Irish Journal of Medical Science最新文献

{"title":"E-scooter-related maxillofacial injuries: outcome of recent legislation change.","authors":"Min Seo Jung, Eimear Mooney, Fiachra Maher, Gerard Kearns","doi":"10.1007/s11845-025-04025-z","DOIUrl":"https://doi.org/10.1007/s11845-025-04025-z","url":null,"abstract":"<p><strong>Introduction: </strong>On 20 May 2024, the Irish government legalized e-scooter use on public roads under the Road Traffic and Roads Act 2023, requiring users to be over 16 years old and adhere to a 20 km/h speed limit. With the rising popularity of e-scooters, this study examines the impact of this legislation on the incidence, clinical presentation, and management of maxillofacial injuries.</p><p><strong>Aims: </strong>To compare the demographics, incidence rates, clinical presentation, injury patterns, and management of patients presenting to the National Maxillofacial Trauma Unit with e-scooter-related injuries before and after the legislative change.</p><p><strong>Methods: </strong>A retrospective cohort study at St James's Hospital analysed two 9-month periods: pre-legislation (May 2023-Feb 2024) and post-legislation (May 2024-Feb 2025). All patients presenting with e-scooter-related maxillofacial injuries were included. Data collected encompassed demographics, risk factors, injury details, head and non-maxillofacial injuries, admission details (length of stay, time to treatment), treatment methods, and clinical outcomes. Statistical analysis compared the two periods.</p><p><strong>Results: </strong>The pre-legislation period included 22 patients with 26 injuries, while the post-legislation period had 28 patients with 36 injuries. E-scooter injuries increased from 1.7 to 2.3% of trauma presentations. Post-legislation, male patients increased from 59 to 71.4%, and non-Irish nationals from 41 to 46.4%. Injuries among Dublin residents rose from 45.5 to 75%. The mean age remained consistent (~ 33 years), and patients under 16 years decreased from 3 to 1. Helmet use dropped from 22.7 to 17.9%, while alcohol/substance involvement increased from 18.2 to 35.7%. Facial injuries rose from 26 to 36, with admission rates increasing from 31.2 to 35.7%. Surgical procedures increased from 9 to 13.</p><p><strong>Conclusion: </strong>While the legislation may have reduced injuries among those under 16 and head trauma incidence, overall injury rates and surgical interventions continue to rise with growing e-scooter use. Ongoing surveillance and policy evaluation are essential for effective injury prevention strategies.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiation Dose Estimation and Lifetime Attributable Risk of Radiation-Induced Cancer from Chest CT in COVID-19 Patients.","authors":"Husam H Mansour, Noor Khairiah A Karim, Noor Diyana Osman, Rohayu Hami, Yasser S Alajerami","doi":"10.1007/s11845-025-04046-8","DOIUrl":"https://doi.org/10.1007/s11845-025-04046-8","url":null,"abstract":"<p><strong>Background: </strong>Computerized tomography (CT) scans for COVID-19 diagnosis have increased throughout the pandemic. This growth has raised concerns about the potential radiation-induced cancer risk. This study aimed to estimate the effective dose (ED) and lifetime attributable risk (LAR) of cancer incidence and mortality associated with a single non-contrast chest CT scan for COVID-19 pneumonia diagnosis.</p><p><strong>Methods: </strong>A retrospective analysis included 522 consecutive COVID-19 patients who underwent a single non-contrast chest CT at Gaza Strip hospitals (September 1, 2020-September 30, 2022). The ImPACT CT Dosimetry spreadsheet (Version 1.0.4) was used to estimate organ and effective doses. The XrayRisk.com calculator was used for calculating the LAR of cancer incidence from a single chest CT.</p><p><strong>Results: </strong>The study analyzed non-contrast chest CT scans of 522 patients, with a mean age of 50.9 ± 15.8 years, and 239 males. The mean ED was 3.6 mSv, with the highest organ doses in the lungs and breast. Female patients were at a higher risk of cancer, with a higher risk in younger age groups. The mean LAR of lung cancer incidence was 5.8 per 100,000 males, while breast cancer incidence was 6.6 per 100,000 females. The whole-body ED of a single non-contrast chest CT is equivalent to 12 chest radiography series and three mammography screenings, or approximately four months of natural background radiation.</p><p><strong>Conclusion: </strong>Chest CT scans for COVID-19 patients carry a low but measurable cancer risk, particularly for younger and female patients. The long-term health impacts of such exposure should be closely monitored.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of dietary branched-chain amino acid intake with hand grip strength and muscular viscoelastic properties in sedentary young women: a cross-sectional study.","authors":"Ramazan Mert Atan, Derya Azim","doi":"10.1007/s11845-025-04055-7","DOIUrl":"https://doi.org/10.1007/s11845-025-04055-7","url":null,"abstract":"<p><strong>Background: </strong>An excessively sedentary lifestyle is associated with many negative health consequences, including musculoskeletal diseases. Dietary branched-chain amino acids (BCAAs) play an important role in muscle metabolism and function.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the relationship between dietary BCAA intake and triceps and biceps brachii upper extremity muscle tone, stiffness, and elasticity measured by hand grip strength (HGS) and MyotonPro.</p><p><strong>Method: </strong>In this cross-sectional study, data collected from 76 young women aged 18-24 years were analyzed. To collect the data, the Descriptive Information Form, International Physical Activity Questionnaire-Short Form (IPAQ-SF), and food frequency questionnaire (FFQ) were used. The participants' height, body weight, HGS, and muscle viscoelastic properties were measured. In data analysis, descriptive statistics and both simple and multiple linear regression analyses were performed.</p><p><strong>Results: </strong>The mean total BCAA intake of the participants was 11.2 ± 3.6 g/day. The dietary BCAAs intake was significantly positively related to HGS (Model 1 (β, 0.286; p < 0.05), Model 2 (β, 0.444; p < 0.05)). The dietary total BCAAs intake was significantly positively related to biceps brachii tone (Model 1 (β, 0.304; p < 0.05), Model 2 (β, 0.457; p < 0.05)), biceps brachii stiffness (Model 1 (β, 0.293; p < 0.05), Model 2 (β, 0.525; p < 0.05)), and triceps brachii stiffness (Model 1 (β, 0.345; p < 0.05), Model 2 (β, 0.363; p < 0.05)), whereas dietary BCAAs were not related to biceps brachii elasticity, triceps brachii tone, and elasticity (p > 0.05).</p><p><strong>Conclusion: </strong>The results of the study support the potential effects of dietary BCAA intake on HGS, muscle tone, and stiffness characteristics in sedentary young women.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of IKZF1 and its targeting microRNAs in the pathogenesis of acute lymphoblastic leukemia.","authors":"Ilia Heidari, Ashraf Kariminik","doi":"10.1007/s11845-025-04065-5","DOIUrl":"https://doi.org/10.1007/s11845-025-04065-5","url":null,"abstract":"<p><strong>Background: </strong>Acute lymphoblastic leukemia (ALL) is an aggressive hematologic malignancy driven by uncontrolled immature lymphoid cell proliferation. Its prognosis is significantly influenced by IKZF1 gene alterations which contribute to treatment resistance and relapse.</p><p><strong>Aim: </strong>This study investigates the role of specific IKZF1-targeting microRNAs (e.g., hsa-miR-488, hsa-miR-4311) in ALL pathogenesis and their potential as therapeutic targets.</p><p><strong>Methods: </strong>Peripheral blood samples were collected from 32 ALL patients and 20 healthy controls. Total RNA and miRNAs were extracted, and cDNA was synthesized. Quantitative real-time PCR was performed to evaluate the expression of IKZF1 and the candidate miRNAs. Statistical analyses included non-parametric tests to compare expression levels between groups.</p><p><strong>Results: </strong>IKZF1 expression was significantly reduced in ALL patients compared to controls (median: 0.1160 vs. 0.8245; p = 0.002). Among the miRNAs analyzed, only hsa-miR-8085 showed a significant decrease in ALL patients (median: 0.0192 vs. 0.3411; p = 0.008). No significant differences were observed for hsa-miR-488, hsa-miR-4311, hsa-miR-6731-5p, or hsa-miR-6833-3p.</p><p><strong>Conclusions: </strong>The significant downregulation of IKZF1 and hsa-miR-8085 in ALL patients suggests their involvement in the development of leukemia and highlights their potential as diagnostic markers or therapeutic targets.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy of Neer's impingement test for subacromial shoulder impingement.","authors":"Clevio Desouza, Chiranjivi Jani","doi":"10.1007/s11845-025-04058-4","DOIUrl":"https://doi.org/10.1007/s11845-025-04058-4","url":null,"abstract":"<p><strong>Background: </strong>Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain, encompassing a spectrum of conditions ranging from bursitis to partial or complete rotator cuff tears. The Neer's impingement test is frequently used for clinical diagnosis, yet its accuracy remains debated. This study aims to evaluate the sensitivity, specificity, Positive predictive value (PPV), Negative predictive value (NPV), and diagnostic accuracy of Neer's test against Magnetic resonance imaging (MRI) as the gold standard.</p><p><strong>Methods: </strong>A prospective study was conducted on 500 shoulders at a tertiary care centre. Patients presenting with unilateral or bilateral shoulder pain of at least three weeks duration underwent clinical evaluation using Neer's sign and Neer's test. Those with a positive Neer's sign were included and underwent subacromial lignocaine injection, followed by reassessment. All patients underwent MRI, and the results were compared. Diagnostic parameters including sensitivity, specificity, PPV, NPV, and diagnostic accuracy were calculated.</p><p><strong>Results: </strong>The study population had a mean age of 46.3 years with a male-to-female ratio of 2:1. MRI confirmed SIS in 81% of cases. Neer's test demonstrated a sensitivity of 79.0%, specificity of 63.2%, PPV of 90.1%, NPV of 41.4%, and diagnostic accuracy of 76.0%. Diagnostic accuracy was higher in rotator cuff pathologies (81.6%) compared to subacromial bursitis (70.4%). The test showed greater sensitivity (90%) for partial supraspinatus tears, but lower specificity.</p><p><strong>Conclusion: </strong>Neer's test is a reliable, sensitive tool for diagnosing SIS, particularly in partial rotator cuff tears. However, its specificity remains moderate, warranting cautious interpretation alongside imaging.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of sarcopenia in patients with type 2 diabetes mellitus of more than 10 years duration and its association with bone mineral density.","authors":"B Parthasarathy, Kirubhakaran K, S Pravin Selvam","doi":"10.1007/s11845-025-04050-y","DOIUrl":"https://doi.org/10.1007/s11845-025-04050-y","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus is a growing global health concern, with an estimated 643 million individuals projected to be affected by 2030. Sarcopenia, once considered a normal part of aging, is now known to be associated with chronic diseases, including type 2 diabetes mellitus (T2DM). Muscle mass typically declines by approximately 8% per decade after age 40, accelerating to 15-25% per decade after age 70.</p><p><strong>Aim: </strong>To determine the prevalence of sarcopenia in patients with T2DM of more than 10 years' duration and evaluate its association with bone mineral density (BMD).</p><p><strong>Methods: </strong>An observational study was conducted at a tertiary care hospital in Salem from January to October 2024. A total of 120 patients with T2DM for over 10 years were included. Data collected included demographics, medical history (fractures, comorbidities, use of insulin, bisphosphonates, or vitamin D supplements), and physical examination findings (weight, height, BMI, and blood pressure). Sarcopenia and BMD were assessed using dual-energy X-ray absorptiometry (DEXA).</p><p><strong>Results: </strong>The mean age of participants was 63.4 ± 8.7 years. Most had diabetes for 10-15 years (56.7%), and 32.5% had 16-20 years. The mean BMI was 25.7 ± 3.4 kg/m². Sarcopenia was present in 30.0% of participants. Additionally, 48.3% had osteopenia and 28.3% had osteoporosis.</p><p><strong>Conclusion: </strong>Routine screening for sarcopenia and BMD in older adults with long-standing T2DM is essential for early intervention. Good glycemic control may help mitigate the risk of sarcopenia and related complications.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of transforming growth factor beta-1 (TGF-β1) in the development of fibrosis in keratoconus.","authors":"Mustafa Yildirim","doi":"10.1007/s11845-025-04029-9","DOIUrl":"https://doi.org/10.1007/s11845-025-04029-9","url":null,"abstract":"<p><strong>Background: </strong>The etiology of keratoconus, a disease characterized by deterioration in the extracellular matrix and thinning of the corneal stroma, has not yet been fully elucidated. Recent studies have drawn attention to the relationship between TGF-β1 (Transforming Growth Factor Beta-1) and keratoconus because of its essential role in extracellular matrix secretion.</p><p><strong>Aims: </strong>This study aimed to assess serum TGF-β1 levels in keratoconus patients and demonstrate its potential for estimating the severity of the disease.</p><p><strong>Materials and methods: </strong>The study prospectively included 63 patients diagnosed with keratoconus, followed-up between October 2023 and May 2024, and 65 healthy individuals. Patients were divided into four groups according to the Amsler-Krumeich classification. Serum TGF-β1 levels were measured from venous blood samples taken from the patient and control groups using ELISA.</p><p><strong>Results: </strong>In the patient group, TGF-β1 levels were 357.13 pg/ml (165.43-793.91) and 233.71 pg/ml (117.95-583.72) in the control group. TGF-β1 levels in the patient group were significantly higher than in the control group (p = 0.001). When keratoconus was examined according to stage, it was determined that TGF-β1 levels increased as the severity of the disease increased (p < 0.05 for all groups). No statistical difference was found between the groups in terms of age and gender.</p><p><strong>Conclusion: </strong>Considering that TGF-β1 is effective in the formation of fibrosis, high TGF-β1 levels may play a role in the scar formation observed in the advanced stages of keratoconus patients.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the association between MSR1 serum levels and type 2 diabetes: a preliminary study.","authors":"Basak Ilgaz, Gizem Akoglu, Aleyna Alioglu, Ahu Soyocak, Funda Seher Ozalp Ates, Derya Argun","doi":"10.1007/s11845-025-04045-9","DOIUrl":"10.1007/s11845-025-04045-9","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by peripheral insulin resistance and impaired insulin secretion. It is prevalent worldwide including in Turkey and is a major contributor to metabolic and inflammatory complications. Macrophage Scavenger Receptor 1 (MSR1), a class A scavenger receptor (SR-A1), is primarily expressed in macrophages and plays a significant role in the immune response. MSR1 has been implicated in the pathogenesis of metabolic diseases, yet its precise role in glucose metabolism remains unclear, despite reports suggesting a correlation between its transcript levels and insulin sensitivity.</p><p><strong>Aims: </strong>This study aimed to evaluate the association between serum MSR1 levels and insulin resistance in patients with T2DM and to investigate its potential as a therapeutic target.</p><p><strong>Methods: </strong>The study included 40 patients with T2DM and 40 healthy volunteers. Blood samples were collected and sera were separated by centrifugation and stored at -80 °C. MSR1 serum levels were measured using a commercial ELISA kit (NE010338901) and absorbance was read at 450 nm. Statistical analysis was performed using IBM SPSS Statistics 21.</p><p><strong>Results: </strong>MSR1 levels were higher in the diabetic group than in controls; however, the difference was not statistically significant (p = 0.897).</p><p><strong>Conclusions: </strong>The findings suggest a potential association between MSR1 and T2DM. Although the difference was not statistically significant, the observed trend supports the need for further studies with larger sample sizes to clarify the potential role and clinical relevance of MSR1 as a biomarker or therapeutic target.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of hearing aid use on cognitive skills and verbal fluency in patients with presbycusis.","authors":"Gokhan Toptas, Sumeyra Doluoglu, Erhan Arslan, Serap Er, Dilara Soylemez, Muharrem Dagli","doi":"10.1007/s11845-025-04036-w","DOIUrl":"https://doi.org/10.1007/s11845-025-04036-w","url":null,"abstract":"<p><strong>Background: </strong>Hearing aids are used to mitigate the adverse effects of hearing loss.</p><p><strong>Aims: </strong>To investigate the relationship between hearing ability, cognitive skills, and verbal fluency before and after hearing aid use in individuals with presbycusis, and to understand the effect of unilateral or bilateral hearing aid use on these possible changes.</p><p><strong>Methods: </strong>A total of 39 patients with presbycusis were included in the study. Patients who benefited from unilateral or bilateral hearing aids were assigned to Groups 1 and 2, respectively. All patients underwent one cognitive test (standardized mini-mental state examination [SMMSE]) and two separate verbal fluency tests (phonemic fluency test [PFT] and semantic fluency test [SFT]), both before and after at least 6 months of hearing aid use. SMMSE, PFT, and SFT scores before and after device use and the intergroup percentage change in these scores were compared.</p><p><strong>Results: </strong>Groups 1 and 2 showed significantly higher SMMSE and PFT scores after hearing aid use compared to those before (p < 0.05). No intergroup differences were found when comparing the percentage change in SMMSE and PFT scores (p > 0.05). There was a significant improvement in cognitive and verbal fluency tests after hearing aid use compared to before. However, the use of unilateral or bilateral devices did not influence this improvement.</p><p><strong>Conclusions: </strong>This study is the first prospective study in the literature to investigate the effect of unilateral and bilateral hearing aid use on cognitive and verbal fluency tests in patients with presbycusis.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of nursing intervention program on internet use, loneliness, and family harmony in adolescents with problematic internet use.","authors":"Eda Çeker, Hasret Yalçınöz Baysal","doi":"10.1007/s11845-025-04028-w","DOIUrl":"https://doi.org/10.1007/s11845-025-04028-w","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study is to evaluate the effects of a nursing intervention program on appropriate internet use, loneliness, and family harmony in adolescents who are problematic internet users.</p><p><strong>Methods: </strong>The first phase of this study, which was conducted with a sample of 490 people in a population of 1010 people, was a descriptive study, and the second phase was a randomized controlled experimental study. The second phase of the study was conducted with 74 adolescents who were divided into control and intervention groups among 93 adolescents identified as problematic internet addicts.</p><p><strong>Results: </strong>The rate of adolescents with problematic internet use was determined to be 18.98%. When the mean scores obtained from the scales applied in the study were compared, it was determined that the difference between the pre-test and post-test mean scores of the adolescents in the intervention group was statistically significant.</p><p><strong>Conclusion: </strong>In the light of these results, it was shown that the nursing intervention program applied in the study positively affected family harmony and reduced internet addiction and loneliness in adolescents with problematic internet use.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}