Life Conditions Research Articles

Morning Glory-Inspired Dual-Function Microcapsules for the Self-Reporting and Self-Healing of Electrothermal-Induced Damage of Electrical Devices.

The long-term operation of power equipment and power electronics can cause local overheating and discharges in the insulation material, resulting in irreversible insulation damage. Further development of such damage can eventually lead to equipment failure, but this problem is very difficult to solve. In this paper, inspired by how the petals of morning glory change color with the environment due to the presence of pigmented globules, a dual-function heat alert in the form of a self-healing (HASH) microcapsule with a nested structure is prepared by using microfluidic technology. By combination of the microcapsule with the insulation material, the local overheating in equipment can be detected promptly under live operating conditions without manual external intervention, and the defects that occur can be repaired autonomously. These HASH microcapsules can be pre-embedded in places at which the material is prone to overheating using artificial magnetic targeting. The doping of the matrix material with microcapsules does not cause any deterioration in its electrical or mechanical properties. This technology is expected to be applied to electrical equipment and electronic devices to allow for the early detection of local overheating and the autonomous repair of defects, thereby ensuring the safety of the equipment and improving its service life.

Gender differences in old-age poverty in 14 EU countries: exploring the role of household structure

The risk of poverty among older people varies widely across countries and between men and women. This is usually explained by reference to institutional differences in pension systems or differences in employment histories. However, many other factors also come into play. In this paper we argue that, to avoid biased conclusions, it is necessary to take into account the role of household structure. This study of 14 European Union (EU) countries investigates the impact of household structure on gender differences in old-age poverty risk. The empirical examination is based on European Union Statistics on Income and Living Conditions (EU-SILC). The findings show that older women’s high poverty risk is strongly related to the financial vulnerability of single-person households and the higher prevalence of female than male single-person households. In addition, gender differences in poverty risk can be attributed to gender differences in household structure. It matters whether the older person lives with another older person or an employed/unemployed person and whether there are minor children in the household. Country differences in the gender poverty gap are linked to country differences in the household age structure and the poverty risks of different types of households.

A Smartphone App to Support Self-Management for People Living With Sjögren's Syndrome: Qualitative Co-Design Workshops.

Sjögren's syndrome (SS) is the second most common autoimmune rheumatic disease, and the range of symptoms includes fatigue, dryness, sleep disturbances, and pain. Smartphone apps may help deliver a variety of cognitive and behavioral techniques to support self-management in SS. However, app-based interventions must be carefully designed to promote engagement and motivate behavior change. We aimed to explore self-management approaches and challenges experienced by people living with SS and produce a corresponding set of design recommendations that inform the design of an engaging, motivating, and evidence-based self-management app for those living with SS. We conducted a series of 8 co-design workshops and an additional 3 interviews with participants who were unable to attend a workshop. These were audio recorded, transcribed, and initially thematically analyzed using an inductive approach. Then, the themes were mapped to the Self-Determination Theory domains of competency, autonomy, and relatedness. Participants experienced a considerable demand in the daily work required in self-managing their SS. The condition demanded unrelenting, fluctuating, and unpredictable mental, physical, and social efforts. Participants used a wide variety of techniques to self-manage their symptoms; however, their sense of competency was undermined by the complexity and interconnected nature of their symptoms and affected by interactions with others. The daily contexts in which this labor was occurring revealed ample opportunities to use digital health aids. The lived experience of participants showed that the constructs of competency, autonomy, and relatedness existed in a complex equilibrium with each other. Sometimes, they were disrupted by tensions, whereas on other occasions, they worked together harmoniously. An SS self-management app needs to recognize the complexity and overlap of symptoms and the complexities of managing the condition in daily life. Identifying techniques that target several symptoms simultaneously may prevent users from becoming overwhelmed. Including techniques that support assertiveness and communication with others about the condition, its symptoms, and users' limitations may support users in their interactions with others and improve engagement in symptom management strategies.For digital health aids (such as self-management apps) to provide meaningful support, they should be designed according to human needs such as competence, autonomy, and relatedness. However, the complexities among the 3 Self-Determination Theory constructs should be carefully considered, as they present both design difficulties and opportunities.

Knowledge, awareness, and risk practices related to bacterial contamination of antiseptics, disinfectants, and hand hygiene products among healthcare workers in sub-saharan Africa: a cross-sectional survey in three tertiary care hospitals (Benin, Burkina Faso, and DR Congo)

BackgroundAntiseptics, disinfectants, and hand hygiene products can be contaminated with bacteria and cause healthcare-associated infections, which are underreported from low- and middle-income countries. To better understand the user-related risk factors, we conducted a knowledge, awareness, and practice survey among hospital staff in sub-Saharan Africa.MethodsSelf-administered questionnaire distributed among healthcare workers in three tertiary care hospitals (Burkina Faso, Benin, Democratic Republic of the Congo).Results617 healthcare workers (85.3% (para)medical and 14.7% auxiliary staff) participated. Less than half (45.5%) had been trained in Infection Prevention & Control (IPC), and only 15.7% were trained < 1 year ago. Near two-thirds (64.2%) preferred liquid soap for hand hygiene, versus 33.1% for alcohol-based hand rub (ABHR). Most (58.3%) expressed confidence in the locally available products. Knowledge of product categories, storage conditions and shelf-life was inadequate: eosin was considered as an antiseptic (47.5% of (para)medical staff), the shelf life and storage conditions (non-transparent container) of freshly prepared chlorine 0.5% were known by only 42.6% and 34.8% of participants, respectively. Approximately one-third of participants approved using tap water for preparation of chlorine 0.5% and liquid soap. Most participants (> 80%) disapproved recycling soft-drink bottles as liquid soap containers. Nearly two-thirds (65.0%) declared that bacteria may be resistant to and survive in ABHR, versus 51.0% and 37.4% for povidone iodine and chlorine 0.5%, respectively. Depicted risk practices (n = 4) were ignored by 30 to 40% of participants: they included touching the rim or content of stock containers with compresses or small containers, storing of cotton balls soaked in an antiseptic, and hand-touching the spout of pump dispenser. Filling containers by topping-up was considered good practice by 18.3% of participants. Half (52.1%) of participants acknowledged indefinite reuse of containers. Besides small differences, the findings were similar across the study sites and professional groups. Among IPC-trained staff, proportions recognizing all 4 risk practices were higher compared to non-trained staff (35.9% versus 23.8%, p < 0.0001).ConclusionsThe present findings can guide tailored training and IPC implementation at the healthcare facility and national levels, and sensitize stakeholders’ and funders’ interest.

Health and health care are essential to the quality of life of people with intellectual disability

AbstractHealth represents the dynamic balance of physical, mental, social, and existential well‐being in adapting to conditions of life and the environment. Health is essential for the quality of life (QoL) of all individuals, including those with intellectual disability (ID). People with ID experience health inequities and barriers to quality health care that must be addressed to foster the QoL of this population. This paper illustrates how poor health negatively impacts each of the eight domains of the QoL model proposed by Shalock and Verdugo (2002) (e.g., health conditions limit work performance, decreasing opportunities for personal development and self‐determination). Suggestions for healthcare practices and behaviors that would improve the quality of healthcare provided to people with ID, and thus their health and QoL, are offered (e.g., engaging people with ID in the medical conversation, talking to them in plain language and without jargon enhances the personal development, self‐determination, interpersonal relationships, and social inclusion domains of QoL). Finally, we suggest actions that people with ID and their families might implement to maximize their health and wellness (e.g., maintaining a healthy lifestyle, and using the health promotion resources provided by disability organizations).

Childhood in foster care institutions in Central Pomerania between 1945 and 1975

The study provides an overview of the situation of children, victims of the war nightmare, who found themselves in foster care institutions in Central Pomerania after the end of the Second World War. The post-war period of development of these institutions was very diverse. It was associated with the social, political, administrative and economic changes that were taking place in Poland at the time. In the difficult conditions of life in the Recovered Territories, care activities for abandoned children were carried out by childcare and educational institutions, health care, daycare, and aid institutions of different natures. The aim of the study is to show the theoretical assumptions and practical contexts concerning the child and childhood in the space of foster care institutions in Central Pomerania in the years 1945–1975 and the transformations taking place in these institutions, which had an impact on the quality of childhood of the pupils/foster children.The main research problem of this study is contained in the question: How did the areas of childhood (economic, social-emotional, learning, preparation for independent living) change in foster care institutions in Central Pomerania in the context of the State’s welfare policy between 1945 and 1975?Verifying the research assumption was mainly done using archival document analysis and interviews. The study fills a gap in the regional literature in this scope and provides a basis for further in-depth research.

Her class and his class: Does social class matter for fertility?

This work explores the association between fertility behaviour and occupational social classes, over and above educational and income resources. We use European Union Statistics on Income and Living Conditions (EU-SILC) data, pooling the longitudinal component for fourteen countries between 2005 and 2017. We compare the effect of the female partner's social class with that of the male partner on the likelihood of having a child, distinguishing between the effect on the first and the second child. We find consistent evidence that, vis-à-vis income and education, occupational social class does play an additional role in fertility behaviour. However, it does so differently depending on the sex of the partner and the different parities considered. Our findings indicate that when her partner is employed, the occupational social class she belongs to becomes a more significant factor and plays a pivotal role in influencing fertility behaviour.

Polymorphism of IL4 and IL13 anti-inflammatory cytokine genes in indigenous populations of the russian Arctic

Living conditions in the Arctic zone are extremely unfavorable for living and contribute to the development of a number of diseases due to suppression of the functions of the immune system. Cytokines are one of the main mediators of the immune system; they are encoded by genes with a high degree of polymorphism. This study examined the distribution of genetic variants in the cytokine genes (rs2243250 IL4, rs1800925 IL13) among the Nenets, Dolgan-Nganasan and Slavs. It was previously established that these mutations are associated with the level of expression of these interleukins and their production, which leads to changes in the impairment of the immune response to the influence of the pathogen. The study showed the predominance of genotypes CT and TT of the rs2243250 IL4 polymorphism, and genotype CC of the rs1800925 IL13 polymorphism in the Nenets and Dolgan-Nganasan populations. The results obtained suggest that the indigenous inhabitants of the Russian Arctic have a genetically determined rapid immune response and protection against the development of allergic diseases compared to the Slavs.

Active aging: the university as a health-enhancer space

This article seeks to discuss the general health status of the elderly participating in an extension course lasting two years at the University of Santa Cruz do Sul, as well as to compare the results of this study with international studies in order to define actions for aging. To investigate the health status of the elderly, a descriptive quantitative and qualitative study was conducted, at 2014 and 2015, with 47 elderly people as sample. Instruments were used to have the cognitive functions and overall health situation of the elders assessed. The study presents the perspective of successful aging focusing on the following aspects: low probability of disease, good functional capacity (physical and cognitive), and active participation in the community. The studied sample has characteristics that, in some way, corroborate the general health status and the quality of life conditions, such as: the many years of study, the continuous search for activities related to knowledge, the involvement in different physical activities and leisure, socializing with family and friends. A random selection of international studies was also carried out for the purpose of data comparison. The research carried out added to the results of the comparative studies, demonstrated that, the insertion in university programs contributes in the prevention of the cognitive decline and the general state of health, contributing to a self-esteem and maintenance of the mental health, which reflects in an aging with quality of life.

Assessing the effect of childbearing on blood DNA methylation through comparison of parous and nulliparous females

BackgroundPregnancy and childbirth have been connected to modified risk of a wide variety of conditions in later life, including neurodegenerative disorders and cancers. The presence, extent, and direction of the effect that childbearing status has on decreasing or increasing the risk of these conditions differs depending on the disease. The mechanisms by which pregnancy and childbirth modify the risk of diseases are still unknown. DNA methylation (DNAm) alterations that occur during pregnancy and persist after childbirth may help us understand this phenomenon.ResultsBlood DNAm was available from 89 women (28 parous; 61 nulliparous) at ages 18 and 26 years in the Isle of Wight birth cohort; no significant differences in the population characteristics were present between the analyzed population and the full cohort. We performed an epigenome-wide association study on 389,355 CpGs and identified 184 CpGs to be significantly differentially methylated between parous and nulliparous women after adjusting for confounders and multiple testing. Of these CpGs, 105 had regression coefficients in the same direction in an independent Mexico City based ELEMENT cohort, of which 13 were significant (replication P < 0.05). These 13 CpGs were associated with 16 unique genes. DNAm levels tracked with gene expression in 3 of the replicated genes, one of which (TM2D3) was differentially expressed in parous vs nulliparous women. Gene disease association analysis identified a network of parous-associated diseases.ConclusionsOur results suggest that pregnancy and childbirth lead to DNAm changes in parous women and these changes persist at least 6 months and up to 8 years postpartum. Parous-related CpG sites may play a role in how childbearing status modifies risk of later life diseases in women. Further studies are needed to explore the linkage and mechanism.

Iskanderkul Expedition of 1870: Contribution of the Russian Orientalist A.L.Kuhn to the Preparation and Editing of the «Diary of the Iskanderkul Expedition» by A.Mustajir

The article is devoted to the analysis of the Iskanderkul expedition of 1870, organized with the aim of exploring little-known territories along the eastern border of the Zarafshan district and the southern border of the Syrdarya region. The main attention is paid to the role of the orientalist A.L.Kuna in conducting the expedition and his contribution to the preparation of the “Diary of the Iskanderkul Expedition” Mirza Mullah “Abd ar-Rahaman, son of Muhammad Latif Mustajir. The article notes the strategic importance of this expedition for Tsarist Russia and emphasizes the role of A.L.Kuhn, who has deep knowledge of Eastern cultures and languages. He paid special attention to the language and culture of the Tajiks of the Zarafshan Valley. The article highlights the relevance of cooperation between Russian researchers and local authors for the study and preservation of the cultural heritage of Central Asia in the context of geopolitics, ethnography and language studies. The Iskanderkul expedition and A.Mustajir’s “Diary” are important sources for the study of history, ethnography, spiritual culture and socioeconomic conditions of life in the upper reaches of Zarafshan in the second half of the 19th century. This study is relevant for understanding the historical and cultural context of Central Asia, especially the upper reaches of Zarafshan.

Gender Transition Between Life and Death

ABSTRACT Starting from the case vignette of Jude, a young teenager who claimed to be “oppressed by gender” after making a spectacular suicidal gesture, I want to explore what can lead from death to life, which would make us consider death more as a life force, a force that allows for a re-birth. Clinical work opens a path towards figuring out how to live with the death drive, which, paradoxically renders life possible. Here death emerges not as the opposite of life but rather as a condition for life. This essay takes inspiration on a clinical meditation about the suicidal tendencies of analysands lost in “gender disorders” who “find themselves” in a trans identity. Reference will be made to Freud’s case of the young homosexual woman and to my work on trans identity as an “act.”

Antarctic station Vostok as an analogue of a future lunar base: physiological reactions of the human cardiorespiratory system during a year-long exposure to the conditions of hypobaric hypoxia, isolation and hypokinesia

A number of physiological investigations focused on human cardiorespiratory system have been conducted at Vostok station in Central Antarctica during the wintering of 2019.During the one-year expedition at the Vostok station, the cardiorespiratory system gradually adapted to the unusual conditions of life and work in the isolated, confined and extreme (ICE) environment of Central Antarctica.We hypothesized that during a long stay in the conditions of the Central Antarctica the adaptation strategy to physical environmental conditions for representatives of two age groups will differ, which will be evident from the dynamics of indicators of the functioning of the cardiovascular system and when assessing the autonomic nervous system status.The level of blood oxygen saturation stabilized by the second month and was in the range of 86.0-91.0%, which corresponded to a reduced partial pressure of oxygen in the inhaled air. In terms of the respiratory system, central sleep apnea was noted in all subjects throughout the study. Quantitative analysis revealed that the average number of apneas per hour was 43, and their average duration was 25.2 seconds. The maximum apnea number was recorded at the beginning and middle of wintering, while before the end of the expedition the episodes became rarer. In all age groups there was a shortening of the PQ interval, with a tendency towards normalization by the end of wintering, while in the first age group the shortening of the interval was more significant than in the second, which apparently can be explained by a more pronounced active reaction of the sympathetic nervous system of polar explorers of the first age group.Adaptive Potential Index (API) level remained practically unchanged throughout the wintering period in 9 out of 11 members of the expedition. The API value was predominantly in the range from 2.11 to 3.20 points, which corresponds to the level of “adaptation stress”. The autonomous nervous system (ANS) status was assessed by Kerdo Index (KI) values. KI positive dynamic was noted in 90% of cases by the 5th month of wintering. A direct correlation was found between the degree of positive shift in the KI value and the age of the participant. The gained results do not allow us to state that ANS has fully adapted to the conditions of life and work at the station. The results of this investigation demonstrate stable and positive adaptation trend to the ICE environment of Central Antarctica throughout the study period, regardless of age and wintering experience.

Stranger in the Mirror: Exploring Somatic Defamiliarization

This study explores the centrality of the senses for the maintenance or disruption of people’s commonsensical familiarity with the world. Drawing from in-depth interviews with people affected by depersonalization/derealization, which the American Psychiatric Association defines as a dissociative condition in which people perceive the world as dream-like, I conceptualize what I term somatic defamiliarization. I define somatic defamiliarization as a process whereby people experience previously unquestioned sensory phenomena, such as mundane objects or their bodies, as unfamiliar. Building on Berger and Luckmann’s work, I contend that somatic defamiliarization is a perpetual, albeit latent, condition of social life that threatens reality maintenance. I discuss how the concept of somatic defamiliarization can be applied to explore the somatic qualities of experiential ruptures that people may undergo in various circumstances, such as immigration or war.

The short- and long-term effects of yoga on relaxation states measured by the Smith Relaxation States Inventory 3

IntroductionThe beneficial effects of yoga have been researched for decades, and in some countries it is also used in health care to maintain physical and mental health. Its effectiveness in the treatment of stress and anxiety, as well as in achieving a relaxed state, is supported by numerous studies.Objectives In the present research, our aim was to investigate the direct and subclinical effects of yoga, where the subjects did at least 10 minutes of yoga a day for two weeks. Our hypotheses are that the participants experience relaxation, mindfulness and positive emotions significantly (1) more often and (2) more intensely as a result of yoga.MethodsWe included 25 average population, healthy people between the ages of 18 and 30, who exercised at least 10 minutes of yoga a day for two weeks with the help of a mobile app. We used the Smith Relaxation States Inventory (SRSI3) and its disposition-measuring version (SRSI3d), which examine 19 relaxation states (R-states) presumably related to relaxation, divided into 4 categories: basic relaxation, mindfulness, positive energy and transcendence. During the statistical analyses, the values taken at the beginning of the research, before practice, were compared with the values taken directly after the last practice using the Wilcoxon test. Bonferroni correction was used to correct the first-order error that increases when testing several hypotheses simultaneously.ResultsImmediately after practicing yoga, the participants had significantly higher basic relaxation (M0=2.74, M1=4.24, p&lt;0.0001), awareness (M0=2.71, M1=2.89, p&lt;0.0001) and positive energy (M0=3.88, M1= 4.81, p&lt;0.0001) and in the long term they experienced significantly more relaxation (M0=3.12, M1=3.94, p&lt;0.0001), awareness (M0=3.41, M1=4.40, p&lt;.0001), positive energy (M0= 4.39, M1=5.14, p&lt;0.001) and transcendence (M0=3.23, M1=4.05, p=0.001).Conclusions Based on our results, yoga can be an effective additional tool in maintaining and improving health, but also in improving the condition and quality of life of mental and somatic patients.Disclosure of InterestNone Declared

IJCM_327A: An assessment of quality of life among women working in public sector units

Background: Women hold unequal roles and prestige in practically every society and area of life; as a result, it is important to empower them by giving them equal opportunity. The growth of human capital is crucial for individual growth and performance, particularly in terms of productivity and quality of life. Occupational stress is a syndrome of emotional tiredness, dissociation, and decreased self-confidence. A healthy lifestyle requires good mental health, and depression is a major factor in the quality of life (QOL) condition as measured by self-reported assessment measures. The study’s objectives were to evaluate quality of life (QOL) among women working in public sector units, their level of empowerment in many spheres of life, and the factors influencing that empowerment and how it relates to QOL and demographic parameters. Objectives: To describe the socio-demographic profiles of women working in public sector unit and to evaluate the quality of life among them. Methodology: Between April to June 2023, a total of 100 women working in public sector units participated in this study by snowball sampling technique at Neyveli, Tamil Nadu. All qualitative variables were presented as frequencies and percentages. The prevalence rates were given in percentages. Mean and Standard deviation was used at calculate continuous variables example age. Results: The overall score obtained by the participants in the study conducted of which 32% has scored 75-85, 31% has scored &lt;75, 30% has scored 85-95, and 7 % has scored &gt;95 among the population of 100 participants. The women had a mean QOL score of 79.41 ± 11.52. Conclusion: Human health is integrally tied to quality of life (QoL), a complex and diverse concept that encompass the physical, psychological, spiritual, social, and economic realms. QoL is a dynamic, subjectively measured object.

Long COVID Characteristics and Experience: A Descriptive Study From the Yale LISTEN Research Cohort

BackgroundThe experience of people with long COVID needs further amplification, especially with a comprehensive focus on symptomatology, treatments, and the impact on daily life and finances. Our intent is to describe the experience of people with long COVID symptomatology and characterize the psychological, social, and financial challenges they experience. MethodsWe collected data from individuals aged 18 and older reporting long COVID as participants in the Yale Listen to Immune, Symptom and Treatment Experiences Now study. The sample population included 441 participants surveyed between May 2022 and July 2023. We evaluated their demographic characteristics, socioeconomic and psychological status, index infection period, health status, quality of life, symptoms, treatments, prepandemic comorbidities, and new-onset conditions. ResultsOverall, the median age of the participants with long COVID was 46 years (interquartile range [IQR]: 38-57 years); 74% were women, 86% were non-Hispanic White, and 93% were from the United States. Participants reported a low health status measured by the Euro-QoL visual analog scale, with a median score of 49 (IQR: 32-61). Participants documented a diverse range of symptoms, with all 96 possible symptom choices being reported. Additionally, participants had tried many treatments (median number of treatments: 19, IQR: 12-28). They were also experiencing psychological distress, social isolation, and financial stress. ConclusionsDespite having tried numerous treatments, participants with long COVID continued to experience an array of health and financial challenges—findings that underscore the failure of the healthcare system to address the medical needs of people with long COVID. These insights highlight the need for crucial medical, mental health, financial, and community support services, as well as further scientific investigation to address the complex impact of long COVID.

Analisis Realiasi Penerimaan Program Bantuan Pemerintah terhadap Kemiskinan di Desa Lumban Tobing, Kecamatan Doloksanggul

Lumban Tobing Village, Doloksanggul District is located in North Sumatra Province which is the capital of Humbang Hasundutan Regency in Indonesia. The variations quality of life conditions in Lumbang Tobing Village causes variations in poverty conditions in this area. This research aims to determine the condition of poverty in Lumban Tobing Village and formulate a comprehensive poverty program hatching program in Lumban Tobing Village. The method used in this research is descriptive research using a qualitative approach. By using as many as 19 family cards, subjects or as many as 254 families receiving aid were recorded. Research conditions show that poverty conditions in Lumban Tobing Village vary due to different livelihoods, age levels of household heads and limited human resources. The method of poverty in question is the provision of subsidy program assistance in the form of BLT, BST, BPNT, PHK and basic food supplies.

Financial inclusion and nutrition among rural households in Rwanda

Abstract Using Rwandan Integrated Household Living Conditions surveys (2013/2014 and 2016/17), we investigate whether financial inclusion leads to improved nutrition in rural Rwanda. Our empirical evidence shows a robust positive impact of financial inclusion by formal financial institutions, although informal institutions like tontines were ineffective in improving food expenditure or nutrition. Furthermore, the heterogeneous marginal effects of financial inclusion reduce the gender gap between the food expenditure and nutrition of female- and male-headed households. The results, hence, suggest that the country should promote formal financial inclusion to provide wide-ranging welfare effects by improving food security, nutrition and food expenditure in its rural communities.

The effect of midwifery students' changing life conditions and e-learning experiences on the state of their anxiety and hopelessness during the Covid-19 pandemic.

Giving the existing formal education through the internet without a planned transition to distance education negatively affected the learning processes of the students. The study aims to identify the midwifery students' changing life conditions and e- learning experiences on the state of their anxiety and hopelessness during the Covid-19 pandemic. Designed as cross-sectional research, the study was performed with the participation of 1,296 midwifery undergraduate students. The survey form comprised of questions that explored the students' demographic characteristics, life conditions changing during the Covid-19 pandemic and distance education experiences, the Generalized Anxiety Disorder Scale-7, and the Beck Hopelessness Scale were used in the data collection. It was discerned that, of the participant midwifery students, 55.2% spent the period of the pandemic in the province center, 51.7% used smartphones to have access to the distance education, 50.3% had trouble in following up the courses due to the limited computer and internet access, 63.5% failed to follow up the courses because of the infrastructure problems related to the distance education. It was found that, of the participant midwifery students, 54.6% exhibited anxiety symptoms and 26.3% had hopelessness symptoms. It was identified that having trouble in following up the courses increased anxiety by 1.438 times (CI:1.103-1.875) and hopelessness by 1.980 times (CI:1.459-2.687), having tensions in the family relations increased anxiety by 2.362 times (CI:1.780-3.134) and hopelessness by 1.789 times (CI:1.235-2.594), and having psychological support for anxiety and worry increased anxiety by 2.914 times (CI:2.208-3.8477) and hopelessness by 1.875 times (CI:1.083-3.247). It was ascertained that hopelessness increased anxiety by 2.878 times (CI:2.075-3.991) whilst anxiety increased hopelessness by 2.755 times (CI:1.985-3.823) (p<0.05). As well as the Covid-19 pandemic, health, social life, and economic changes; the digital separation that accompanies distance education also affects the students' mental health. Solving the technical problems experienced in distance education, facilitating the follow-up of the courses, and equipping the midwifery students with problem-solving and coping skills will be useful for reducing the midwifery students' hopelessness and anxiety levels.