Assistance Program Research Articles

PENDAMPINGAN KELOMPOK TANI HUTAN DAN PENGELOLAAN HUTAN DESA SECARA PARTISIPATIF DI DESA MASIHULAN KECAMATAN SERAM UTARA

The community engagement program with forest farmer groups and forest managers in Masihulan Village aimed to enhance the community's capacity to sustainably manage forest resources and strengthen the local economy through the diversification of non-timber forest products. A participatory approach was employed in this assistance process, actively involving the community in every stage of the program. The results show a significant improvement in the farmer groups' understanding of agroforestry practices and sustainable forest management. Additionally, the institutional strengthening of the forest farmer groups positively impacted their ability to access government assistance programs and financial institutions.

Optimizing Student Management Strategies and Student Engement in Vocational Technical Colleges

This research aimed to assess the efficacy of student management practices and their influence on academic engagement among vocational-technical students in China. The study evaluated crucial aspects such as the admissions procedure, student assistance programs, attendance tracking, and technology to pinpoint obstacles and potential areas for improvement. Data was gathered using quantitative approach to assess their perspectives on management practices and academic involvement. The results indicated that using technology had a beneficial effect on student involvement. However, there were notable areas for improvement, such as student support services, attendance tracking, and the admissions process. The student support services were deemed unsatisfactory, with restricted availability and inadequate influence on academic achievements. The attendance tracking system was operational, but it did not impact student participation. On the other hand, the admissions procedure was equitable, but it lacked individualized assistance for students. Furthermore, the research revealed that students had modest intrinsic motivation, self-regulated learning, and goal-setting. Nevertheless, the level of academic aid provided needed to be improved, and the potential for collaborative learning was not fully realized due to participation difficulties. The study revealed that the mental health care provided was insufficient, and the inflexible academic schedule hindered students’ capacity to engage in interdisciplinary studies or modify their course loads based on individual circumstances. In addition, students expressed a lack of participation in decision-making procedures, which led to feelings of disconnection.

Impacts, Adaptations, and Preparedness Among SNAP-Ed Implementers During the COVID-19 Pandemic: A Multistate Study

Objective: The study examines: 1) impacts of COVID-19 on the work of Supplemental Nutrition Assistance Program – Education (SNAP-Ed) implementers, 2) facilitators and barriers experienced in making adaptations, and 3) factors that would have helped with preparedness to adapt. Design, Setting, and Participants: A purposive sample of 181 SNAP-Ed program implementers from across five states completed a survey or interview based on the study aims. Quantitative data was summarized with descriptive statistics and qualitative data was analyzed thematically. Results: Direct education activities were found to be most impacted during COVID-19 while working to change policies, systems, and environments and indirect education were less impacted. Both positive and negative impacts surfaced. Respondents were most likely to say they were moderately or slightly prepared to make adaptations. Elements of internal organizations, technology, and partners both helped and hindered adapting. Pre-established virtual capacity, formal preparation and planning protocols and procedures, and better and more frequent communication with partners and program leadership would have helped with preparedness. Conclusion: SNAP-Ed needs assessment and implementation processes should integrate and expand upon the lessons learned in the study to enhance future emergency preparedness among program implementers. Program policy should be updated to allow for implementation flexibility during future emergencies.

Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study

Evidence is increasing for digital health programs targeting the secondary prevention of stroke. We aimed to determine the feasibility of the novel Care Assistant and support Program for people after Stroke (CAPS) or transient ischaemic attack (TIA) by combining person-centred goal setting and risk-factor monitoring through a web-based clinician portal, SMS messages, a mobile application (app), and a wearable device. We conducted a 12-week mixed-methods, open-label feasibility study. Participants (6 months–3 years after stroke or TIA, access to the internet via a smartphone/tablet) were recruited via the Australian Stroke Clinical Registry. Participants set one or two secondary prevention goals with a researcher and provided access and training in technology use. Feasibility outcomes included recruitment, retention, usability, acceptability, and satisfaction. Secondary outcomes included goal attainment, health outcomes, and program costs. Following 600 invitations, 58 responded, 34/36 (94%) eligible participants commenced the program (one withdrawal; 97% retention), and 10 were interviewed. Participants (27% female, 33% TIA) generally rated the usability of the mobile application as ‘Good’ to ‘Excellent’ (System Usability Scale). Most (94%) agreed the program helped with engagement in health self-monitoring. Overall, 52 goals were set, predominantly regarding exercise (21/52), which were the most frequently achieved (9/21). At 12 weeks, participants reported significant improvements (p < 0.05) in self-efficacy (Cohen’s d = 0.40), cardiovascular health (d = 0.71), and the mental health domain of the PROMIS GH (d = 0.63). CAPS was acceptable, with good retention and engagement of participants. Evaluation of this program in a randomised controlled trial is warranted.

Neither gift nor loan: the strategic use of pseudo-formality at the nexus of intimacy and economy

Abstract In this paper, I introduce the concept of pseudo-formality as a novel form of relational work in economic sociology. Pseudo-formality refers to the performative use of formal aesthetics, such as contracts and repayment plans, in financial exchanges between close ties—as both parties tacitly understand that the agreement is flexible and not legally binding. I argue that pseudo-formality works by leveraging the signaling function of formal market elements in a way that contradicts their typical purpose, allowing for the compartmentalization of the economic and social aspects of the exchange. Through two complementary vignette experiments, I demonstrate that pseudo-formal framing enhances the perceived dignity of the recipient and the respect conveyed by the giver, compared to formal, informal, or gift-based arrangements. This effect partially mediates the relationship between the type of exchange and its overall acceptability. This research contributes to relational work perspectives in economic sociology by identifying a prevalent but understudied strategy for navigating the intersection of intimacy and economy, and highlights the adaptability of economic forms for relational purposes. The findings have practical implications for interpersonal exchanges as well as the design of financial assistance programs and policies, suggesting that pseudo-formal structures can provide a dignified and empowering means of support.

Abstract 4136977: Childhood Food Security and Cardiometabolic Health in Young Adulthood

Background: Food insecurity is associated with adverse cardiometabolic health in adults. To understand the early, long-term impact of food insecurity, we examined the associations of food insecurity in childhood with young adult cardiovascular-kidney-metabolic (CKM) syndrome stage and suboptimal cardiovascular health (CVH), and the modifying effects of participation during childhood in the Supplemental Nutrition Assistance Program (SNAP). Methods: In the Future of Families and Child Wellbeing Study of individuals enrolled at birth (1998-2000) and followed through age 22 years (2020-24) across 20 US cities, the associations of household food insecurity during childhood (age 3-5 years; score ≥1 on the US Household Food Security Survey) with CKM stage (0 [reference], 1, 2, or 3/4) and Life’s Essential 8 CVH score (high 80-100 [reference], intermediate 50-79, low 0-49) at age 22 years were evaluated with adjusted multinomial logistic regression. The interactions of food insecurity and SNAP participation, and food insecurity and race, were evaluated. Results: Among 1,071 participants, 53% were female; 53% non-Hispanic Black, 25% non-Hispanic White, 18% Hispanic; 39% lived in households with food insecurity, and 44% participated in SNAP. Food insecurity was associated with higher odds of being in CKM Stage 1 (aOR 1.41 [95% CI: 1.02-1.93]) and Stage 3/4 (aOR 1.78 [95% CI 1.11-2.83]) compared with Stage 0 at year 22 (Table). Food insecurity was also associated with having intermediate vs. high CVH in young adulthood (aOR 1.46 [95% CI 1.04-2.06]). SNAP participation modified the association of food insecurity and CVH; ffood insecurity was more strongly associated with intermediate vs. high CVH among those who did not participate in SNAP (aOR 2.37 [95% CI 1.39-4.04]) compared to those who were SNAP participants (aOR 0.79 [95% CI 0.46-1.35]) in childhood. There was no significant interaction of food insecurity and race for either outcome. Conclusions: Childhood food insecurity is associated with worse cardiometabolic health in young adulthood, especially among children whose families did not participate in SNAP. Policies to promote food security in children may promote cardiometabolic health across the life course.

The evolution of SNAP-Ed: policy, systems and environment (PSE) interventions to enhance nutrition security and health equity in the United States

Purpose This study uses a comprehensive literature review and analysis of recent research, policy documents and program evaluations related to Supplemental Nutrition Assistance Program Education (SNAP-Ed) and policy, systems and environmental (PSE) strategies. Key sources include peer-reviewed articles, the 2025 SNAP-Ed Plan Guidance and case studies of successful PSE interventions. The Social-Ecological Model serves as a framework to organize and analyze the multilevel impacts of PSE interventions. The method involves identifying relevant information, synthesizing key themes and patterns and critically examining the potential impact of PSE strategies on nutrition security and health equity. Design/methodology/approach This paper examines the evolution of the SNAP-Ed from direct nutrition education to a comprehensive approach integrating PSE change strategies. It aims to analyze the rationale, implementation and potential impact of PSE approaches in SNAP-Ed on nutrition security and health equity in the USA. The study explores how these strategies address social determinants of health, promote sustainable population-level changes in nutrition environments, and their capacity to reduce health disparities in low-income communities. It seeks to identify challenges, opportunities and future research directions in implementing PSE strategies within SNAP-Ed. Findings The review reveals that PSE strategies in SNAP-Ed show promise in creating sustainable, population-level changes in nutrition environments and health outcomes. Successful examples, such as healthy corner store initiatives and workplace wellness programs, demonstrate the potential of PSE approaches to improve access to healthy food options and physical activity opportunities. The integration of PSE strategies has enhanced SNAP-Ed’s capacity to address social determinants of health and promote health equity. However, challenges including resource constraints, political opposition and the need for cross-sector collaboration persist. The effectiveness of PSE interventions relies heavily on community engagement, partnerships and supportive policies. Practical implications The findings underscore the importance of adopting comprehensive, multilevel approaches in nutrition education and obesity prevention programs. For SNAP-Ed implementers, this implies a need to develop expertise in PSE strategies, foster cross-sector partnerships and engage communities in intervention design and implementation. Policymakers should consider increasing support and resources for PSE approaches within SNAP-Ed and similar programs. Public health practitioners can use these insights to design more effective, equitable interventions that address root causes of nutrition insecurity. The study also highlights the need for improved evaluation methods to assess the long-term impact of PSE strategies on population health outcomes. Social implications This study highlights the importance of addressing social determinants of health, such as poverty and access to healthy food options, to promote equitable health outcomes. It underscores the potential of community-driven, multilevel interventions in building a more just and equitable food system accessible to all. Originality/value This paper provides a comprehensive analysis of the shift toward PSE strategies in SNAP-Ed, offering valuable insights into the program’s evolution and its potential to address complex public health challenges. By examining both successes and challenges, it contributes to the growing body of evidence on the effectiveness of multilevel interventions in promoting nutrition security and health equity. The study’s emphasis on the role of community engagement and partnerships in PSE implementation offers practical guidance for program planners and policymakers.

Abstract 4137191: Association of Cost-Related Medication Non-Adherence with Food Insecurity in U.S. Adults with Atherosclerotic Cardiovascular Disease

Background: The association of cost-related medication non-adherence (CRN) with food insecurity (FI) is not well described in those with atherosclerotic cardiovascular disease (ASCVD). Research Questions: Is FI associated with CRN in those with ASCVD, and does enrollment in the Supplemental Nutrition Assistance Program (SNAP) modify this effect? Methods: Data from the National Health Interview Survey (NHIS) 2011-2018 cycles were analyzed. A total of 22,304 adults (weighted: 17.7 million) with ASCVD and available food security, medication adherence and linked mortality data from the National Death Index were included. FI was defined as 3 or more affirmative responses to the USDA food security survey. CRN was identified by an affirmative response to delayed prescription filling, took less medication, or skipped medication doses to save money in the past 12 months. Analyses accounted for the complex survey design to obtain nationally representative estimates. Survey-weighted logistic regression was used to determine predictors of CRN, and Cox regression was used for mortality analyses. Results: Among adults with ASCVD, 13.3% (95% CI 12.7-13.9%; 2.34 million) reported CRN, 15.0% (95% CI 14.3-15.7%; 2.65 million) reported FI, and 5.7% (95% CI 5.3-6.2%; 1.01 million) reported both concomitantly. Those reporting CRN were more likely to be younger, female, non-white, without health insurance, below the federal poverty limit, have lower educational attainment, more comorbidities, and report FI. FI and SNAP enrollment were significantly associated with CRN after multivariable adjustment (adjusted odds ratio [aOR] 4.35 [95% CI 3.74-5.05] and 1.28 [95% CI 1.06-1.55], respectively). A significant interaction was observed between FI and SNAP enrollment (Pint = 0.001), and FI was associated with lower odds of CRN among the SNAP-enrolled versus unenrolled (aOR 2.50 [95% CI 1.98-3.14] vs 5.74 [95% CI 4.82-6.85]) (Figure 1). CRN and food security were not significant predictors of all-cause or cardiovascular mortality in the fully adjusted models. Conclusion: Among adults with ASCVD, FI and SNAP enrollment independently predict CRN. Among adults with ASCVD and FI, more than one third reported CRN and those without SNAP had more than twice the odds of CRN. Greater SNAP enrollment may improve medication adherence in those with ASCVD and FI.

An aftercare intervention programme for employees returning from substance use rehabilitation in South Africa

PurposeEmployee assistance programmes (EAPs) and wellness practitioners (WPs) are the first line of support for employees returning from substance use rehabilitation. However, many workplaces need more guidance and support provisions to address these needs effectively. The purpose of this paper is to present a 10-week aftercare intervention programme that EAPs and WPs can use to support employees returning to work after a period of substance use rehabilitation.Design/methodology/approachThe qualitative methodological approach involved two distinct stages of data collection and consensus search activities. Stage 1 involved three data collection activities with three stakeholder groups, and Stage 2 consisted of two consensus-seeking engagements with the intended audience of the intervention programme.FindingsParticipants in the consensus-seeking activities endorsed the inclusion of content in the proposed intervention programme and structural and organisational arrangements. Specific recommendations were made, namely, increased reliance on faith-based and spiritual support, the need to include community support structures and ensuring that workplace interventions include counselling, skills training and motivational speakers.Practical implicationsThose working in the EAP environment are offered a systematic and holistic plan for managing and supporting employees recovering from substance abuse disorders (SUDs) to maintain their recovery and return to productive work.Originality/valueImplementing the intervention programmes can reduce the ad hoc nature of current approaches to workplace aftercare. The WPs are placed in a central role while stressing the valuable input of other key role players within the workplace or part of the family and community networks of the employee.

The Challenges of the Kurikulum Merdeka Implementation in 3T Area

This study investigates the challenges of implementing the Kurikulum Merdeka in the disadvantaged, remote, and outermost (3T) areas of Maluku. The significance of this research lies in addressing the geographic, infrastructural, and educational accessibility issues in these 3T areas, which can hinder the effective implementation of the Curriculum. The research employs a descriptive qualitative methodology. The study engaged 40 respondents, including school principals, teachers from both public and private schools, training facilitators, and assistant program implementers. Data were collected through questionnaires and interviews and were then analyzed to identify recurring patterns, problems, challenges, and obstacles faced during implementation. The results indicate that despite their dedication to implementing the curriculum, nearly all schools struggle with the execution of the Kurikulum Merdeka. The main challenge identified is the inadequacy of teachers in designing and carrying out learning activities as required by the curriculum. This issue arises from various factors, including limited access to technology, insufficient training for principals and teachers, shortcomings in the mentoring mechanisms, and a lack of digital literacy among educators. Consequently, the government's mandate to implement this curriculum in all schools should be preceded by comprehensive preparation. Emphasis should be placed on enhancing teachers' capabilities through training sessions and workshops focused on planning, executing, and evaluating learning activities. Additionally, providing sufficient facilities and fostering a supportive learning environment are essential aspects that must be addressed. Keywords: implementation, Kurikulum Merdeka, disadvantaged, remote area

Analysis of The Effect of Three-Month DCA Accuracy on Optimistic Bias In Fulfilling Cooking Oil For DCA Recipient Families

Cooking oil is one of the basic needs for the people of Indonesia and is included in the nine staples. Currently, there is an increase in the price of cooking oil as a result of the price of crude palm oil on the international market increasing and reaching the highest price ever recorded in history. So that the government’s action to overcome the increase in cooking oil prices is to provide Direct Cash Assistance in the form of electronic money or non-cash assistance with the main target being Families Receiving Non-Cash Food Assistance and Family Hope Program and Street Vendors who sell fried food. This study aims to see the bias that occurs against DCA given to beneficiary families and provide suggestions for the government based on the results of cost accuracy in fulfilling cooking oil for 3 months. The method used in this research is the statistical test of single sample mean and double sample mean to determine the accuracy of respondents’ answers to the movement of cooking oil prices. The results showed that there was an optimistic bias towards the estimation of cooking oil prices by the community. People expect the price of cooking oil to fall, but in actual conditions the price of cooking oil for a month from May to June shows a fixed price neither rising nor falling.

Home Food Delivery to Address Food Insecurity Following Hospital Discharge.

Nearly 1 in 5 families with children in the United States are food insecure. Hospitalization of a child can exacerbate food insecurity, both during the hospitalization and after discharge. Although some hospitals provide free or subsidized meals during hospitalization, few address food insecurity in the immediate posthospitalization period. To address this gap, we developed an innovative Inpatient Food Pharmacy program. This program offers families of hospitalized children experiencing food insecurity a choice of 1 week of prepared meals, 6 months of monthly produce delivery, or both, after discharge. Our goals were to assess program enrollment, understand family preferences, and evaluate the program’s feasibility and acceptability. Among 120 eligible families, 71 (59%) enrolled. Fifty-five families (77%) chose both prepared meals and produce delivery, 13 (18%) chose prepared meals only, and 3 (4%) chose produce delivery only. The program successfully delivered 6972 prepared meals and 348 boxes of produce over 10 months. Follow-up calls reached 41 (58%) of enrolled families, all of whom reported that the program met their acute food needs. Feedback from families and resource navigators suggested the program was acceptable. We aim to advocate for sustainable funding for food delivery for children and families experiencing food insecurity at 3 levels (1) institutionally, through our hospital's community benefit spending, (2) statewide, through a proposed Medicaid Section 1115 waiver providing grocery delivery to Medicaid-insured pregnant and postpartum individuals and their families, and (3) federally, through the Special Supplemental Nutrition Program for Women, Infants, and Children and the Supplemental Nutrition Assistance Program.

Who Is Perceived as Deserving? How Social Identities Shape Attitudes about Disaster Assistance in the United States

ABSTRACT Research has shown that as the size of government assistance programs grow, and the recipients of such programs are increasingly non-white and/or non-citizen, public support for them declines. Our study examines this phenomenon on the question of deservingness in federal disaster assistance. Using a 2018 survey experiment that leverages two devastating hurricanes—Hurricane Maria and Hurricane Harvey—that hit different parts of the United States in 2017, we explore how the social identities of race/ethnicity and partisanship affect attitudes about disaster deservingness. Our results demonstrate that although federal disaster assistance has broad support, it is contingent on perceptions about the disaster victim and the type of assistance. Respondents were less likely to support disaster assistance to Hurricane Maria–affected people than those affected by Hurricane Harvey. Moreover, white and Republican respondents were more likely to favor market-based assistance whereas race-/ethnic-minority and Democratic respondents were more likely to support more generous forms of disaster assistance. These findings have important implications for the allocation of disaster funds as climate change intensifies and the frequency of billion-dollar disaster events increases. This is exacerbated by political polarization and heightened social vulnerability due to changing population demographics.

Features of reproductive function and IVF programs in patients with overweight and obesity

Obesity is a chronic multifactorial heterogeneous disease characterized by high prevalence, progressive increase in morbidity, high cardiometabolic risk. The prevalence of obesity is increasing from year to year and does not tend to decrease. Up to 60% of women of reproductive age are overweight, and a quarter of them are obese. In addition to cardiovascular pathology, type 2 diabetes, gastrointestinal diseases, oncological processes, obesity can affect the reproductive function of women, reduce fertility and be an independent cause of infertility, as well as reduce the effectiveness of assisted reproductive technology programs. This paper analyzes studies on the problem of reproductive system disorders, the effectiveness and safety of assisted reproductive technology programs in patients with overweight / obesity. The review includes data from foreign and domestic articles in the Pubmed, Elsevier, Cochrane Library, e_library databases published over the past 10 years. As a result of the analyzed publications, it was concluded that the implementation of IVF programs in patients with overweight/obesity presents certain difficulties at each stage of the program: the duration and cost of ovarian stimulation increases, the number and quality of the obtained oocytes and embryos decreases, the displacement of the “implantation window” is more often noted, decreased endometrial receptivity, which together causes a decrease in the pregnancy rate (PR) in this category of patients. It should be noted that in women with visceroabdominal obesity, with more pronounced metabolic abnormalities – dyslipidemia, carbohydrate metabolism disorders, reproductive disorders are expressed to a greater extent than in patients with a more favorable femoral phenotype type of obesity, which requires an individual approach to the treatment of infertility using IVF methods depending on the clinical and etiopathogenetic category of patients.

Point-of-Care Ultrasound on Clinical Rotations: Reported Opportunity and Objective Number of Examinations

Introduction Point-of-care ultrasound (POCUS) inclusion in physician assistant (PA) program curricula is increasing. Research has shown that preceptors' readiness to teach POCUS on rotations is limited. The purpose of this research is to describe PA students' self-reported opportunity to practice POCUS on rotations, to quantify the number of POCUS examinations completed on rotations, and to analyze data to provide insights into which rotations might be most amendable to POCUS training for PA students. Methods Students were surveyed about their preceptors' willingness to allow the practice of POCUS on rotations. Students were required to complete POCUS examinations during rotations. The number of examinations performed was extracted from the Butterfly Network software and paired with the students' rotation information. Descriptive statistics were completed. Results A survey response rate of 71.4% was noted. The student reported opportunities to practice POCUS were the highest on Family Medicine, Cardiology, Hospital Internal Medicine (HIM), and Emergency Medicine (EM). Students completed 778 POCUS examinations on rotations. A higher objective number of examinations were completed on EM and HIM rotations. Discussion EM and HIM rotations afforded the most opportunity to convert the reported opportunity to practice POCUS to the objective act of obtaining POCUS images. Most rotations had proportionally similar number of POCUS examinations completed per organ system, however, Cardiology had a disproportionately higher number of cardiac examinations. This rotation and application-specific understanding of PA students' ability to obtain POCUS examinations on rotations should be used by PA programs while developing POCUS curriculum.

Interprofessional Education in Neurology Intensive Care Unit: Learning Activity for Students Completing Clerkships and Field Experiences.

Teaching learners the benefits and challenges of interprofessional collaborative practice (IPCP) in acute care is best done in the context of authentic patient care rather than classroom settings. Yet differing clinical schedules of students and faculty as well as structured, controlled environments of intensive care units are not conducive to bringing multiple interprofessional learners to the bedside. We developed a 2.5-hour interprofessional education (IPE) activity based around neurology intensive care unit patients that was implemented using team-based learning (TBL) methodologies, including individual/team readiness assessments (iRAT/tRAT) and application activities comprising interprofessional student-led care conferences in which authentic patients and their unique, deidentified clinical parameters were discussed. Students represented medicine, nursing, chaplain, physician assistant, social work, respiratory therapy, pharmacy, physical therapy, and law programs. Two hundred ninety-three students participated online during the first year. Mean tRAT scores were 14.9 points higher than iRAT scores (39.5 vs. 24.6 of 44 possible). There was strong agreement from students that the session met educational objectives (all >4.0 on a 5-point Likert scale). Individualized feedback was provided to learners using a rubric; 276 students shared personal reflections of knowledge learned through interactions with other health professional students/faculty. IPE activities that use authentic patient chart data as the basis for student application exercises are useful learning tools since students must teach and learn from each other, interpret data, and propose care plans based upon their collaborations. This enables students to experience acute care IPCP in a low-stakes environment.

Mechanisms of international economic cooperation to support the global energy transition: ways to improve

The global energy transition is a complex process and requires deep international economic cooperation and joint efforts to achieve sustainable development. Effective interaction between countries, financial institutions and the private sector is essential to ensure sufficient investment in renewable energy and technological innovation. International financial mechanisms, such as green bonds, can significantly contribute to accelerating this process, but they must ensure access to resources for all participants, especially developing countries. Reforming the international financial system and developing new instruments for attracting private capital is an important step towards reducing risks and increasing the investment attractiveness of renewable energy projects. Removing barriers to investment in countries with unstable economies through the development of technical assistance programs and financial guarantees is also an important condition for success. The energy transition can only be successfully realized through a concerted international effort involving both developed and developing countries. A sustainable energy future and ambitious climate change targets can only be achieved through global cooperation, innovative financial solutions and technology sharing.

Social Assistance and Family Functioning: A Study on the Family Functions of Individuals Benefiting from Social and Economic Support Services

Social assistance can be defined as programs, policies, or institutions aimed at preventing, reducing, or eliminating poverty. Through out history, various social assistance programs have been implemented to address poverty. In Turkey, the Ministry of Family and Social Services (MFSS) and various organizations provide social assistance. A notable service offered by ASHB is the Social and Economic Support (SES) program, which holds significant importance in supporting children in need of protection with in families. In a study evaluating the impact of the SES program on family functions, a socio-demographic information form and the Family Assessment Scale were administered to 194 families benefiting from the SES program through the Karadeniz Ereğli Social Services Center Directorate. The study aimed to determine if there were significant statistical relationships between the duration of receiving SES services (in months) and various subscales of the assessment tools. Statistical analyses, including t-tests to investigate differences between means of two data groups and ANOVA tests to explore differences among more than two data groups, were conducted. Post-hoc analyses were performed to identify specific group differences when significant differences emerged from the ANOVA analysis.The results indicated that an increase in the duration of SES service utilization led to improvements in problem-solving, communication, roles, behavior control, and over all family functions. Therefore, the duration of SES service utilization appears to positively influence family functions.

The Excess of Carriers in Rare Disorders Suggests a Nonpathogenic Effect for Most Variants of Uncertain Significance.

Functional annotation and interpretation of genetic variants are a critical step in genetic diagnosis, as it may lead to personalized therapeutic options and genetic counseling. While the number of confirmed pathogenic genetic variants in an individual is relatively low, the number of variants of uncertain significance (VOUS) can be considerably higher, increasing the number of potential carriers of genetic disorders. Thus, reducing uncertainty and assessing the real effect of VOUS are crucial for clinical and medical genetics. In this study, we evaluated the efficacy of genetic screening technologies in accurately predicting pathogenic variants and their corresponding disease prevalence in a cohort of over 6000 healthy individuals involved in assisted reproduction programs. Using data from 305 genes associated with recessive disorders, we determined the frequency of carriers of pathogenic variants and VOUS in our dataset and compared the predicted prevalence based on this information with reported population prevalence data. The higher predicted prevalence in some disorders when considering VOUS suggests a mostly benign effect.

Supplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation

Work requirements are a controversial feature of US safety-net programs, with some policymakers seeking to expand their use. Little is known about the demographic, clinical, and socioeconomic characteristics of individuals most likely to be negatively impacted by work requirements. To examine the association between work requirements and safety-net program enrollment. This cohort study included Medicaid and Supplemental Nutrition Assistance Program (SNAP) enrollees in Connecticut. The impact of SNAP work requirements for able-bodied adults without dependents-the target population-was estimated using a triple-differences research design comparing outcomes before and after the policy (first difference) in affected and exempted towns (second difference) between the targeted population and untargeted parents and caregivers (third difference). SNAP and Medicaid enrollment trends were assessed for a 24-month period, and the characteristics of individuals most likely to lose coverage were examined. Data were collected from August 2015 to April 2018, and data were analyzed from August 2022 to September 2024. The reintroduction of SNAP work requirements in 2016. Proportion of enrollees disenrolled from SNAP and Medicaid. Of 81 888 Medicaid enrollees in Connecticut, 46 872 (57.2%) were female, and the mean (SD) age was 36.6 (7.0) years. Of these, 38 344 were able-bodied adults without dependents, of which 19 172 were exposed to SNAP work requirements, and 43 544 were parents or caregivers exempted from SNAP work requirements. SNAP coverage declined 5.9 percentage points (95% CI, 5.1-6.7), or 25%, following work requirements. There were no statistically significant changes in Medicaid coverage (0.2 percentage points; 95% CI, -1.4 to 1.0). Work requirements disproportionately affected individuals with more chronic illnesses, targeted beneficiaries who were older, and beneficiaries with lower incomes. Individuals with diabetes were 5 percentage points (95% CI, 0.8-9.3), or 91%, likelier to lose SNAP coverage than those with no chronic conditions; older SNAP beneficiaries (aged 40 to 49 years) with multiple comorbidities were 7.3 percentage points (95% CI, 4.3-11.3), or 553%, likelier to disenroll than younger beneficiaries (aged 25 to 29 years) without chronic conditions; and households with the lowest incomes were 18.6 percentage points (95% CI, 11.8-25.4), or 204%, likelier to lose coverage than the highest income SNAP beneficiaries. In this cohort study, SNAP work requirements led to substantial reductions in SNAP coverage, especially for the most clinically and socioeconomically vulnerable. Work requirements had little effect on Medicaid coverage, suggesting they did not lead to sufficient increases in employment to transition beneficiaries off the broader safety net.