Detection and Characterization of Online Substance Use Discussions Among Gamers: Qualitative Retrospective Analysis of Reddit r/StopGaming Data.

BACKGROUND: Video games have rapidly become mainstream in recent decades, with over half of the US population involved in some form of digital gaming. However, concerns regarding the potential harms of excessive, disordered gaming have also risen. Internet gaming disorder (IGD) has been proposed as a tentative psychiatric disorder that requires further study by the American Psychological Association (APA) and is recognized as a behavioral addiction by the World Health Organization. Substance use among gamers has also become a concern, with caffeinated or energy drinks and prescription stimulants commonly used for performance enhancement. OBJECTIVE: This study aimed to identify substance use patterns and health-related concerns among gamers among a population of Reddit users. METHODS: We used the public streaming Reddit application programming interface to collect and analyze all posts from the popular subreddit, r/StopGaming. From this corpus of posts, we filtered the dataset for keywords associated with common substances that may be used to enhance gaming performance. We then applied an inductive coding approach to characterize substance use behaviors, gaming genres, and physical and mental health concerns. Potential disordered gaming behavior was also identified using the tentative IGD guidelines proposed by the APA. A chi-square test of independence was used to assess the association between gaming disorder and substance use characteristics, and multivariable logistic regression was used to analyze whether mental health discussion or the mention of any substance with sufficient sample size was significantly associated with IGD. RESULTS: In total, 10,551 posts were collected from Reddit from June 2017 to December 2022. After filtering the dataset for substance-related keywords, 1057 were included for further analysis, of which 286 mentioned both gaming and the use of ≥1 substances. Among the 286 posts that discussed both gaming and substance use, the most mentioned substances were alcohol (n=132), cannabis (n=104), and nicotine (n=48), while the most mentioned genres were role-playing games (n=120), shooters (n=90), and multiplayer online battle arenas (n=43). Self-reported behavior that aligned with the tentative guidelines for IGD was identified in 66.8% (191/286) posts. More than half, 62.9% (180/286) of the posts, discussed a health issue, with the majority (n=144) cited mental health concerns. Common mental health concerns discussed were depression and anxiety. There was a significant association between IGD and substance use (P<.001; chi-square test), and there were significantly increased odds of IGD among those who self-reported substance use (odds ratio 2.29, P<.001) and those who discussed mental health (odds ratio 1.64, P<.03). CONCLUSIONS: As gaming increasingly becomes highly prevalent among various age groups and demographics, a better understanding of the interplay and convergence among disordered gaming, substance use, and negative health impacts can inform the development of interventions to mitigate risks and promote healthier gaming habits.

"I am now on 'speaking terms' with my migraine monster" - patient experiences in acceptance-based cognitive behavioral therapy delivered via the internet for migraine: a randomized controlled pilot study using a mixed-method approach.

Migraine is a common neurological disorder globally. Migraines, with or without aura, are episodic and recurring with symptom-free periods. Frequent and prolonged attacks can lead to chronic migraine. This pilot randomized controlled trial (RCT) aimed to evaluate feasibility of therapist-guided, acceptance-based internet cognitive behavioral therapy (iCBT) as an adjunct to standard medical care for migraine patients in Swedish primary healthcare settings using a mixed methods approach. Participants (treatment n = 15, control n = 14) underwent qualitative and quantitative assessments to evaluate feasibility, acceptance, and initial treatment effects. Interviews with participants (n = 7) indicate that most participants had struggled with migraines for decades and expressed dissatisfaction with the limited medical care. They found the flexible, digital format particularly helpful, praising its accessibility and structured learning. While they appreciated the comprehensive content, some faced challenges with the psychological language and the program pace. Post-treatment, participants reported emotional and behavioral changes, and better migraine management. Seventy-two percent of the 29 participants completed both baseline and 3-month follow-up measures. On average, participants completed 7.7 modules, with 60% completing all 10 modules. Promising effect size indicated a reduction in migraine days during the three-month follow-up. Both qualitative and quantitative data support the feasibility and acceptability of the intervention in primary care settings.

Youth's internet dependence forming factors as a global public health problem.

OBJECTIVE: Aim: The aim is to study the main factors of youth's Internet dependence formation. PATIENTS AND METHODS: Materials and Methods: We conducted psychodiagnostic examination of students in the National Academy of Internal Affairs. The research involved 154 students: full-time students aged 18-25 (n = 78) and part-time students aged 26-35 (n = 76). RESULTS: Results: The degree of prevalence of various types of Internet dependence among young people was determined. It was determined that the problem of Internet dependence requires consideration of socio-demographic, socio-psychological, individual, and psychological, as well as organizational factors. CONCLUSION: Conclusions: It was found that the number of Internet-dependent people among youth is currently growing rapidly. The most favorable individual-typological properties of a personality for the development of Internet dependence are introversion, anxiety, sensitivity, and aggressiveness. Internet dependence is a type of social dependence. An Internet-dependent individual suffers from the inability to maintain harmonious interpersonal contacts and resolve personal issues that are distorted by the virtual environment. Deviations from normal behavior in society change the peaceful way of life and affect public health.

Topic identification and content analysis of internet medical policies under the background of Healthy China 2030.

OBJECTIVE: This study aims to analyse the content of internet medical policies, grasp the inherent laws of the development of internet medical policies and provide references for improving the policy system. METHODS: On the basis of web crawler technology, 436 internet medical policies issued by the central and local governments after the Healthy China Strategy was proposed were collected. The BERTopic model was used to extract topics, and a comprehensive analysis of China's internet medical policy texts was conducted through the analysis of topic content, topic hierarchy and topic clusters. RESULTS: A total of 27 topics were identified in China's internet medical policies, mainly focussing on five topic clusters: medical service regulation, elderly nursing and children's healthcare using traditional Chinese medicine, user safety guarantees, health education and communication and infectious disease treatment and recovery guidance. CONCLUSIONS: Different topic contents play a role in promoting the comprehensive and standardized development of internet medical services. However, there is still room for further improvement in policy integrity, consideration of multiple types of users, and implementation effectiveness. Continuous efforts are needed to optimize the effectiveness of policies.

Lower social vulnerability is associated with a higher prevalence of social media-involved violent crimes in Prince George's County, Maryland, 2018-2023.

BACKGROUND: Social vulnerability may play a role in social media-involved crime, but few studies have investigated this issue. We investigated associations between social vulnerability and social media-involved violent crimes. METHODS: We analyzed 22,801 violent crimes occurring between 2018 and 2023 in Prince George's County, Maryland. Social media involvement was obtained from crime reports at the Prince George's County Police Department. Social media application types included social networking, advertising/selling, ridesharing, dating, image/video hosting, mobile payment, instant messaging/Voice over Internet Protocol, and other. We used the Centers for Disease Control and Prevention's Social Vulnerability Index to assess socioeconomic status (SES), household characteristics, racial and ethnic minority status, housing type and transportation, and overall vulnerability. Modified Poisson models estimated adjusted prevalence ratios (aPRs) among the overall sample and stratified by crime type (assault and homicide, robbery, and sexual offense). Covariates included year and crime type. RESULTS: Relative to high tertile areas, we observed a higher prevalence of social media-involved violent crimes in areas with low SES vulnerability (aPR: 1.82, 95% CI: 1.37-2.43), low housing type and transportation vulnerability (aPR: 1.53, 95% CI: 1.17-2.02), and low overall vulnerability (aPR: 1.63, 95% CI: 1.23-2.17). Low SES vulnerability areas were significantly associated with higher prevalences of social media-involved assaults and homicides (aPR: 1.64, 95% CI: 1.02-2.62), robberies (aPR: 2.00, 95% CI: 1.28-3.12), and sexual offenses (aPR: 2.07, 95% CI: 1.02-4.19) compared to high SES vulnerability areas. Low housing type and transportation vulnerability (vs. high) was significantly associated with a higher prevalence of social media-involved robberies (aPR: 1.54, 95% CI:1.01-2.37). Modified Poisson models also indicated that low overall vulnerability areas had higher prevalences of social media-involved robberies (aPR: 1.71, 95% CI: 1.10-2.67) and sexual offenses (aPR: 2.14, 95% CI: 1.05-4.39) than high overall vulnerability areas. CONCLUSIONS: We quantified the prevalence of social media-involved violent crimes across social vulnerability levels. These insights underscore the need for collecting incident-based social media involvement in crime reports among law enforcement agencies across the United States and internationally. Comprehensive data collection at the national and international levels provides the capacity to elucidate the relationships between neighborhoods, social media, and population health.

Factors Affecting Problematic Internet Use: Rejectful Parental Attitudes During Childhood.

Studies examining the effects of perceived parental rejectful attitudes during childhood and emotional deprivation on problematic Internet use based on inter-factorial analysis are limited. The aim of this research is to examine the effects of the above-mentioned factors on problematic Internet use in people aged 18 years and over. This study used quantitative methods and convenience sampling. The sample consisted of 341 individuals aged 18 years and older. Data collection tools included a personal information form, perceived parental attitudes scale-child form, Young Internet addiction test short form, and Young schema scale short form-3. According to the results obtained in this study, there is a positive correlation between perceived rejectful parental attitudes in childhood, emotional deprivation, and problematic Internet use. Additionally, it was observed that perceived rejectful parental attitudes during childhood had a positive direct effect on problematic Internet use, and emotional deprivation played a positive and partial mediating role in this relationship. Finally, it has been observed that various sociodemographic and social skill factors have a preventive effect on emotional deprivation and problematic Internet use. Various recommendations were made regarding the results obtained at the end of this study.

"I've Got a Lot of Other Things I Do": The Nuances of Digital Engagement among Older People.

As Western society becomes increasingly digitally dependent and many older adults actively engage in the online world, understanding the experiences of those who largely do not use digital technology in their daily lives is crucial. Individual interviews were conducted (pre-pandemic) with 23 older adults who, based on self-identification, did not regularly use digital technology, exploring how their experiences as limited digital technology users may have impacted their daily lives. An iterative collaborative qualitative analysis demonstrated three main themes: internet concerns, frustrations with digital technology, and conflicting motivators to use digital technology. Findings suggest that addressing digital concerns and providing effective digital skill learning opportunities may encourage some older adults to become more digitally engaged. However, as people, including older adults, can be uninterested in using these technologies, organizations and institutions should work to offer ways to support people of all ages who are not engaged online.

The evolution of public attention in acute kidney injury and continuous renal replacement therapy: trends analysis from 2004 to 2024.

Background: Acute kidney injury (AKI) and the need for Continuous Renal Replacement Therapy (CRRT) are critically important health concerns. This study analyzes global and regional Internet search queries to understand public attention in AKI and CRRT over time. Methods: We used Google Trends™ to analyze search queries for AKI and CRRT from January 2004 to March 2024. The study examined global trends and detailed insights from the United States, including state-by-state breakdowns. We identified patterns, peaks of attention, and temporal trends in public attention, comparing regional variations across the US and top-ranking countries worldwide. Results: Global attention in AKI peaked in October 2022, with Portugal, Zambia, and Spain showing the highest regional attention. Within the United States, peak attention was in February 2008. Tennessee, Pennsylvania, and West Virginia were the top states that paid attention to AKI. Attention in CRRT peaked globally in March 2024. South Korea, Saudi Arabia, and Bahrain have led the global attention to CRRT. In the United States, peak attention was in April 2020. West Virginia, Tennessee, and Kentucky showed the highest state-specific attention in CRRT. Conclusions: This study reveals significant temporal and geographical variations in online search patterns for AKI and CRRT, suggesting evolving public attention to these critical health issues. This knowledge can guide the development of targeted public health initiatives, enhance medical education efforts, and help healthcare systems tailor their approach to improving awareness and outcomes in kidney health across diverse populations.

Internet Parent-Child Interaction Therapy for Maternal Guilt in a Child Abuse Case: A Single Case Study.

This single case study explored the effectiveness of Internet Parent-Child Interaction Therapy (I-PCIT) for addressing maternal guilt in a case of child abuse. I-PCIT was implemented because traditional PCIT was challenging due to the family's geographical constraints and the mother's professional commitments. The study utilized multiple assessment tools, including the Eyberg Child Behavior Inventory (ECBI) and the Beck Depression Inventory-II (BDI-II), to measure the therapy's impact on the child's behavior and the mother's depressive symptoms. The case conceptualization highlighted the mother's emotional regulation difficulties and dissociative symptoms under stress that contributed to the abusive incidents. I-PCIT sessions, conducted via videoconferencing software, focused on enhancing the mother-son relationship through Child-Directed Interaction (CDI) and Parent-Directed Interaction (PDI) phases. Through 19 sessions of I-PCIT (with one session conducted face-to-face), the mother's mastery of positive skills improved, and follow-up sessions indicated sustained positive outcomes. This case study underscores the potential of I-PCIT in preventing the recurrence of abuse, enhancing parental skills, and facilitating positive parent-child interaction. It also highlights the importance of therapist-parent collaboration in mitigating dropout risks and promoting therapy adherence.

The Population Typology of Conspiracy Beliefs About Sars-Cov-2 Origin in Russia Based on Predictive Modelling of COMET-G Study Data: Incoherent Attitude Indicator as a Predisposing Factor for Developing Mental Disturbances.

BACKGROUND: We examined the prevalence and spread of conspiracy beliefs about the origins of the COVID-19 pandemic among representatives of the Russian population. Our study aimed to identify belief clusters and develop predictive models to understand the factors that influence conspiracy beliefs, particularly in the context of how they might evolve in response to socio-political events and cause mental disturbances, thus in relation to specific pathways of the infodemic and psychodemic waves that spread among vulnerable population groups. METHODS: Data respondents to the international COMET-G study living in Russia during pandemic period (n=7,777) were analyzed using descriptive statistics, K-means clustering, and various machine learning models, including gradient boosting. We identified distinct populations depending on predominant beliefs about COVID-19 pandemic origins, and applied game theory (Shapely additive explanations) to determine the most influential variables in predicting cluster membership. RESULTS: Four distinct belief clusters emerged, which we designate as Naturalists, Conspiracists, COVID-Sceptics, and the Incoherent Attitude groups. The Incoherent Attitude cluster constituted 20.8% of the sample, and was particularly associated with mental health signs such as sleep disturbances and the use of psychotropic medications. Internet use and mental health-related factors, as well as the respondents' education level, were key predictors of mental disturbances with mediating effects of the conspiracy views across all clusters. Conspiracy beliefs about COVID-19 origin were highly fluid/variable, often being shaped by external sociopolitical factors rather than objective health data. CONCLUSIONS: The cluster with Incoherent Attitude regarding COVID-pandemic origins, which had an association with psychoticism, showed a greater predisposition for mental health problems, than did the Conspiracist, Naturalist and Sceptic clusters. We suppose that underlying psychoticism bears a relation to their sleep problems and resorting to use of psychotropic medications. These results emphasizes the global health need for implementing target-focused and selective strategies that address public misinformation and promote the adoption of critical thinking skills to mitigate the impact of conspiracy theories, considering the factors of education level and pre-existing mental disorders.

Suicide Pact: Till Death Do Us Part .

BACKGROUND: Suicide pacts are always tragic though they remain under-identified and under-reported. History and fiction are full of them, though they would only represent less than one percent of all suicides in Occident. A suicide pact is an agreement made between two or more people to commit suicide together and requires a reciprocal consent but also intent, volition and capability. Victims, motivations and operating methods are multiple, and continue to diversify even more with Internet and social media. How can we identify people at risk? SUBJECTS AND METHODS: Between November 2023 and May 2024, a literature search based on electronic bibliographic databases as well as other sources of information (grey literature) was conducted in order to investigate the most recent data on suicide pacts and especially how they evolved with Internet and social media. RESULTS: Different categories of suicide pacts can be made, but the typical template for a prospective suicide pact describes as two withdrawn individuals, in a tight and close relationship, who feel ensnared in a desperate and unmitigable situation. CONCLUSIONS: Prevention can done at various levels, but screening individuals who fit the profile for risk would certainly be a start. To identify a suicide pact, forensics, criminology and sociology need to be considered.

Nurses' preferences for working in Uber-style 'Internet plus' nursing services: A discrete choice experiment.

BACKGROUND: China's 'Internet Plus' nursing services, which are Uber-style home care services with an 'online application, offline service' approach, have been evolving over the past five years. Registered nurses' preference for these Uber-style Internet Plus nursing services are crucial for improving human resource management and service efficiency, yet research in this area remains scarce. OBJECTIVE: This study aimed to explore registered nurses' preferences for Uber-style Internet Plus nursing services and provide optimization recommendations from a supply-side perspective. DESIGN: A cross-sectional study utilising a discrete choice experiment. SETTING(S): Two public tertiary hospitals located in Tianjin, China, which have implemented Internet Plus nursing services. PARTICIPANTS: 211 registered nurses who participated in Internet Plus nursing services. METHODS: The survey was conducted anonymously using an online survey platform. Respondents were presented with choices between two alternatives, based on five key attributes: income, safety and security, patient and family cooperation, commute time, and service type. Mixed logit models estimated the stated preferences for attributes. Relative importance scores, willingness-to-pay estimates, and simulations of service-type uptake rates were calculated. Subgroup analysis and seemingly unrelated regression estimation were performed to examine heterogeneity in preferences. RESULTS: A total of 3202 choice observations were generated. When sorted by the strength of preference, the five attributes related to registered nurses' choice of Uber-style Internet Plus nursing services, measured by their relative importance scores, are as follows: safety and security (30.89 %), income (27.41 %), patient and family cooperation (18.47 %), service type (11.96 %), and commuting time (11.27 %). Elevating safety and security from low to high levels has the same utility as a 31.81 % increase in monthly income, equivalent to 2586.14 yuan. Subgroup analysis showed that senior nurses place more value on safety and security than junior nurses (ß = 1.421 vs.ß = 0.725; P = 0.011), and unmarried nurses had a stronger preference for family and caregiver cooperation (ß = 1.105 vs.ß = 0.314; P = 0.023). CONCLUSIONS: The strength and heterogeneity of registered nurses' preferences should be highlighted in the dispatch algorithms model of Uber-style Internet Plus nursing services, thereby enhancing the efficiency and humanity of Uber-style Internet Plus nursing services. TWEETABLE ABSTRACT: Registered nurses prioritise safety and security, acknowledging heterogeneous preferences in Uber-style Internet Plus nursing services.

Evaluating challenges of circular economy and Internet of Things in renewable energy supply chain through a hybrid decision-making framework.

Due to industrial development, expansion of communities, and attention to sustainable development, sustainable energy supply has become a big challenge for communities. In this regard, the development and use of Renewable Energy (RE) are considered due to reducing the harmful environmental effects of fossil fuels. Improving the efficiency of the Renewable Energy Supply Chain (RESC) is important for using RE. To improve the performance and efficiency of RESC, it is necessary to use emerging technologies such as the Internet of Things (IoT) and its integration with the principles of the Circular Economy (CE). Therefore, this study proposes integrating IoT and CE for sustainable development and resource management in RESC. Also, this research provides a hybrid decision framework to assess the challenges of IoT and CE in the RESC of Iran. The CRiteria Importance Through Intercriteria Correlation (CRITIC) technique is used to specify the importance of the criteria. The Fuzzy Evaluation Based on Distance from Average Solution (FEDAS) technique ranks the challenges. The findings indicated that considering the cost of investment, the rate of return on investment, and the productivity rate were the most important sub-criteria with values of 0.149, 0.129, and 0.106 respectively. Then, the sensitivity of the results is examined and the validation of the findings is analyzed with decision-making methods. The results indicate the high priority of the challenge related to transparency in the implementation procedures of IoT and RE projects and information dissemination protocols, the development of guidelines for the integration of IoT in other systems in the information network, and the amount of investment and lack of access to financial resources. This study provided practical insights for RE development based on IoT and CE capabilities for energy planning.

Examining the Relationship Between Internet Use and Depressive Symptoms Among Older Adults: Analyses of Mediators and Moderators.

OBJECTIVES: The study aimed to investigate the influence mechanism underlying the relationship between Internet use and depressive symptoms in Chinese older adults. METHODS: Data were derived from the 2018 wave of China Longitudinal Aging Social Survey. Mediation and moderation analyses were conducted using Ordinary list squares (OLS) regression analysis. To address potential endogenous issues, we employed the Propensity Score Matching (PSM) method to explore the association between Internet use and depressive symptoms. RESULTS: Our findings indicate that Internet use can significantly reduce depressive symptoms and enhance mental health of older adults. Loneliness mediated the relationship between Internet use and depressive symptoms among older adults, while socioeconomic status (SES) moderated this relationship. Furthermore, the four purposes of Internet use, namely online chatting, information searching, recreational activities, consumption and investment, were negatively associated with loneliness and depressive symptoms among older adults. CONCLUSIONS: The findings emphasize the positive effects of Internet use on the mental health outcomes of older adults. CLINICAL IMPLICATIONS: The proper use of the Internet possesses considerable promise for clinical rehabilitation, targeting the enhancement of the mental health outcomes of older adults during their later life.

The Proximal Association Between Cyber and In-Person IPV Among College Students.

Although some evidence suggests that cyber intimate partner violence (IPV) may increase the risk of in-person IPV, some have suggested that cyber IPV may circumvent in-person IPV. To address these mixed hypotheses, the present study tested the hypothesis that cyber IPV perpetration and victimization would associate with greater odds of same and next-day psychological, physical, and sexual IPV perpetration and victimization among college students. College students (N = 236; 73.73% cisgender women) in dating relationships completed a baseline questionnaire to assess demographic characteristics and past-year cyber, psychological, physical, and sexual IPV. Following baseline assessments, participants completed 60 consecutive days of surveys on cyber, psychological, physical, and sexual IPV perpetration and victimization (71.67% compliance). Hypotheses were partially supported. Cyber IPV perpetration positively associated with odds of same-day psychological IPV perpetration (aOR = 2.46, p = .02) and next-day sexual IPV perpetration (aOR = 3.32, p < .001). Cyber IPV victimization positively associated with odds of same-day psychological IPV victimization (aOR = 5.20, p = .00). Results demonstrate that college students experience IPV both online and in-person within a single day. Cyber IPV may be a targetable antecedent to in-person sexual and psychological IPV. Future research is needed to evaluate the impact of same- and next-day polyvictimization, bidirectional cyber and in-person IPV, and the effectiveness of targeting cyber IPV prevention programming among college students.

Technology-Facilitated Abuse Among College Students: Prevalence and Consequences, and Examinations by Gender and Sexual Identity.

The purpose of this investigation is to document the prevalence and consequences of technology-facilitated abuse (TFA) among college students and examine whether gender identity and sexual identity are associated with TFA exposure and related academic and mental health consequences. Data were analyzed from a campus climate survey distributed in Spring 2022. Data from 1,543 college students were collected for TFA experiences, academic consequences, and TFA-related depression, anxiety, and traumatic stress. Multiple linear regression analyses were conducted to test for unique contributions of sexual identity, gender identity, and number of TFA experiences to the outcomes of academic consequences, depression, anxiety, and traumatic stress. The number of TFA experiences was a significant predictor across all models. The contributions of sexual identity and gender identity differed for each outcome. The results of this study align with prior research which has found sexual identity and gender identity to affect outcomes associated with TFA. In addition, TFA was more prevalent among sexual and gender minority students, and the consequences of TFA were more severe within this population. These results suggest that programming takes a dual approach in addressing TFA through reducing TFA exposure and mitigating the impacts of TFA on mental health and other outcomes.

Factor analysis of impulsivity in gaming disorder and internet gaming disorder.

BACKGROUND: Research suggests that a two-factor model of impulsivity predicts Substance Use Disorder and Gambling Disorder. We aimed to determine whether a similar factor structure was present for Gaming Disorder (GD) and Internet Gaming Disorder (IGD). METHODS: Secondary data analysis was conducted on survey responses from 372 participants who had completed a series of questions on facets of impulsivity and their involvement in gaming. Participants were sampled from gaming forums and an online recruitment website. Exploratory factor analysis was conducted on the measures of trait impulsivity, and the identified factors were then analyzed against measures of Gaming Disorder and Internet Gaming Disorder. A confirmatory factor analysis was then run to confirm the model. RESULTS: The exploratory results suggested a five-factor model of impulsivity, with gaming being related to all five factors. Interestingly, only two of those factors (Urgency (Positive Urgency, Negative Urgency, Delay Discounting) and (Impaired) Inhibitory Control (False Button Presses on Go/No-Go Tasks)) predicted symptom counts above the clinical cut-off for IGD. In addition, Urgency was related to symptom counts above 7/9 criteria for IGD, as well as symptom counts above the suggested clinical cut-off for GD. The confirmatory factor analysis suggested that this two-factor model of impulsivity had 'good fit.' CONCLUSIONS: This two-factor model of impulsivity is similar to those found in established addiction disorders, in that one factor appears to predict more problematic involvement than the other. However, the results indicate that Urgency predicts higher symptom counts than (Impaired) Inhibitory Control. This contrasts with previous findings on substance use and gambling, where (Impaired) Inhibitory Control was the factor predicting problematic use. However, there was evidence to suggest that gaming is similar to alcohol consumption, where socially acceptable, "healthy," use is related to impulsivity at some level, but Urgency is key in the transition from recreational to disordered behavior.

Prevalence of internet gaming disorder among Chinese adolescents: A systematic review and meta-analysis.

This study aimed to evaluate the prevalence of IGD among Chinese adolescents. Articles published up to April 11, 2024 were retrieved from PubMed, Wiley Online Library, Embase, Web of Science, Ebsco, CNKI, and WanFang. Random-effects models and univariate meta-regression analyses were used to calculate prevalence and heterogeneity estimates with the support of Stata17.0 software. The prevalence of IGD in Chinese adolescents was 10 % (95 %CI: 8 %-12 %). Univariate regression analyses revealed some significant moderators of IGD prevalence, including gender, sample size, and survey year. Spatiotemporal analysis showed the prevalence of IGD varied considerably across provinces in different survey years.

Vocal Hygiene: What Are Professional Voice Users Saying About It on YouTube?

PURPOSE: Health content has been presented and accessed freely on social networks and can generate misinformation; hence, this study aimed to analyze the voice guidance in videos available on YouTube. METHOD: This observational cross-sectional research selected the 45 most-viewed videos on YouTube in 2022, produced by professional voice users with guidance on vocal hygiene and well-being. The content was described and compared with the scientific literature on the topic, analyzing which category of professional voice users produced the most scientifically based content. RESULTS: Altogether, 38 topics were found in the videos, distributed in nine blocks, identified from A to I. Block A (foods with a positive effect on the voice) was the only one that had no citations in scientific articles, whereas block D (negative habits for the voice) had the highest mean number of articles in relation to the others. The most publicized guidelines were mainly related to actions and/or behaviors and resources considered positive for the voice. Eight professional categories were found who produced these videos. Singing teachers who also worked as singers produced the most scientifically based content. CONCLUSION: The study showed that not all the information in the videos was scientifically based, which means that people with voice problems have easy access to information that could even harm them if used in their professions.

Content analysis of fluoride-related posts on Instagram.

BACKGROUND: The Internet and social media have become many people's primary sources of health information. Instagram is one of the most popular social media platforms, and users spend a significant amount of time daily on the platform. Therefore, analyzing oral health-related information shared online can help to identify the requirements of specific groups, assisting in the planning and execution of educational public health actions. As a result, this study was carried out to conduct a qualitative evaluation of fluoride-related content on Instagram in 2022-2023. METHODS: Using hashtags associated with fluoride, a search was conducted on the Instagram application in the Persian language. All fluoride-containing posts were saved, and data was collected thrice at two-month intervals. MAXQDA software version 2020 was used to categorize the collected data content based on type, quality, and quantity. RESULTS: The qualitative analysis included 1565 (9.45%) posts with fluoride-related content out of 16,475 total posts. After removing the duplicates, 400 posts remained, among which 282 posts (70.5%) and 118 posts (29.5%) were pro- and anti-fluoride, respectively. After qualitative analysis, 270 codes were examined and categorized into three main themes and eight subthemes: "fluoride sources," "The advantages and disadvantages of fluoride," and "Invalid beliefs about fluoride." CONCLUSION: The frequency of pro-fluoride use was higher than anti-fluoride posts. However, due to the high prevalence of posts containing false information on fluoride toxicity for health, ineffectiveness on caries prevention, and conspiracy theories, there is a need to improve the quality of information on fluoride by providing scientific and unbiased explanations by professionals online or during dental visits and supervising social media content.