BACKGROUND: Anxiety and depression are potentially harmful outcomes of permanent cardiac pacemakers. Dual-chamber P.P.M. is frequently used to treat life threatening bradycardia. The study aims to estimate the effect of the right ventricular PM lead position on recipients\' anxiety and depression before, 6 months, and 1 year after implantation.
RESULTS: A statistically significant correlation was discovered between the studied groups regarding HADS depression score after 6 months (p 0.013) and 1 year (p 0.013). A statistically non-significant difference was found among the studied groups at any point of time regarding baseline (p 0.063), after 6 months (p 0.054), or after 1 year (p 0.099). Significance was found between HADS anxiety score (p 0.015) or depression score after 1 year and the incidence of complications (p 0.001).
CONCLUSIONS: A strong relationship was found between the level of depression and the R.V. site of implantation, as patients with the apical group had higher levels of depression post-implantation. The septal position has less stress and depression on the patient\'s well-being than the apical one.

UNASSIGNED: Reports detailing the clinical presentation of coronavirus disease 2019 (COVID-19) are extensive in China. However, data remains limited regarding the long-term effects of the 2022 outbreak on the community and healthcare workers (HCWs).
UNASSIGNED: In the follow-up study conducted with 1,069 community members and 3,309 HCWs infected with COVID-19, we observed that five months post-outbreak, 39.2% of community members and 28.7% of HCWs reported experiencing at least one symptom. The symptoms most frequently reported included fatigue or muscle weakness, insomnia, cognitive dysfunction, hair loss, joint or muscle pain, and persistent cough. HCWs tended to experience fewer long-term physical consequences and their symptoms had an expedited recovery time compared to the community members. Nevertheless, HCWs displayed a higher prevalence of moderate to severe depression and anxiety.
UNASSIGNED: The establishment of a public healthcare system dedicated to continual monitoring, prevention, and clinical treatment of persistent COVID-19 symptoms is imperative.

Physical attractiveness has long been established as a desirable trait in society. Physically attractive individuals are considered more competent, successful, and sociable. Numerous studies have examined the influence of makeup on physical attractiveness and its subjective psychological effects. However, the effect of nail care has not yet been examined. This study aimed to explore the psychological effects of nail care. Female Japanese participants (N = 334) completed an online questionnaire. The results showed that nail care positively elevated three aspects: positive emotions, relaxation, and vitalization. Moreover, they confirmed significant differences between receiving nail care from salon manicurists and self-performed nail care in terms of positive emotions and relaxation. The results indicated that nail care altered the appearance of the recipients\' nails and their self-esteem, including their feelings, mood, and motivation. Furthermore, this study indicates that it may be preferable for both manicurists and clients not to self-disclose in-depth, as this would negate the positive effects of nail care. The study concludes with recommendations for future research.

Recently, motorized mobility devices (or power mobility devices (PMDs)) have been introduced for infants and toddlers who lack the means for self-mobility. Previous reports have primarily focused on PMDs for individuals with cerebral palsy. Few have explored PMDs for individuals with neuromuscular diseases who have intellectual disabilities. This report presents a case study of the early introduction of a PMD for an infant with Fukuyama congenital muscular dystrophy and presents the results of an interview with the father regarding psychological aspects and the child\'s manipulative abilities. The PMD was introduced at the age of 1 year and 10 months, and the changes during the 19 months after the introduction were evaluated six times, using the Assessment of Learning Powered mobility use tool (ALP). A semi-structured interview with the father was conducted 19 months after the introduction. The ALP evaluation and the interview were conducted by one physical therapist and two physical therapy students, and the results were shared with the hospital\'s physical therapist and nurses at the nursing facility. This report provides a basis for expanding the scope of PMD use and for considering the family\'s involvement, especially for the child.

UNASSIGNED: The impact of the coronavirus disease (COVID-19) outbreak on many parts of our lives cannot be overstated. This study aimed to identify the psychological, physical activity, and educational effects of COVID-19 on radiological sciences students and interns at the three campuses of King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Jeddah, and Alahsa.
UNASSIGNED: A cross-sectional study was conducted between November and December 2021 among Saudi-108 radiological sciences students and interns using non-probability convenient sampling at King Saud bin Abdul-Aziz University for Health Science (KSAU-HS), Riyadh, Jeddah, and Alahsa using a validated questionnaire. Statistical analyses were conducted using Excel and JMP statistical software.
UNASSIGNED: 102 out of 108 completed the questionnaire resulting in a 94.44% response rate. The percentage of the overall negative psychological impact was 62%. For the physical activity effects of COVID-19 among students and interns, 96% reported a decline in their physical activities. 77% of participants reported a fair impression that the students were able to achieve some of their academic goals and acquired new skills during the pandemic, and 20% reported a good impression. They achieved all their goals and developed new skills, whereas 3% reported bad impressions and needed to achieve their goals or improve their skills.
UNASSIGNED: COVID-19 had a negative psychological and physical activity impact on RADs students and interns at the three KSAU-HS campuses in the Kingdom of Saudi Arabia. Despite technical difficulties, students and interns reported positive academic outcomes from COVID-19.

BACKGROUND: The effects of COVID-19 on the attitude of student nurses toward the nursing profession remain unclear because few studies have been conducted on this topic. Thus, this study examines the influence of the psychological effects of COVID-19 on student nurses\' attitudes toward the nursing profession and their desire to become nurses.
METHODS: The study utilised a quantitative, cross-sectional, and observational design. It surveyed a convenience sample of 726 student nurses in Saudi Arabia during the first semester of the 2021-2022 academic year.
RESULTS: The students reported low levels of COVID-19 fear, anxiety, stress, phobia, and obsession. The students reported positive attitudes toward the nursing profession and 86.0% highlighted their desire to continue with nursing as their future profession. Gender, knowing someone infected with COVID-19, confidence in the government\'s pandemic response, fear, anxiety, and phobia were significant predictors of the nurses\' attitudes. Community, family members in the profession, \"COVID-19-related anxiety\", and \"preference for the nursing profession\" were significant predictors of the student\'s desire to continue nursing.
CONCLUSIONS: Living in a rural community, having family members in the nursing profession, having low levels of COVID-19-related anxiety, and having positive attitudes toward nursing increased the likelihood of nursing students continuing their nursing careers during the COVID-19 pandemic.

This review presents an update of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome on its etiologic, clinical, diagnostic, psychological, therapeutic, and reproductive aspects. The etiology of MRKH syndrome remains unclear due to its intrinsic heterogeneity. Nongenetic and genetic causes that may interact during the embryonic development have been proposed with no definitive etiopathogenesis identified. The proportion of concomitant extragenital malformations varies in different studies, and the discrepancies may be explained by ethnic differences. In addition to physical examination and pelvic ultrasound, the performance of pelvic magnetic resonance imaging is crucial in detecting the presence of rudimentary uterine endometrium. MRKH syndrome has long-lasting psychological effects on patients, resulting in low esteem, poor coping strategies, depression, and anxiety symptoms. Providing psychological counseling and peer support to diagnosed patients is recommended. Proper and timely psychological intervention could significantly improve a patient\'s outcome. Various nonsurgical and surgical methods have been suggested for treatment of MRKH syndrome. Due to the high success rate and minimal risk of complications, vaginal dilation has been proven to be the first-line therapy. Vaginoplasty is the second-line option for patients experiencing dilation failure. Uterine transplantation and gestational surrogacy are options for women with MRKH syndrome to achieve biological motherhood.

Artificial Intelligence (AI) for human emotion estimation, such as facial emotion estimation, has been actively studied. On the other hand, there has been little research on unconscious phenomena in cognition and psychology (i.e., cognitive biases) caused by viewing AI emotion estimation information. Therefore, this study verifies RQ \"Do people have a cognitive bias in which impressions of others (i.e., how to see and feel about others) are changed by viewing biased AI\'s emotion estimation information? If it exists, can impression manipulation methods that intentionally use this cognitive bias be realized?\" The proposed method for verification makes the emotion estimation system biased so as to estimate emotion more positively/negatively than AI without bias. A prototype system was implemented. Evaluation using video showed that the presentation of biased emotion estimation information causes a phenomenon that quickly and unconsciously changes the way people see and feel others\' impressions, which supported the RQ. Specifically, viewing information that estimated others\' emotions more positively/negatively caused the phenomenon in which the user\'s self-judgment was overridden and others\' impressions of emotions, words, and actions were perceived more positively/negatively. The existence of this phenomenon and method indicates that biased emotion estimation AI has the potential to both cause adverse effects on people and support people for good purposes through the manipulation of their impressions. This study provides helpful insights for the design and use of emotion estimation AI considering cognitive biases.

UNASSIGNED: This study aimed to assess the prevalence and associated factors of depression, anxiety, and stress among college students in Saudi Arabia during the COVID-19 outbreak.
UNASSIGNED: This cross-sectional study was conducted between February 10th to April 10th, 2021. An online self-administered questionnaire was emailed to college students at a large institution in Saudi Arabia. The questionnaire consisted of sociodemographic, educational backgrounds, and the Depression Anxiety Stress Scale-21 (DASS-21).
UNASSIGNED: The study included 311 university students (62.7% female and 39.3% male). The prevalence of higher than moderate level in each of the depression, anxiety, and stress were (n= 164, 52.7%), (n= 222, 71.4%), and (n= 112, 36%), respectively. Further analysis revealed that females, younger age, history of depression, history of being quarantined by a health authority, and having contact with a confirmed case of COVID-19 were associated with a greater level of depression, anxiety, and stress.
UNASSIGNED: Depression, anxiety, and stress were highly prevalent among college students during the outbreak. There was a significant association between demographic characteristics and the DASS 21 score. Researchers are recommended to concentrate their future studies on establishing strategies to enhance students\' flexibility and adaptability in the face of future catastrophes.

UNASSIGNED: This study aimed to assess parents\' awareness of and perspectives on childhood refractive errors in Saudi Arabia.
UNASSIGNED: This cross-sectional study was conducted between October and November 2020 in public schools across different regions of Saudi Arabia. Data were collected using an online questionnaire that assessed parents\' knowledge and perceptions of childhood refractive errors and spectacle wear.
UNASSIGNED: A total of 358 parents from different regions of Saudi Arabia completed the questionnaire and were obtained in this study (response rate: 85%). Approximately one third (38.3%) of the parents reported that they had never heard of refractive errors and one-third (33.8%) mentioned that uncorrected refractive errors did not lead to visual impairment. The majority (74.0%) cited using eyeglasses as an effective way to manage childhood refractive errors. Two-thirds (63.7%) stated that they did not receive any information about paediatric eye care. Better knowledge was associated with a higher educational level, female gender and older age (P <0.001, P = 0.008 and P = 0.024, respectively). Regarding parents\' perspective on spectacle wear, 13.7% felt that using eyeglasses affected their children\'s chances of learning. However, 82.7% supposed that eyeglasses did not affect their children\'s employment opportunities. Almost a quarter of the sample (22.1%) thought that using eyeglasses would decrease the eye\'s power, resulting in childhood visual impairment.
UNASSIGNED: The level of awareness and perceptions regarding childhood refractive errors and spectacle wear was low among parents. Therefore, a policy is needed to improve the awareness and perception of the key stakeholders in this issue, including parents and teachers.