This study examines aggressive behavior among adolescents in school settings, focusing on its associations with mental health dimensions such as dysfunctional negative emotions and anxiety. A total of 403 adolescents (234 girls and 169 boys) aged 12 and 13 years participated in the study. Self-report questionnaires assessed aggressive tendencies and mental health symptoms, while demographic variables such as age and gender were also collected. Data analysis revealed a non-normal distribution, as determined by the Kolmogorov-Smirnov and Shapiro-Wilk tests. Consequently, non-parametric statistical methods were employed, including the Spearman correlation coefficient to explore relationships between variables and the Mann-Whitney U test to analyze gender differences. The results demonstrated significant positive correlations between aggressive behavior and dysfunctional negative emotions (r = 0.191, p < 0.01) and between aggression and anxiety (r = 0.275, p < 0.01). Additionally, gender differences emerged, with females reporting higher levels of mental health symptoms than males (p < 0.05). These findings highlight the complex relationship between mental health challenges and aggression, emphasizing the significant roles of gender and emotional regulation in shaping these dynamics. The study calls for the development of tailored psychological interventions that not only address aggressive behaviors but also consider the unique mental health needs and emotional profiles of adolescents, ensuring a more personalized and effective approach to support their well-being.
Diabetic retinopathy (DR) is a major cause of blindness globally. Effective screening programs are essential to mitigate this burden. This review outlines key principles and practices in implementing DR screening programs, emphasizing the roles of technology, patient education, and healthcare system integration. Our analysis highlights key principles for establishing successful screening initiatives, including the importance of regular screenings, optimal intervals, recommended technologies, and necessary infrastructure. We emphasize the roles of healthcare providers, patients, and policymakers in ensuring the effectiveness of these programs. Our recommendations aim to support the creation of robust policies that mitigate the impact of DR, ultimately improving public health outcomes and reducing the incidence of blindness due to diabetic retinopathy.
The mobile health market is expected to continue to grow that will make it harder for mobile application developer to compete. One of the most popular types of mobile health application is health and fitness applications. This application aims to modify user behavior; therefore, it requires user to use the system continuously in relatively longer period of time to effectively change user behavior. Thus, user satisfaction is essential and must be maintained to reach this goal. This study aims to define the mobile health application qualities that would influence user satisfaction level. Developer can priorities the most influential qualities when building their application. Quality dimensions would be explored by literature review and Google Play Store review and categorised using DeLone McLean IS Success Model. We identified 12 quality dimension that will furthered analysed using Kano Model. The data collecting was conducted with online form with 12 pairs of Kano two-dimensional questionnaires (n = 115). The results show that the important qualities of mobile health application are Privacy, Availability, Reliability, Ease of Use, Accuracy and Responsiveness, lack of these qualities would cause dissatisfaction from user. The developer might also consider to improve user interface and usefulness of the application to increase user satisfaction even though these qualities would not cause much of dissatisfaction
The journey towards better healthcare sustainability in Asian nations demands a comprehensive investigation into the impact of urban governance, poverty, and female literacy on infant mortality rates. This study undertakes a rigorous exploration of these key factors to pave the way for evidence-based policy interventions, utilizing data from a panel of six selected Asian countries: Pakistan, China, India, Indonesia, Malaysia, and the Philippines, spanning the years 2001 to 2020. The findings reveal that adequate sanitation facilities, higher female literacy rates, and sustained economic growth contribute to a reduction in infant mortality. Conversely, increased poverty levels and limited women’s autonomy exacerbate the infant mortality rates observed in these countries. The Granger causality analysis validates the reciprocal relationship between urban sanitation (and poverty) and infant mortality rates. Furthermore, the study establishes a causal relationship where female literacy rates Granger-cause infant mortality rates, and conversely, infant mortality rates Granger-cause women’s autonomy in these countries. The variance decomposition analysis indicates that sustained economic growth, improved female literacy rates, and enhanced women’s empowerment will likely impact infant mortality rates in the coming decade. Consequently, in low-income regions where numerous children face potentially hazardous circumstances, it is imperative to allocate resources towards establishing and maintaining accessible fundamental knowledge regarding sanitation services, as this will aid in reducing infant mortality rates.
Access to affordable and quality medicines plays a vital role for achieving Universal Health Coverage and in reducing out-of-pocket expenditures (OOPE) for households especially in developing nations such as India. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), a Government of India initiative, aims to make low-cost and quality generic drugs and surgical equipment accessible to all segments of the population through its dedicated store outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendra (PMBJK). In this study, a pilot survey comprising 20 stores/PMBJKs and 150 citizens was undertaken in the Bengaluru Urban District, India to understand various aspects of the PMBJKs including availability of drugs, stock-outs, accessibility to stores, perception and awareness levels along with challenges faced by store owners and citizens/beneficiaries. Based on the survey results, we capture the availability of drugs for 35 medicines and consumables belonging to 12 therapeutic categories across 20 store outlets. We also provide valuable insights and interdisciplinary recommendations on several facets including adopting technology-based measures for day-to-day functioning of stores, need for in-depth supply chain analysis for ensuring availability of drugs, encouraging prescription of generic medicines, increasing awareness levels in addition to promoting grassroot-level research, surveys and feedback mechanisms. These suggestions are expected to find their utility in policy-making, strengthen the implementation of the PMBJP scheme across Bengaluru and India as well as contribute towards achieving related Sustainable Development Goals.
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