Screen Time and Child Behavioral Disorders During COVID-19 Pandemic: A Systematic Review.

Background: The extensive use of various electronic games and communication devices, particularly among children and adolescents, has raised concerns, particularly during the COVID-19 pandemic. This study investigated the link between screen time and internalizing disorders, such as anxiety and depression, among individuals aged ≤18 during the global COVID-19 pandemic. Methods: This systematic review aims to summarize scientific publications from 2019 to early 2022 by searching databases, including the Cochrane Library, PubMed, Web of Science, Scopus, and PsycINFO, to identify suitable studies. In each paper, we searched the following keywords and their synonyms: screen, child, high school, middle school, and psychiatric disorders. The quality of the selected papers was evaluated using a checklist recommended by the National Institutes of Health (NIH) for observational cohort studies. Results: Out of 986 reports identified, we included 12 papers with 14,483 participants. The study revealed a negative correlation between screen time (TV, computer, video games, and mobile phones) and behavioral outcomes. Smartphones were the most frequently used devices, with video games being more prevalent among older participants for education, communication, and entertainment purposes. The prevalence of depression ranged between 10% and 25%. Furthermore, anxiety and depression were identified as predictors of increased screen usage. Some results displayed variation based on the type of screen exposure, the questionnaires used, and the age of the participants. Conclusions: The findings imply an indirect association between increased screen time and depression and anxiety. It is crucial to consider limitations on screen time exposure and parental supervision as measures to prevent certain mental disorders.

Evaluation of Pregnant Woman's Perception of COVID-19 Based on the Health Belief Model in Isfahan.

Background: Coronavirus Disease (COVID-19) is a viral disease that has become an international public health concern. Thus, the present study aimed to evaluate pregnant women's perception of COVID-19 based on the health belief model in Isfahan. Materials and Methods: This cross-sectional study includes 100 pregnant women selected by random sampling. Data were collected using an online questionnaire on the Porsline website. This questionnaire examines the knowledge and structures of the health belief model, including perceived susceptibility and severity, perceived barriers and benefits, and self-efficacy regarding the prevention of COVID-19. Data were analyzed using analytical tests such as independent t-test and Pearson's correlation coefficient. The significance level was considered to be <0.05. Results: The results showed that the knowledge of COVID-19 and preventative methods was at a reasonable level among most women (77%). Also, there was a significant correlation between education and self-efficacy. Based on the findings, the mean score of knowledge (F1,99 = 0.116, p = 0.04) and the mean score of perceived susceptibility (F1,99 = 0.02, p < 0.001) of mothers who were pregnant for the first time were significantly higher than mothers who were pregnant for the second time or more. Conclusions: The perceived severity and susceptibility scores were higher than other constructs, indicating women's proper understanding of the risks of COVID-19. However, half of them stated that they do not go to receive services, and this issue can have adverse consequences. The researchers recommend planning to improve other model constructs, such as self-efficacy, for improving women's performance in receiving care.

A qualitative report on experiences of participants in the young innovative leadership program.

BACKGROUND: Leadership in health system is a universal challenge. The Young Innovative Leadership Program (YILP) designed for undergraduate and postgraduate medical sciences students, implemented at the Isfahan University of Medical Sciences, aimed to cultivate leadership capacities through a 16-week training program. This program comprises ten modules covering innovation, change leadership, and management skills, with mentor-facilitated group discussions. This study aimed to provide a qualitative report of the experiences of participants in the YILP. METHODS: A qualitative study was conducted in 2022, three months after the end of the training program, to investigate the participants' perspectives. Data was extracted through in-depth, semi-structured interviews with 14 participants. RESULTS: In this study 14 undergraduate and postgraduate medical sciences students who had participated in the YILP the previous year were included. Four main categories emerged from the interviews: "emergence of new horizons", "values as beacon", "an expanded toolbox", and "program's structure: a learning atmosphere". CONCLUSIONS: The results of our study indicated that medical science students would benefit from leadership development programs. In this regard, the framework utilized to implement YILP could serve as a role model.

The effect of public health educational campaign regarding antibiotic use and microbial resistance on knowledge, attitude, and practice in the Iran.

INTRODUCTION: The aim of the present study was to show the effect of public health educational campaign regarding antibiotic use and microbial resistance on knowledge, attitude, and practice of people in Isfahan. MATERIALS AND METHODS: This quasi-experimental study was conducted in October 2019 on the public population in Isfahan (a city in the center of Iran). Simple random sampling was done in ten urban areas.). A total of 708 people participated in the study. For assessing the knowledge, attitude, and practice a related researchers-made questionnaire was used in the present study. Finally, data were entered into SPSS (20) and analytical statistics including paired t-test were used. The statistical significance level was considered <0.05. RESULTS: The majority of participants in this study were female 434 (61.9%) and the rest of them were male. The mean ± standard deviation of age was 31.68 (11.11), range of 11-67. More than 50 present of participants had a Bachelor's degree (37.7%) and diploma (27.7%). Most individuals were self-employed 277 (43.1%). About the type of marriage, 54.89% were single and others were married. Results showed that the mean of knowledge and attitude was increased after the intervention (P < 0.05). CONCLUSION: Increase knowledge between people, adherence to treatment and minimizes healthcare costs, however, "antibiotics are misused so often because of the belief that these are benign drugs. In the absence of urgent corrective and protective actions, the world is heading towards a postantibiotic era, in which many common infections will no longer have a cure and once again, kill unabated.

Factors associated with preventive behaviors of COVID-19 among adolescents: Applying the health belief model.

BACKGROUND: The emergence of a new pandemic caused by a novel coronavirus (COVID-19) is a unique challenge for public health (all age and sex groups). OBJECTIVE: This study aimed to explore the adolescents' perceptions of preventive behaviors to avoid COVID-19 disease based on the health belief model (HBM). METHOD: This cross-sectional study was conducted on 797adolescents (aged between 12 and 18 years old), who were 7th-12th -grade students of 24 randomly selected schools from 28th May to June 28, 2020 in Isfahan, Iran. An online self-administered questionnaire was adapted to measure the adolescents' perceived threats, barriers, benefits, self-efficacy, and cues to action toward protective behaviors. RESULTS: Findings indicated that the adolescents' mean age was 14.7 (SD = 1.7) and 53.7% of them were female. Regardless of gender difference, there was a significant positive correlation between the adolescents' protective behaviors and their self-efficacy (r = 0.62, P < 0.001), perceived benefit (r = 29, P < 0.001), and perceived severity (r = 0.15, P < 0.001), while there was a significant negative correlation between the adolescents' protective behaviors and their perceived susceptibility (r = -0.11, P < 0.001), as well as their perceived barrier (r = -0.21, P < 0.001). The result of the Hierarchical regression analysis also revealed that the HBM model had a significant predictive power for preventing measures towards coronavirus disease in adolescents (Adj R2 = 0.46, p < 0.001). The results also showed that self-efficacy was the strongest predictor (ß = 0.59, P < 0.001) in explaining protective behaviors in adolescents. CONCLUSION: In the context of coronavirus disease pandemic in adolescents, the health belief model could provide a useful framework for planners to develop educational programs. Moreover, in such a context, strategies to promote self-efficacy in adolescents should be considered more carefully to help them improve their protective behaviors.

The Prevalence of Psychotropic Drugs and Relevant Factors in Iranian Youth: A Systematic Review and Meta-Analysis.

BACKGROUND: Psychotropic drugs can cause many complications and side effects including cognitive, behavioral, and psychological disorders. In recent years, the Iranian youth and adolescents have growingly been using psychotropic drugs. Therefore, this study analyzes the overall prevalence of psychotropic drugs and the relevant factors among the Iranian youth through a systematic review and a meta-analysis. METHODS: Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, this study includes a systematic review and a meta-analysis. For bias prevention, qualitative evaluation and data extraction were performed independently by two people. Different databases (PubMed, Science Direct, Springer, Wiley, ISI Web of Science, Cochran, Google Scholar, Magiran, IranMedex, SID, ISC) were investigated online, and data analysis was done in Stata software. FINDINGS: In total, 5 articles were selected for the meta-analysis phase. They had been published between 2008 and 2018. According to the meta-analysis results, the overall prevalence of psychotropic drugs was 4.18% [95% confidence interval (CI): 2.52-5.84] in the Iranian youth population. The overall prevalence of psychotropic drugs was 4.74% (95% CI: 1.49-7.99) and 1.06% (95% CI: 0.72-1.41) in young men and women, respectively. Three studies indicated a significant relationship between gender and the use of psychotropic drugs. In other words, the prevalence of psychotropic drugs was significantly higher in boys than in girls (P < 0.05). CONCLUSION: The research results showed that family, parents, close friends, and unemployment were the factors affecting the prevalence of psychotropic drugs in the youth and adolescents.