Feelings Of Embarrassment Research Articles

Psychological and emotional aspects of menstrual health and hygiene management: Experiences of adolescent girls from rural Assam, India

The onset of menstruation is a landmark event in women’s life which is known to bring many psychological and emotional changes along with physical changes. In many countries, particularly in developing and emerging countries, such as India, it also brings various challenges for women to manage menstruation hygienically. Studies have often highlighted several well-known practical and physical barriers to Menstrual Health and Hygiene Management (MHHM); e.g., lack of WASH (Water, Sanitation and Hygiene) facilities, lack of affordable menstrual absorbents, and so on. However, there are also some psychological and emotional barriers; such as, trauma of menarche, feelings of embarrassment, stress, anxiety, and shame. These psychological and emotional barriers are known to create tremendous psychological burden for millions of girls while managing their menstruation. However, these challenges and their impact on women’s psychological well-being are relatively less acknowledged and ill-understood. The study was conducted in Assam, India, with a sample of 185 adolescent girls (10-19 years) who participated in 21 Focused Group Discussions (FGDs). Findings show that mostly girls were unaware about menstruation before menarche; their first encounter with menarche was traumatic. Lack of adequate guidance and counselling even after menarche result in significant mental pressure among girls. Several cultural and religious restrictions, feelings of shame and embarrassment, myths and misconceptions associated with menstruation were mentioned. The study concludes that the emotional and psychological barriers of MHHM are preventable by improving the channels of proper guidance and counselling about menstruation in a supportive environment. The study suggests some interventions for the same.

A Prospective Randomized Trial Comparing Quality of Life in Adult Female Acne Treated with Azelaic Acid 15% Gel versus Oral Spironolactone.

In several countries, recent research has shown an increase in the prevalence of adult female acne (AFA), defined as the acne that appears in women aged over 25. This disease brings some particularities and challenges, such as a greater impact on quality of life (QoL) and chronicity. A negative impact on QoL has been observed, as well as anxiety, depression, anger, low self-esteem, and feelings of embarrassment and frustration. To quantify AFA's impact on QoL and the influence of two dermatological treatments. A prospective study including 40 women, aging from 25 to 44 years old, with mild-to-moderate acne was conducted. Participants underwent clinical, laboratory, and photographic evaluations. They were randomized into two treatment groups: group 1 - azelaic acid (AZA) 15% gel twice daily; group 2 - spironolactone (SPIRO) 100 mg/day and treated for 6 months. At baseline and at the end of treatments, a specific QoL questionnaire for acne, already translated and validated for Brazilian Portuguese (Acne-QoL-BR), was applied. It contains 19 questions allotted in four domains. Each item within a domain is scored from 0 to 6. The total score ranges from 0 to 114 and domains are distributed as follows: 0-30 (self-perception), 0-30 (role-emotional), 0-24 (role-social), 0-30 (acne-symptoms). Higher scores reflect better QoL. The mean age was 32.7 (SD: 5.42); 85% presented persistent acne. After treatment regardless of group, there was a significant improvement in total score and all domains' scores of acne QoL-BR (p < 0.001), with no difference between groups, despite one treatment being topical and the other systemic (p=0.918). Acne-QoL-BR is a useful tool for quantifying the impact of acne and should be used as an efficacy parameter in clinical trials.

A survey on the reasons why victims of stalking did not exhibit help-seeking behavior: a text-mining analysis.

Stalking can escalate into violent acts such as threatening and inflicting physical harm, posing a serious threat to personal safety. To prevent exacerbating stalking victimization, victims must seek help and report incidents to the police or relevant authorities. However, victims, in general, underreport these incidents to public institutions. Moreover, there is insufficient understanding of why victims of stalking, especially men, refrain from seeking help. Therefore, this study used text mining to explore the reasons victims of stalking in Japan do not seek help while considering the severity of victimization and analyzing data separately for men and women. Among 908 Japanese individuals who reported experiencing repeated stalking behavior from a former intimate partner in the past five years, 253 men and 321 women who did not consult public authorities were included in this study. Participants provided their experiences of being stalked by former romantic partners and were classified into stalking-only, threatened, and physical aggression victim groups based on their self-reported experiences in an online survey. Reasons for not seeking help were collected through open-ended questions and analyzed using text mining. A co-occurrence network analysis revealed that among men in the threatened victim group, the reason for not seeking help was the belief that their complaints would not be taken seriously. The physical aggression victim group did not seek help due to the perception that a female perpetrator does not pose a danger. Among women in the physical aggression victim group, concerns about provoking the perpetrator or worsening the situation by seeking help, as well as feelings of embarrassment, were reasons for not seeking assistance. The identification of gender stereotype-related reasons among male victims was a valuable insight that could only be obtained through comparison with female victims. However, the study was limited to addressing the individual characteristics of the cases, thus providing only hypothetical insights into general trends. In future research, it will be necessary to generate hypotheses from the findings of this study and accumulate hypothesis-testing research to develop effective strategies for promoting help-seeking behavior among stalking victims.

The relationship of childhood maltreatment, adult sexual victimization, depressed mood and symptoms of trauma with fear of childbirth

Background: Fear of childbirth (FoB) is experienced to some degree by most pregnant people and can be intense enough to merit treatment. Despite significant research on the topic of FoB, studies investigating various forms of maltreatment and mental health symptoms in relation to FoB are very limited. In particular, studies including multiple forms of maltreatment along with mental health symptoms as predictors of FoB are extremely limited. We sought to fill this gap and clarify the relative contributions of these variables to the prediction of FoB. Methods: This was a secondary analysis of data from pregnant people in Canada. Participants (N = 881) provided demographic and reproductive history information, completed self-report measures of FoB, childhood maltreatment (multiple forms), adult sexual victimization, depressed mood and symptoms of posttraumatic stress disorder (PTSD). They were also administered a diagnostic interview to assess for specific phobia, FoB. Analyses included descriptive information, Wilcoxon rank sum tests, linear and logistic regression, and path analysis. Results: Most forms of maltreatment showed some association with increased FoB. However, when assessed together, only emotional maltreatment remained a significant predictor of FoB. Both depressed mood and symptoms of PTSD contributed more to FoB than maltreatment, and mediated the relationship of emotional maltreatment with FoB. The only direct effects of childhood emotional maltreatment on FoB were for fears of medical interventions and feelings of embarrassment during labour and delivery. Limitations: Study findings fill significant gaps in our understanding of the relationship between maltreatment, mental health symptoms and FoB. However, the study sample was limited to Canadian participants, most of whom were socio-economically advantaged, cis-gender women of European descent, thus limiting the generalizability of the findings. Further, as childhood maltreatment and sexual assault experiences in adulthood were reported retrospectively, study findings are also vulnerable to recall bias. Conclusions: Findings contribute to our understanding of the relationship between childhood maltreatment, adult sexual victimization, mental health and FoB. These findings can facilitate future research and improved care via a focus on depressed mood, symptoms of PTSD, emotional maltreatment and specific fears of medical interventions and social discomfort as significant contributors to one's experience of FoB.

Prevalence of nocturnal enuresis among children and adults in Saudi Arabia: a systematic review and meta-analysis.

Nocturnal enuresis (NE) is defined as any intermittent incontinence while sleeping in a child over the age of 5. This disorder can have emotional and psychological implications. Here, we performed the first meta-analysis to provide an overall assessment of the prevalence of NE and the factors associated with it in Saudi Arabia. We also examined its psychological impact and mothers' behavior in dealing with this disorder. A thorough search was conducted on PubMed, Scopus, Cochrane, and Web of Science databases for studies assessing the prevalence of NE. Comprehensive Meta-Analysis Version 3.3 was used to conduct the analysis. We evaluated NE prevalence, NE frequencies, NE by time, social shame and embarrassment in children with NE, and mothers seeking medical advice. A meta-regression analysis was performed to determine the correlation between the frequency of NE and NE in parents, NE in siblings, gender, and age. The quality of the included studies was assessed by Newcastle Ottawa Scale. Sixteen cross-sectional studies, totaling 14 284 participants, were included. NE prevalence was 24.8% (95% CI: 17, 34). The prevalence of NE one to two times per week was 26.8% (95% CI: 15.1, 43.0), three to four times was 31.8% (95% CI: 18.5, 48.9), and five to seven times was 33.8% (95% CI: 18.2, 54.1). NE occurring at night was 24.4% (95% CI: 22.8, 26.2) and at day and night was 16.6% (95% CI: 15.3, 17.9). A significant difference was found between the regions of Saudi Arabia in the prevalence of NE, with the southern and eastern regions having the highest prevalence and the central region having the lowest prevalence. The overall pooled prevalence of embarrassment and social shame in children with NE was 63% (95% CI: 46, 77). The percentage of mothers seeking medical advice was 54.4% (95% CI: 39.7, 68.3). The prevalence of NE is positively correlated with the prevalence of NE in parents and siblings, but no association was found with males or age. A quarter of Saudi Arabian children suffer from NE, and it is associated with feelings of embarrassment and social shame. Half of the mothers seek medical counseling. Having parents or siblings with NE increases the likelihood of NE in the child. Future research is needed to corroborate the findings of other risk factors, such as age and gender. Future research will also be required to identify the precise causes or effects within each region that contribute to the varying prevalence of NE.

Quality of Life of Patients with Scabies in an Urban Slum Area of Ludhiana

Abstract Introduction: Scabies affects 200–300 million individuals annually around the globe and it is a serious public health issue causing social stigmatisation in patients. With this background and its substantial impact on morbidity, this study was undertaken with the objective to find the demographic profile, clinical morphology and quality of life in patients suffering from scabies in urban slums of Ludhiana. Materials and Methods: A cross-sectional, time-bound hospital-based study was carried out for a period of 2 months. A total of 173 patients with a diagnosis of scabies comprising all adults and children &gt;5 years of age attending skin outpatient department were included in the study. The collected information was entered in Microsoft Excel sheet and analysed using SPSS. Results: The mean age of the study population was 34.85 ± 17.48 years. The most affected age groups were 18–40 years (46.9%), followed by 41–60 years (26.0%) and 17.9% in children. The majority of patients had difficulty in working and feelings of embarrassment, and in three-fifths of patients, their sexual relationship was affected due to scabies. In children, more than half experienced teasing and feeling of embarrassment and their routine activities such as playing were affected. Conclusion: In the present study, scabies moderately affected the quality of life of the patients in the form of embarrassment and stigma associated with disease. As it is a contagious disease, early diagnosis and prompt treatment can be helpful in the prevention and control of disease.

Universal School Meals During the Pandemic: A Mixed Methods Analysis of Parent Perceptions From California and Maine

BackgroundIn response to the COVID-19 pandemic, the US Congress authorized the US Department of Agriculture to waive a variety of school meal regulations and funded school meals daily for all students at no charge regardless of family income. Because federal Universal Free School Meals (UFSM) ended with the 2021-2022 school year, several states, including California and Maine, adopted state-level UFSM policies. ObjectiveThis study aimed to understand parent perceptions of school meals and the federal and new state UFSM policies in California and Maine, including potential challenges and benefits to students and households. DesignA mixed methods study design was used. A quantitative cross-sectional survey was administered, and semi-structured interviews were conducted in English and Spanish during the 2021-2022 school year. Participants/settingThe quantitative survey was administered to parents of students in elementary, middle, and high schools in rural, suburban, and urban communities in California (n = 1110) and Maine (n = 80). Qualitative interviews were then conducted with a subset of these parents in California (n = 46) and Maine (n = 20) using Zoom (Zoom Video Communications). Most survey participants (708 of 1190 [59.5%]) and interviewees (40 of 66 [60.6%]) were parents of students who were eligible for free or reduced-price meals. Main outcome measuresParents’ perceptions of UFSM, school meal quality, and experiences applying for free or reduced-price meals were examined. Analyses performedTests of proportions were used to analyze survey data. Using grounded theory, interview transcripts were analyzed qualitatively by 2 trained research assistants, applying principles of content analysis to identify themes and domains. Inter-rater reliability was conducted. ResultsParents perceived that school meals and UFSM saved families money and time, as parents had fewer meals to purchase and prepare for their children. In addition, UFSM reduced parents’ stress and reduced stigma for children and for parents, who described feelings of embarrassment when they previously filled out paperwork for free or reduced-price meals. Although parent perceptions of school meal quality and healthfulness were mixed, most parents reported feeling grateful for school meals. ConclusionsParents had mixed opinions on the quality and healthfulness of school meals, but believed UFSM saved them money and time and reduced their stress. Parents also felt UFSM reduced stigma for families.

A Retrospective Cross-Sectional Study on the Effect of Socio-Cultural Factors and Edication in Early Detection of Breast Cancer

Backgrounds: The aim of this study is to investigate the preferences of female patients regarding the choice of surgeon for breast examination and the factors impacting this preference. Methods: A questionnaire was administered by interviewing 746 patients who applied to the General Surgery outpatient clinic with complaints of breast disease, and the results were analyzed statistically. The questionnaire form included the patient's age, marital status, hormonal status, history of delivery, complaints, factors that may impact the choice of physician, educational status, physical examination findings, and imaging results. Results: The study group included 746 patients aged between 14 and 76 years. While 284 (38%) of our patients applied to the outpatient clinic within 7 days of their first symptoms, 462 (62%) applied more than 7 days later. Due to late admission, advanced-stage breast cancer was detected in 2.8% of the patients. The most common reason for the delay in admission was the feeling of embarrassment in females of all age groups. Conclusion: Women with breast disease apply to the physician in the late period due to feeling embarrassed, religious beliefs, spouse pressure, and having a reservation for being examined by a male doctor. Breast diseases could be detected and treated in an earlier period, by enabling patients to apply to a physician earlier, with training, especially for women.

The emotional impact of uncomplicated urinary tract infections in women in China and Japan: a qualitative study

BackgroundUncomplicated urinary tract infections (uUTIs) are one of the most common community-acquired infections, particularly among women. Common symptoms of UTI include dysuria, urinary urgency and increased frequency, and lower abdominal pain. With appropriate treatment, symptoms may resolve in a few days. However, there is a lack of research on the emotional impact of this disease. We conducted a qualitative, interview-based study to gain a greater understanding of the emotional impact of uUTIs in women in China and Japan.MethodsA qualitative, exploratory, in-depth, interview-based study was conducted between 19 November 2020 and 25 February 2021. Women aged ≥ 18 years who experienced ≥ 1 uUTI and received antibiotic treatment in the past year were eligible for inclusion. Participants must have experienced ≥ 1 of the following symptoms during a uUTI episode: urinary urgency, frequency, dysuria, or lower abdominal/suprapubic pain. Participants who reported back pain or fever (indicative of complicated UTI) were excluded. Participants with recurrent or sporadic UTIs were included, with specific screening criteria used to ensure capture of both groups. Following a screening call, a structured, in-depth telephone interview (~ 30 min in duration) was conducted by three female external moderators trained in qualitative interviewing, assisted by an interview guide. Interviews were analysed individually and thematically, with the results presented within the identified themes.ResultsA total of 65 women with uUTI completed the in-depth telephone interview: 40 (62%) from China and 25 (38%) from Japan. Participants reported that the symptoms of uUTI affected multiple aspects of their lives, and described feelings of embarrassment, frustration, guilt, dread, and loneliness associated with symptoms that interfered with relationships, work and daily activities, and sleep. Participants reported seeking healthcare from several different points of contact, from local pharmacies to hospitals.ConclusionsOur analysis highlights the profound emotional impact of uUTIs in women in China and Japan, and the journey these participants take before their initial interaction with a healthcare professional. These insights emphasise the need to better understand the full impact of uUTI, and the role of healthcare professionals in improved patient education and support.

An investigation of technology’s role in coping with infidelity

Infidelity is a relational transgression in which one or more partners betray sexual and/or emotional boundaries within a romantic relationship. Often, infidelity will result in relationship dissolution and is considered by some to be the worst type of relational transgression due to its lasting psychological effects. Communication technology such as social media can be used as a coping opportunity for individuals experiencing this relational transgression and resulting breakup. The present grounded theory study consisted of 30 semi-structured interviews with adults who have experienced a breakup due to infidelity. Findings suggest that communication technology such as social networking sites and artificial intelligence platforms provide users a comfortable place to express their thoughts, feelings, and experiences while also offering unlimited advice, distraction, and validation. Participants suggested the use of technology is beneficial to those who have experienced a traumatic event like infidelity because feelings of embarrassment, blame, and shock may prevent someone from seeking face-to-face support. On the other hand, our study revealed that technology use may be harmful to coping in some cases.

Addressing food insecurity in HIV care: perspectives from healthcare and social service providers in New York state

ABSTRACT Ending the HIV epidemic in the United States will require addressing social determinants contributing to poor care engagement among people living with HIV (PLH), such as food insecurity. Food insecurity is associated with poor care engagement among PLH. Yet, few studies have examined the perspectives of healthcare and social services providers on addressing food insecurity in HIV care. Guided by the Social Ecological Model, we conducted semi-structured interviews with 18 providers in New York State to understand barriers and facilitators to addressing food insecurity in HIV care. Thematic analysis illustrated eight themes across various levels of the Social Ecological Model. At the patient-level, providers perceived patients’ feelings of embarrassment, shame, and judgement, and low health literacy as barriers. At the provider-level, challenges included limited time. Facilitators included fostering strong, patient-provider relationships. Barriers at the clinic-level included limited funding, while clinic resources served as facilitators. At the community-level, challenges included intersecting stigmas arising from community norms towards PLH and people who receive food assistance and limited access to healthy food. Findings suggest the need to incorporate their insights into the development of interventions that address food insecurity in HIV care.

Patient Perceptions of In Vivo Versus Virtual Reality Exposures for the Treatment of Anxiety Disorders: Cross-Sectional Survey Study.

Psychotherapy, and particularly exposure therapy, has been proven to be an effective treatment for many anxiety disorders, including social and specific phobias, as well as posttraumatic stress disorders. Currently, exposures are underused and mostly delivered in vivo. Virtual reality exposure therapy (VRET) offers a more flexible delivery mechanism that has the potential to address some of the implementation barriers of in vivo exposures while retaining effectiveness. Yet, there is little evidence on how patients perceive different exposure therapy methods. This study aims to explore the perceptions of individuals with anxiety disorders toward in vivo and VRET. Our findings can inform therapists about the degree of patient interest in both methods while exploring the demand for VRET as an alternative and novel treatment approach. Web-based survey assessing the (1) interest in, (2) willingness to use, (3) comfort with, (4) enthusiasm toward, and (5) perceived effectiveness of exposure therapy when delivered in vivo and through VR. Participants included individuals with specific phobia, social phobia, posttraumatic stress disorder, or acute stress disorder or reaction. Participants were presented with educational videos about in vivo and VRET and asked to provide their perceptions quantitatively and qualitatively through a rated scale and free-text responses. In total, 184 surveys were completed and analyzed, in which 82% (n=151) of participants reported being willing to receive in vivo exposures and 90.2% (n=166) reported willingness to receive VRET. Participants reported higher interest in, comfort with, enthusiasm toward, and perceived effectiveness of VRET compared to in vivo. Most reported in vivo concerns were linked to (1) increased anxiety, (2) feelings of embarrassment or shame, and (3) exacerbation of current condition. Most reported VRET concerns were linked to (1) risk of side effects including increased anxiety, (2) efficacy uncertainty, and (3) health insurance coverage. The most frequently mentioned VRET benefits include (1) privacy, (2) safety, (3) the ability to control exposures, (4) comfort, (5) the absence of real-life consequences, (6) effectiveness, and (7) customizability to a wider variety of exposures. On average, our participants expressed positive perceptions toward exposure therapy, with slightly more positive perceptions of VRET over in vivo exposures. Despite valid personal concerns and some misconceptions, our findings emphasize that VRET provides an opportunity to get much-needed therapy to patients in ways that are more acceptable and less concerning.

Transformative effect of intimate partner violence against women based on sociocultural factors trapping women in a violent relationship

Intimate partner violence (IPV) is the most frequent type of violence experienced by women, with devastating consequences for their physical and mental health. Due to exposure of women to the violence, their perceptions and interpretations of the situation may be distorted, making it difficult to leave the violent relationship. Exploring the obstacles that women must confront to verbalize their situation or ask for help is critical in preventing IPV against women (IPVAW). For this purpose, two studies were implemented: Study 1 included a focus group of seven victims of IPVAW and Study 2 included 550 women (n = 258 suffering IPVAW and n = 292 not suffering IPVAW). In Study 1, women reported that perceptions (e.g., minimization of the situation), interpretations (e.g., justifying the aggressor), and feelings (e.g., guilt) were the main obstacles in leaving a violent relationship. Study 2 revealed that participants who suffered IPVAW obtained lower scores in perceived severity, and attribution of responsibility to the aggressor, as well as higher scores in feelings of embarrassment and guilt than those who had not suffered IPVAW. No significant differences were found in risk assessed and feelings of fear. These findings highlight the serious consequences of exposure to IPVAW, requiring the implementation of preventive programs to address the distortion of reality due to the aggressor’s manipulation, as well as the influence of sociocultural factors on the construction of women’s roles in relationships.

Reversing the denomination effect in tipping contexts

AbstractAmerican consumers tip $36bn annually, predominantly using small sums of cash. Yet, little is known about how the denominations of cash affect tipping behavior. In contrast to existing findings on the spending of different denominations (i.e., the denomination effect), we posit that consumers are less likely to tip smaller (vs. larger) denominations (e.g., $1 in 4 × 25¢ coins vs. a $1 banknote) to the same total value. We term this the “denomination‐tipping” effect and predict that it occurs because it is more embarrassing to tip with smaller denominations than larger denominations. Consistent with this prediction, we find across one field study and four online studies (N = 1402) that consumers are less likely to tip smaller (vs. larger) denominations, and that this “denomination‐tipping” effect is mediated by feelings of embarrassment regarding tipping smaller denominations. Our findings add to the literature on how cash denomination affects consumers' usage of money in the context of tipping, and we provide practical guidance on how service providers can minimize the adverse impact of smaller denominations on tips to their service staff.

Experience of Women of Reproductive Age in Early Detection of Cervical Cancer Through IVA Examination

Cervical cancer ranks second as a cancer that causes death in women worldwide. Thus, it is necessary to increase efforts to treat cervical cancer by carrying out early detection through VIA examination. This study aims to explore the experiences of women of childbearing age who have had IVA examinations. This research method uses qualitative research through a phenomenological approach. The participants in this study were 5 main participants and 1 supporting participant who were selected based on a purposive sampling technique. The data analysis used is the Colaizzi technique. The results of this study resulted in 4 themes, namely: (1) Initiatives for early detection, (2) Feelings of WUS during the IVA test process, (3) Support systems in undergoing IVA tests, (4) Expectations for IVA test services. Conclusion: Women of childbearing age who have had an IVA examination have a high self-initiative to take an IVA test. The participants thought that the IVA examination was very useful for early detection of cervical cancer. Feelings of embarrassment and fear were not obstacles for the participants to carry out the IVA examination. It is hoped that further IVA examinations can be carried out with wider counseling and given a room that supports more privacy.

Improving Students’ Motivation in Learning English through Gamification

In the event of world pandemic of COVID-19, emergency remote learning settings have become normalized in Indonesia and it has affected students’ motivation in learning. Educators around the world have found a way to enhance students’ motivation through gamification. Therefore this study aims to improve students’ motivation in learning English through gamification in online learning settings. This study was conducted at a Private Junior High School with 36 eighth graders. The method used in this study is Classroom Action Research (CAR). After conducting two cycles in the implementation phase, the result, supported by the questionnaire, interview, and observation data, shows how gamification is able to improve students’ motivation. In collecting the data, qualitative and quantitative method were used. The questionnaire as the quantitative data, consist of subdimensions of intrinsic and extrinsic motivation. As for the qualitative method, to identify the students’ problem, observation and an end-of-cycle interview were conducted. Through two cycles, the implemented action was able to improve students’ motivation in English class and enlighten the ambience of the class. Although students’ response to gamification was highly favorable, the findings also suggest a new issue. Some students have developed a speech anxiety by learning online due to fear of making mistakes and a feeling of embarrassment. The current study has been able to shed lights on the benefits of gamification in a teaching and learning process of English Language Teaching (ELT).

Knowledge Analysis of Women of Childbearing Age (15-49 Years) about Personality Hygiene with the Incident of Vaginal Discharge in the Krian Sidoarjo Health Center Area

The high rate of vaginal discharge in the Krian Sidoarjo Health Center area is due to the fact that many women of childbearing age do not know about vaginal discharge, so they perceive vaginal discharge as something that is normal and trivial, besides that the feeling of embarrassment when women experience vaginal discharge often makes these women reluctant to consult a doctor. This study aims to analyze the knowledge of youth aged 15-49 years about personal hygiene with the incidence of vaginal discharge in the Krian Sidoarjo Health Center area. Research using analytical methods with the approach cross sectional. The sample used a sampling technique with stratified random sampling method, namely 98 samples from a total population of women of childbearing age (15-49 years) of 4870 people. This study used a questionnaire as an instrument and data analysis used a test Who Square.

Machine and Deep Learning Studies for Cyberbullying Detection

The internet revolution in society has various effects on our daily life such as the use of social media. While social media is ubiquitous and great in some aspects, it brings a new issue that appears more and more in today’s world. This new issue, Cyberbullying, involves harming someone by posting or sharing content that causes feelings of embarrassment, guilt, or humiliation. Easily creating fake social media accounts with fake identity further increase cyberbullying incidents and encourages cyberbullies. Cyberbullying can affect people both mentally and physically and can lead to permanent problems. However, studies in this area show that cyberbullying can be prevented. In this study, we review machine learning techniques to detect and prevent cyberbullying, evaluate the performances of the machine and deep learning models, and examine factors that affect the performance of the models. We also discuss the importance of data preprocessing, feature extraction and selection, and classification processes in cyberbullying detection problems.

"Menstruation is a Fearful Thing": A Qualitative Exploration of Menstrual Experiences and Sources of Information About Menstruation Among Adolescent Schoolgirls.

Although menstruation is a biological phenomenon, it is still subjected to secrecy, shame, and negativity. Schoolgirls lack access to appropriate sources of information about menstruation. Little is known about the content of the information provided to schoolgirls concerning menstruation in northern Ethiopia. This study explored schoolgirls' experiences and the content of information they receive concerning menstrual hygiene management in Tigray. A qualitative design was implemented. Focus group discussions and in-depth interviews were conducted using the local language among 79 schoolgirls who had experienced menarche. Data were audio-recorded, transcribed, translated, and imported into ATLAS.ti-7.5.18 computer software for analysis. Data were coded and analyzed using a thematic analysis. Five themes have emerged from the analysis: 1) there is an indistinct and haphazard source of menstrual information; 2) menstruation is perceived as "a natural gift"; 3) menstruation is also considered fearful and embarrassing; 4) negative community perceptions of menstruation lead to menstrual restrictions, and 5) lack of privacy for dealing with menstrual issues as well as the scarcity of menstrual hygiene management materials is an on going problem. Schoolgirls have indistinct and haphazard sources of information concerning menstrual hygiene management, obtaining it from teachers, mothers, sisters, and friends, but the information they receive is shrouded in secrecy and often is factually incorrect. Menstruation is commonly linked to notions of sexuality, shame, and the approach of marriageability. The information that schoolgirls in rural Tigray receive about menstrual hygiene management is inaccurate, insufficient, and encumbered with social taboos. Thus, schoolgirls do not have an adequate understanding of the physiology of menstruation and do not receive adequate emotional support at menarche, leaving them with feelings of embarrassment and anxiety. There should be efforts to implement programs that change community perceptions about menstruation.

Resistência ao uso do Sistema FM por crianças e adolescentes: fato ou mito? Uma análise de prontuários de pacientes atendidos em um serviço de saúde auditiva

ABSTRACT Purpose: to compare the use of the Frequency Modulation (FM) System by children and adolescents in a public hearing health center in the state of São Paulo. Methods: the analysis of medical records based on eligibility criteria. Data were collected from 340 participants born between 1998 and 2011, fitted with FM System, and who attended the follow-up appointment after fitting the device. Data were analyzed descriptively and inferentially. Results: hard-of-hearing children and adolescents of both genders from all over Brazil, attending elementary, middle or high school in public or private schools, participated. The data showed that 115 children and 155 adolescents effectively used the device, especially at school. The main difficulty for children was the lack of support from teachers; for adolescents, it was the feeling of embarrassment. Conclusion: some difficulties, especially on children, in adhering to the use of FM Systems were identified. Hence, to ensure the FM System's effective use, the importance of providing guidance and awareness of its benefits to patients, and their family members and teachers, during the fitting appointment and follow-up consultations, is emphasized.