Practical Assistance Research Articles

Our clock is truly ticking – a qualitative study on patients’ experiences of tumour treating fields (TTFields)

Abstract Background TTFields is recommended internationally for treatment of glioblastoma. In Sweden, TTFields requires a possibly challenging collaboration between the patient, next-of-kin, healthcare and the private company providing the device, both from an ethical and practical perspective. Little is known about glioblastoma patients’ own experiences of TTFields treatment. Methods Semi-structured individual interviews were conducted with 31 patients with glioblastoma who had been offered TTFields by the healthcare. These were analysed by qualitative content analysis. Results Participants described there being multiple actors around them as TTFields users; 1) device prescription from physicians, sometimes providing insufficient information, 2) practical assistance from next-of-kin, necessary to access treatment, 3) home visits from the private company staff for device control, where close bonds between patients and TTFields staff occurred. TTFields treatment created hope and a feeling of control in an otherwise hopeless situation, sometimes evoking worries at the time of planned treatment stop. Some refrained from TTFields or discontinued early due to fear or experience of negative effect on quality of life. Others described finding practical and mental solutions for coping with the treatment in everyday life. Conclusions Our study identified a need for better support and information from healthcare providers for TTFields. A solution is necessary for assistance with TTFields for those without support from next-of-kin. The study raises the question of possible advantages of the healthcare handling the technical support of the device instead of a private company, thereby avoiding a true or perceived influence on the patient’s decision to continue or stop treatment.

Sensing Sociality: Disruptions of Social Life When Living With Chemosensory Dysfunctions After COVID-19.

Taste and smell are of direct importance in most social interactions. Radical disruptions in these senses can, therefore, substantially disrupt sociality. This paper focuses on the experiences of a particular type of disruption: persistent chemosensory dysfunctions after COVID-19. We conducted semi-structured interviews with 30 patients undergoing treatment for chemosensory dysfunctions and analyzed the ways in which their experiences have influenced social relations and activities, particularly regarding food and eating. The findings reveal that these dysfunctions have made the participants markedly aware that food and eating are pivotal to full participation in social life. As is smell, both surrounding smells and the perception of one's own smell, with dysfunctions leading to several social consequences. Such problems are handled through both avoidance behavior and adaptations. While adaptations facilitate interactions, they come at the cost of feeling a burden to others or not fully appreciating an event (e.g., a shared meal). Social support is of great importance, ranging from minor practical assistance, such as a friend checking if the milk is sour, to the profound emotional relief felt from empathic treatment and recognition that the problems are real. Here, healthcare professionals can play a vital role, even in the (perceived) absence of clinical effectiveness of the treatment. The experiences expressed are partially in line with other manifestations of Long COVID and with chemosensory dysfunctions due to other illnesses, but only partially, since this is a patient group with needs and experiences that are unique, in that sociality is so strongly affected solely by disruptions in sensory abilities.

Effects of foundation pit excavation on adjacent metro stations and shield tunnel structures: a study on horizontal displacement

PurposeThe aim of this study is to investigate the horizontal displacement effects of foundation pit excavation on adjacent metro stations and shield tunnel composite structures. It seeks to develop a theoretical calculation method capable of accurately assessing these engineering impacts, aiming to provide practical assistance for engineering applications.Design/methodology/approachThis study introduces a model for shield tunnel segments incorporating rotation and misalignment, considering the constraints of metro stations. It establishes a displacement model for tunnel-station combinations during foundation pit excavation, deriving a formula for calculating station-proximal tunnel horizontal displacements. The method's accuracy is validated against field data from three engineering cases. The research also explores variations in tunnel displacement, inter-ring shear force, misalignment and rotation angle under different spatial relationships between pits, tunnels and stations.FindingsThis study models uneven deformation between stations and tunnels due to bending stiffness and shear constraints. It enhances the misalignment model with station-induced shear effects and introduces coefficients for their mutual interaction. Results show varied responses based on pit-station-tunnel positioning: minimal displacement near pit edges (coefficients around 0.1) and significant effects near pit centers (coefficients from 0.4 to 0.5). “Whip effect” from station constraints affects tunnel displacement, shear force, misalignment and rotation, with fluctuations decreasing with distance from excavation areas.Originality/valueThis study demonstrates significant originality and value. It introduces a novel displacement model for tunnel-station combinations considering station constraints, addressing theoretical calculations of horizontal displacement effects from foundation pit excavation on metro stations and shield tunnel structures. Through validation with field data and parameter studies, the concept of influence coefficients is proposed, offering insights into variations in structural responses under different spatial relationships. This research provides crucial technical support and decision-making guidance for optimizing designs and facilitating practical construction in similar engineering projects.

Assessing the impact of trained Radiologist Assistants in a busy emergency teleradiology practice: a comprehensive evaluation.

This study aims to study the feasibility and usefulness of trained Radiologist Assistants in a busy emergency teleradiology practice. This is a retrospective study over a 21-month period (January 2021 to September 2022). The study analysed archived data from 247118 peer review studies performed by Radiologist Assistants (RAs) out of a total case volume of 828526 and evaluated the rate of discrepancies, the study types commonly noted to have discrepancies, and the severity of errors. These missed findings were brought to the attention of the radiologists for approval and further decision-making. Peer review by RAs was performed on 30% (n = 247118) of the total volume 828526 studies reported, and yielded additional findings including but not limited to fractures (218; 23%), hemorrhage,(94; 10%) pulmonary thromboembolism, (n = 104; 11%), Calculus (n = 75; 8%) lesion (n = 66; 5%), appendicitis(n = 50; 4%) and others. These were brought to the attention of the radiologist, who agreed in 97% (1279 out of 1318) of cases, and communicated the same to the referring facility, with an addended report. Trained RAs can provide value to the peer review program of a busy teleradiology practice and decrease errors. This may be useful to meet the ongoing radiologist shortages.

Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory.

Probability-based estimates of the future suicide of psychiatric patients are of little assistance in clinical practice. This article proposes strategic management of the interaction between the clinician and the patient in the assessment of potentially suicidal patients, using principles derived from game theory, to achieve a therapeutic outcome that minimises the likelihood of suicide. Further developments in the applications of large language models could allow us to quantify the basis for clinical decisions in individual patients. Documenting the basis of those decisions would help to demonstrate an adequate standard of care in every interaction.

Nanofluid minimum quantity lubrication assisted grinding force model considering anisotropy of SiCf/SiC ceramic matrix composites

SiCf/SiC ceramic matrix composites with excellent thermal stability, light weight and oxidation resistance have become key components in advanced aircraft engines. Nanofluid minimal quantity lubrication (NMQL) exhibits significant potential in enhancing heat transfer and lubrication efficiency during the grinding process. The technological challenge lies in thoroughly investigating the theoretical variation rule of grinding force, assisted by nanofluid minimal quantity lubrication, and subsequently achieving low-damage machining of SiCf/SiC composites. In this study, a prediction model for the grinding force during NMQL-assisted grinding was established, integrating diverse lubrication methods, grinding wheel geometric parameters, wear degree, process parameters, the anisotropy and damage degree of SiCf/SiC composites. The model was subsequently experimentally validated through grinding tests conducted on SiCf/SiC composites under various conditions, including dry grinding (DG), flood grinding (FG), minimum quantity lubrication (MQL), and carbon nanotube nanofluids (NMQL-CNTs), across multiple grinding depths. The present investigation’s grinding force forecasting model is evidenced to possess high accuracy of precision, showcasing mean deviations of 6.64 % and 11.97 % in the perpendicular (Fn) and tangential (Ft) grinding force components, respectively. Additionally, employing NMQL-CNTs facilitates the achievement of minimal grinding force and surface finish quality. At depths of 0.4 mm and 0.6 mm during grinding, the mean Fn magnitudes under the NMQL-CNTs lubrication approach underwent a decrease of 66.7 % and 74.5 %, respectively, in contrast, the mean Ft magnitudes experienced a reduction of 55 % and 67.2 %, correspondingly, in comparison to the DG lubrication technique. Notwithstanding the consistency in the material’s brittle removal mechanism across varying lubrication strategies, the NMQL-CNTs approach effectively alleviates fiber abrasion. Concisely, the research presented herein provides foundational theoretical insights and practical technological assistance for the achievement of low damage SiCf/SiC composite processing.

The Mediating Role of Emotional Stability and Social Skills in Psychological Resilience Following Emotional Trauma

Emotional trauma can have a profound impact on an individual’s psychological well-being, leading to various adverse outcomes such as anxiety, depression, and post-traumatic stress disorder. However, not all individuals respond to trauma in the same way, with some exhibiting remarkable resilience. This paper explores the mediating roles of emotional stability and social skills in fostering psychological resilience following emotional trauma. Emotional stability enables individuals to regulate their emotions, maintain composure, and utilize adaptive coping strategies in the face of adversity. Social skills facilitate the development of supportive relationships that provide essential emotional and practical assistance. Together, these attributes create a synergistic effect that enhances resilience, allowing individuals to navigate challenges and recover from emotional trauma effectively. By examining the interplay between emotional stability and social skills, this paper underscores the importance of integrated interventions aimed at strengthening these traits to promote psychological resilience. The findings suggest that cultivating emotional stability and social skills can significantly improve individuals’ ability to cope with trauma and lead fulfilling lives despite adversity.

Gender Identity and Its Influence on Social Support Networks among LGBTQ+ youth in New Zealand

Purpose: The aim of the study was to analyze the gender identity and its influence on social support networks among LGBTQ+ youth in New Zealand. Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: Research on gender identity and its influence on social support networks among LGBTQ+ youth in New Zealand highlights that individuals with diverse gender identities often face unique challenges in accessing and maintaining supportive relationships. Findings indicate that LGBTQ+ youth experience varying levels of support based on their gender identity, with those who identify as non-binary or transgender sometimes facing more barriers compared to their cisgender or gay/lesbian peers. Social support networks play a crucial role in providing emotional and practical assistance, but the quality and availability of these network Unique Contribution to Theory, Practice and Policy: Social identity theory, minority stress theory & ecological systems theory may be used to anchor future studies on gender identity and its influence on social support networks among LGBTQ+ youth in New Zealand. Implement educational programs for families to foster understanding, acceptance, and support for transgender and non-binary youth. Advocate for and implement comprehensive anti-bullying and inclusivity policies in schools that protect LGBTQ+ students. Policies should mandate the creation of safe spaces and support groups within educational institutions.

Primary care team member’s perceptions of credentialed and privileged clinic pharmacists and impact on clinic workload in a pediatric primary care network

BackgroundPharmacists provide increased access to care, vaccinations, and medication management for patients. Credentialing and privileging of pharmacists allow pharmacists to practice at the top of their licenses and elevate pharmacy practice. ObjectiveThe primary objective of this study was to assess the perception of health care team members of credentialed and privileged pharmacists working in a pediatric primary care network (PCN) before and after implementation of pharmacist privileges. The secondary objective was to determine team members’ perceptions on the amount of time spent refilling medications, resolving medication access issues, and ordering vaccines before and after implementation of pharmacist privileges. MethodsThis was a prospective pre-post study using surveys to capture health care team members’ perceptions of credentialed and privileged ambulatory care pharmacists. Surveyed participants included attending physicians, advanced practice nurses, registered nurses, licensed practical nurses, medical assistants, and patient care assistants. Summary statistics are reported as frequencies and percentages. Statistical analysis was conducted using SAS version 9.4. ResultsFifty-eight preprivileging and 56 postprivileging surveys were distributed. The return rate was 79.3% (n = 46) for preprivileging and 80.4% (n = 45) for postprivileging surveys. More than 90% of respondents had a favorable perception of credentialed and privileged pharmacists in the clinic. There was a significant difference in the perception of the amount of time spent on medication access issues after pharmacist privileges were implemented (P = 0.0296). ConclusionCredentialed and privileged pharmacists in a pediatric PCN are viewed favorably by clinic team members and can have a positive impact on clinic workload.

Robot-Assisted Microsurgery—what does the learning curve look like?

The introduction of robotic assistance in surgical practice has led to advancements such as the MUSA-2 robotic system that was designed for microsurgical procedures. Advantages of this system include tremor filtration and motion scaling. Initial studies showed promising results in skill acquisition for robot-assisted microsurgery. This study evaluated the learning curve for microsurgical anastomosis with and without robotic assistance among surgeons of varying experience levels. Fifteen surgeons were divided into 3 groups (novice, intermediate, and expert) based on their microsurgical experience. They performed 10 anastomoses by hand and 10 with robotic assistance on synthetic polyvinyl alcohol vessels (diameter of 2 mm) in a laboratory setting. Participants were timed and mistakes such as backwall and leakage were assessed and recorded. Demographic information was collected. Statistical differences were found in manual anastomosis times between the intermediate and novice groups compared to the experts (p < 0.01). However, no statistical difference was found in the mean time between groups for the robot-assisted anastomoses. Novice doctors had the steepest learning curve for hand-sewn anastomosis. Experts had the fastest completion time at the end of the 10th robotic session, finishing at 14 min, compared to 33 min at the 2nd session. All groups reduced their mean time in half through their 10 robotic sessions. This study indicated similarities in the learning curves for robot-assisted anastomosis among surgeons with varied experience levels. Experts excelled technically in manual anastomoses, but robot-assistance enabled novice and intermediate surgeons to perform comparably to the experts. Robotic assistance may aid more novice learners in performing microsurgical anastomosis safely at earlier points in their education.

Enhancing sustainable waste management in Raja Ampat: Assessing the waste bank model's effectiveness in the face of socioeconomic challenges

Background: This study investigates the execution and obstacles of waste management in Raja Ampat Regency using the Bank Sampah mechanism, which has been in operation in Waisai City since 2013. The research findings indicate that the primary challenges in the administration of Bank Sampah in Raja Ampat are the recurring turnover of management, resulting in outstanding debts to customers and a significant reliance on support from the local government. Furthermore, the waste segregation method has not been well executed, and the primary incentive for community participation is of the financial kind. Methods: This study employed qualitative approaches to evaluate the efficacy of the Waste Bank model in Raja Ampat Regency. The study was carried out for a duration of six months, specifically from January to June, in Waisai City, which serves as the hub for waste management and tourism endeavors. Findings: Nevertheless, Bank Sampah continues to be the most efficient waste management approach in Raja Ampat Regency. This study suggests implementing enhanced management practices and providing ongoing coaching, along with fostering greater collaboration between the Environmental Agency and pertinent government departments, in order to enhance community engagement. Conclusion: It is suggested that educating people about the significance of waste segregation and engaging the Government Bank as a custodian of consumer funds are further steps to enhance efficiency. The objective of this research is to offer practical assistance to local governments and other stakeholders on how to adopt waste management strategies that are both more effective and sustainable in tourism zones. Novelty/Originality of this Study: The novelty of this study lies in its focus on the implementation and challenges of the Waste Bank model in Raja Ampat, a region heavily impacted by tourism and population growth. By highlighting the unique socio economic hurdles and the importance of community engagement, this research provides practical insights for enhancing sustainable waste management in similar tourism-dependent areas.

Ranking the benefits of drone-based last-mile delivery due to adoption of its enablers

PurposeStrategic integration of enablers and the realization of drone delivery benefits emerge as essential strategies for business organizations to enhance operational efficiency and stay competitive in last-mile logistics. This paper aims to explore the benefits of drone-based last-mile delivery in the Indian logistic sector by providing a framework for ranking drone delivery benefits (DDBs) due to the adoption of its enablers.Design/methodology/approachThis study proposes a novel hybrid framework applied in the Indian logistic sector by integrating a sentence boundary extraction algorithm for extracting benefits from literature, a spherical fuzzy analytical hierarchy process (SF-AHP) for evaluating primary enablers, unsupervised fuzzy C-means clustering (FCM) for clustering benefits and a spherical combined compromised solution (SF-CoCoSo) for ranking benefits with respect to primary enablers.FindingsThe results reveal that technological and infrastructure enablers (TIE), government and legislation enablers (GLE) and operational and service quality enablers (OSE) are the most significant enablers for drone implementation in logistics. Top-ranked benefits increase the efficiency of last-mile delivery (DDB10), foster supply chain management and logistic sustainability (DDB16) and increase delivery access to rural area and vulnerable people (DDB17).Practical implicationsThis research assists scholars, entrepreneurs and policymakers in the sustainable deployment of drone delivery in the logistics sector. This study facilitates the use of drones in delivery services and provides a foundation for all stakeholders in logistics.Originality/valueThe assessments involve considering judgment from a highly knowledgeable and experienced group in India, characterized by a large volume of inputs and a high level of expertise.

Support, promotion and popularization of reading by the modern Russian professional community

The turn of the 20th and 21st centuries was the time of formation a new social reality, where books and reading lost their leading positions to new media technologies. The index of media activities for reading on paper continues to decline steadily. The formation processes of a technogenic society in the country as well as digitalization and convergence of media industry, including publishing, bookselling and library complex and mass media in the early 21st century brought a powerful contradiction. On the one hand, serious threats to the existence of books and reading have arisen, but on the other hand, new opportunities for maintaining and enhancing book culture have appeared. Under these conditions, the professional community has taken effective measures to stimulate public interest in books, reading and libraries. It involved interested organizations in this process; developed special programs and projects for the promotion and development of book culture; created special centers at libraries and universities dedicated to the study of modern reading; provided scientific, methodological and practical assistance to libraries. The professional community also organized the largest professional forums and campaigns to attract the public to reading. The purpose of the article is to show how various institutions, centers, government structures and creative unions in Russia support, promote and popularize the reading. This article allow us to get acquainted with the most successful experience of existing and/or newly created organizations and public associations carried out educational, informational and research activities in the field of books and reading.

SEMANTIC SPACE OF THE UNIVERSAL MORAL AND ETHICAL CONCEPT ЖАЛІСТЬ/SYMPATHY

The paper deals with the study of the concept ЖАЛІСТЬ/SYMPATHY in Ukrainian and English languages which can be considered rather relevant for the present-day political, economic, social and educational situation in Ukraine because it is the universal, moral and ethical emotion concept which is utilised as the element of war professional propaganda via specific formats and technologies to deliver social and political impact and manipulation on the existing system of social and political views and outlooks. The concept was selected as the basic unit for the analysis because it is defined as the operational memory unit, the mental entity, the result of knowledge objectivisation. Moreover, as the concept functioning relates to specific national context and particular conditions of society existence, it can express its semantic potential and adapt it in accordance with the existing value priorities at a particular stage of society development and cause purposeful influence or even manipulation on its members. The comparison of the semantic spaces of the universal moral and ethical concept ЖАЛІСТЬ/SYMPATHY in Ukrainian and English languages has revealed the fact that this mental unit is determined as important in moral and ethical paradigms in the both languages because it it is stipulated for the basic human antithesis "good/evil". In Ukrainian it relates, to more extent, to emotional feature of moral, ethical value of both humans and any living creatures implying the desire to introduce not only love, pity, weal for others and even an element of empathy. In English it also expresses spontaneous irrational emotional response to any misfortune or disaster, but, at the same time, implies the pragmatic decision-making to render some practical assistance. The results of the study can be used for teaching semiotics, cognitive linguistics or PR technologies.

Veränderungen in der Bereitstellung und Inanspruchnahme der Gesundheitsversorgung in deutschen Hausarztpraxen während der COVID-19-Pandemie – eine Befragung von Patient*innen in drei Bundesländern

IntroductionDuring the COVID-19 pandemic general practitioners (GP) practice teams were temporally confronted with major challenges which were accompanied by changes in practice organization and service provision. So far, little has been known about the views of patients who visited the GP practice for other than COVID-related reasons with regard to provision and use of GP services, the adjustments in the practice and the work of the practice team members. MethodsThe patient survey is a sub-study of the mixed-methods study VeCo-Praxis (GP healthcare for patients not suffering from COVID during the Corona pandemic) of the research practice network RESPoNsE (Research Practice Network East), which was conducted in the federal states of Berlin, Brandenburg and Thuringia. The questionnaire-based survey was carried out among patients who visited their GP practice in November 2022. The topics covered in the survey were developed by two focus groups consisting of 13 members of the RESPoNsE patient advisory board. The questionnaire was developed and piloted in a participatory approach with the RESPoNsE Patient Advisory Board. The results were analyzed descriptively using SPSS and discussed with the advisory board. Results1,405 questionnaires from 37 practices were analyzed. 97% of respondents felt that the treatment they received at their GP practice during the COVID-19 pandemic was good. For the vast majority, appointments and acute consultations, prescriptions, laboratory tests, discussions of diagnostic results, routine follow-up check-ups and health checks were available to a sufficient extent. From the patients’ perspective, the practices have successfully adapted to the challenges caused by COVID-19. Overall, the patients’ trust in and their appreciation of the work of the practice staff have increased since the pandemic. Patients stated that GP practices should continue hygiene procedures, such as wearing a mask or keeping physical distance, in the future. DiscussionDespite multiple reports of a significant decline in both provision and utilization of standard care in GP practices during the pandemic, our survey showed that the majority of patients felt that they received adequate GP care and were highly satisfied. The results should be interpreted against the background of possible selection bias. ConclusionIn this survey, GP patients were predominantly appreciative of GP care during the COVID-19 pandemic. The patients’ assessment of the provision and use of GP services during the pandemic complements the corresponding perspective of GPs and medical practice assistants.

Association Between the Average Number of In-Network Hospitals and Medical Counseling for Cognitive Impairment in South Korea

ObjectivesMild cognitive impairment, a pressing concern in the face of a rapidly growing global older adult population, necessitates effective management strategies focused on sustained symptom relief and preventing deterioration. Community Dementia Care Centers, in partnership with in-network hospitals, aim to provide support for preventing mild cognitive impairment and dementia. Medical counseling, influenced by in-network hospitals, is crucial for tailoring interventions to the cognitive abilities and specific needs of each older adult, protecting against dementia. Disparities in the number of in-network hospitals and healthcare infrastructure can contribute to uneven access to dementia care, thereby creating health inequities. DesignCross-sectional study. Setting and ParticipantsUsing data from the Korea Community Health Survey (2018–2019), this study focused on South Korean individuals aged 60 and older in 17 metropolitan areas and provinces. MethodsA multiple regression analysis was used to examine the relationship between the average number of in-network hospitals and medical counseling experience, considering sociodemographic factors and related variables. ResultsAreas with a higher average number of in-network hospitals exhibited increased medical counseling experiences. Significantly higher odds for medical counseling experience were observed in regions with “more than 5 hospitals” (1.36; 95% CI, 1.20–1.54; P = .000) than those with “3 or fewer hospitals.” Conclusions and ImplicationsThis study underscores the importance of infrastructure, particularly collaborative hospitals that support Community Dementia Care Centers, in influencing individual dementia management and prevention. These findings highlight the significance of dementia prevention and management infrastructures, emphasizing the need for practical assistance, particularly in regions crucial for achieving health equity.

Consumer Protection Safeguards after the AI Act

The long-awaited introduction of the AI Act, notwithstanding its originality, does not introduce any regulation outside the existing framework. It supplements the safeguards provided in numerous sectors of the EU legislation, inter alia, consumer protection. An examination of the basic EU law along with national legislation of the most influential legal orders, i.e. the French and German one, and model rules of the Draft Common Frame of Reference (DCFR)confirms that the new AI Act sheds light on pre-existing vague legal concepts. In this respect, this novel piece of legislation promotes a better understanding of traditional notions of law applicable to the modern digital reality without introducing totally new rules. Accordingly, certainty of law is reinforced where consumer protection had languished, not because of legislative shortage, but for facts and situations described as necessary conditions of certain rights were contested on the basis of contrary possible interpretations of decisive terms. Ultimately, the very importance of the AI act regarding consumer protection lies not in the introduction of new rights and obligations, but in a multiple practical assistance to the implementation of existing rules adjusting thus the traditional legal concepts with technological development beyond their original scope.

Aesthetic Value of Furniture Design for the Elderly: Cultural Identity and Era Evolution

A significant improvement to the advancement of the Quality of Life (QoL) for Senior Citizens (SC) has been provided by Furniture Design (FD), which takes into account both their physical requirements and their emotional state. A review of the Aesthetic Value (AV) of FD is made available in this paper, with a particular focus on the integration of Cultural Identity (CI) and historical progress. Studying the role of regionally evocative designs and their impact on people of any age, the work of art explores the methods in which furniture may induce emotions of comfort, simplicity, and location. The analysis significantly underlines the impact it has on SC. The primary emphasis of this archeological research is on the evolution of FD during a period of time and the methods by which current developments have impacted the fundamental concepts that are used in today's society. Within the context of this research project, the difficulties and challenges that are connected with achieving the development of AV FD providing practical assistance for SC are explored. This can be achieved via the application of case histories and an analysis of architectural techniques representing four distinct Asian countries. In conclusion, the results obtained from the current study demonstrate the importance of improving the quality of life of SC by reaching an improved balance between AV, historical value, and feasible results within the context of FD.

Family Assistance as a Factor in the Subjective Well-Being of the Elderly

This study is devoted to analyzing the extent to which older people are involved in aid exchange with their social environment. We also analyze how providing (receiving) financial and instrumental assistance to children (from children) is correlated with the subjective well-being of older people. The study is based on data from the National Survey of the Older Generation (NISP) 2021. Data analysis was carried out using multiple regressions. Respondents aged 60 years and up were selected for descriptive analysis. The sample consisted of 1782 respondents. For regression analysis we selected elderly people aged 60 years and up who had children (1536 respondents). Our analysis shows that almost one in 5 elderly people receives assistance from other people with household chores or document related work. About 20% of the elderly take it upon themselves to provide practical assistance to other people. Approximately 25% of older people provided financial assistance or gave expensive gifts to other people. The elderly themselves were somewhat less likely to be recipients of financial assistance or expensive gifts from other people. The bulk of the aid exchange takes place between older people and their children. It was found that receiving instrumental assistance from children had a negative association with life satisfaction among the elderly. At the same time, receiving financial assistance from children was positively associated with the level of life satisfaction among older people. Furthermore, receiving financial assistance from children is important primarily for mothers, as well as elderly parents who have health problems. The relationship between life satisfaction and the provision of financial or instrumental assistance to children did not reach statistical significance.

Exploring Well-being in College Students: The Influence of Resilience and Social Support

Resilience and social support are pivotal factors in fostering positive mental health outcomes and enhancing overall well-being among students. With this in mind, the present study sought to examine the impact of resilience and social support on subjective well-being among college students. Employing a quantitative research approach, the researchers utilized a descriptive- correlational technique to survey 255 college students. Standardized instruments, validated by experts and subjected to reliability testing, were employed for data collection. The statistical analysis revealed that students exhibited a high level of resilience and perceived social support. Moreover, students reported a high level of subjective well-being. Notably, correlation analysis highlighted a significant relationship between resilience, social support, and subjective well-being. Regression analysis further underscored the influential role of resilience and social support in shaping subjective well- being. This finding suggests that students with higher resilience levels are better equipped to manage stress and adversity, while those with robust social support networks benefit from emotional, informational, and practical assistance, thereby contributing to an enhanced sense of well-being.