Family Status Research Articles

Психологическая и фармакологическая помощь при послеродовой депрессии и послеродовом ПТСР в России: социоэкономические факторы

<p><strong>Aim.</strong> This study examined socio-economic factors and their relationship to access to professional care (pharmaceutical and psychological), as well as the relationship between the presence/absence of psychological and pharmacological care and the severity of symptoms of postpartum depression (PD) and PTSD after childbirth. <strong>Materials and methods</strong>. The study involved 2,574 women aged 18–43 years (M=31,03, SD=4,29) who gave birth to one or more children during the 12 months preceding the survey. Depression was assessed using the Edinburgh Postpartum Depression Scale [11] in Yakupova's adaptation [35]. Postpartum PTSD was assessed using the City Birth Trauma Scale [8] in Yakupova's adaptation [2]. In addition, socio-demographic data were collected (education level, income level, family status, place of residence), information about previously diagnosed and current mental health problems, and the types of assistance received. <strong>Results and conclusions.</strong> The data obtained show that only a small percentage of women with severe symptoms of postpartum depression and postpartum PTSD seek psychological or pharmacological help (11% and 9.3%, respectively). Socio-economic factors such as higher education, higher economic status, residence in Moscow and St. Petersburg, as well as the presence of a spouse are associated with a rarer manifestation of PD and PTSD after childbirth and more frequent seeking psychological and pharmacological help. In Russia, there is an urgent issue of informing about postpartum mood disorders, their diagnosis, as well as the issue of access to professional help.</p>

Exploring depression, comorbidities and quality of life in geriatric patients: a study utilizing the geriatric depression scale and WHOQOL-OLD questionnaire

BackgroundThe increasing prevalence of depression among older adults is a growing concern. Chronic health conditions, cognitive impairments, and hospitalizations amplify emotional distress and depression levels in this population. Assessing the quality of life is crucial for the well-being of older adults.AimsOur study aimed to examine how comorbidities affect depression and quality of life in geriatric patients in both outpatient and hospital settings.Methods100 patients (50 from internal medicine outpatient clinic and 50 from internal medicine ward) were included in the study according to inclusion and exclusion criteria. Patients were classified into different age groups (65–74 years, 75–84 years and ≥ 85 years). Data on patients’ location of application, age, sex, living alone or with family status, number of comorbid diseases, types of accompanying diseases were recorded and WHOQOL-OLD and Geriatric Depression Scale (GDS) questionnaires were administered. Results were evaluated using SPSS.ResultsThe WHOQOL-OLD questionnaire score was higher in the 65–74 age group compared to other groups, but there was no significant difference between outpatient group and hospitalized group. Patients with comorbid diseases had lower WHOQOL-OLD questionnaire scores compared to those without comorbid diseases. In the 75–84 and ≥ 85 age groups, the GDS scores were higher compared to the 65–74 age group. In hospitalized group, GDS scores were higher than outpatient clinic group. In patients with comorbid diseases, GDS scores were higher than the ones without comorbid diseases.DiscussionOur findings indicate that quality of life is higher among those aged 65–74, with lower incidence of depression compared to other age groups. Hospitalization correlates with higher depression rates but not quality of life. As number of comorbid diseases increases in older adults, the frequency of depression rises and the quality of life declines.ConclusionsEarly detection and intervention for depression are crucial for enhancing older adults’ well-being.

Intensive Outpatient Programs for Pediatric Feeding Disorder: A Qualitative Study of Current Challenges and Future Directions.

Although intensive multidisciplinary interventions (IMIs) provide benefits for patients with pediatric feeding disorders (PFD), access to these programs is limited and challenges faced by the programs remain unclear. To better understand the barriers faced by existing day programs that provide IMI, disparities in patient care, and areas for improvement to better inform policy and improve access to treatment for PFD. Semi-structured interviews were conducted with a leader of outpatient programs providing IMI in the United States. Data regarding leader's perspectives on disparities in patient care, barriers faced by the intensive multidisciplinary feeding day programs, and future goals and directions for their programming were collected. Afterward, a qualitative content analysis was conducted to consolidate and categorize information related to patient care, access, and barriers faced by day programs and patients with PFD. Barriers and challenges were identified at the patient, program, and systems levels. Patient-level barriers included familial resources or socioeconomic status, geographic distance from the program site, and difficulty with the time commitment, whereas program-level barriers included limited site personnel and capacity and long wait times. System-level barriers primarily center on insurance, with inconsistent coverage of services and limited payer knowledge about PFD and IMI. IMIs are effective in managing PFD; however, a variety of patient-level, program-level, and systems-level factors serve as barriers for patient access to care and program success. Further research, improved reimbursement, and consensus statements on effective treatments can help improve access to and coverage for care, allowing for the development and sustainability of more programs.

Trajectory and Determinants of Quality of Life Among Postpartum Women.

The postpartum period is a critical phase in which postpartum women experience dynamic changes in their physiology, psychology, and family status. This study investigated the changes in women's quality of life (QoL) during the first, third, and sixth months of the postpartum period and their associated factors. A single-group repeated-measure design was used to collect data from 282 postpartum women recruited from a regional hospital in Taiwan. We used the brief World Health Organization Quality of Life scale, Social Support Scale, and Edinburgh Postnatal Depression Scale to assess postpartum women's quality of life, social support, and postpartum depressive symptoms, respectively. The data were analyzed using trajectory analysis and generalized estimating equations. The trajectory analysis indicated that postpartum women could be categorized into low, medium, and high QoL groups. Although the medium and high QoL groups maintained stable QoL levels, the low QoL group experienced a linear decrease in QoL over time. Moreover, the determinants of postpartum women's QoL were immigrant status, employment status, family type, social support, and postpartum depression. Health care providers should assess these determinants of postpartum QoL in perinatal women to identify those at risk of low postpartum quality of life. Early assessment and intervention by health care providers could significantly improve the health status of women after childbirth.

Leaving the parental home, cohabitation, and marriage after a hematologic malignancy in childhood-A register-based cohort study from the SALiCCS research program.

Transitioning to adulthood often involves achieving independence from the parental home. We assessed whether the likelihood of leaving the parental home, cohabitation, and marriage was similar between patients who experienced a hematologic malignancy at a young age and their peers. We identified 11,575 patients diagnosed with a hematologic malignancy under the age of 20 years between 1971 and 2011 in Denmark, Finland, and Sweden, 57,727 country-, age-, and sex-matched population comparisons and 11,803 sibling comparisons and obtained annual information on family and marital status by linking to the statistical institute databases. Hazard ratios (HR) for leaving the parental home, cohabitation and marriage were estimated using Cox proportional hazards modeling. Young adults with a history of a hematologic malignancy were slightly less likely to leave the parental home (HR 0.89; 95% confidence interval [CI] 0.86-0.92; HR 0.87 [95% CI 0.82-0.92]), cohabit with a nonmarital partner (HR 0.83 [95%CI 0.78-0.87]; HR 0.84 [95% CI 0.77-0.92]) and be married (HR 0.87 [95% CI 0.82-0.91]; HR 0.86 [95% CI 0.79-0.93]), compared with population comparisons and siblings, respectively. Our findings provide reassurance that young adults with a history of a hematologic malignancy show only a slight decrease in their likelihood of gaining independence from their childhood family and forming close interpersonal relationships compared to peers. While most patients are coping well in the long term, integrating structured psychosocial support into long-term follow-up is recommended to facilitate a timely and adequate transition into adulthood.

Child Motor Development before and after the COVID-19 Pandemic: Are There Social Inequalities?

COVID-19 pandemic has influenced all children's motor development. We examine whether this differs by social circumstances. We hypothesise that socially disadvantaged children experienced more pronounced motor problems compared with better-off children. Our trend study includes three representative waves of preschoolers (school years 2018/19, 2019/20, 2023/24) from a German school enrolment medical screening. Based on logistic regressions, we computed predicted prevalences of motor problems separately for children in different social circumstances (neighbourhood, migration background, family status). Motor development of preschoolers slightly worsened by 2023 compared to pre-pandemic level (6.3 percent 2018 to 7.4 percent 2023). Results by neighbourhood highlight that preschoolers from well-off districts experienced a deterioration of motor development (4.9 percent 2018-6.4 percent 2023). The prevalence of motor problems is, however, below that of children from deprived neighbourhoods with consistently high prevalence (9.2-10 percent). Results by migration background show a worsening trend for children without migration background and the gap between the groups disappears in 2023. Results by family status do not indicate significant differences. Contrary to our hypothesis, socially disadvantaged children experienced smaller change in motor problems. However, our results highlight the potential of structured physical activities in daycare centres and sports facilities to enhance the motor development of these children.

Patterns of Nicotine Use Among Women in the Rural Population of Kolar: A Cross-Sectional Study.

Background The prevalence of smokeless tobacco (SLT) use among Indian women, particularly those from lower socioeconomic backgrounds with little access to formal education, has been steadily increasing, which is a cause for concern. Women frequently use various forms and companies of powdered, rubbed, and chewed SLT, with or without betelnut and flavorings, often simultaneously, starting at an early age and persisting into their reproductive years. Consequently, they are vulnerable to both the chance of developing cancer and experiencing health issues during pregnancy and childbirth. The purpose of the study was to assess the prevalence of women using SLT and the factors that were linked to these outcomes. Methodology The community-based analytical, cross-sectional study was carried out for four months (February-May 2024) in the selected rural areas of Kolar district, Karnataka, India. Women aged 15 years and above who lived in the selected rural areas of Kolar district as permanent residents and had a history of nicotine use were included. Women using smoked forms of tobaccoand bedridden or terminally ill cancer patients were excluded from the study. An interviewer administered a semistructured interview schedule to collect data. The questionnaire included sections on sociodemographic characteristics (age, education, occupation, marital status, socioeconomic status, and type of family), nicotine use patterns (types of SLT/nicotine products used and mode of use), maternal history, menstrual history, alcohol consumption history, morbidity conditions, and nicotine dependence, which were assessed by Fagerstrom Test for Nicotine Dependence (FTND). Results The participants, 92 women, ranged in age from 15 to 80 years old, with a mean age of 41.2 years. Most of the participants were diagnosed with oral cancer (n = 19, 20.7%), followed by esophageal cancer (n = 13, 14.1%). When participants were enquired about the mode of usage of tobacco, most of them used chewable form (n = 43, 46.7%). When dependence was assessed by the Fagerstrom nicotine dependence scale, high dependence was observed in 83.7% of women (n = 77), whereas low-to-moderate dependence was observed in 16.3% of women (n = 15). Among the 92 participants, only 16 participants (17.3%) made attempts to quit using SLT. The sociodemographic factors associated with nicotine dependence included age between 41 and 60 years, illiteracy, lower economic status, widowhood, unmarried status, unemployment, Hindu by religion, nuclear family, non-alcoholic, irregular menstrual cycles, and significant maternal history (P-value less than 0.05). Conclusion The development of tailored interventions that address the specific needs of illiterate, unemployed, lower-class, and unmarried women in nuclear families was observed. These interventions should incorporate mental health screening, psychoeducation, and community-based support to promote cessation of SLT and improve their overall well-being.

Screen Use Time and Its Association With Mental Health Issues in Young Adults in India: Protocol for a Cross-Sectional Study.

Screen use time has increased in the past decade owing to the increased availability and accessibility of digital devices and the internet. Several studies have shown an association between increased screen use time and mental health issues such as anxiety and depression. However, studies in the young adult population-a demographic with high screen use-and in low- and middle-income country settings are limited. This protocol describes a study that aims to measure self-reported screen use times and patterns in young adults (18-24 y) in India and assess if increased screen use time is associated with poorer mental well-being. This protocol describes a cross-sectional study of a pan-India, web-based convenience sample of young adults (18-24 y) with access to digital devices with a screen and a minimum of secondary school education. Participants will be recruited through people in the professional networks of the investigators, which includes pediatricians. The survey will also be distributed via the social media pages of our organization (X [X Corp], Instagram [Meta], Facebook [Meta], etc). Sociodemographic details will be collected through a questionnaire designed by the authors; screen use time and patterns will be assessed using an adaptation of the Screen Time Questionnaire to include data on different apps and websites used on digital devices; and mental health parameters will be gauged using the Warwick-Edinburgh Mental Well-Being Scale, Generalized Anxiety Disorder Scale, Perceived Stress Scale, and Patient Health Questionnaire. For statistical analysis, we will consider the following variables: (1) the primary independent variable is screen use time; (2) other independent variables include age, gender, residence: rural or urban, educational qualifications, employment status, stress associated with familial financial status, average sleep time, number of people living in a house or rooms in that house, BMI, substance use, and past psychiatric history; and (3) dependent variables include mental well-being, depression, anxiety, and perceived stress. To quantify the association between screen use time and mental health, we will perform a Bayesian multivariate multiple regression analysis that models the possibility of multiple alternative hypotheses while accounting for relevant sociodemographic covariables. The survey instrument has been designed, and feedback has been obtained from the domain experts and members of our organization whose profile is similar to the potential study participants. The final data received after this study has been conducted will be analyzed and shared. As of January 2023, we have not yet initiated the data collection. Based on the findings of this study, we will be able to establish a correlation between device- and use-specific screen use time and various mental health parameters. This will provide a direction to develop screen use time and mental health guidelines among young adults. PRR1-10.2196/39707.

Study of Caregiver Burden in Continuous Ambulatory Peritoneal Dialysis

Background Increased caregiver burden undermines caregivers’ mental and physical health and is an under recognized but critical aspect for the success of continuous ambulatory peritoneal dialysis (CAPD). This study was undertaken to quantify and identify the factors determining CAPD caregiver burden. Materials and Methods A cross-sectional study was conducted among 51 caregivers of CAPD patients visiting the centers from July to August 2023. Caregiver burden score was determined using “Zarit Burden Interview” by interview method. Results The mean age of caregivers was 42.8 ± 10.83 years with 52.9% females. The mean Zarit burden score of the caregivers was 29.18 ± 11.81. Younger caregivers experienced significantly higher burden (r = −0.34, P = 0.013). Lesser educated caregivers were perceiving a higher burden. Lower socioeconomic strata people had significantly higher burden (P < 0.001) and especially so when there was a loss in income attributed to caregiving. Patients who were covered by state insurance experienced a notably lower caregiver burden (19.2 ± 6.1) when compared to those who were self-financed (32.4 ± 11.08) or had company insurance (37.2 ± 13.6). Gender, religion, marital status, and type of family had no bearing on the caregiver burden. Conclusion Age, loss of income, education, and socioeconomic status are important determinants of caregiver burden. State sponsored program lowers caregiver burden significantly. A CAPD program should address these factors to mitigate caregiver burden.

Atypical presentations in an RTD patient and report of novel SLC52A3 and SLC52A2 mutations.

Riboflavin Transporter Deficiency (RTD) is a rare neurological disorder characterized by pontobulbar palsy, hearing loss, and motor cranial nerve involvement. SLC52A3 and SLC52A2 mutations are causes of RTD. SLC52A2 mutations are usually found in childhood onset cases. Fifteen Iranian RTD diagnosed patients without SLC52A2 mutations have been previously described. We aimed to identify causative mutations in two childhood cases. We recruited patients with diagnosis of BVVL. Comprehensive clinical evaluations were performed on the patients. SLC52A3 and SLC52A2 genes were PCR-amplified and Sanger sequenced. Candidate disease causing variations were screened for segregation with disease status in the respective families and control individuals. A novel homozygous SLC52A3 mutation (p.Met1Val) and a heterozygous SLC52A2 mutation (p.Ala288Val) were both observed in one proband with typical RTD presentations. The aggregate of presentations in the early stages of disease in the second patient that included weakness in the lower extremities, absence of bulbar or hearing defects, prominent sensory polyneuropathy as evidenced in electrodiagnostic studies, and absence of sensory symptoms including sensory ataxia did not prompt immediate RTD diagnosis. Dysarthria and decreased hearing manifested later in the disease course. A novel homozygous SLC52A2 (p.Val314Met) mutation was identified. A literature search found recent reports of other atypical RTD presentations. These include MRI findings, speech understanding difficulties accompanied by normal hearing, anemia, and left ventricular non-compaction. Knowledge of unusual presentations lessens the chance of misdiagnosis or delayed RTD diagnosis which, in light of favorable effects of riboflavin supplementation, is of immense importance.

Role of Socio-Economic Status of Family on the Utilization of Mother-Child Healthcare Services, Punjab, Pakistan

Role of Socio-Economic Status of Family on the Utilization of Mother-Child Healthcare Services, Punjab, Pakistan

The Influence of Demographic Factors on Creativity Level of Undergraduate Agricultural Students

The purpose of this study is to establish the influence of demographic factors on the creativity level of undergraduate agricultural students. It seeks to understand how gender, status of family owned business, field of study, and place of upbringing affect the creativity level of these students. The research adopts a quantitative approach, using a self-administered questionnaire. The survey data, collected from 421 participants, is analyzed using structural equation modelling. Hypotheses are statistically tested to establish the relationships between demographic factors and creativity level of undergarduates students. The survey data for this research was collected through a self-administered questionnaire. The participants were undergraduate agricultural students from various South African universities. To statistically test the hypotheses and analyze the relationships between demographic factors and the creative level, structural equation modelling was used. The study reveals that all demographic factors do not significantly influence creativity level of agricultural students. This suggests that gender, status of family owned business, field of study, and place of upbringing are not reliable indicators to test creativity level of undergraduate agricultural students. This research adds to the existing creativity literature on entrepreneurship by providing insights into the role of demographic factors in shaping the creativity level of agricultural students. It contributes to an understanding of how these factors influence students' perception on their creative abilities. The findings highlight the grounds of not considering demographic factors when evaluating creativity in educational settings.

Family determination of social phobia in students

Introduction. Numerous scientific studies show a tendency for the spread of social phobia among students, which is explained by factors of uncertainty, global risk, a sharp change in the conditions of higher education, as well as, mainly, the personal characteristics of students. However, family determination plays an important role in its formation, which has not been sufficiently studied. Attached to their parents, but feeling insignificant in the family, boys and girls are not sufficiently prepared to accept new challenges outside the family - their social anxiety can increase to the level of social phobia. The purpose of the study was to identify the features of the family determination of social phobia in students, determined by their proximity to their parents and importance in the parental family.Materials and Methods. The sample was made up of students of the II and III courses of Moscow universities (125 boys and 125 girls) who had not previously been married at the time of the survey. The methods of socio-psychological diagnostics were used: "Family sociogram" by E. G. Eidemiller and O. V. Cheremisin; questionnaire of social anxiety and social phobia by O. A. Sagalakova and D. V. Truevtsev (STiSF). In the course of the study, group differentiation was carried out: according to the level of social anxiety, 2 groups were distinguished (students with and without social phobia); according to family status, 4 groups (close to the father, close to the mother, equally close to both parents, "alienated" from the parental family). Empirical data were subjected to mathematical and statistical processing based on the MS Office Excel package, IBM SPSS Statistics 23. Intergroup differences were determined by the Student's t-criterion; correlation analysis was performed by Pearson's r-criterion.Results. In the combined sample, about 29% of students were found with low indicators of the general level of social phobia, about 27% with elevated indicators and about 44% with a high general level of STIS. The overall level indicator was 47.8 points, which corresponds to an increased level of social anxiety with a tendency to high. In the sample of students with social phobia, a smaller percentage of those close to their father and a large percentage close to their mother, as well as equally close to both parents, were found compared with the sample of students without social phobia. Sociophobic students have a significantly lower status in the parental family, but no intergroup differences in indicators of proximity to their father or mother were found (in both groups there are many students who are close to each parent and alienated from them). The absence of close links between indicators of students' closeness to parents, their importance in the parental family and indicators of social phobia in the combined sample and the sample of students with social phobia was noted, however, their significant correlations were revealed in the sample of students without social phobia.Discussion and Conclusions. The position of students with social phobia in the parental family is high in proximity to both parents, but low in importance in the family, whereas the position of students with a low level of STIS is characterized by a moderate degree of importance in the family and a low equal degree of proximity to both parents. The occurrence of social phobia is less likely in students who have an equal low degree of closeness to both parents and moderate (within 6-7 points) with a tendency to a high degree of importance in the family.

Earnings trajectories of individuals in same-sex and different-sex couples: Evidence from administrative data

We unite two interrelated bodies of work – a growing literature on sexual orientation earnings gaps and a rich tradition of research on intragenerational career trajectories – to examine how labor markets and life courses interact to produce gender and sexual orientation inequalities over time. We use the 1982–2019 Canadian Longitudinal Administrative Databank, a unique longitudinal database constructed from tax records, to answer core questions about the mechanisms that underlie sexual orientation earnings inequality. Growth curve models reveal how sexual orientation earnings gaps evolve over time spent in the workforce, and how they relate to differences in demographic and work characteristics for those in same- and different-sex couples at various points in the life course. We find that sexual orientation earnings gaps converge and diverge at unique career stages for men and women, and at each stage relate to unique mechanisms, especially work characteristics and family status. We find little significant variation in average earnings trajectories by sexual orientation across cohorts who were subject to differing legal and social environments surrounding sexual orientation.

The Health Benefits of Extended Union Membership Among Women: A Family Status Perspective

Workers in labor unions have better access to high-quality health insurance plans, better pensions, and higher wages leading to increased lifetime earnings likely leading to better health. Additionally, much of the gendered hiring, promotion, and wage discrimination faced by women in the workplace is dependent on social characteristics (marital status and/or their status as a mother). While many of the benefits associated with union membership can potentially buffer the gendered workplace inequalities that lead to poorer health outcomes, unions have been largely ignored in health disparities literature. Using 28 waves of data ( N = 3,409) from The National Longitudinal Survey of Youth 1979, this study creates a lifetime “union tenure” variable, tests its relationship to midlife physical and mental health, and tests ways in which motherhood and marital status may moderate this relationship. Findings suggest that long-term union membership is associated with better physical health among mothers but does not have a significant benefit for women without children. Further, in fully controlled models, this relationship is not dependent on marital status and both married and unmarried mothers see a union tenure health benefit. This study provides insight into how union membership may play a role in improving the midlife health of working mothers.

A Study on Fish Consumption Pattern among Pregnant Women in Kashmir Valley

Fish is one of the most important sources of animal protein, vitamins, minerals and fatty acids, essential for the maintenance of health and metabolism. Besides, fish is reckoned as an ideal diet for expectant and lactating women owing to its high nutritional value and health benefits. In this paper, in order to assess the fish consumption pattern among the pregnant women of Kashmir, the current study was carried out in Kashmir valley of J&K region during June 2023. We explained the purpose of study to the respondents and after taking their consent, we chose 200 respondents at random on the basis of consecutive sampling procedure during the study period using a well- designed validated questionnaire and via direct personal interviews. The data collected from our survey was analysed statistically and interpreted using appropriate statistical tools. The study revealed that majority of the respondents consumed fish occasionally during pregnancy. The major reason for inappreciable consumption was found to be the lack of awareness about the health benefits of fish during this phase. Moreover, consumption pattern of fish was related to the educational background of the respondents as comparatively higher percentage of respondents who consumed fish was found to be educated. However the consumption pattern was not significantly associated with the family status. Hence, the study elicits the need to effectively communicate the benefits of fish consumption in order to encourage proper nutrient intake among pregnant and lactating mothers and their children.

Pengaruh Structured Group Exercise Program terhadap Kualitas Hidup Lansia di Paguyuban Lansia RW 08 Kemiri, Kebakkramat, Karanganyar

Abstract Background: The elderly are an age group where every individual experiences health problems, both physical, cognitive and psychosocial. These health problems will cause a decrease in the quality of life in the elderly. Therefore, interventions are needed aimed at minimizing the decline in the quality of life of the elderly. Structured Group Exercise Program (SGEP) is an intervention in the form of planned physical exercise, repetitive and consistent body movements to improve or maintain one or more components of physical fitness. Objectives: This research aims to determine the effect of SGEP on the quality of life of the elderly in the elderly community RW 08 Desa Kemiri, Kecamatan Kebakkramat, Kabupaten Karanganyar. Methods: This research is a quantitative Pre-Experimental Design research with one group pre-post test type. The research was conducted at the elderly community RW 08 Desa Kemiri, Kecamatan Kebakkramat, Kabupaten Karanganyar. The sampling technique used purposive sampling with a total of 27 samples. The research instrument used was the World Health Organization Quality of Life (WHOQOL-BREF). The SGEP intervention was carried out in 8 sessions over 8 weeks. Data analysis used a paired t-test which was processed using SPSS version 25. Results:. The sample for this study was 100% female. Other characteristics were dominated by the elderly age group (59.3%), family status was dominated by the sample living with family (85.2%), and employment was dominated by the non-working sample (59.3%). The results of the paired sample t-test obtained Asmyp Sig. (2-tailed) = 0.000, which means p-value < α (0.05). Conclusion: There is an effect of providing the Structured Group Exercise Program (SGEP) intervention on the quality of life of the elderly in the elderly community RW 08 Desa Kemiri, Kecamatan Kebakkramat, Kabupaten Karanganyar. Keywords: Structured Group Exercise Program, Quality of Life, Elderly

Effects of the Family Status of Osteopathic Medical Students on Their Perceived Level of Stress.

Osteopathic medical students face an exceptional stress-inducing 4-year period of their lives while in medical school. Students who might have an interest in entering marriage during medical school may hesitate to commit, perceiving marriage as a possible additional stressor to the already complex and vast medical curriculum. This investigation aimed to understand the effects of marital status on osteopathic medical student stress levels. An online survey was conducted, and 100 responses were recorded and analyzed. To measure stress levels, the Perceived Stress Scale was utilized. Raw stress scores were compared utilizing t2analysis while stress level categories, such as low stress, moderate stress, and high stress, were compared using χ2analysis. The findings show that there is no significant difference between osteopathic medical students who are married and those who are not when comparing for both, raw stress score (P=0.092), and stress score level (P=0.186). These results conclude that marriage does not act as an exacerbator or alleviator for osteopathic medical student stress levels.

초등교사의 기대에 영향을 미치는 학생 특성 탐색

Objectives The purpose of this study is to examine student characteristics that affect elementary teachers' ex-pectations in terms of students' academic performance, peer relationship, and attitude. Methods For this purpose, the panel data of the Korea Education Longitudinal Study (KELS) 2013 from elementary school students were used. For this data, the predicted mean matching method was applied to handle missing values, multicollinearity was checked, and multiple regression analyses were conducted. Results It was found that variables affecting teachers' expectations were students' previous academic perform-ance, class attitude, gender, parental support, monthly income, physical self-concept, and single-parent family status. The effect size and direction of the variables varied by the sub-component of teacher expectations. Conclusions Based on these findings, this study proposed a teacher training program to prevent teachers' biases against students and called for the establishment of longitudinal data to conduct research on teachers' evaluations and expectations of students.

Socioeconomic Inequalities Affect Brain Responses of Infants Growing Up in Germany.

Developmental changes in functional neural networks are sensitive to environmental influences. This EEG study investigated how infant brain responses relate to the social context that their families live in. Event-related potentials of 255 healthy, awake infants between six and fourteen months were measured during a passive auditory oddball paradigm. Infants were presented with 200 standard tones and 48 randomly distributed deviants. All infants are part of a longitudinal study focusing on families with socioeconomic and/or cultural challenges (Bremen Initiative to Foster Early Childhood Development; BRISE; Germany). As part of their familial socioeconomic status (SES), parental level of education and infant's migration background were assessed with questionnaires. For 30.6% of the infants both parents had a low level of education (≤10 years of schooling) and for 43.1% of the infants at least one parent was born abroad. The N2-P3a complex is associated with unintentional directing of attention to deviant stimuli and was analysed in frontocentral brain regions. Age was utilised as a control variable. Our results show that tone deviations in infants trigger an immature N2-P3a complex. Contrary to studies with older children or adults, the N2 amplitude was more positive for deviants than for standards. This may be related to an immature superposition of the N2 with the P3a. For infants whose parents had no high-school degree and were born abroad, this tendency was increased, indicating that facing multiple challenges as a young family impacts on the infant's early neural development. As such, attending to unexpected stimulus changes may be important for early learning processes. Variations of the infant N2-P3a complex may, thus, relate to early changes in attentional capacity and learning experiences due to familial challenges. This points towards the importance of early prevention programs.