Acute Stress Disorders Among Jordanian Adolescents After Watching Gaza News Footage on Social Media

Dua’a Al-Maghaireh,1 Najah Sami Shawish,2 Khitam Alsaqer,1 Mariam Kawafha,3 Heidar Sultan Sheyab,4 Rama Ashraf Al Mushasha,5 Abedelkder Al Kofahi6 1Faculty of Nursing, Irbid National University, Irbid, Jordan; 2Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan; 3Faculty of Nursing, Philadelphia University, Amman, Jordan; 4College of Medicine, Jordan University of Science and Technology, Irbid, Jordan; 5College of Medicine, Yarmouk University, Irbid, Jordan; 6Irbid University College, Al Balqa Applied University, Irbid JordanCorrespondence: Dua’a Al-Maghaireh, Faculty of Nursing, Irbid National University, Irbid, Jordan, Email [email protected]: The ongoing conflict in Gaza has led to a surge in acute stress among individuals who are exposed to distressing images and videos daily via social media.Aim: This study aimed to examine the impact of watching Gaza news footage on social media among Jordanian adolescents, and explore the experiences of watching Gaza news footage on social media from the perspective of adolescents.Methods: An explanatory mixed methods design was conducted from 10/10/2023 until 6/11/2023, undertaken at two government high schools in Jordan. The Perceived Stress Scale was used to survey 180 Jordanian students who watched Gaza news footage on social media. Then the students who had high stress levels were interviewed.Results: 180 students participated in this study, more than half of them were male (52.2%). The quantitative findings showed that the students experienced high stress levels, with a mean score of 3.78 (SD = 1.24). 70% of students reported high levels of stress, the amount of time spent watching news footage about the Gaza attack on social media each day, and the presence of social support from family or peers are significantly linked to stress levels (p < 0.05). The qualitative findings revealed the following themes: Extreme Emotional Responses, Sources of Stressors and Impact of Stress Extreme Emotional Responses, Sources of Stressors and Impact of Stress.Conclusion: Study findings revealed high stress levels among adolescents after watching Gaza news on social media, highlighting the need for interventions in the context of the three major themes revealed in the study.Keywords: Gaza, acute, stress, social media, news footage, adolescent

Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial

Aim&nbsp; The aim was to evaluate the effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants after discharge from neonatal intensive care units (NICU).&nbsp; Methods&nbsp; Between March 2013 and December 2015, a randomised controlled trial was conducted at six NICUs across Sweden. At each NICU, a breastfeeding support team recruited, randomised and delivered the support to participating mothers. The intervention group received a daily proactive telephone call up to 14 days after discharge from the support team. The control group could initiate telephone contact themselves. Primary outcome was exclusive breastfeeding eight weeks after discharge. Secondary outcomes were maternal satisfaction with breastfeeding, attachment, quality of life and parental stress.&nbsp; Results&nbsp; In total, 493 mothers were randomised, 231 to intervention group and 262 to control group. There were no differences between the groups for exclusive breastfeeding, odds ratio 0.96, 95% CI 0.66-1.38, nor for maternal satisfaction with breastfeeding, attachment or quality of life. The intervention group reported significantly less parental stress than the controls, t=2.44, 95% CI 0.03-0.23, effect size d=0.26.&nbsp; Conclusion&nbsp; In this trial, proactive telephone support was not associated with increased exclusive breastfeeding prevalence eight weeks following discharge. However, intervention group mothers showed significantly lower parental stress

Occlusion on a single implant-supported crown: any differences?

Dental implants react biomechanically to the occlusal forces placed on them, in a different fashion to teeth, which can make them prone to overloading. This can lead to a range of mechanical problems, including screw loosening, ceramic chipping, and fracture of components, but it can also be associated with biological complications such as later peri-implantitis. Appropriate occlusal loading is essential to maintain long-term stability of implant-retained restorations. Clinicians must be aware that, to varying extents, complications do occur with single implant-retained crowns. Dental implants are not a panacea; it is unwise to describe implants as being either perfect or permanent because they are neither. Patients need to understand, well in advance of having implant-based treatment, that the placement of titanium in their jaw(s) will not stop their parafunctional habits, such as clenching or bruxism. Insertion of titanium screws of various types and roughness will certainly not alter their susceptibility to their own plaque-induced inflammatory periodontal disease which is often manifested as peri-mucositis, or later as peri-implantitis in susceptible patients. Based on the available data, this paper provides recommendations to optimise clinical outcomes for single implant-supported crowns. When designing implants, the focus should be on achieving axial forces during chewing. It is wise to minimise horizontal and non-axial loads to avoid potential damage to ceramic or other prosthetic components, and to minimise the risks of bone resorption occurring around the implants themselves at a later stage. Occlusal relationships of implant-retained restorations should be carefully evaluated on a regular basis. Accurate occlusal records of the starting point are extremely helpful in assessing the ongoing status of any restorations

The impact of stressors on Jordanian patients with infants in Neonatal Intensive Care Unit / Duaa Fayiz Mohammed Al-Maghaireh

Admission of an infant to the Neonatal Intensive Care Unit (NICU) is an unexpected event which can cause parents to experience psychosocial distress. The aim of this study was to identify the impact of stressors on Jordanian parents with infants in the NICU. A mixed methods research design was undertaken in three hospitals in Jordan. The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU) and Patient-Reported Outcomes Measurement Information System (PROMIS) were used to survey 376 Jordanian parents with infants in the NICU. The quantitative results showed that the most common NICU stressor among parents with hospitalized infants in NICU is infant shape and behaviour (M = 3.76, SD = .914) whereas the lowest source of stress was sights and sounds (M = 3.56, SD = .918). There were strong positive associations between depression, anxiety and stress , on the other hand moderate positive association between sleep disturbance, and stress among mothers with hospitalized infant in NICU, with r of depression, anxiety and sleep disturbance equal to .584, .664 and .425 respectively. Moreover, there were strong positive associations between depression, anxiety and stress, on the other hand a weak positive association between sleep disturbance, and stress among fathers with hospitalized infant in NICU, with r of depression, anxiety and sleep disturbance equal to .523, .615, and .210 respectively. In addition, infant characteristics such as gestational age, medical condition classification, and birth weight were significant factors that influence stress levels among parents with hospitalized infants in NICU, whereas infant gender did not significantly impact parental stress. Parent characteristics such as parent age, parent gender, first baby experience, history of infertility, and medical history had significant influence on stress levels among parents with hospitalized infants in NICU. The results also showed the difference of parent and infant characteristics on the impact of stress. Finally, a model iv was established to show the relationships between the variables. With regard to qualitative results, many themes were derived: emotional responses, sources of stress in NICU, impact of stress, and coping strategies. In conclusion, the stress and burden of having an infant hospitalized in the NICU cannot be underestimated as parents face exposure to multiple stressors related to the condition of their infant, NICU environment and staff, as well as altered parental roles. The effect of stress extends from their homes to their workplace, and they carry this psychological and emotional burden everywhere they go, even as they fend off societal judgment and prejudice about the health of their offspring. Thus, they inevitably suffer from negative psychological consequences, interrupted development of healthy parent-infant attachment, and changes to anticipated parental roles