group, years of service and income level; It was revealed that there was no significant relationship with the marital status variable. There is a moderate positive relationship between working women's lifelong learning levels and their self-confidence. It has also been concluded that the self-confidence of working women makes it easier for them in their working lives and has positive effects on their lifelong learning competencies.

Keratin 17 is a prognostic and predictive biomarker in pancreatic ductal adenocarcinoma.

To determine the role of keratin 17 (K17) as a predictive biomarker for response to chemotherapy by defining thresholds of K17 expression based on immunohistochemical tests that could be used to optimize therapeutic intervention for patients with pancreatic ductal adenocarcinoma (PDAC). We profiled K17 expression, a hallmark of the basal molecular subtype of PDAC, by immunohistochemistry in 2 cohorts of formalin-fixed, paraffin-embedded PDACs (n = 305). We determined a K17 threshold of expression to optimize prognostic stratification according to the lowest Akaike information criterion and explored the potential relationship between K17 and chemoresistance by multivariate predictive analyses. Patients with advanced-stage, low K17 PDACs treated using 5-fluorouracil (5-FU)-based chemotherapeutic regimens had 3-fold longer survival than corresponding cases treated with gemcitabine-based chemotherapy. By contrast, PDACs with high K17 did not respond to either regimen. The predictive value of K17 was independent of tumor mutation status and other clinicopathologic variables. The detection of K17 in 10% or greater of PDAC cells identified patients with shortest survival. Among patients with low K17 PDACs, 5-FU-based treatment was more likely than gemcitabine-based therapies to extend survival.

The impact of open access on citations, Pageviews, and downloads: a scientometric analysis in Postgraduate Medical Journal.

The influence of Open Access (OA) on the citation impact of scholarly articles remains a topic of considerable debate. This study aims to elucidate the relationship between OA publication and citation metrics, as well as article visibility, within the context of the Postgraduate Medical Journal (PMJ). We conducted a retrospective analysis of 373 articles published in PMJ between 2020 and 2021. Data on OA status, citations, page views, PDF downloads, and other relevant variables were extracted from Journal Citation Reports and PMJ's official website. Multivariable linear regression and other statistical analyses were used to assess the impact of OA on these metrics. OA articles (n = 78) demonstrated significantly higher citation counts, page views, and PDF downloads compared with subscription-based articles (n = 295). Specifically, OA articles showed a significant increase in citation frequency with a β coefficient of 25.08 and a 95% CI of 17.168-32.992 (P < .001). Similarly, OA status was independently associated with increases in page views [β = 288.636, 95%CI: 177.749-399.524, P < .001] and PDF downloads [β = 118.966, 95%CI: 86.357-151.575, P < .001]. Strong correlations among total citations, page views, and PDF downloads were observed in both OA and subscription articles. The study highlights a significant and independent association of OA publishing with increased citation counts, page views, and PDF downloads in PMJ, suggesting that OA articles have broader reach and greater visibility. Further research, including randomized controlled studies across various journals, is needed to confirm these findings and explore the full impact of OA publishing.

Determinants of COVID-19 Prevalence Rate in Asia: A study using Spatial Analysis

This study aims at finding out the important determinants of prevalence rate of COVID-19 in the Asian continent using spatial analysis. The impact of climatic, socioeconomic, demographic, and health status variables on the prevalence rate of COVID-19 is seen through various spatial models such as Spatial lag, Spatial error, Geographically Weighted regression model, and Multiscale Geographically Weighted regression model. The performance of the models is compared under different comparison criteria. It is found that among all, Multiscale Geographically Weighted regression model outperformed other competitive models. Findings also indicate that cardiovascular health, prevalence of smoking habit, human development index, and net migration rate played significant role in defining the prevalence rate of COVID-19 in Asia.

328 Medicaid Fee-for-Service Is an Independent Predictor of Increased Hospital Length of Stay After Traumatic Brain Injury

INTRODUCTION: Hospital length of stay (HLOS) is a metric of injury severity, resource utilization, and healthcare access. Recent evidence has shown associations between Medicaid and increased HLOS after traumatic brain injury (TBI). Whether managed care organization (Medicaid-MCO) or fee-for-service (Medicaid-FFS) models affect HLOS is unknown. METHODS: The Department of Health Care Access and Information Patient Discharge Database years 2017-2019 were queried for TBI patients aged =18-years (y) using ICD-10 codes (S06.0-S06.9/A). Inclusion criteria were Medicaid-MCO/Medicaid-FFS or PI not designated as death/hospice within 5-days of hospitalization. Demographic, socioeconomic status (SES), care-related, charges, and HLOS variables were compared. Subgroup analyses were performed in severe TBI (intracranial pressure monitor/craniotomy = Yes). Multivariable negative binomial regressions assessed the relationship between insurance and HLOS, adjusting for demographic, SES, injury severity, diagnosis-related group, and major complication/comorbidity. Incidence rate ratios (IRR) were reported. RESULTS: Overall (N = 39,834), 33.2% were Medicaid-MCO, Medicaid-FFS = 24.2%, and PI = 42.6%. Significant differences (p &lt; 0.001) were observed for age (MCO = median 45y, FFS = 37y, PI = 44y), sex (male: MCO = 70.8%, FFS = 80.1%, PI = 68.8%), race (Hispanic: MCO = 35.0%, FFS = 51.6%, PI = 24.6%), lowest-quintile SES (MCO = 33.1%, FFS = 31.9%, PI = 9.0%), discharge to home (MCO = 72.1%, FFS = 76.8%, PI = 68.5%), and charges (MCO = median $100,297, FFS = $120,062, PI = $91,863). HLOS was longest in FFS (median = 4-days [IQR: 2-11], MCO = 4-days [2-9], PI = 3-days [1-7]). These differences were conserved in severe TBI (N = 1,650; MCO = 32.8%, FFS = 31.8%, PI = 35.3%) at greater magnitudes (home discharge: MCO = 15.5%, FFS = 25.6%, PI = 8.2%; charges: MCO = $629,625, FFS = $724,225, PI = $607,082; HLOS: MCO = 22-days [IQR: 13-34], FFS = 26-days [14-44], PI = 17-days [10-27]). On multivariable regression, Medicaid-FFS and MCO had significantly longer HLOS compared with PI in all TBI (IRR = 1.44 [95% CI: 1.41-1.48], IRR = 1.17 [1.15-1.20], respectively) and severe TBI (IRR = 1.52 (1.40-1.65), IRR = 1.25 [1.15-1.36], respectively). CONCLUSIONS: Medicaid-FFS had the highest likelihood of increased HLOS. Medicaid-MCO appeared to be a distinct risk stratum with shorter HLOS and lower hospital charges than Medicaid-FFS. Reasons may include different efficacies in care delivery and reimbursement, and require further investigation.

Demographics and socioeconomic determinants of health predict continued participation in a CT lung cancer screening program

PurposeWe developed machine learning (ML) models to assess demographic and socioeconomic status (SES) variables’ value in predicting continued participation in a low-dose CT lung cancer screening (LCS) program. Materials and Methods480 LCS subjects were retrospectively examined for the following outcomes: (#1) no follow-up (single LCS scan) vs. multiple follow-ups (220 and 260 subjects respectively) and (#2) absent or delayed (>1 month past the due date) follow-up vs timely follow-up (356 and 124 subjects respectively). We quantified the contributions of 14 socioeconomic, demographic, and clinical predictors to LCS adherence, and validated and compared prediction performances of multivariate logistic regression (MLR), support vector machine (SVM) and shallow neural network (NN) models. ResultsFor outcome #1, age, sex, race, insurance status, personal cancer history, and median household income were found to be associated with returning for follow-ups. For outcome #2, age, sex, race, and insurance status were significant predictor of absent/delayed LCS follow-up. Across 5-fold cross-validation, the MLR model achieved an average AUC of 0.732 (95% CI, 0.661-0.803) for outcome #1 and 0.633 (95% CI, 0.602-0.664) for outcome #2 and is the model with best predictive performance overall, whereas NN and SVM tended to overfit training data and fell short on testing data performance for either outcome. ConclusionsWe identified significant predictors of LCS adherence, and our ML models can predict which subjects are at higher risk of receiving no or delayed LCS follow-ups. Our results could inform data-driven interventions to engage vulnerable populations and extend the benefits of LCS.

Investigating Variables Predicting Environmental Awareness in the Context of Education for Sustainable Development: An Analysis Based on TIMSS 2019 Data

Trends in International Mathematics and Science Study (TIMSS) provides unique and detailed information to explore the competencies and attitudes of fourth and eighth-grade students worldwide. The "Environmental Awareness Scale" was developed for the first time in the TIMSS 2019 cycle to measure students' environmental awareness. This cognitive scale gives essential information on students' scientific understanding of some environmental problems at the national and international levels. Using this scale to assess students' environmental awareness will improve education for sustainable development (ESD) in this setting since the obtained data provide reliable information that education policymakers use to integrate the most important environmental education topics and concepts into their curricula and identify the factors that should be considered to raise students' environmental awareness. This study aims to investigate to what extent the science self-concept variable from science-related factors, as well as the gender and socioeconomic status (SES) variables from demographic characteristics, predict the environmental awareness of eighth-grade students in Türkiye participating in the TIMSS 2019. For this purpose, a theoretical model was developed and analyzed with Structural Equation Modeling (SEM) to investigate the association between students' environmental awareness and science self-concept, gender, and SES. The analysis revealed that science self-concept, SES, and gender variables together explained 36% of students' environmental awareness. Furthermore, while science self-concept appears to be the strongest predictor of students' environmental awareness, SES level was also a significant variable explaining students' environmental awareness. On the other hand, there was no significant difference in environmental awareness between male and female students. The study's findings are discussed based on the United Nations Educational, Scientific and Cultural Organization (UNESCO)'s emphasis on the periodic monitoring and evaluation of progress in implementing ESD based on data.

Phenotypes and Serum Biomarkers in Sarcoidosis.

Sarcoidosis is a multisystem disease, which is diagnosed on a compatible clinical presentation, non-necrotizing granulomatous inflammation in one or more tissue samples, and exclusion of alternative causes of granulomatous disease. Considering its heterogeneity, numerous aspects of the disease remain to be elucidated. In this context, the identification and integration of biomarkers may hold significance in clinical practice, aiding in appropriate selection of patients for targeted clinical trials. This work aims to discuss and analyze how validated biomarkers are currently integrated in disease category definitions. Future studies are mandatory to unravel the diverse contributions of genetics, socioeconomic status, environmental exposures, and other sociodemographic variables to disease severity and phenotypic presentation. Furthermore, the implementation of transcriptomics, multidisciplinary approaches, and consideration of patients' perspectives, reporting innovative insights, could be pivotal for a better understanding of disease pathogenesis and the optimization of clinical assistance.

Spirituality and people with psychosis: A content analysis of influential primetime television programs.

This mixed methods study examined depictions of spirituality among people with psychosis in influential television programming. Spirituality is a central strength for many people with psychosis. Yet, despite the important role media plays in shaping perceptions, little research has examined the intersection between spirituality and psychosis in popular media. To address this gap, we conducted a content analysis of the 50 most viewed primetime fictional television shows over a 10-year period as determined by the Nielsen rating organization. Characters with psychosis were identified via keyword searches of online sources (wikis, IMDb, etc.) and subsequently independently coded by two individuals. Characters were rated on 18 items in three domains related to demographics, life status, and character framing. Inter-rater reliability ranged from good to excellent across variables. Of 120 identified focal characters with psychosis, just 16 percent (n = 19) had a spiritual identity. Analysis revealed few differences between spiritual and secular characters on demographic and life status variables. Conversely, an examination of framing variables revealed spiritual characters were comparatively less attractive, exhibited a greater negative impact on society, and were more likely to be referred to pejoratively (as a psychopath) and engage in criminal activity. Trend analysis indicated portrayals of spiritual characters decreased over time. The results suggest media depictions of spirituality contribute to the stigmatization of spirituality among people with psychosis, potentially mitigating access to important coping resources and discouraging professional help-seeking. Primary care physicians should consider incorporating a spiritual assessment into care to operationalize spiritual coping assets.

“Estar Tranquilo”: Using a Life-course Approach to Explore Perceptions of Well-being among Older Adults in Curicó, Chile

This study assesses perceptions of well-being between two groups of older adults in Curicó, Chile. One group (n=12) were residents of a long-term care center (known as ELEAM), while another group (n=13) were members of two clubs for older adults – Estrellitas del Vaticano (Vatican’s Little Stars) and Club Campo Lindo (Beautiful Countryside) – who lived in their own homes. Data collection consisted of life-story narratives to explore differences in how older adults in different living situations – long-term residential care vs. independent living – define and perceive what it means to be well in older age. Both groups were paired according to the variables of age, educational level, socioeconomic status, and physical status. In this article, I explore how both groups expressed their desire to estar tranquilo or “be peaceful” in their older age; however, each group achieved this state in different ways. ELEAM residents focused on fostering good relationships with fellow residents and maintaining their autonomy. In contrast, club members focused on practicing their religion, maintaining family relationships, and engaging in activities. Although participants shared similar backgrounds and lived through the same historical events (i.e., military dictatorship), their current situations impacted their perceptions of well-being. For individuals to achieve their desired level of well-bing or to estar tranquilo required that they adapt to different living arrangements: club members had to adapt to living without their children, and ELEAM residents to living in an institution.

Determination of Situational Self-Criticism Levels of Athletes Engaged in Struggle Sports

The aim of this study is to determine the situational self-criticism levels of struggle athletes. The research was designed in cross-sectional survey model, one of the quantitative research methods. The population of the study consists of individuals who do combat sports in Yalova province. The sample consisted of a total of 202 athletes, 97 females and 105 males, who voluntarily accepted to participate in the study among the athletes constituting the universe. Athlete Situational Self-Criticism Scale consisting of 7 items was used as a data collection tool in the study. Statistical analyses in the study were performed using SPSS package programme. A significant difference was found between the participants according to nationality, age, sport age, education and branch variables p&amp;lt;0,05. As a result, it was determined that there was no difference between the situational self-criticism levels of the athletes in terms of gender and parental marital status variables. It was determined that there was a significant difference between the situational self-criticism levels of the athletes in terms of nationality, sports age, age, education and branch variables.

The correlation between domestic violence awareness and attitudes toward child marriage: The case of Turkey.

The aim of this study is to determine the correlation between domestic violence awareness and attitudes toward child marriages among individuals living in Iğdır city. The correlational survey model was used in the study. The sample consisted of 814 adult individuals who lived in Iğdır city, did not have any health problem, and volunteered to participate in the study between September 2022 and January 2023. Personal Information Form, Domestic Violence Awareness Scale, and Attitude Toward Child(Girls) Marriages Scale were used to collect data. Data were obtained through online environment and face-to-face interview. It was found that 59.5% of the sample group were female and 27% were aged between 18 and 24 years. 61.9% of the participants were married and 88.1% were married when they were over the age of 18. In addition, 51.9% were university graduates while 50.9% of them stated that they had witnessed domestic violence. The results of the study revealed that while the variables of gender, age, marital status, education level, and place of residence affected the attitudes toward child marriages, the variables of gender, age, age at marriage, education level, place of residence and witnessing domestic violence affected domestic violence awareness. Furthermore, when examining the scales used, it was concluded that the attitude toward child marriages affected the awareness of domestic violence. Since domestic violence and child marriages are very common, it is recommended to conduct further studies on these issues and to identify support systems that will increase the awareness of the society on these issues.

Mental Health and Psychosocial Factors that Influence Sleep Quality among Indonesian Farmers

Background: Poor sleep quality is usually experienced by someone with quite heavy activities such as farmers who have to get up early to go to the fields, plants and harvest rice. This study aims to analyze mental health and psychosocial factors that influence the sleep quality of Indonesian farmers. Methods: This study uses analytic correlation with a cross-sectional approach. The sample of this research is 84 farmers from 107 populations. Sampling using the Simple Random Sampling technique. Retrieval of data using a questionnaire. The variables are age, gender, health status, medication, lifestyle, stress level and environment. Sleep quality data were obtained using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and data analysis using the chi-square statistical test . Result: The results showed that in the variables of health status (p = 0.000), environment ( p= 0.000), age (p= 0.002), drugs use (p = 0.006), stress level (p= 0.028), then gender (p= 0.8) and lifestyle (p= 0.063). So, it can be concluded that quality has the most influence, namely health status, environment, medicines, and stress levels. There is no relationship between gender and lifestyle with sleep quality. Conclusion:Farmers are expected to be able to control psychosocial factors that affect sleep quality, for health workers it is expected to be more effective in approaching health education counseling in the local area regarding maintaining sleep needs and psychosocial factors that can affect farmers' sleep quality.

Oral health-related quality of life and reasons for discontinuing partial removable dental prosthesis usage: a cross-sectional study with one to seven years of follow-up

BackgroundIn partial edentulous individuals, a partial removable dental prosthesis (PRDP) is a common dental replacement option to improve oral function and quality of life. However, some patients discontinue using their denture over time. The aim of this study was to determine the prevalence and characteristics of partial edentulous patients who no longer wear their dentures, explore their reasons, and assess their oral health-related quality of life (OHRQoL).MethodologyThis cross-sectional study, conducted at Chulalongkorn University Dental School from 2013 to 2019, involved patients who received PRDP treatment. They were contacted via phone calls and asked about their denture usage. Eligible participants were patients who had stopped or rarely used their PRDPs. Data on oral status, health insurance, and PRDP variables were collected from hospital records. Telephone interviews were conducted to collect the initial reasons for seeking PRDP treatment, reasons for discontinuation, desire for a new PRDP, and OHRQoL. The Oral Impacts on Daily Performances index was used to assess the OHRQoL. The score was dichotomized into the absence or presence of oral impacts. Chi-square tests and multivariable binary logistic regression were employed to determine the associations between oral impacts and various factors in the participants who discontinued PRDP usage.ResultsAmong the 975 contacted participants, 175 (17.9%) discontinued using their PRDPs. Most of these individuals had at least 20 remaining natural teeth and/or 4 posterior occluding pairs. The primary initial reason for seeking PRDP treatment was often based on a dentist’s suggestion. Although many participants reported no impact on OHRQoL and did not express the need for new PRDPs, those experiencing oral impacts were more likely to seek replacements.ConclusionsWith up to 7 years follow-up duration, individuals with partial edentulism and sufficient remaining functional dentition without oral impacts were more inclined to discontinue PRDP usage. Those with maxillary anterior teeth loss were less likely to discontinue using their PRDP. The primary initial reason for seeking PRDP treatment was often a dentists’ suggestion. However, the individuals reporting oral impacts expressed their needs for new denture replacements. This highlights the significance of incorporating patient needs and preferences in prosthodontic decision-making.

Investigation of Eating Behaviors and Life Satisfaction in Terms of Different Variables in Individuals Who Exercise Regularly

In this study, it was aimed to examine the eating behaviors and life satisfaction of individuals who regularly exercise in sports centers in terms of different variables. For this purpose, a total of 161 people, 70 female and 91 male, with an average age of 30.30± 10.02, were surveyed. According to the results of the independent sample t-test, it was determined that the difference between the eating behavior levels of the participants according to the gender variable was not statistically significant (p&gt;0.05). Considering the marital status variable, it was determined that there was a significant difference between married and single individuals in terms of external eating behavior levels (p

A Detailed Comparison regarding the of Knowledge Level of Final Year Dental Students of Isfahan Azad University with Other Statistical Communities in Other Studies, in Relation to Squamous Cell Cancer of the Oral Cavity

&#x0D; &#x0D; &#x0D; Introduction: Oral squamous cell cancer (OSCC) constitutes 90% of oral cancers, the most important factors of which are smoking tobacco and drinking alcohol. Early detection of cancerous and precancerous lesions and subsequent referrals are the most important factors in reducing OSCC mortality. The purpose of this study is to compare the knowledge level of senior dental students of Isfahan Azad University regarding etiology, prognosis and treatment of OSCC lesions with three other statistical communities in other statistical populations( dental students in different years of studying, the graduates , and the doctors).&#x0D; Methods: The present study was conducted in the academic year 2021-2022 on 82 senior students of the Faculty of Dentistry in Islamic Azad University, Isfahan Branch (Khorasgan) using census sampling method. The type of study was cross-sectional and descriptive-analytical. A researcher-made questionnaire, whose validity and reliability was calculated was distributed to the students by the researcher in person. Data analyses were done and statistical tests were examined at a significance level of 0.05. Finally, other studies with the same statistical communities were also examined through Google scholar, Scopus, Sid, Proquest and PubMed databases and the results (general and detailed) were compared with the present study.&#x0D; Results: Of 82 students participating in the study, 47/9% were females, 80/5% were unmarried, and 74/4% were native people. The average score of awareness regarding the etiology dimension was 2/5 out of 3, while in the prognosis and treatment level, it was estimated as 3/44 out of 7. In addition, a significant difference was not observed between the average knowledge of students in both etiology and treatment dimensions, and the variables of gender, marital status, and residence status .&#x0D; Conclusion: The results of the present study showed that the knowledge level of senior students in the Faculty of Dentistry in Islamic Azad University, Isfahan (Khorasgan) Branch, as in many statistical communities in other studies, is far from the ideal level. In order to improve these conditions, it is suggested that students have more contact with patients and oral lesions during the course of their studies. Moreover, more retraining courses (virtual or face-to-face) are recommended in the field of malignant and premalignant oral lesions.&#x0D; &#x0D; &#x0D;

Risk and protective factors for early dropout from telephone monitoring for individuals with drug convictions in community mental health centers in Japan

IntroductionIndividuals involved with the criminal justice system face challenges in receiving and maintaining substance use disorder (SUD) treatment and support. Although telephone monitoring (TM) could reduce these barriers, data on TM for community-dwelling individuals involved with the criminal justice system and research on individuals who drop out of TM are scarce. We examined the factors associated with dropping out early from the Voice Bridges Project, which provides TM for individuals on probation for drug-related convictions through community mental health centers in Japan. MethodsParticipants (n = 546) were individuals aged ≥20 years with methamphetamine-related convictions who were on probation. Univariate analyses examine the associations between one-year follow-up status and baseline variables, and multivariate Cox proportional hazards regression analyses identify the risk and protective factors associated with dropping out. Stratified analyses report results based on sex and halfway-house residency. ResultsThe one-year dropout rate was 43.6 % (n = 238). Multivariate analysis identified two risk factors for dropping out—halfway-house residency and suicide attempts in the past year, and two protective factors—higher education and the current use of SUD services. Sex-stratified analyses showed that halfway-house residency was a risk factor for both men and women. Attempted suicide was a risk factor for women. Conversely, higher education and current use of SUD services were protective factors for men. ConclusionsOur results identify unique risk factors for women, such as a recent history of suicide attempts, and distinctive protective factors for men, including higher education and current use of SUD services, emphasizing the importance of sex-specific approaches. Furthermore, the study reveals that irrespective of sex, vulnerable individuals, such as halfway-house residents, are at a higher risk of dropping out from TM.