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1.
J Multidiscip Healthc ; 17: 3121-3139, 2024.
Article in English | MEDLINE | ID: mdl-39045489

ABSTRACT

Background: The rapid growth of social media has profoundly transformed communication, community building, and information sharing worldwide. In Afghanistan, the proliferation of social media platforms has significantly impacted the social, cultural, and political landscape, particularly among the youth. Objective: This multi-disciplinary study aims to explore the diverse effects of social media on Afghan youth, focusing on usage patterns, mental health implications, entertainment-driven time allocation, financial expenditures, exposure to explicit content, and academic performance. Methods: A cross-sectional online survey was conducted between September and December 2023, gathering responses from 1556 participants (67% males, 33% females) through various social media platforms. Data were analyzed using SPSS version 26.0, employing statistical tests such as ANOVA and Chi-Square to examine relationships between social media usage and its impacts. Results: The study reveals significant links between social media usage and demographic, behavioral, and mental health factors. Key findings include Facebook as the most used platform (83.6%), with the majority of participants spending 1-3 hours daily on social media. Age differences in time spent were significant (F=15.64, p<0.001). Entertainment was the primary use (45.5%), with gender differences in engagement levels. High anxiety (78.5%) and moderate depression (38.3%) were reported. Significant associations between social media use and mental health were found (eg, χ2=591.87, p<0.001 for nervousness). Excessive use negatively impacted study habits, with 25.7% feeling it hindered their academic performance. Conclusion: This study highlights the multifaceted impacts of social media on Afghan youth, including both positive aspects like enhanced communication and empowerment and negative aspects such as mental health issues and academic challenges. The significant relationships between social media usage and various life aspects underscore the need for targeted interventions to promote healthy digital habits and mitigate adverse effects. Further research is recommended to explore long-term impacts and effective strategies for managing social media use among Afghan youth.

2.
Ann Med Surg (Lond) ; 86(1): 308-318, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38222721

ABSTRACT

MicroRNAs (miRNAs) are short non-coding RNAs that play a critical role in regulating gene expression by binding to target messenger RNAs (mRNAs). They were first discovered around 8 years after the identification of the first miRNA in 1993, and since then, there has been a significant increase in miRNA-related research and discoveries. MiRNAs have been implicated in various biological processes, including cancer, particularly in colorectal cancer (CRC). In CRC, miRNAs act as either oncogenes or tumor suppressors, influencing essential cellular functions such as cell proliferation, apoptosis, angiogenesis, and metastasis. The dysregulation of miRNAs in CRC can arise from different factors, leading to abnormal expression levels of their target mRNAs and subsequently affecting protein production. Consequently, miRNAs may directly target oncogenes or tumor suppressor genes, thereby contributing to cancer initiation and progression. Notably, tumors often exhibit reduced expression of mature miRNAs. In CRC research, miRNAs offer potential as diagnostic biomarkers and therapeutic targets. Specific miRNA profiles could serve as non-invasive tools for early CRC detection and risk assessment. Additionally, miRNA-based therapies present a promising approach for targeted cancer treatment by modulating miRNA expression. However, challenges related to delivery systems and long-term safety must be addressed to fully harness their therapeutic potential.

3.
Ann Med Surg (Lond) ; 85(4): 684-688, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37113965

ABSTRACT

Basic life support (BLS) is a type of emergency care provided by healthcare workers and public safety professionals to individuals experiencing cardiac arrest, respiratory distress, or other cardiopulmonary emergencies. Despite having a high burden of cardiovascular disease and trauma from conflict in Afghanistan, little is known about the level of BLS knowledge Afghani healthcare workers have. A cross-sectional study was conducted in Kabul, Afghanistan, to assess healthcare workers' training and knowledge of BLS. The study, which took place from March to June 2022 across multiple public and private hospitals, was approved by the institutional ethics committee of Ariana Medical Complex. The sample size was calculated using a nonprobability convenience sampling method, and the study population consisted of healthcare workers actively working in a health center who were willing to complete a questionnaire. The results of the study showed that most participants (71.3%) were in the 21-30-year-old age range, and a third (32.3%) were doctors. 95.3% of participants had poor knowledge of BLS, with a mean score of 4.47±1.58 out of 13. Additionally, it was evident from questionnaire responses that providers are not adequately performing BLS. These findings suggest that further work, including regular BLS courses, is necessary to improve the knowledge and practice of BLS by healthcare workers in Afghanistan.

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