Family Problems Research Articles

Relationship Between Menstrual Cycle and Suicide Based on Histo-Pathological Study of Cadaver Uterus in a Tertiary Care Center, South India

Suicide is a global health concern. The risk of suicide is more in females compared to males. Reproductive health related factors are the major reason for this increasing risk. The aim of the study is to find out the relationship between menstruation and suicide and to find out if there is any relationship exists between any of the other phases of menstrual cycle and suicidal behaviour. Hospital based cross sectional study was conducted in the Department of Forensic Medicine, Government Medical College, Thrissur which is a tertiary care centre . The study was done for a period of one year, from August 2015 to July 2016. The final sample size attained i.e the uterus specimens of reproductive age group during the study period is 100. Thus 50 were taken as cases and the other 50 who died of any other cause other than suicide were taken as control. Majority of the study participants belongs to 20 years of age group among cases. Most of our study participants were married in our study, majority of the study participants were above poverty line, no specific history of motivation towards suicide was found in majority of the study participants followed by psychiatric problems and family problems. Hanging was the most common method used for suicide. Among the cases majority of the study participants were in the late proliferative phase. In our study majority of the study participants committed suicide in the early proliferative phase.

Secondhand harms from cannabis use: Findings from Washington State, United States.

There are few studies on harms attributed to others' cannabis use. We assessed individual- and contextual-level correlates of secondhand harms from cannabis use and considered whether cannabis legalization support, along with cannabis user status, predicted such harms. Data were from five repeated cross-sectional, state-representative telephone surveys of Washington State residents ages 18 and over, years 2014-2016. For four surveys, outcome variables were past 12-month reports of experiencing any of five harms (family, traffic-related, vandalism, physical or financial), and in 2016 only, three harm types separately: 1) harassment, 2) safety-related (traffic, vandalism, physical), 3) family or financial, attributed to another's cannabis use. All models included a three-category typology comprised of participants' own cannabis use and whether they supported cannabis use legalization (user supporter, non-user non-supporter, non-user supporter). We estimated logistic regression models for the full sample and by gender, adjusting for individual- and Census tract-level covariates. Compared to non-cannabis-users supporting legalization, nonusers who did not support legalization reported significantly greater odds of perceiving secondhand cannabis harms. Cannabis users supporting legalization did not differ from nonuser supporters. Predictors of reported harms also differed by gender. While current drinkers had lower odds of reporting any harm from others' cannabis use overall, heavy drinking women but not men reported greater odds of any cannabis secondhand harm. Augmenting research on individual harms associated with cannabis use by including secondhand impacts such as social and family problems, along with safety risks, provides a more comprehensive picture of the effects of cannabis use.

A modified algorithm for solving split feasibility problem for countable family of multivalued κ- demi- contractive mappings and total asymptotically strict pseudo-contractive mapping.

A modified algorithm for solving split feasibility problem for countable family of multivalued κ- demi- contractive mappings and total asymptotically strict pseudo-contractive mapping.

Novel results for separate families of fuzzy-dominated mappings satisfying advanced locally contractions in b-multiplicative metric spaces with applications

The objective of this research is to present new fixed point theorems for two separate families of fuzzy-dominated mappings. These mappings must satisfy a unique locally contraction in a complete b-multiplicative metric space. Also, we have obtained novel results for families of fuzzy-dominated mappings on a closed ball that meet the requirements of a generalized locally contraction. This research introduces new and challenging fixed-point problems for families of ordered fuzzy-dominated mappings in ordered complete b-multiplicative metric spaces. Moreover, we demonstrate a new concept for families of fuzzy graph-dominated mappings on a closed ball in these spaces. Additionally, we present novel findings for graphic contraction endowed with graphic structure. These findings are groundbreaking and provide a strong foundation for future research in this field. To demonstrate the uniqueness of our novel findings, we provide evidence of their applicability in obtaining the common solution of integral and fractional differential equations. Our findings have resulted in modifications to several contemporary and classical results in the research literature. This provides further evidence of the originality and impact of our work.

Psychological adjustment: A promising approach in the treatment of women with breast cancer

After cardiovascular diseases, cancer is the second leading cause of death in the world, affecting the lives of patients at all individual and social levels [1]. According to reports, every year 1.5 million people are diagnosed with breast cancer and 502,000 people die from this disease [2]. In case of survival, the complications of the disease and related treatments may greatly reduce the quality of life of affected people [3]. The diagnosis of breast cancer and its treatment is considered one of the basic crises in the lives of affected people and causes countless problems for affected women and their families [4]. Breast cancer, like any type of chronic and debilitating disease, endangers various aspects of health, both on the individual and social levels, and, like other chronic diseases, reduces individual performance and consequently quality of life [5]. The application of treatment measures such as chemotherapy and radiation therapy and the receipt of toxic drugs can have side effects and the patient experiences double problems, which can affect their quality of life [6]. Among the problems that usually affect the quality of life of cancer patients include physical problems such as pain and fatigue, psychological and mental effects caused by the disease such as depression, as well as the effects of the disease on family, marital, social relationships, and economic problems caused by it is from illness [5]. Meanwhile, psychological adjustment as an influencing factor has a significant role in quality of life and more effective performance among cancer survivors [7].

Analysis of Alison Moore’s The Lighthouse from the Perspective of Ethical Literary Criticism

The Lighthouse is an excellent contemporary novel that tells the family tragedies of two generations which involve numerous individuals and families. After being shortlisted for the 2012 Man Booker Prize, it has been noticed by many researchers and scholars from home and abroad. Starting from the perspective of ethical literary criticism, this paper intends to have a detailed analysis of the ethical issues existing in The Lighthouse through the method of close reading. This paper also attempts to have an insight into the moral and ethical problems in modern families, or the problems between contemporary people, trying to analyze the main characters’ self-developments of morality and the author’s ethical values from the discussion of the main characters’ ethical choices, the construction of ethical identities and the human and human relationship in this novel.

Prevalence and Incidence of Intentional and Unintentional Poisoning in a Tertiary Care Hospital, Erode, India

AbstractPoisoning is a significant burden in developing countries, with high fatality rates due to deliberate self-harm and unintentional exposures. This study aimed to raise awareness and provide guidance on poison consumption in a tertiary care hospital in Erode. A cross-sectional study over 6 months involved 377 poisoning cases. Females aged 21 to 30 years, semi-urban residents, and illiterate individuals were found to be the vulnerable groups. Rat killers and tablets were common poisoning agents, often linked to family problems. Comprehensive approaches, addressing mental health, family support, and health care access, are needed. Raising awareness, counseling, and educating high-risk individuals are essential preventive measures. Interventions enhanced poisoning management knowledge and coping strategies, emphasizing the importance of integrated efforts to combat poisoning's socioeconomic impact.

ASSESSMENT OF THE LEVEL OF DISTRESS AND PRACTICAL AND FAMILY PROBLEMS IN PATIENTS WITH ONCOLOGICAL DISEASES

Purpose: To study and analyze the relationship between patients’ practical and family problems and the level of distress. Material/Methods: A “Distress Thermometer” was used to collect information from the patient to assess the degree of distress. Inclusion and exclusion criteria for the patients were applied. Methods for statistical processing of the data and interpretation of the results were used. Results: The study included 225 patients with an average age of 59.6 (+/- 11.4 years). Women are a little over half, 56% (n=126) of the total number of those examined. All patients have a histologically confirmed oncological diagnosis in stage II, III and IV. It was found that there was no relationship between the level of distress and childcare (p= 0.93). In a more in-depth analysis of the results, a significantly higher level of distress was found in patients who encountered difficulties with transportation to the medical facility (p=0.01). A significantly higher level of distress was reported in patients who marked the relationship with their partner as problematic (n=13, 5.8%) (4.7±3.9). Conclusion: The diagnosis and treatment of cancer have more than just a physical impact. Health care should be comprehensive based on the needs of the patient. It is also necessary to consider the psycho-social and emotional support provided by medical professionals.

Problems and prospects of prevention of family problems: the results of the author's research (based on the materials of the Republic of Mordovia)

The article presents the results of the author's sociological research on the identification of problems and prospects for the prevention of family problems in the Republic of Mordovia. The authors analyzed the opinions of competent employees of social protection and social service institutions of the Republic of Mordovia, which allowed not only to identify current problems in the prevention of family problems in the Republic of Mordovia, but also to identify promising areas. The authors conclude that the further prospects for the modernization of the state family policy in the field of prevention of family problems depends on the solution of a number of tasks related to its theoretical and methodological, regulatory, organizational, managerial and resource support.

SOSIALISASI PEMBINAAN KELUARGA MASLAHAH KAMPUNG SRIWIJAYA MATARAM SEBAGAI BENTUK ANTISIPASI MENINGKATNYA ANGKA PERCERAIAN DI KABUPATEN LAMPUNG TENGAH

The family is a very important basis for forming a strong Muslim society with integrity. Apart from that, it is the smallest part of society that determines progress or decline, therefore a strong family concept is needed, which is in accordance with Indonesia's diverse and tolerant society. The complex problems that occur in the Sriwijaya Mataram Village community are family problems due to economic factors and lack of knowledge about the law. This causes the divorce rate to soar. Based on the phenomena that occur in society, students carry out Socialization for the Development of the Maslahah Family in Sriwijaya Mataram Village using the Participatory Action Research (PAR) method or Participatory Action Research, namely a process of observation, socialization, then coaching. This socialization can convince the community that marriage must be prepared from pre-wedding to post-wedding, and solutions to family problems no matter how small must be immediately sought, in this way the concept of the maslahah family can be implemented, so that it is hoped that the target village community can become an example for other related areas. understanding of the laws that apply in Indonesia.

Voices unheard, insights into the lives of people with disabilities: A needs assessment study.

The phenomenon of disability in society is as ancient as human history itself. Approximately one billion people worldwide experience some form of disability, with a fifth of these individuals facing significant disabilities. Disability affects various life dimensions, including access to health services. This study aimed to identify the needs and challenges encountered by people with disabilities and to propose solutions for these issues. This qualitative content analysis research was conducted at Isfahan University of Medical Sciences in 2019. Participants included faculty members from the rehabilitation school, senior students, therapists, disabled individuals, and their families (23 interviews in total). These participants were chosen for their extensive knowledge of the challenges faced by people with disabilities. Semi-structured interviews were conducted, with informed consent obtained before each interview. The interviews were analyzed using the Graneheim and Lundman content analysis method and MAXQDA software. To ensure data accuracy, the criteria of conformability, credibility, dependability, and transferability were applied. The analysis of the interviews yielded two main categories and 10 subcategories. In the category of disability-related problems, family problems, therapeutic problems, psychological problems, academic problems, and social problems were identified as the most significant. As for solutions, educational solutions, therapeutic solutions, social solutions, research solutions, and solutions for reintegrating patients into normal life were proposed to address the problems faced by disabled individuals. People with disabilities are an integral part of any country's society. To adequately address their therapeutic needs, it is essential to equip our health workers with the knowledge and skills tailored to the specific needs and challenges of disabled individuals.

A Cross-sectional Study on Prevalence and Determinants of Insomnia and Depression among Geriatric Population in Rural Coimbatore

Abstract Introduction: Aging is a natural phenomenon. Due to improved health-care facilities, the population of the elderly is increasing rapidly all over the world. Along with chronic morbidities, depression and insomnia are most commonly seen in elderly people, which might affect their quality of life. This study is done to identify the prevalence of depression, insomnia, and the factors associated among the study participants. Methodology: This is a cross-sectional study done among 350 elderly participants in a rural area of Coimbatore district. A multistage sampling method was used to select the study participants. Using a semi-structured questionnaire, Geriatric Depression Scale, and Insomnia Severity Index, data were collected and analyzed using SPSS version 20. Results: Among the study participants, 38.3% of them had mild-to-moderate depression and 7.4% of them had severe depression. Diabetes, death of a family member, people living alone, elderly people having conflicts in the family, and debts have statistically a significant association with depression. Similarly, 23.4% have subthreshold insomnia, 12.9% with clinical insomnia, and 8.3% of the study participants with severe insomnia. Factors associated with insomnia were conflicts in the family, debts, musculoskeletal disorders, and respiratory problems. Furthermore, there was a statistically significant association between depression and insomnia. Conclusion: The prevalence of insomnia and depression is high among the elderly. The factors associated with insomnia and depression were found to be health-related problems, economic causes, and social causes.

Projective technique “Bird’s Nest Drawing” in child clinical psychology

IntroductionThe “Bird’s Nest Drawing” technique is one of expressive drawing projective techniques. In Russia it has been used since the 2020s. We suggest the pilot version of using this projective technique in child clinical psychology. There were investigated the cognitive and emotional components of performance by children with different types of ontogenesis.Purpose: pilot application of the technique of “Bird’s Nest Drawing” (BND) in the psychological diagnosis of children with different types of ontogenesis.Objectives69 children and adolescents 6-17 years old (28 male), examined at the Mental Health Research Center. 1. hospital patients (11-16 years old, 18 persons) diagnoses F20.8, F21.4, 2) outpatient clients with psychological diagnostics (7-16 years old, 45 persons), most of them have psychiatric diagnoses and some of them came for a consultation independently of doctors (there were family and behavior problems). 3) children conceived with the help of assisted reproductive technologies (IVF) - participants in a program for studying cognitive and emotional-personal development (5-13 years old, 8 people). Control group of normal children (14 persons).MethodsBird’s Nest Drawing (D.Kaiser, 2003, Kuftyak, 2021) - clinical expert assessment of the drawing parameters (size, location, quality, compliance with instructions) and the emotional component (color, self-assessment of the drawing).Results Table 1.Frequency of different indicators of BND in compared groups of children. Groups N Central place High Quality of drawing Nest out of tree birds /eggs Different colors Safety of nest High Assessment by participants High positive emotional expression Assessment by expertsHospital patients18 (4 m)12410410**413**5**Outpatient clients45 (22 m)38131917321025**17Children IVF8 (2 m_72436**163Normal children14(6 m)1437412**413**11**** - significance of the differences (p≤0,05 by φ criterion).Based on the data obtained, it can be noted that the most different between groups turned out to be an indicator for using different colors, subject’s assessment his picture and emotional expression assessment of picture by experts. Other parameters are similar: please of drawing,DiscussionWe have obtained our own resalts about BND method in children with different type of ontogenesis. These data are similar to D.Kaiser and E.Kuftyak in opportunity of good diagnostic practice of BND method in children and adolescents with different type of ontogenesis in scientificConclusionsBND method is a good test for child clinical psychology as a projective one. Restrictions of this investigation - small groups, simple parameters for assessment. We plan to continue this work with more clinical (diagnosis, syndrome et cetera) and sex and age characteristics.Disclosure of InterestNone Declared

Grading of Recommendations of psychological interventions in the rehabilitation of patients with schizophrenia

IntroductionAs part of the intervention, patients with severe schizophrenia who are cared for in psychiatric rehabilitation units need psychological treatments. However, there is great variability within the psychotherapy alternatives that are proposed for rehabilitation in schizophrenia, and it is necessary to know which are the most efficient interventions in order to prioritize their inclusion in intervention programs.Objectives To know the level of evidence of the existing psychotherapy alternatives for the rehabilitation treatment in schizophrenia through the systematic review of recently published studies.Methods Consecutive systematic searches in the scientific literature were used in a sensitive and specific way, aimed at identifying the existence of documents in databases and clinical practice guidelines based on evidence of psychological treatment in schizophrenia. Psychosocial and social approaches and family members interventions were excluded, and the search was limited to the last 5 years. The PICO format has been used, and a subsequent critical reading using the AGREE II tool, considering the inclusion criteria of presenting a score >60% in 4 domains.ResultsThe following interventions have been found to be therapeutically effective: Level 1B (Early intervention in Psychosis; Patient and Family psychoeducational intervention; Basic ando social skills training; Social cognition and Metakognition training; Cognitive Remediation; Cognitive Behavioral Individual Therapy; Assertive Community treatment; Supported employment). Level 2B (Family Problem Solving Therapy, Dynamic Psychotherapy; Cognitive Behavioral Group Therapy); Level 2C (Horticultural, Art, Music, Animals Therapies).ConclusionsSeveral psychotherapy alternatives are proposed for rehabilitation in schizophrenia, with known level of evidenca in order to prioritize their inclusion in intervention programs.Disclosure of InterestNone Declared

Social Exclusion and Hatred Towards Children from Alcoholic Families in Peer Environment. Peculiarities of Pedagogical Support

The article emphasizes that the family is the main environment of life. If it is a dysfunctional family, all its problems can have a negative impact on the development and upbringing of children. Unfortunately, the key dysfunction in the case of Poland is alcoholism. Therefore, the study emphasizes that the situation of a child growing up in an alcoholic family depends on many factors related to the functioning of the family environment. The addiction of one or both parents, the degree of degradation of family life and the availability of external support are of particular importance here. All of this can lead to social exclusion and hatred of children growing up in families with alcohol problems by their peers. The author proves the need to help children growing up in problematic families, since they are characterized not only by social isolation, but also by bullying or cyberbullying. It is pointed out that the traumatic experience and suffering of such children often go beyond the family environment, where they experience academic failures, difficulties in relationships with peers, etc. The article notes that the consequences of various traumas in the educational or family environment experienced in childhood can have a long-lasting impact on their lives; some of these minors may also become addicted to alcohol, imitating their parents. Therefore, it is important for educators and social workers to develop appropriate strategies for effective psychological and pedagogical support of such families, in particular while raising children.

Prevalence of smoking and consumption of nicotine-containing products among students of medical and technical universities (PROTECT)

BACKGROUND: The article presents data of the study “Prevalence of smoking and consumption of nicotine-containing products among students of medical and technical universities” (PROTEСT), carried out in 2023 at North-Western State Medical University named after I.I. Mechnikov and Saint Petersburg Electrotechnical University (LETI) named after V.I. Ulyanov (Lenin).
 AIM: To study the prevalence and patterns of consumption of tobacco and nicotine-containing products, attitudes to smoking behaviour.
 MATERIALS AND METHODS: A cross-sectional study of a random sample of student groups included 1105 respondents.
 RESULTS: The average age of respondents was 20.7 ± 2.0 years, 44.3% were men. 6.8% of participants smoked cigarettes; more often men than women (9.4 vs. 4.7%, p 0.01). The prevalence of nicotine-containing products consumption was 15.7%. There were no differences by gender (men 15.7% and women 15.8%). The use of a combination of cigarettes and nicotine-containing products was noted by 6.6% of students, which led to increase the tobacco smokers number to 13.4%; and the number of people consuming nicotine-containing products to 22.4%. The main reason for starting smoking/consuming nicotine-containing products was the example of friends (in 35.8 and 34% of cases). The reason for the start of smoking and consuming nicotine-containing products were problems in school and family among 21.1% of women and 6.6% of men (p 0.05), and nicotine-containing products by 16.0% of women and 5.7% of men (p 0.05). The majority of consumers of cigarettes and nicotine-containing products combination (38.4%) use them in a 20/80 ratio. Among the respondents, the proportion of smoking relatives is 40.3%, friends — 66.2%, classmates/dormitory neighbors — 71.9%.
 CONCLUSIONS: A reduction in tobacco smoking and an increase in the proportion of people using nicotine-containing products and their combination with tobacco, as well as the absence of gender differences in nicotine-containing products consumption, indicates a change in the smoking behavior of students and increases the risk of developing nicotine addiction and harmful health consequences. Differences in the motivation for starting smoking/using nicotine-containing product among men and women requires more detailed study.

Family Demographics, Somatic Symptoms and Problem Gambling Among Students in a Nigerian Institution

Background: Problem gambling is becoming a potential public health epidemic in southwest Nigeria. Individuals with gambling problems are underdiagnosed and relatively under-recognised. Hence, they rarely present with complaints of gambling problems at clinics. The family plays a significant role in identifying and managing persons with gambling addiction. Healthcare professionals need to have a high index of suspicion and understanding of the relationships between family demographics and the presentation of somatic symptoms among high-risk groups. Objective: To assess the relationships between family demographics, somatic symptoms, and gambling problems among Nigerian tertiary educational institution students. Method: This is a cross-sectional study carried out among 183 students of a tertiary education institution in Ogun State, southwest Nigeria. The Southern Oaks Gambling Screen (SOGS) and the Patient Health Questionnaire-15 (PHQ-15) were the tools used to assess the pattern of gambling and somatic symptoms, respectively. Results: The prevalence of gambling disorder was 23% (42/183). There was a significant relationship between somatic symptoms and problem gambling (p = 0.02). The predictors of probable gambling were a positive family history of gambling (OR = 3.64, p = 0.01, CI = 1.34-9.90), gender (OR = 0.36, p = 0.02, CI = 0.15-0.86) and a decreasing level of the father's education (OR = 2.78, p = 0.02, CI = 1.15-6.71). At the same time, monthly allowances (OR= 1.01, p = 0.07) and somatic symptoms were not predictors of problem gambling (OR = 0.41, p = 0.17). Conclusions: Healthcare professionals need a high index of suspicion when evaluating young persons with somatic symptoms.

Response of Students to K-12 Program Implementation Using Dropout Rates as Basis in Secondary Schools in Iligan City, Lanao Del Norte

Dropout rates were observed among secondary schools upon the implementation of the K-12 program. Interviews using survey questionnaires were employed to selected schools in Iligan City. Results revealed that dropout rates among secondary level were relatively high among males against female gender. Major reasons for dropping out for both male and female involved family problems indicating that parents have a major role in educating their children. To control the dropout rates, major interventions must include activities that would promote family case assessment and management; parents, teachers and students bonding affairs; and health intervention programs. These must be supported by all stakeholders including the school administrators.

What happens at home stays at home: the Vegas rule for work depends on working memory

ABSTRACT Family problems, although separate from the work sphere, can impact one’s experience of work even when away from home. We propose that challenges arising from the home and family domain affect individuals’ experience of work because they act as distractions. If so, working memory, an ability relevant to managing distractions, should attenuate the effects that one’s family problems have on experienced job demands. Using a nationally representative dataset (N = 2591) with both concrete measures of family problems and cognitive performance measures, we show that family problems predict experiencing one’s job as more demanding and stressful. However, increasing working memory ability attenuates this relationship. Results suggest that although family problems impinge on one’s work, increased working memory ability to manage distractions may reduce their consequences. We connect our findings and their implications to relevant theoretical frameworks that inform the linkage between family and work.

Solar desalination with charcoal briquettes from plants as an additional absorption sorbent

Water is the most abundant substance on Earth, but only 2.5% can be used for drinking and farming; the rest is seawater containing much salt. Solar desalination is a great tool to solve this problem for small families and remote areas. However, the disadvantage of using solar power is still the low productivity of distillate because it depends on the season, region, and intensity of solar radiation. Solar radiation heat absorbing and storing materials are a favorable solution in increasing evaporation rate, efficiency, and total distillate. Many have been developed to date, but these materials require more expenditure to be used as radiation heat sinks and stores. Charcoal derived from wood has high thermal energy absorption and porosity. Four desalination devices were used, namely using an additional absorber made from Kapok wood (Ceiba pentandra) coded CP_60, Gamal wood (Gliricidia sepium) coded GS_60, Kusambi wood (Schleichera oleosa) coded SO_60, and without additional absorber as a comparison. All desalination devices have the same shape and size, simple, with an area of 0.09 m2 each. Before the additional absorber base material is used, drying, charring, grinding, meshing, pressing, and briquetting are carried out. The test results show that the additional absorber of natural materials affects the evaporation rate, desalination efficiency, and total distillate water. The distillation device using Gamal wood (Gliricidia sepium) additional absorber material, coded GS_60, provides maximum performance such as distillate water yield every 30 minutes and total distillate 124 ml/0.09 m2, 28.19% efficiency, and evaporation rate.