Introduction Depressive emotions can lead to subsequent unhealthy behaviors such as Internet addiction, especially in female adolescents; therefore, studies that examine the relationships among depression, health‑related behaviors, and Internet addiction in female adolescents are warranted. Purpose To examine (1) the relationship between depression and health-related behaviors and (2) the relationship between depression and Internet addiction. Method A cross-sectional study design was adopted using a structured questionnaire to measure depression, health-related behaviors, and Internet addiction in female adolescents. The data were collected from students of a junior college in southern Taiwan using convenience sampling to select the participants. The questionnaire was divided into four sections: demographics, the Center for Epidemiologic Studies Depression Scale (CES-D), the Health Promoting Lifestyle Profile (HPLP), and the Internet Addiction Test (IAT). Results The final sample comprised 503 female junior college students, with the participants mainly aged between 15 to 22 years (mean age = 17.30 years, SD = 1.34). Regarding the HPLP scores, the overall score, nutrition subscale score, and self-actualization subscale score were significantly and negatively associated with the CES-D depression score ( p < 0.05–0.01). In other words, depression level was lower in students who exhibited more healthy behaviors, put more emphasis on dietary health, and had higher levels of self-admiration and confidence toward life. Regarding the IAT scores, the overall score and six domain scores were all positively associated ( p < 0.01) to the CES-D depression score. In other words, the higher an individual’s Internet addiction score was, the higher her depression level was. Conclusions The results confirmed the relationship between depression, health-related behaviors, and Internet addiction. The cultivation of health-related behaviors may help in lowering depressive symptoms. Teenagers with depression have higher risks of developing Internet addiction, and such addiction is likely to affect their daily functioning.
Background: The uses and gratifications theory suggests that various types of media can greatly affect people’s lives. This is especially true among older adults who tend to use media for leisure. However, there is insufficient research regarding the relationship between media usage, depression, and quality of life among older adults. Purpose: The purpose of this study was to explore the association between media usage (traditional and internet media), depression, and quality of life among older adults. Methods: Using a cross-sectional design, this study recruited individuals aged 65 years and older in central Taiwan and collected data via a structured questionnaire. Contents of the questionnaire included demographic details, a media usage behavior questionnaire, the Brief Symptoms Rating Scale (BSRS-5), and the Quality of Life Scale developed by the World Health Organization (WHOQOL-BREF). Subsequently, multiple regression analyses were conducted to investigate the association between media usage, depression, and quality of life of older adults. Results: The average age of the 252 participants (107 males) was 70.0 ± 5.4 years. Regression analysis revealed a significant, negative relationship between the number of hours spent watching television and the degree of depression. Additionally, the number of hours spent watching television was significantly negatively related to the quality of life in terms of both the psychological health and social relationships categories. In contrast, the number of hours spent reading newspapers and magazines was significantly positively related to quality of life in the categories of psychological health, social relationships, and environment. Finally, the number of hours spent browsing internet media was significantly positively related to the quality of life in the psychological health category. Conclusion: Media usage may affect the degree of depression and quality of life of older adults depending on the type of media and amount of usage.
This study examined whether interventions through barrier-free home environment improvements could reduce family caregivers’ care stress, improve their family functions, and increase their quality of life. This study recruited family caregivers of older people with disabilities from a long-term care management center in central Taiwan. These older people required improvements related to a barrier-free home environment. A pretest was conducted before and a post-test was conducted 2 months after the improvements. The content of the pretest and the post-test questionnaires included: demographic characteristics, Caregiver stress scale, Family functions scale, World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire. This study recruited 72 family caregivers; the average age was 56.25 ± 12.99 years. The results indicated that interventions through barrier-free home environment improvements could significantly reduce the family caregivers’ care stress, improve their family functions (e.g., reducing conflicts), and enhance their quality of life. Additionally, after intervention, the family cohesion of family caregivers caring for those with mild disability improved to a greater extent than did that of those caring for people with other disease severities. This study revealed that interventions involving barrier-free home environment improvements have positive effects on family caregivers.
Background: Studies on the solitude capacity of university students have been extremely limited and failed to clearly illustrate the correlation of solitude capacity with internal psychological variables and the favorability of interpersonal relationships. The aim of this study was to explore the correlation of college students’ solitude capacity with scores for self-esteem, self-efficacy, and interpersonal relationships. Method: A cross-sectional study was adopted for this study. Data were collected from a university in southern Taiwan using a structured questionnaire, the content of which included demographic data and scores from the Rosenberg Self-Esteem Scale (RSE), the General Self-Efficacy Scale (GSE), the Interpersonal Relationship Scale (IRS), and the Solitude Capacity Scale (SCS). Results: The final sample comprised 562 participants (mean age = 17.51 ± 1.27 years). Adjustment of the demographic variables yielded a significantly positive correlation in the total RSE and SCS (p < 0.01) scores and that in the total GSE and SCS (p < 0.01) scores. Moreover, the relationship with family (IRS subscale) and total SCS score (p < 0.05) exhibited a significant positive correlation. Conclusion: The findings of this study reveal that solitude capacity is significantly correlated with self-esteem, self-efficacy, and the favorability of family relationships.
An 84-year-old man presented to our emergent department with sudden onset of chest pain. He had the history of chronic dislocation of right shoulder and just received open reduction and Kirschner wire fixation two months before. Additionally, he had dementia and received long term care in the nursing home. On physical examinations, bilateral neck subcutaneous emphysema and decreasing breathing sound over right lung field were noted. The radiographic examination revealed subcutaneous emphysema, and pneumothorax was suspected (Figure 1). In addition, severe inward displacement of Kirschner wire was noted (Figure 1). Further computed tomography (CT) confirms the presence of right pneumothorax, pneumomediastinum, and diffuse neck and chest wall emphysema ( Figure 2). Moreover, the intra-thoracic migration of wire was found. Therefore, the patient underwent chest tube thoracostomy and removal of Kirschner wire.The post-operative course was smoothly, and the patient was discharged uneventfully 1 week later. Pins or wires are frequently used for the fixation of fracture or dislocation in the common orthopedic clinical practice. However, migration of these internal fixation devices can uncommonly develop, and timing of migration after internal fixation varies, and may range from the first day to 21 years [1]. Occasionally, the migration of the device can cause life-threatening complications, especial for migration into intra-thoracic space. Its associated complications include cardiac tamponade, pseudo-aneurysm, aortopulmonary fistula, pneumothorax, hemoptysis, and hem thorax [2,3]. In our case, his dislocation was fixed with three Kirschner wires initially. Because his caregiver provided the wrong information that one wire was dislodged, only two wires were removed during the follow-up. Therefore, one wire remained in his shoulder and physician did not take care about this. Finally, the migration of the missing wire caused this severe complication. Our case may suggest that follow-up of radiography after removal of the fixation wire should be important if the clinical information about whether all of the wires have been removed cannot be confirmed. Moreover, physicians should be keep alert this possible complications caused by intra-thoracic migration of Kirschner wire if wire was not removed. Early recognition by regular follow-up of radiography can prevent from the possible fatal events.
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