Introduction Febrile seizures are the most common type of seizure in children under the age of 5, and a number of risk factors for this condition have been identified. Several studies have examined the connection between iron deficiency anemia and febrile seizures in children, with inconsistent results. As a result, the authors sought to determine the precise link between iron deficiency anemia and its indices (mean corpuscular volume, serum iron, total iron-binding capacity, and ferritin) in conjunction to febrile seizures. Methods: A systematic literature search from several databases (PubMed, Europe PMC, ScienceDirect) was conducted from database inception until November 30, 2022. Studies were eligible if they investigated the relationship of the iron deficiency anemia and the aforementioned indices with the likelihood of febrile seizures. Results: This meta-analysis comprised 20 case-control studies with a total of 3856 participants. Our study revealed that iron deficiency anemia, low mean corpuscular volume, low serum iron, high total iron-binding capacity, and low ferritin were associated with the incremental risk of developing febrile seizures, with the odds ratios ranging from 1.24 to 1.59. Moreover, diagnostic test accuracy meta-analysis indicated that low serum ferritin level had the highest overall area under the curve value amid other iron deficiency anemia indices regarding our outcomes of interest. Conclusion: This study suggest that iron deficiency anemia and poor iron indices are associated with increased risk of febrile seizures in children.
Background: Narcissism is a condition in which people have a constant demand to be complimented and prioritized. Self-esteem is a subjective evaluation of one's worth. Several studies have linked narcissism and low self-esteem as a risk factor of social media addiction, a disorder where individuals displayed an unhealthy compulsion to access social media until it disrupts other activities. This study aimed to discover the relationship between narcissism, self-esteem, and social media addiction in preclinical medical students. Methods: This study was a cross-sectional observational analytical study on 211 preclinical medical students at the Atma Jaya Catholic University of Indonesia. Instruments used in this study were Narcissistic Personality Inventory-16 (NPI-16), Rosenberg Self-Esteem Scale (RSES), and Bergen Social Media Addiction Scale (BSMAS). Data were analyzed statistically using Chi-square in STATA analytic program.Results: Of all respondents, 6.6% were narcissistic, 19.9% had low self-esteem, and 34.6% had social media addiction. There was a significant relationship between narcissism and social media addiction (p=0.021) and between self-esteem and social media addiction (p=0.002).Conclusion: There is a relationship between narcissism, self-esteem, and social media addiction in university students. This indicates the importance of preliminary psychological screening in students, especially regarding self-esteem, narcissism, and social media addiction, to develop approaches that will ensure good academic achievements and physical health among students.
Purpose of the study — The purpose of this study was to measure the effect of supervision and awareness of taxpayers on increasing local tax revenues and their impact on taxpayer compliance in the West Region Tax UPTD, Cirebon Regency Regional Revenue Management Agency.Research method— This study uses a quantitative approach to the variables of supervision and awareness of taxpayers, while the research instrument is in the form of a questionnaire with a path analysis approachResult— The results obtained: 1) simultaneously supervision and awareness of taxpayers, 2) partially: supervision, and 3) taxpayer awareness has a significant effect on increasing local tax revenues, 4) direct supervision has a significant effect on taxpayer compliance by (0.259) 2 X 100% = 0.010, meaning that the level of taxpayer compliance is not influenced by supervision of 0.010 while the remaining 0.090 is influenced by other factors. The direct effect of taxpayer awareness on taxpayer compliance is (0.786)2 X 100% = 0.617, meaning that the level of taxpayer compliance is influenced by taxpayer awareness of 0.083, the remaining 32.3% is influenced by other factors, 5) directly increases tax revenue area has a significant effect on taxpayer compliance by (0.144)2 X 100% = 0.020, meaning that the level of taxpayer compliance is influenced by an increase in local tax revenue of 0.020 or 20% while the remaining 80% is influenced by other factors.Conclusion— Taxpayers need to be aware of their obligations in paying taxes by understanding the taxes paid for the purposes of community and state development. Because so far knowledge of the allocation of taxes paid is considered not right on target, so there needs to be better socialization.
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