Lifestyle Disruption Research Articles

Long COVID in Children and Adolescents: Mechanisms, Symptoms, and Long-Term Impact on Health-A Comprehensive Review.

Long COVID, also known as post-acute sequelae of SARS-CoV-2 infection (PASC), is increasingly recognized as a condition affecting not only adults but also children and adolescents. While children often experience milder acute COVID-19 symptoms compared to adults, some develop persistent physical, psychological, and neurological symptoms lasting for weeks or months after initial infection. The most commonly reported symptoms include debilitating fatigue, respiratory issues, headaches, muscle pain, gastrointestinal disturbances, and cognitive difficulties, which significantly impact daily activities, schooling, and social interactions. Additionally, many children with long COVID experience psychological symptoms, such as anxiety, depression, mood swings, and irritability, likely exacerbated by prolonged illness and lifestyle disruptions. Risk factors for long COVID in children include pre-existing health conditions such as asthma, obesity, and neurological disorders, with adolescents and females seemingly more affected. Hypothesized mechanisms underlying long COVID include chronic immune dysregulation, persistent viral particles stimulating inflammation, autonomic nervous system dysfunction, and mitochondrial impairment, which may collectively contribute to the variety of observed symptoms. Long-term outcomes remain uncertain; however, long COVID can lead to school absenteeism, social withdrawal, and psychological distress, potentially affecting cognitive development. Severe cases may develop chronic conditions such as postural orthostatic tachycardia syndrome (POTS) and reduced exercise tolerance. This review synthesizes the existing literature on long COVID in children, examining its prevalence, symptomatology, risk factors, and potential mechanisms, with an emphasis on the need for further clinical studies. While existing research largely relies on surveys and self-reported data, clinical assessments are essential to accurately characterize long COVID in pediatric populations and to guide effective management strategies.

COVID-19 lockdown effects on adolescent brain structure suggest accelerated maturation that is more pronounced in females than in males

Adolescence is a period of substantial social-emotional development, accompanied by dramatic changes to brain structure and function. Social isolation due to lockdowns that were imposed because of the COVID-19 pandemic had a detrimental impact on adolescent mental health, with the mental health of females more affected than males. We assessed the impact of the COVID-19 pandemic lockdowns on adolescent brain structure with a focus on sex differences. We collected MRI structural data longitudinally from adolescents prior to and after the pandemic lockdowns. The pre-COVID data were used to create a normative model of cortical thickness change with age during typical adolescent development. Cortical thickness values in the post-COVID data were compared to this normative model. The analysis revealed accelerated cortical thinning in the post-COVID brain, which was more widespread throughout the brain and greater in magnitude in females than in males. When measured in terms of equivalent years of development, the mean acceleration was found to be 4.2 y in females and 1.4 y in males. Accelerated brain maturation as a result of chronic stress or adversity during development has been well documented. These findings suggest that the lifestyle disruptions associated with the COVID-19 pandemic lockdowns caused changes in brain biology and had a more severe impact on the female than the male brain.

AN OBSERVATIONAL STUDY ON THE ROLE OF DIETARY AND LIFESTYLE HABITS IN BHAGANDARA

Fistula in Ano is a chronic abnormal communication lined by granulation tissue which runs outwards from ano-rectal lumen to an external opening on perianal skin. In Ayurvedic classics, it was mentioned as Bhagandara, meaning ‘Darana’ around Bhaga, Guda and Basthi pradesha. Nowadays, everyone is bound by a busy and stressful schedule that leads to disruption of lifestyle, which harms the quality of life. Due to a lack of exercise and a sedentary life, most people suffer from various lifestyle diseases. The most common among them is ano-rectal diseases due to erect posture and habitat. Anorectal disorders are slowly progressing because of regular intake of junk food, low fibre diet and different lifestyle habits. Arshas (Piles), Bhagandara (Fistula in Ano) and Parikartika (Fissure in Ano) are the most common diseases among anorectal diseases. Among them, Bhaganda-ra is considered under Ashtamahagada (eight major diseases) by Acharya Sushruta due to its callous and chron-ic attitude. In Ayurveda, Ksharasutra ligation is the most effective treatment of Bhagandara; apart from that Acharyas also mentioned the concept of Pathya (wholesome foods and activities) and Apathya (unwholesome foods and activities) as a part of the treatment of this disease. Patients must have a diet that will keep their dhatus in good condition and not allow them to get vitiated. So, one should follow a healthy diet (Pathya) and lifestyle habits (vihara). Therefore, the retrospective cross-sectional observational study is reliable in finding the association between Fistula in Ano and dietary and lifestyle habits. Hence, looking forward to better manage-ment with harmony of food and lifestyle of a patient can prevent the incidence of Bhagandara without causing much effort to physician and inconvenience to patient. The study's objective was to find the prevalence of everyday dietary and lifestyle habits with Bhagandara, create awareness of the necessity to adopt healthy nutritional and lifestyle habits, and break the chain of causation of Bhagandara. Also, I want to find out whether dietary and lifestyle habits have any significant role in the causa-tion of the disease bhagandara. A detailed literature review was compiled from relevant modern medical books. Ayurvedic literature and the Internet on the disease, management, Nidanas, Pathyas and Apathyas. A retrospective cross-sectional observational study with 69 participants of the age group 18-80 years who had fistula in Ano from O.P, Department of Salyatantra, satisfying inclusion and exclusion criteria was carried out. The participants were selected based on a purposive sampling technique. Then they were provided with the questionnaire, which was framed incorporating common Ahara and Vihara, which have been mentioned under Nidana of Bhagandara. Selected subjects having Bhagandara were provided with the questionnaire, and data was collected on the basis of a retrospective cross-sectional observational study. The result was analysed based on the responses to questions framed based on Nidanas, Pathya Aahara, and Vi-hara. Since the data evaluated was based on the interpretation of the connection between two categorical varia-bles, such as the cause and the disease, the Chi-square test is an ideal choice for aiding in understanding and used to compare observed and expected results according to an assumed hypothesis. The present study noticed a significant relation of Bhagandara with Nidanas and Pathya Aahara Viharas. Dietary and lifestyle habits both have important roles in the causation of disease. Each subject in the whole sample fol-lowed more than half of the lifestyle regimens incorporated in the study compared to dietary regimens. Overall, both dietary and lifestyle habits have a significant role in the causation of Bhagandara, with a slight predominance of lifestyle regimen over dietary regimen in Bhagandara noted. Considering all observations, sta-tistical analysis was done, and conclusions were drawn. The study results assessed statistically reveals that the dietary and lifestyle habits already mentioned in Ayurvedic classics have a significant role in causation of the disease Bhagandara.

Lived experiences of caregivers with infants treated at home with continuous invasive or noninvasive ventilation.

Caring for children dependent upon continuous invasive ventilation in the home setting requires extensive expertise, coordination, and can result in impaired caregiver quality of life. Less is known regarding the experiences of caregivers with children requiring continuous noninvasive ventilation. To evaluate caregiver experiences with invasive and noninvasive home mechanical ventilation, and to compare parental quality of life based on the child's mode of ventilation. Caregivers of infants who were discharged home with continuous ventilatory support were recruited to complete semi-structured qualitative interviews. Interviews explored their decision-making process, the transition to home, and health related quality of life. Caregivers of 16 children were interviewed, of whom eight were treated with continuous invasive ventilation, and eight with continuous noninvasive ventilation. The decision to pursue home ventilation in both groups was greatly influenced by the desire to be discharged and reunite the family at home. Following the transition to home, caregivers from both groups described high rates of insomnia, emotional distress, work disruption and familial hardship. Despite this, parents were overwhelmingly pleased with the decision to proceed with home ventilation and perceived their children to be living enriched lives outside of the hospital. Factors associated with easing the transition to home were in-hospital training and the presence of a robust support system. Lives of families with children dependent on continuous mechanical ventilation are characterized by isolation, lifestyle disruption, adverse mental and physical health consequences, and impaired interpersonal relationships, irrespective of the mode of ventilation.

Residents’ perceptions of sustainable heritage tourism development in a rural municipality

ABSTRACT This research investigates the perceptions of rural communities in the Sekhukhune District Municipality, Limpopo, South Africa, towards sustainable heritage tourism development. It aims to comprehend local attitudes by analysing community views, recognising benefits and challenges, and assessing the potential for sustainable practices. The study, utilising a quantitative approach through a structured survey, reveals diverse opinions among rural residents. While acknowledging tourism's positive economic and cultural prospects, concerns arise about environmental impact and traditional lifestyle disruptions. The paper's significance lies in its distinct focus on rural communities, expanding beyond urban-centric research. It enriches the sustainable tourism discourse by presenting local perspectives and suggesting strategies aligning community aspirations with tourism development goals. Overall, the research highlights the necessity of involving and empowering rural communities, advocating for context-specific approaches that harmonise tourism growth with the preservation of rural heritage. This study provides crucial insights for policymakers and stakeholders shaping effective and inclusive strategies for sustainable heritage tourism development in rural areas.

Impact of Stress during COVID-19 Pandemic in Italy: A Study on Dispositional and Behavioral Dimensions for Supporting Evidence-Based Targeted Strategies.

The COVID-19 pandemic caused critical mental health issues and lifestyle disruptions. The aim of this study was to explore, during the lockdown of second-wave contagions in Italy, how stress was affected by dispositional (personality factors and intolerance to uncertainty) and behavioral (coping strategies) dimensions, how these variables differed among sex, age, educational, professional, and health groups, and how the various changes in work and daily routine intervened in the psychological impact of the emergency. Our results highlight that women, the youngs, students/trainees, those with chronic diseases, those who stopped their jobs due to restrictions, and those who left home less than twice a week were more stressed, while health professionals showed lower levels of the same construct. Those with higher levels of stress used more coping strategies based on avoidance, which positively correlated with age, agreeableness, conscientiousness, and intolerance to uncertainty, and negatively with openness. Stress levels also positively correlated with agreeableness, conscientiousness, intolerance to uncertainty, and seeking of social support, and negatively with openness, a positive attitude, and a transcendent orientation. Finally, stress was predicted mainly by behavioral dimensions. Our results are discussed and framed within the literature, as important insights for targeted intervention strategies to promote health even in emergencies.

N25 "I Felt So Alone” Exploration of experience of being newly diagnosed with inflammatory bowel disease: a phenomenological study

Abstract Background Individuals recently diagnosed with Inflammatory bowel Disease (IBD) often have unmet informational and psychological needs, leading to distress and anxiety. This lack of support negatively affects their quality of life, mental health, social functioning, and physical outcomes. Additionally, the absence of counselling and peer support isolates many people and places an emotional burden on them. Delayed diagnosis or misdiagnoses due to symptoms being dismissed by health professionals exacerbate the problem. Acknowledging these unmet needs and adverse outcomes, this study aims to shed light on patients' experiences to inform improvements in clinical practice, support services, and workplace policies, particularly during the immediate diagnosis phase. Aim The aim of this study is to explore the experience of people newly diagnosed with IBD and their need for support. Methods The study employed interpretive phenomenology semi-structured interviews following a topic guide and analysed the data using Braun & Clark's (2023) thematic analysis method and Nvivo software. Crohn's and Colitis UK (CCUK) charity acted as the gatekeeper for access to participants. Participants were purposively selected on specific criteria: IBD diagnosis ≤1 year, aged 16 or older, English language proficiency and diversity of demographic and clinical variables. Results Of 49 volunteers who responded to the research advertisement, 15 were selected based on eligibility criteria. Participant characteristics are shown in Table 1. Four themes emerged (Fig 1), with 12 subthemes. Participants expressed extreme dissatisfaction, either due to misdiagnosis or diagnostic delays, indicating the need for timely streamlined diagnosis. Additionally, IBD diagnosis itself triggered distress and anxiety. Participants reported the need for continuous psychological counselling and peer support. Due to symptoms like blood loss and diarrhoea, IBD profoundly affects physical health, emotional wellbeing, social interactions, and work-life balance, hence challenging patients' sense of normalcy. However, patients demonstrated resilience via lifestyle adjustments, social support networks, and coping strategies. Conclusion This qualitative study sheds light on the profound impact of an IBD diagnosis. It reveals emotional struggles and the need for streamlined diagnosis and psychological support. Lifestyle disruptions affect physical and mental health, but participants adapt through support and coping. These insights have practical implications for improving care, mental health services, workplace adjustments, social support, and coping resources for the newly diagnosed IBD population. Future research should expand to larger, diverse patient samples. Table 1:

Вплив стресофакторів на стан організму людини та органів і тканин порожнини рота (огляд літератури)

Abstracts. In today’s environment, every citizen of Ukraine is exposed to varying degrees of psycho-emotional and physical stress. It is impossible to underestimate the negative impact of stressors on the tissues and organs of the oral cavity in particular, as quite often the first signs of general pathologies appear in this complex. The aim of the study is to analyse data from scientific literature sources and provide updated information on the impact of psycho-emotional stress on the development of periodontal diseases in the current conditions. Materials and Methods. The bibliosemantic method was used to clarify the state of the problem, to study the analysis of the results of previous scientific research based on the sources of literature and electronic resources. Research results and discussion. The current conditions dictated by the war on the territory of our country is cause a state of permanent stress among the population of Ukraine, which is related to the basic human instinct of survival. In general, a person can be affected by one or more groups of objective causes of stress. The citizens of Ukraine are experiencing severe stress as a result of the ongoing conflict. This includes combatants, relatives and friends of these combatants, civilians living in the area close to the hostilities, the wounded, medical workers, and internally displaced persons. The stress factor provokes the emergence and rapid development of new mental and somatic diseases, it leads to the progression of existing diseases, but the reaction to the stimulus is different for each person and is an individual manifestation. The state of the oral cavity is a very sensitive complex to any changes in the body’s homeostasis, and often the first signs of general pathologies appear in it. Among the significant risk factors that contribute to the development and aggravate the course of periodontal disease, stress is one of the most important. Long-term exposure to stress can suppress the acquired immune response, causing an imbalance between pro-inflammatory and anti-inflammatory factors. Experimental studies in rat glands have demonstrated that acute stress induces dystrophic and necrobiotic changes in the gland, resulting in a reduction in its protein synthesis function. Psychological stress can contribute to disruption of the usual lifestyle, which adversely affects hygiene. Conclusions. After analysing scientific research data and reports on the current state of psycho-somatic health of people in Ukraine in modern realities, it is obvious that the prevalence and intensity of periodontal tissue diseases may have a new negative development. The peculiarities of the development, prevention and treatment of periodontal diseases in people experiencing severe psycho-emotional and sometimes physical stress require additional study and analysis. Key words: psycho-emotional stress, stress factor, periodontium, oral cavity

Psychological distress is affected by fear of COVID-19 via lifestyle disruption and leisure restriction among older adults in Japan: a cross-sectional study.

Engaging in social activities is an essential component of a healthy lifestyle for community-dwelling older adults. Critically, as with past disasters, there is concern about the effects of long-term activity restrictions due to the coronavirus disease 2019 (COVID-19) pandemic on health of older adults. However, the precise associations between fear of COVID-19, lifestyle satisfaction, leisure activities, and psychological distress are unclear. The purpose of this study was to comprehensively determine the associations between fear of COVID-19, lifestyle satisfaction, leisure engagement, and psychological distress among community-dwelling older adults in the context of the ongoing COVID-19 pandemic. A questionnaire survey administered by mail was conducted from October 1 to October 15, 2021. The questionnaire included the Fear of COVID-19 Scale, the Lifestyle Satisfaction Scale, the Leisure Activity Scale for Contemporary Older Adults, and the Kessler Psychological Distress Scale-6. Based on previous studies, we developed a hypothetical model for the association between fear of COVID-19, lifestyle satisfaction, leisure engagement, and psychological distress and performed structural equation modeling to assess the relationships between these variables. Participants included 301 Japanese citizens (23.6% male, 76.4% female), with a mean age of 76.7 ± 4.58 years. Goodness-of-fit from structural equation modeling was generally good. Analysis of standardized coefficients revealed a significant positive relationship between fear of COVID-19 and psychological distress (β = 0.33, p < 0.001) and lifestyle satisfaction and leisure activities (β = 0.35, p < 0.001). We further observed a significant negative relationship between fear of COVID-19 and lifestyle satisfaction (β = -0.23, p < 0.001) and between leisure activities and psychological distress (β = -0.33, p < 0.001). Fear of COVID-19 is significantly associated with psychological distress, both directly and via its effects on lifestyle satisfaction and leisure activities. That is, not only did fear of COVID-19 directly impact psychological distress of participants, it also affected psychological distress through lifestyle disruption and leisure restriction. This results may be used to better understand how a national emergency that substantially restricts daily life, such as COVID-19 or an earthquake disaster, can affect the psychological health and wellbeing of older, community-dwelling adults.

Patterns of COVID-19 related lifestyle disruptions and their associations with mental health outcomes among youth and young adults

The COVID-19 pandemic is a socionatural disaster that has disrupted the lives of individuals, families, and communities. Youth and young adults (YYA) were uniquely vulnerable to the proximal mental health effects of the pandemic; however, few studies have examined the long-term mental health effects of the pandemic. In the present study, we sought to (a) identity distinctive profiles of COVID-related lifestyle disruptions experienced by YYA, (b) investigate sociodemographic characteristics correlates of profile membership, and (c) examine the extent to which profile membership was prospectively associated with changes in depressive and anxiety symptoms. Hypothesis were tested using latent profile analysis with data from 1055 YYA collected across two time-points, 6-months apart. Results produced a three-class model: low- (11%), moderate- (61%), and high-levels of (28%) disruption. Members of the high levels of disruption group were more likely to identify as Black or Latinx American, bisexual/pansexual, or as transgender or gender diverse in comparison to the low levels of disruption group. Inclusion in the high levels of disruption group was associated with increases in depressive and anxiety symptoms from T1 to T2. YYA from multiple marginalize communities (i. e. those who identified as both racial/ethnic and sexual/gender minorities) experienced the greatest levels of lifestyle disruption related to COVID-19. Consequently, disruptive effects of the COVID-19 pandemic prospectively eroded their mental health. YYA are in urgent need of developmentally appropriate resources to effectively recovery from the pandemic.

Sport and Recreation Undergraduate Students’ Perspectives on Disruption of Lifestyle, Active Lives, Learning, and Livelihood during Pandemic Times

This paper highlights curriculum and policy reforms and innovations in a Higher Education (HE) institution in response to undergraduate student perspectives about the phenomenon of the COVID-19 restrictions imposed by the New Zealand government (2020–2022). The advent of the coronavirus pandemic precipitated unexpected and unprecedented changes in HE learning and in the pedagogy required for undergraduate students. Consequently, HE institutions have had to be agile, resulting in ‘emergency’ adaptations to curriculum practice and policy implementation. This paper discusses triggers for change, reactions to restrictions, strategic measures, and the emergence of a ‘new normal’ from an undergraduate student perspective. Local and global concerns about student participation in undergraduate study (in Sport and Recreation), sport, and physical activity during restricted periods prompted the researchers to investigate the challenges these young people faced. Student voice was collected through semi-structured interviews and focus groups, collected post lockdown periods. Research findings, elicited from lecturers using a collaborative auto-ethnographical method, along with interpretative analysis (hermeneutic phenomenology) of students’ perspectives about the four pillars of lifestyle, active lives, learning, and livelihood provide insights about the impact of unexpected curriculum and policy change for HE students in New Zealand. This research provides real-time data to inform recommendations on policy and practice in HE institutions, to enhance student wellbeing in times of crises, like the COVID-19 pandemic.

Drivers of customer satisfaction with restaurants during COVID-19. A survey of young adults in Taiwan and Indonesia

Consumer behavior and preferences regarding restaurant patronage during a pandemic are different than those under ordinary conditions. This research investigates the new drivers of customer satisfaction with restaurants in two different countries, Indonesia and Taiwan, by surveying young adults and analyzing their responses through various structural equation modeling techniques. The severity of the outbreak in each country moderates the intensity of the effects of the determinants of trust, whereas building trust through safety precautions and a safe physical environment becomes the key factor to achieve customer satisfaction. In fact, under extraordinary conditions of lifestyle disruption involving high perceived uncertainty and risk, such as the COVID-19 pandemic, trust assumes the role of mediator in the relationship between customer satisfaction and its drivers.

The concept analysis of helplessness in nurses during the COVID-19 pandemic: A hybrid model.

'Helplessness' is one of the psychological concepts that exploring nurses' helplessness during the COVID-19 pandemic can lead to timely intervention and empowerment of nurses. Concept development. It was carried out using Schwartz-Barcott and Kim's hybrid model. In the literature review, helplessness is characterized by anxiety symptoms (muscle tension, headache, anorexia and insomnia) and, to some extent, depression (loneliness, guilt, apathy and insensitivity). In the fieldwork, five categories were obtained, including antecedents of helplessness (the nature of the disease, professional responsibility, personal lifestyle disruption and social behaviours), attributes of helplessness (inability to do more for the patient, inability to control the situation, feeling of uselessness, frustration, giving up and uncertainty to continue), consequences of helplessness (increase clinical error, physical manifestations and psychological manifestations), strategies to reduce feelings of helplessness and the difference among helplessness, powerlessness and hopelessness. Nurses' helplessness occurs when the nurse has no control over the situation and cannot change it.

Does Awareness of Aging Matter? The Moderating Function of Awareness of Age-Related Change on the Relationships Between COVID-19 Disruption, Perceived Stress, and Affect.

How people reflect on their own age may influence their well-being in the face of disruptions associated with the coronavirus (COVID-19). Subjective aging was operationalized in terms of one's awareness of age-related change (AARC), specifically, the gains and losses associated with aging. We developed a measure assessing disruptions to daily life associated with the COVID-19 pandemic across 3 dimensions (i.e., Social and Lifestyle Disruption, Work and Health Disruption, and Others Contracting COVID-19). We hypothesized that COVID-19 disruption would be positively associated with both AARC-losses and AARC-gains. Greater COVID-19 disruption would also be associated with poorer psychosocial outcomes (higher perceived stress and negative affect [NA] and lower positive affect [PA]) and these associations would be stronger for those reporting greater AARC-losses and weaker for those reporting greater AARC-gains. Cross-sectional questionnaire data were collected from 263 participants from the United States (aged 40-83; mean age: 62.88 years, standard deviation = 9.00; 56.3% females). After controlling for age, gender, education, employment, socioeconomic status, and physical functioning, greater Work and Health Disruption was associated with greater AARC-losses. Greater Social and Lifestyle Disruption was associated with both greater AARC-gains and AARC-losses. Moderation effects showed an exacerbating effect of AARC-losses on NA in the face of Work and Health Disruption and a protective effect of AARC-gains on PA in the context of Social and Lifestyle Disruption. We extend research detailing antecedents of AARC and highlight the need for longitudinal research that considers the ever-changing nature of the pandemic.

Early Adolescent Predictors of Young Adults' Distress and Adaptive Coping During the COVID-19 Pandemic: Findings From a Longitudinal Cohort Study.

We examined early adolescent predictors of later distress and adaptive coping in early adulthood, using data from a prospective longitudinal cohort study (n = 786). In early adolescence (age 13), we assessed indicators of mental health (internalizing symptoms), stressor exposure (cumulative stressful life events), and family socialization (supportive parent-child interactions). In early adulthood (age 22), during the first COVID-19-related Swiss national lockdown, we assessed cumulative pandemic-related stressors, distress (poor well-being, hopelessness, and perceived disruptions to life) and adaptive coping. Early adolescent internalizing symptoms predicted lower well-being, more hopelessness, and perceived lifestyle disruptions in early adulthood, during the pandemic. Cumulative stressful life events during early adolescence moderated the association between cumulative pandemic-related stressors and perceived lifestyle disruptions. Supportive parent-child interactions fostered subsequent engagement in adaptive coping, which, in turn, predicted less hopelessness and better well-being. Findings reveal that early adolescent development is linked with distress and adaptive coping in later periods.

Investigating Depression and Its Relationship with Social Health Components and Healthy Lifestyle in Infertile Women

Background: Depression caused by infertility for couples, especially women, causes disruption in lifestyle and social health. Objectives: This study was conducted in order to investigate depression and its relationship with social health and healthy lifestyle components in infertile women who referred to infertility centers in Kermanshah in 2021. Methods: In this study, 360 infertile women referring to the infertility centers of Kermanshah were selected using available methods. Data collection tools were Beck depression questionnaires (shortened), Keys social health questionnaires, and Valkropiroki lifestyle promotion questionnaires, which were completed after obtaining consent from the research samples. The results of data extraction were analyzed using SPSS software and Pearson's correlation coefficient test. Results: 360 investigated samples obtained depression scores between 8 and 12, which indicated depression in them. 56.9% of them scored 8, which indicates mild depression, and only 0.3% of the sample scored 12. Between social health and depression (P &lt; 0.01, r = -0.55 between social health and lifestyle (P &lt; 0.01, r = 0.52), lifestyle and depression (P &lt; 0.01, r = -0.41), there was a significant relationship. Conclusions: Based on the results of this study, depression caused by infertility and the components of social health and lifestyle are directly related to each other, and having a healthy lifestyle and social health can prevent depression in infertile women, and also improve the reduction of depression in infertile women by correcting these components.

Metodološke smernice za naučno istraživanje lažnih dojava o podmetnutim eksplozivnim napravama u Republici Srbiji

During 2022 and 2023, Serbia was affected by a wave of false reports of planted explosive devices in public places (so-called "telephone terrorism"). In the public, it was sensationally presented as terrorism, cyber-terrorism, high-tech crime, letter-bombs, false reporting of a crime, endangering public order and peace, and special war, which contributed to the "nervousness" of citizens and the disruption of the usual lifestyle, as well as mistrust in the state power. Since "telephone terrorism" was not a subject of scientific interest in Serbia, since methodological dilemmas are evident when interpreting/ researching phenomena, since there are problems of distinguishing "telephone terrorism" from similar threats and there is an obvious conceptual-categorical chaos in this regard, a need arose to establish certain methodological guidelines for future researchers from the perspective of sociology of terrorism.

Parents' self-reported experiences and information needs related to acute pediatric asthma exacerbations: A mixed studies systematic review.

To systematically review the scientific literature examining parents' experiences and information needs for the management of their child's asthma exacerbations. We searched five databases for quantitative and qualitative studies in Canada and the United States from 2002 onwards. A convergent integrated approach and the Mixed Method Appraisal Tool were used to analyze and appraise the evidence, respectively. We included 84 studies (27 quantitative, 54 qualitative, 3 mixed methods). Some parents lacked confidence in recognizing or managing exacerbations. A few parents were uncertain when and where to seek medical help. The main barrier to accessing care was cost. Impacts on parents included poor sleep, distress, and lifestyle disruptions. Parents felt they lacked information and wanted education on treatments and how to recognize and manage exacerbations via education sessions, written materials, community outreach and online resources. Improved education for parents may help reduce parents' stress, asthma-related morbidities for children and use of urgent health services. The development of tailored interventions and knowledge translation strategies with input from target audiences (e.g. parents, health care providers) is necessary to meet their information needs and support adherence to clinical recommendations.

Post-traumatic stress disorder as a nosological unit: Difficulties of the past and challenges of the future

Introduction. The impact of traumatic experiences has always been a part of human life. According to Judith Herman, an American psychotherapist, and professor at Harvard Medical School, "traumatic events overload a person's usual strategies for adapting to life, his usual security systems that give a sense of control, connection, and meaning." Also, traumatic events, for the most part, contain close personal contact with violence and death and pose a threat to life or physical integrity. For almost one year of the war, Ukrainian society faced a large number of negative phenomena capable of causing severe psychological trauma: disruption of the usual lifestyle, loss of family friends, and property, lack of many vital needs for a person, forced migration, uncertainty, a constant threat for health and life, etc. The purpose of the study was to analysis of scientific and literary data reflecting the history of the formation of the concept of "post-traumatic stress disorder" as a nosological unit, as well as the peculiarities of its manifestation and prevalence, diagnostic criteria. Materials and methods: A systematic search was conducted in the main electronic medical databases, such as PubMed, Scopus, Web of Science, Google Scholar, and processed publications that studied the history of the formation of "post-traumatic stress disorder" as a nosological unit, the features of its manifestation and prevalence. diagnostic criteria. Eligible studies were identified using keywords: post-traumatic stress disorder, psychotraumatology, trauma, physioneurosis, history of medicine. All types of articles were reviewed, including original studies, systematic reviews, and meta-analyses. Review and discussion: For a long time, there was a stigmatization of combat-related disorders in society. The path to the development of PTSD as a psychiatric diagnosis is long and thorny. After the World War II, there was an urgent need to introduce a standard unified nomenclature that would enable doctors from all over the world to have a common language for discussing the psychopathology of this disorder, establishing a diagnosis and determining disability. Over 60 years, starting in 1952, when the American Psychiatric Association (APA) introduced the concept of "brutal stress reaction" in its first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-I) and up to 2013 (DSM-5) formation of post-traumatic stress disorder as a nosological unit was taking place. Conclusions: Despite the non-acceptance, stigmatization, indifference and other difficulties, PTSD finally achieved official status in the recognized list of diagnoses

Improving children’s mental and physical health through holistic lifestyle changes during lockdown

Coronavirus disease (COVID-19) pandemic and the lockdown has brought about a sense of fear and anxiety around the globe. The anxiety and fear extends to much more than being infected by the virus. Children between the ages of 8 - 12, being very young, may find it difficult to comprehend the sudden change in their life. From having online classes, to being isolated and away from friends and classmates, it has changed the dynamics of their lifestyle completely. In the literature review and primary research conducted on the user groups, the paper discusses the various impacts and negative lifestyle changes faced by children due to the lockdown and how this has led to increased screen time, strained mental and physical health and a disruption in the children's overall lifestyle. Probable solutions to overcome the adversities faced by children are discussed in this paper whilst taking into account the data analysed from the surveys and interviews. To do so, some of the key tools that have been used are mind mapping - to understand the topic, empathy mapping and saturated walls to synthesise the analysed data and prototyping to build the solution. After this, a long term solution was designed through the making of UNLOCK - an active interaction board game that encourages children to incorporate good lifestyle habits and set balanced routine tasks that include mental and physical stimulation and exercise.