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90 result(s) for "Al-Hamzawi, A."
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The cross-national epidemiology of specific phobia in the World Mental Health Surveys
Although specific phobia is highly prevalent, associated with impairment, and an important risk factor for the development of other mental disorders, cross-national epidemiological data are scarce, especially from low- and middle-income countries. This paper presents epidemiological data from 22 low-, lower-middle-, upper-middle- and high-income countries. Data came from 25 representative population-based surveys conducted in 22 countries (2001-2011) as part of the World Health Organization World Mental Health Surveys initiative (n = 124 902). The presence of specific phobia as defined by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition was evaluated using the World Health Organization Composite International Diagnostic Interview. The cross-national lifetime and 12-month prevalence rates of specific phobia were, respectively, 7.4% and 5.5%, being higher in females (9.8 and 7.7%) than in males (4.9% and 3.3%) and higher in high- and higher-middle-income countries than in low-/lower-middle-income countries. The median age of onset was young (8 years). Of the 12-month patients, 18.7% reported severe role impairment (13.3-21.9% across income groups) and 23.1% reported any treatment (9.6-30.1% across income groups). Lifetime co-morbidity was observed in 60.5% of those with lifetime specific phobia, with the onset of specific phobia preceding the other disorder in most cases (72.6%). Interestingly, rates of impairment, treatment use and co-morbidity increased with the number of fear subtypes. Specific phobia is common and associated with impairment in a considerable percentage of cases. Importantly, specific phobia often precedes the onset of other mental disorders, making it a possible early-life indicator of psychopathology vulnerability.
The association between childhood adversities and subsequent first onset of psychotic experiences: a cross-national analysis of 23 998 respondents from 17 countries
Although there is robust evidence linking childhood adversities (CAs) and an increased risk for psychotic experiences (PEs), little is known about whether these associations vary across the life-course and whether mental disorders that emerge prior to PEs explain these associations. We assessed CAs, PEs and DSM-IV mental disorders in 23 998 adults in the WHO World Mental Health Surveys. Discrete-time survival analysis was used to investigate the associations between CAs and PEs, and the influence of mental disorders on these associations using multivariate logistic models. Exposure to CAs was common, and those who experienced any CAs had increased odds of later PEs [odds ratio (OR) 2.3, 95% confidence interval (CI) 1.9-2.6]. CAs reflecting maladaptive family functioning (MFF), including abuse, neglect, and parent maladjustment, exhibited the strongest associations with PE onset in all life-course stages. Sexual abuse exhibited a strong association with PE onset during childhood (OR 8.5, 95% CI 3.6-20.2), whereas Other CA types were associated with PE onset in adolescence. Associations of other CAs with PEs disappeared in adolescence after adjustment for prior-onset mental disorders. The population attributable risk proportion (PARP) for PEs associated with all CAs was 31% (24% for MFF). Exposure to CAs is associated with PE onset throughout the life-course, although sexual abuse is most strongly associated with childhood-onset PEs. The presence of mental disorders prior to the onset of PEs does not fully explain these associations. The large PARPs suggest that preventing CAs could lead to a meaningful reduction in PEs in the population.
Barriers to mental health treatment: results from the WHO World Mental Health surveys
To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 63,678) and analyzed at different levels of clinical severity. Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.
Measurement of Radon Concentrations in Mineral Water of Iraqi Local Markets Using RAD7 Technique
The effective technique of RAD7 has been applied to determine the concentrations of radon and annual effective dose of mineral water samples collected from Iraqi local markets. The results show that the level of radon concentrations in mineral water samples ranged between 0.035 and 0.248 Bq/L with an average value of 0.120 Bq/L. In addition to the annual effective dose ranged from 0.129 to 0.905 uSv/y with an average value of 0.440 uSv/y. It was found that the mean value of radon concentration and annual effective dose in all the studied mineral water samples were within the acceptable limits according to the International Commission on Radiological Protection (ICRP) and World Health Organization (WHO).
Low Flammability Polymers Based on Phosphorus-Containing Methacrylates
To reduce the flammability of polymers, functional flame retardants have become widespread, among which phosphorus-containing methacrylates occupy a special place. Despite the well-developed issues of their synthesis and use, the search for new monomers of this class remains a demanding task due to their efficiency, environmental friendliness, and a number of other reasons. This review systematizes the results of recent research concerning phosphorus-containing polymerizable monomers of the methacrylate series, the use of which makes it possible to reduce the flammability of the resulting materials and composites.
Mental disorders among college students in the World Health Organization World Mental Health Surveys
Although mental disorders are significant predictors of educational attainment throughout the entire educational career, most research on mental disorders among students has focused on the primary and secondary school years. The World Health Organization World Mental Health Surveys were used to examine the associations of mental disorders with college entry and attrition by comparing college students (n = 1572) and non-students in the same age range (18-22 years; n = 4178), including non-students who recently left college without graduating (n = 702) based on surveys in 21 countries (four low/lower-middle income, five upper-middle-income, one lower-middle or upper-middle at the times of two different surveys, and 11 high income). Lifetime and 12-month prevalence and age-of-onset of DSM-IV anxiety, mood, behavioral and substance disorders were assessed with the Composite International Diagnostic Interview (CIDI). One-fifth (20.3%) of college students had 12-month DSM-IV/CIDI disorders; 83.1% of these cases had pre-matriculation onsets. Disorders with pre-matriculation onsets were more important than those with post-matriculation onsets in predicting subsequent college attrition, with substance disorders and, among women, major depression the most important such disorders. Only 16.4% of students with 12-month disorders received any 12-month healthcare treatment for their mental disorders. Mental disorders are common among college students, have onsets that mostly occur prior to college entry, in the case of pre-matriculation disorders are associated with college attrition, and are typically untreated. Detection and effective treatment of these disorders early in the college career might reduce attrition and improve educational and psychosocial functioning.
Estimation rate of total alpha particle emission in blood and milk of women living in city center and rural areas of Al-Muthanna Governorate-Iraq
Iraq has long suffered from environmental pollution due to past wars, specifically the first and second Gulf Wars in 1990 and 2003. Al-Muthanna governorate, as part of Iraq, was directly affected by these conflicts and has experienced environmental and epidemiological changes that may increase the risk of cancer in the region. For this reason, monitoring the alpha particles emissions in human blood and milk was of significant importance. This study aims to estimate the total alpha particle emission rate (Eα) in blood and milk samples of women residing in different environments (rural area and city center) of Al-Muthanna Governorate, using CR-39 detectors. The results revealed that the highest, lowest, and mean Eα values in milk samples from city center and rural areas were (1.63, 0.68, and 1.10 mBq/ml) and (1.59, 0.56, and 1.01 mBq/ml), respectively. The maximum, minimum, and average Eα values in the city center and rural areas blood samples were (2.05, 0.90, and 1.31 mBq/ml) and (1.61, 0.66, and 1.12 mBq/ml), respectively. The findings indicated that the Eα in milk and blood samples in rural areas were lower than in the city center, which may be attributed to the reduced anthropogenic and military activities in rural areas.
Determination of uranium concentration in blood samples of women with breast cancer in Babylon Province of Iraq using CR-39 nuclear track detector
The incidence and prevalence of breast cancer in Iraq are alarming. Breast cancer is one of the most common cancers among Iraqi women, and its rates have been steadily increasing over the years. The exact reasons for the high incidence are not yet fully understood, but it is believed to be influenced by a combination of genetic, environmental, and lifestyle factors. The research objectives of this study revolve around two main goals. Firstly, the study aims to establish baseline values for the amount of uranium present in blood samples. Secondly, the study aims to assess the potential relationship between uranium levels in blood and the development of cancer. The investigation includes 16 blood samples from women diagnosed with breast cancer and 20 blood samples from women without breast cancer. The nuclear fission track analysis method using CR-39 solid-state nuclear track detectors will be employed to analyze the uranium contents in women’s cancer blood (CB) samples. The methodology adopted for this study involved utilizing the SPSS program to conduct a comprehensive statistical analysis. The results of the study indicate that there is a variation in uranium concentration among both the patient women and healthy women. The uranium concentration among patient women ranged from 3.259 ppb to 1.918 ppb, while among healthy women, it varied from 2.105 ppb to 0.59 ppb. These findings suggest that there may be a correlation between the presence of certain health issues and higher uranium levels.
Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys
To examine cross-national patterns and correlates of lifetime and 12-month comorbid DSM-IV anxiety disorders among people with lifetime and 12-month DSM-IV major depressive disorder (MDD). Nationally or regionally representative epidemiological interviews were administered to 74 045 adults in 27 surveys across 24 countries in the WHO World Mental Health (WMH) Surveys. DSM-IV MDD, a wide range of comorbid DSM-IV anxiety disorders, and a number of correlates were assessed with the WHO Composite International Diagnostic Interview (CIDI). 45.7% of respondents with lifetime MDD (32.0-46.5% inter-quartile range (IQR) across surveys) had one of more lifetime anxiety disorders. A slightly higher proportion of respondents with 12-month MDD had lifetime anxiety disorders (51.7%, 37.8-54.0% IQR) and only slightly lower proportions of respondents with 12-month MDD had 12-month anxiety disorders (41.6%, 29.9-47.2% IQR). Two-thirds (68%) of respondents with lifetime comorbid anxiety disorders and MDD reported an earlier age-of-onset (AOO) of their first anxiety disorder than their MDD, while 13.5% reported an earlier AOO of MDD and the remaining 18.5% reported the same AOO of both disorders. Women and previously married people had consistently elevated rates of lifetime and 12-month MDD as well as comorbid anxiety disorders. Consistently higher proportions of respondents with 12-month anxious than non-anxious MDD reported severe role impairment (64.4 v. 46.0%; χ 2 1 = 187.0, p < 0.001) and suicide ideation (19.5 v. 8.9%; χ 2 1 = 71.6, p < 0.001). Significantly more respondents with 12-month anxious than non-anxious MDD received treatment for their depression in the 12 months before interview, but this difference was more pronounced in high-income countries (68.8 v. 45.4%; χ 2 1 = 108.8, p < 0.001) than low/middle-income countries (30.3 v. 20.6%; χ 2 1 = 11.7, p < 0.001). Patterns and correlates of comorbid DSM-IV anxiety disorders among people with DSM-IV MDD are similar across WMH countries. The narrow IQR of the proportion of respondents with temporally prior AOO of anxiety disorders than comorbid MDD (69.6-74.7%) is especially noteworthy. However, the fact that these proportions are not higher among respondents with 12-month than lifetime comorbidity means that temporal priority between lifetime anxiety disorders and MDD is not related to MDD persistence among people with anxious MDD. This, in turn, raises complex questions about the relative importance of temporally primary anxiety disorders as risk markers v. causal risk factors for subsequent MDD onset and persistence, including the possibility that anxiety disorders might primarily be risk markers for MDD onset and causal risk factors for MDD persistence.