Stressful Situations Research Articles

INTEGRATED APPROACH TO YOUTH MENTAL HEALTH

This study aimed to analyze the mental health issues among students at the National University “Yuriy Kondratyuk Poltava Polytechnic”, taking into account the international experiences in implementing psychosocial diagnostic programs. Based on this analysis, recommendations were formulated for the effective implementation of programs aimed at enhancing the mental well-being of the Ukrainian student community. Materials and Methods: A total of 812 students from various specialties at Yuriy Kondratyuk Poltava Polytechnic National University participated in the study. The age range of the participants was between 18 and 22 years old, with 47% (382 individuals) being male and 53% (430 individuals) female, ensuring gender balance in the sample distribution and representing a diverse cross-section of respondents. The survey was conducted anonymously using a Google form, thereby upholding the principle of confidentiality in psychological research. Result and discussion. The survey revealed a correlation between military operations and an escalation in anxiety disorders among civilians and refugees within the Ukrainian context. However, there remains an incomplete understanding of the mental well-being of the youth demographic. Presently, numerous studies indicate a decline in the psycho-emotional state of Ukrainian students. A significant proportion of respondents reported feelings of depression, nervousness, loneliness, and anger, with an uptick in cases involving alcohol, tobacco, and sedative abuse. An investigation into the mental health of women within educational institutions, including female students and teachers, unveiled heightened levels of fear and diminished resilience to stressful situations. This methodological approach facilitated the organization of information, enabling an objective comprehension of the issue and the formulation of specific recommendations for future action. Notably, there is a pressing need to implement programs aimed at enhancing both mental and physical health. Initiatives incorporating physical activity, balanced nutrition, and relaxation techniques have demonstrated potential in reducing stress levels and fostering improved mental well-being among students. Conclusions: The proposed recommendations are geared towards enhancing mental health standards and mitigating the impact of psychological challenges on academic performance, social integration, and overall life satisfaction.

Endophytes Alleviate Drought-Derived Oxidative Damage in Achnatherum inebrians Plants Through Increasing Antioxidants and Regulating Host Stress Responses

Endophytes generally increase antioxidant contents of plants subjected to environmental stresses. However, the mechanisms by which endophytes alter the accumulation of antioxidants in plant tissues are not entirely clear. We hypothesized that, in stress situations, endophytes would simultaneously reduce oxidative damage and increase antioxidant contents of plants and that the accumulation of antioxidants would be a consequence of the endophyte ability to regulate the expression of plant antioxidant genes. We investigated the effects of the fungal endophyte Epichloë gansuensis (C.J. Li & Nan) on oxidative damage, antioxidant contents, and expression of representative genes associated with antioxidant pathways in Achnatherum inebrians (Hance) Keng plants subjected to low (15%) and high (60%) soil moisture conditions. Gene expression levels were measured using RNA-seq. As expected, the endophyte reduced the oxidative damage by 17.55% and increased the antioxidant contents by 53.14% (on average) in plants subjected to low soil moisture. In line with the accumulation of antioxidants in plant tissues, the endophyte increased the expression of most plant genes associated with the biosynthesis of antioxidants (e.g., MIOX, crtB, gpx) while it reduced the expression of plant genes related to the metabolization of antioxidants (e.g., GST, PRODH, ALDH). Our findings suggest that endophyte ability of increasing antioxidant contents in plants may reduce the oxidative damage caused by stresses and that the fungal regulation of plant antioxidants would partly explain the accumulation of these compounds in plant tissues.

Salivary analysis to unveil the paradigma of stress of domestic horses reared in the wild

Horse welfare is the product of multiple factors, including behavioral and physiological adjustments to cope with stressful situation regarding environment and housing condition. Collectively, it is supposed that a horse kept in the wild has a lower level of stress than other housing system, and the aim of the present study was to investigate the level of stress in domestic horses reared in the wild and then moved to human controlled housing, through saliva analysis. Twelve clinically healthy Catria (Italian local breed) mares, usually reared in the wild, were moved into collective paddocks for a folkloric event. Saliva samples were obtained before and after the change of housing condition to evaluate stress biomarkers including salivary cortisol, salivary alpha-amylase, and butyrylcholinesterase (BChol). The mares were also scored using the Welfare Aggregation and Guidance (WAG) Tool to highlight the presence of abnormal behaviors. Despite the absence of differences in behavioral scores between wild and paddocks, salivary cortisol and BChol were found to be higher in the wild and lower when mares were moved to paddocks. The highest concentrations in stress biomarkers like salivary cortisol and BChol in the wild was unexpected, but the need for managing hierarchical relationships, and the exposure to feral animals, predators, and weather changes, might explain these findings. The overall results of the present study may provide further knowledge toward stress response in domesticated horses living in the wild moved to human controlled housing system.

Assessment of abdominal lesions in pigs with wounded umbilical outpouchings transported to slaughter

BackgroundUmbilical outpouchings (UOs) in pigs are of welfare and production concern in Danish pig herds. One of the challenges is the transportation of these animals due to the size of the UOs and ulcerations on them. With certain precautions and an approval from a veterinarian, pigs with UOs may be transported, however, UOs are associated with several intra-abdominal lesions, e.g. peritonitis and incarceration, which may worsen during the process of transportation. The prevalence and characterization of intra-abdominal lesions associated with UOs following transportation has not been investigated. Therefore, the objective of the present study was to evaluate lesions associated with the intestines and peritoneum in slaughter pigs with wounded UOs following transportation to an abattoir.ResultsA cross-sectional study involving three conventional Danish pig herds was conducted comprising 96 slaughter pigs with wounded UOs transported to an abattoir. Following slaughter the UOs with accompanying intestines were examined pathologically. Three distinct morphological categories were present: hernia, enterocystoma and herniating enterocystoma. Intra-abdominal lesions were present in 72% of the animals, representing 65% (44/68) of the hernias, 77% (10/13) of the enterocystomas, and 100% (15/15) of the herniating enterocystomas. Several different lesions were found like bleedings, acute/chronic peritonitis and hypertrophy of the intestinal muscular layers.ConclusionsThe prevalence of intra-abdominal lesions in pigs transported with a wounded UO was found to be high independent of the underlying condition, and it is clear that these pigs possess a vulnerable group of animals, especially during physical stressful situations like transportation. More information is needed regarding the prevalence of intra-abdominal lesions in UO pigs without wounds on the UO. The results provide valuable knowledge, that can be used when examining and evaluating UO pigs before transportation.

Prevalence of signs of professional burnout among medical workers involved in providing medical care for circulatory system diseases

BACKGROUND: Among 13 thousand doctors interviewed in 2021, 42% displayed signs of professional burnout. This phenomenon negatively affects the frequency of repeated hospitalizations, the number of adverse events, and increased employee turnover. However, studies concerning burnout in doctors are rare and do not focus on specialists who provide medical care for patients with circulatory system diseases (CSD). AIM: was to assess the level of burnout in medical workers involved in the provision of medical care for patients with CSD and to explore staff perceptions of its prevention. MATERIALS AND METHODS: A sociological survey (based on the standardized Maslach Burnout Inventory questionnaire) was conducted among medical personnel (women represented the majority of the sample — 76%, men — 24%). The sample is represented by doctors (n=89), nursing staff and auxillary nurses (NSAN) (n=128). The mean age for the whole group of respondents was 40.7±0.7, professional experience lasted 12.0±0.6 years. Standard methods of descriptive statistics were used for the data analysis. The age characteristics of the group had no significant differences by professional categories. Doctors had 39.0±1.2 years (min — 24, max — 63), NSAN had 41.0±0.6 years (min — 19, max — 67). Professional experience lasted differed doctors 39.0±1.2 years, in NSAN — 12.3±0.8. Men were characterized by a mean age of 36.7±1.6 years and professional experience lasted 10.0±1.2 years and women 42.0±0.7 years and 12.6±0.7 years, respectively. The character of distribution of quantitative data in the presented study was analyzed using the Kolmogorov–Smirnov and Shapiro–Wilk criterion. RESULTS: 80.2% of respondents presented with a high level of reduced professional accomplishments (RPA), 53.4% — a moderate average level of depersonalization. The emotional exhaustion was similar in all respondents, although average level of emotional exhaustion was the most prevalent (39.6%). 43.8% of doctors had an average level of emotional exhaustion, which is higher compared with NSAN — 37.5%. Clinical and paraclinical units are associated with a medium level of emotional exhaustion and a high RPA. At the same time, paraclinical units are characterized by a medium level of depersonalization, in contrast to clinical units, which are found to have a high level of this factor. According to the respondents, possible measures to prevent emotional burnout should include a set of measures including, rational distribution of responsibilities within departments, workload among the staff, as well as the formation of special skills to overcome stressful situations and optimization of activities with the help of digital solutions (support system for medical decisions, etc.). CONCLUSION: Working as medical staff and providing medical care for patients with CSD is strongly associated with a high level of reduced professional accomplishments (80.2% of respondents). Proper measures for the prevention of emotional burnout should primarily include organizational solutions focused on optimizing internal processes in medical staff’ work. According to the respondents, among the measures aimed at the prevention of emotional burnout, the most demanded may be: rational distribution of responsibilities within departments, workload among staff, as well as the formation of special skills to overcome stressful situations and optimization of activities with the help of digital solutions (medical decision support system, etc.).

Clinical and personal predictors of functioning in affective disorders: Exploratory results from baseline and 6-month follow-up of a randomised controlled trial

Comprehensive knowledge of factors causing and sustaining functional impairment in patients with affective disorders is warranted. The aim is to investigate associations between clinical factors (such as affective symptoms) and personal factors (such as personality traits, coping strategies, and childhood trauma experiences) on functioning and improvement of functioning in patients with affective disorders.This exploratory study includes data from 103 patients with bipolar disorder and unipolar depressive disorder. Clinician-rated functioning was assessed at baseline using the Functioning Assessment Short Test (FAST), and performance-based functioning was assessed at baseline and 6-month follow-up using the Assessment of Motor and Process Skills (AMPS). Data on clinical and personal factors were collected at baseline. Personal factors were measured by the Eysenck Personality Inventory (EPQ), Coping Inventory for Stressful Situations (CISS) and Childhood Trauma Questionnaire (CTQ). Pearson correlations and multiple linear regression models were used to analyse the association of clinical and personal factors with baseline functioning (FAST) and to identify predictors of improvement in functioning (AMPS) from baseline to follow-up.At baseline, greater depressive symptom severity, the personality trait neuroticism, emotional coping, and childhood trauma all correlated with poorer functioning (higher FAST scores). In multiple linear regression models, depression severity, emotional coping and childhood trauma were significant predictors of poorer functioning. More childhood trauma was a predictor of less functional improvement measured by AMPS at 6-month follow-up.In conclusion, maladaptive coping styles and depressive symptoms contribute to functional impairment in patients with affective disorders, while childhood trauma has a negative impact on long-term functional outcomes.

The Science Behind Stress: From Theory to Clinic, Is Basal Septal Hypertrophy the Missing Link between Hypertension and Takotsubo Cardiomyopathy?

The modern theory of stress, initially proposed by Hans Selye in 1956, signifies an important development in our understanding of this phenomenon. Selye’s The Stress of Life serves as a foundational book for subsequent scientific questions. In this article, we focus on a comprehensive look at stress and use a literature review to explain its theoretical foundations as well as its clinical equivalent. Our research focuses on the complex mechanisms of stress, with a particular emphasis on the consequences of cardiac remodeling and adaptation processes. Myocardial remodeling might be seen as a response to increased stress in acute or chronic situations. Stressed heart morphology (SHM) is a very interesting description representing basal septal hypertrophy (BSH), which is detectable in both acute emotional stress and chronic stress due to increased afterload in hypertension. Acute stress cardiomyopathy (ASC) and hypertension in the same individuals could be clinically linked. Also, in this report, we mention the geometric and functional similarity of the left ventricle (LV) septal base in both acute and chronic clinical situations. Therefore, cardiac imaging methods are crucial to assessing LV segmental aspects in ASC patients. We propose a new paradigm that ASC may develop in hypertensive patients with SHM. We document the segmental progression of microscopic LV remodeling using a third-generation microscopic ultrasound and note that BSH takes a longer time to occur morphologically than an acutely developed syndrome. However, the majority of ASC events have a predominant base, and the absence of segmental remodeling details, including BSH and cardiac decompensation with apical ballooning, on echocardiographic reports may mask the possible underlying hypertensive disease. In fact, beyond ASC cases, previously undiagnosed hypertension is very common, even in developed countries, and is associated with masked target organ damage.

Family functioning and mental health before and during the COVID-19 pandemic: a two-cohort comparison of emerging adults

AbstractThe aim of the present study was to analyze how family relationships changed during the COVID-19 pandemic and to determine whether the health crisis modified the association between family dimensions and emerging adult children’s mental health. A large sample of 1732 emerging adults was recruited at two different moments. In 2015, 755 emerging adults were recruited, 201 from campus A (sample 1) and 554 from campus B (sample 2). In 2020, a new sample was recruited and 977 emerging adults completed the questionnaire, 198 from campus A (sample 1 / “Pre-pandemic sample”, recruited before the lockdown) and 779 from campus B (sample 2 / “COVID-19 sample” / recruited after the lockdown. The results reveal that the COVID-19 sample of emerging adults perceived poorer parent-child relationships (lower parental involvement and warmth) and reported poorer mental health (lower flourishing and higher psychological distress) than their counterparts in Cohort 1. For their part, the Pre-pandemic sample reported higher levels of psychological distress than their counterparts in Cohort 1. In all samples (Cohort 1 and Cohort 2, both Pre-pandemic and COVID-19), parenting functions were positively associated with children’s flourishing and negatively associated with their psychological distress. However, these associations were stronger in Cohort 2 than in Cohort 1, both when assessed before and when assessed during the pandemic. The results of the study support the increasingly important role played by the family as a protective factor for mental health, even in stressful situations when family relationships tend to deteriorate. Study limitations include the use of a sample composed mainly of young emerging adult university students. Future studies should strive to include more emerging adults from the entire age range encompassed by emerging adulthood, as well as members of the non-university-going emerging adult population. Investing in public programs focused on family functions during emerging adulthood is an essential strategy for protecting and improving young adults’ mental health and promoting positive family relationships in stressful situations.

Study of Adaptive Behaviors in People with Mental Retardation

Coping with the pressures of life and acquiring personal and social skills have always been a part of the realities of human life and have been manifested in different forms in different periods of life. Conflicts do not show much in childhood, but with age and when facing the special difficulties of adolescence and youth, internal and environmental conflicts become more apparent. Therefore, if people master daily life skills and social responsibilities from childhood, they will perform well in stressful situations. The current research is designed to investigate adaptive behaviors in mentally retarded people. Because, the knowledge and awareness of educational specialists, parents and educators regarding the adaptive behaviors of children and also the use of different methods in facing problems and situations can be effective in dealing with them and forming adaptive behaviors and can affect different aspects of their lives. The present research is descriptive-analytical which was done in the form of a library. The tools for collecting information in this research are psychology books, research articles and reputable national and international scientific journals. Researches findings show, early assessment and interventions have a significant impact on the development of children's adaptive behaviors from an early age. This awareness can be a great help in planning and designing educational models for these children in the field of adaptive skills and problem solving.

A gap approach for preventing stress in complex systems: managing natural hazard induced fiscal risks under a changing climate

Disasters associated with natural hazards as well as climate change are happening within complex socio-economic systems and desired system states, including sustainable development and resource management, are formulated on the global as well as regional and national levels. However, complex system approaches are yet only rudimentarily incorporated in related applications, and we discuss modeling as well as policy challenges focusing on fiscal risk. As an intermediate step we suggest a gap approach which we relate to fiscal stress levels a complex system may experience due to natural hazard events. We argue that in case of no gaps one can assume a no stress situation and therefore modeling of disruptions including cascading effects is less necessary. However, at the same time we also acknowledge that there is an urgent need to address corresponding challenges with complex system methods. Policy-wise our paper responds to concerns for real-world applications and can provide insights to support current discussions within the UNFCCC and Paris Agreement around both adaptation finance and the new funding arrangements for loss and damage from climate impacts established at COP27.

From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior.

In this narrative review we wanted to describe the relationship of autonomic nervous system activity with social environment and suicidal spectrum behaviors. Patients with suicidal ideation/suicide attempt have higher sympathetic nervous system (SNS) and lower parasympathetic nervous system (PNS) activity in resting conditions and during acute stress tasks compared with patients without suicidal ideation/suicide attempt. Death by suicide and violent suicide attempt also are related to SNS hyperactivation. Similarly, a SNS/PNS imbalance has been observed in people with childhood trauma, stressful life events or feelings of loneliness and isolation. Social support seems to increase PNS control and resilience. Due to the importance of the social context and stressful life events in suicidal behavior, SNS/PNS imbalance could act as a mediator in this relationship and be a source of relevant biomarkers. Childhood trauma and stressful life events may impair the autonomic nervous system response in suicidal patients. Loneliness, isolation and social support may act as moderators in acute stress situations.

Medical assistants’ comic styles and their potential for positive functioning at work: a cross-sectional study including a subgroup analysis

BackgroundMedical assistants are essential for the healthcare system. However, they face several working demands every day, for which they need resources to cope. While several studies show that humour can be a resource for healthcare professionals, studies on humour styles/comic styles in healthcare are scarce. But, as humour styles (e.g., light vs. dark) may have varying – and even negative – effects on positive psychological functioning, it is important to investigate their individual potential for medical assistants. Thus, this study investigates the relationships between medical assistants’ comic styles and their positive psychological functioning at work.MethodsApplying a cross-sectional design we assessed German medical assistants’ eight comic styles (i.e., benevolent humour, fun, wit, nonsense, irony, satire, sarcasm, cynicism) and facets of positive psychological functioning (e.g., well-being, feeling of competence). We analysed relationships between the variables by means of Pearson correlations, ANCOVAs and hierarchical regressions. All analyses were conducted with the total sample (N = 608; completion rate 44%) as well as a large subsample of medical assistants working in general medicine (N = 263).ResultsWhile most of the light styles (e.g., benevolent humour) relate positively to most facets, the dark style sarcasm relates negatively. The other dark styles showed coefficients around zero or even slightly positive ones (e.g., satire). Most relationships were also prevalent in the subgroup of medical assistants working in general medicine.ConclusionsThe eight comic styles might have varying potential for medical assistants’ positive psychological functioning at work, with benevolent humour being most adaptive and sarcasm being maladaptive. This study points to the relevance of raising attention regarding the (mal-)adaptiveness of different comic styles of healthcare professionals. Trainings of professionals (e.g., vocational education and training of medical assistants) might integrate the topic of humour (i.e., foster benevolent vs. caution against sarcastic humour) to build and maintain this helpful resource which professionals can use as a tool to master various challenges of everyday work (e.g., cope with stressful situations).

The Role of Coping Strategies in Children’s Repeated Suggestive Interviews

Often in the forensic context, child victims and witnesses are interviewed several times, exposing them to suggestive questions and social pressures. The present study had the main purpose of verifying the effect of coping strategies on the levels of immediate suggestibility and on the Resistant Behavioral Responses (RBRs) of children subjected to repeated suggestive interviews. A sample of 90 children, aged between 11 and 14, were administered the two parallel Gudjonsson Suggestibility Scales (GSS2 and GSS1) a few months apart and the Coping Inventory for Stressful Situations (CISS) to detect their coping strategies. The results showed that the avoidance coping increased suggestive vulnerability and reduced resistant responses. Task-oriented coping favored responses with greater source monitoring, which allow for the rejection of misleading information. Coping strategies did not show direct effects on the management of the socioemotional aspects involved in the suggestive interaction. After the negative feedback that invites children to be more accurate, a smaller effect of the avoidance strategy was recorded, indicating how actively requesting greater source monitoring can lead children to better recognize misleading information.

48 Use of 4,500 FTU/kg of phytase on performance and blood parameters of finishing pigs

Abstract Phytase hyper-dosing is a recent concept in nutrition based on the use of high doses of the enzyme with growth promoting effect. Supplementary release of inosotol, rapid and strong destruction of phytic acid and other non-phosphoric effects are proposed mechanisms for the positive results found on pig growth. The hypothesis of this concept would be to accelerate this destruction of the phytate improving feed conversion ratio (FCR). A second hypothesis is that this increased destruction of the phytate may generate decreased concentrations of cortisol, because the inositol has insulin-like effects, reducing glycemy and reducing cortisol concentrations and FCR. To evaluate these hypotheses, two different studies were conducted, in Brazil and Mexico, using Quantum Blue (AB Vista) in two formulation strategies, Control Group - a dose and nutritional matrix of 750 FTU/kg; Hyper-dosing Group - a dose strategy of 4,500 FTU/kg (but with the same matrix of 750 FTU/kg). In the Brazilian evaluation (Trial 1 - RESTRICTED feed consumption trial), 364 animals/treatment were used, divided into 26 replications of 14 animals each (13 pens of males and 13 pens of females). In the Mexican evaluation (Trial 2 – NO restricted feed consumption trial), 400 animals/treatment were used, divided into 8 replications of 50 animals each, all animals used in this evaluation were males. In both studies, body weight gain, feed intake and FCR were evaluated. In the Brazilian study, in addition, the blood cortisol concentration of the animals was also evaluated. The data from each experiment were analyzed using the GLM platform (Minitab 18), and ANOVA used to assess differences on treatments (P ≤ 0.05). As presented in Table 1, in Trial 1, no differences were noted (P > 0,05) with the Hyper-dosing strategy for males; however, for females, this strategy improved (P ≤ 0.05) the FCR in Hyper-dosing Group versus Control Group. This difference in results between sexes can be explained by the feeding rate adopted in this experiment, which was similar for all animals (highly restrictive), what may have penalized some animals more because of the greater maintenance costs. The analysis of the blood parameters of these animals demonstrated a reduction (P ≤ 0.05) in cortisol concentrations, indicating that the use of phytase Hyper-dosing can be even better in situations of thermal or environmental stress. Also presented in Table 1, in the Mexican study the results were possible to observe a statistical trend (P ≤ 0.05 and > 0.10) for the use of the Hyper-dosing concept for FCR. In conclusion, the use of 4,500 FTU/kg of Quantum Blue in the last 30 d of finishing pigs helps to improve performance and reduce blood cortisol concentrations of these animals, especially in situations where the production efficiency rate is moderate.

Coping Mechanisms Used by Male Partners of Women Diagnosed with Cervical Cancer: An Explorative Qualitative Study at Ocean Road Cancer Institute in Dar es Salaam, Tanzania

Cervical cancer has a significant impact on the lives of caregivers of cervical cancer patients, including male partners. Disturbances in physical, psychological, sexual, spiritual, and socioeconomical aspects of life are reported by male partners of cervical cancer patients. To reduce the impact associated with cervical cancer, adaptive coping mechanisms are needed. In this regard, little is known about the coping mechanisms used by male partners of women diagnosed with cervical cancer in sub-Saharan African countries. Therefore, this study aimed to explore the coping mechanisms used by male partners of women diagnosed with cervical cancer at the Ocean Road Cancer Institute in Dar es Salaam, Tanzania. A descriptive cross-sectional study design with a qualitative approach was employed to explore coping strategies used by male partners of cervical cancer patients between December 2022 and March 2023. Participants were selected using a purposeful sampling technique guided by the principles of saturation. In-depth interviews with thirteen male partners of cervical cancer patients were carried out, and the interviews were audio-recorded and transcribed verbatim. The data were then analyzed using a thematic analysis approach. Four themes highlighting coping mechanisms used by male partners of cervical patients were identified after data analysis. They include religious coping, emotional expression and regulation strategies, support-seeking strategies, and problem-solving strategies. Male partners of cervical cancer patients used various mechanisms to cope with the stressful situations they encountered. While most of the coping mechanisms used by male partners of cervical cancer patients were adaptive, some were maladaptive. Therefore, regular assessment among this population needs to be done to identify maladaptive coping and provide relevant support.

Investigating Patient Satisfaction Through Web-Based Reviews of Norwegian Dentists: Quantitative Study Using the Meaning Extraction Method.

Challenging encounters in health care professions, including in dentistry, are relatively common. Challenging encounters can be defined as stressful or emotional situations involving patients that could impact both treatment outcomes and patients' experiences. Through written web-based reviews, patients can share their experiences with health care providers, and these posts can be a useful source for investigating patient satisfaction and their experiences of challenging encounters. This study aims to identify dominant themes from patient-written, web-based reviews of dentists and investigate how these themes are related to patient satisfaction with dental treatment. The study data consisted of 11,764 reviews written by dental patients, which included 1- to 5-star ratings on overall satisfaction and free-text comments. The free-text comments were analyzed using Linguistic Inquiry and Word Count software, and the meaning extraction method was used to group words into thematic categories. These themes were used as variables in a multilevel logistic regression analysis to predict patient satisfaction. Eight themes emerged from the analyses, of which 6 (75%)-explanation (odds ratio [OR] 2.56, 95% CI 2.16-3.04; P<.001), assurance (OR 3.61, 95% CI 2.57-5.06; P<.001), performance assessment (OR 2.17, 95% CI 1.84-2.55; P<.001), professional advice (OR 1.81, 95% CI 1.55-2.13; P<.001), facilities (OR 1.78, 95% CI 1.08-2.91; P=.02), and recommendation (OR 1.31, 95% CI 1.12-1.53; P<.001)-increased the odds of high patient satisfaction. The remaining themes (2/8, 25%)-consequences of treatment need (OR 0.24, 95% CI 0.20-0.29; P<.001) and patient-centered care (OR 0.62, 95% CI 0.52-0.74; P<.001)-reduced the odds of high patient satisfaction. The meaning extraction method is an interesting approach to explore patients' written accounts of encounters with dental health professionals. The experiences described by patients provide insight into key elements related to patient satisfaction that can be used in the education of dental health professionals and to improve the provision of dental health services.

Role of a mental health physician in the management of oncology patients: a case vignette and the need for collaboration.

There is an interplay between oncology and mental health, resulting in a high prevalence of mental disorders among cancer patients. Out of the several interventions developed to target cancer specifics, collaborative care is indicated due to its efficacy. The perspective delves into the efficacy of collaborative care models, spotlighting a culturally informed strategy designed to harmonize mental and physical health interventions to bolster the overall wellbeing and resilience of individuals battling cancer. Central to our discussion is a compelling case vignette of Raliat, a patient diagnosed with ovarian cancer whose narrative exemplifies the multifaceted challenges cancer patients face, including stigma, psychological distress, and social isolation. Raliat's story illuminates the profound impact of cultural beliefs on patient experiences and the critical importance of a sensitive, holistic approach to care that respects cultural contexts. Through this lens, our analysis reveals that addressing emotional and situational stressors through collaborative care can significantly reduce oxidative stress, potentially decelerating the progression of both cancer and accompanying mental health disorders. We advocate for integrating mental health services into oncological care, drawing on the case vignette to argue for policies that facilitate such merger by employing validated collaborative care models. We conclude with a call for public education to diminish cancer stigma and improve social outcomes, emphasizing the use of a culture-informed PACER (physical, affective, cognitive, environmental, and relationship) strategy in providing comprehensive care for cancer patients and their families.

A DETAILED STUDY ON OCCUPATIONAL STRESS AMONG EMPLOYEES WITH REFERENCE TO TROJAN HUNT INDIA LLP

Stress can be defined as a state of worry or mental tension caused by a difficult situation. Stress is a natural human response that prompts us to address challenges and threats in our lives. Everyone experiences stress to some degree. The way we respond to stress, however, makes a big difference to our overall well-being. Job Stress and Health: - Stress sets off an alarm in the brain, which responds by preparing the body for defensive action. The nervous system is aroused and hormones are released to sharpen the senses, quicken the pulse, deepen respiration, and tense the muscles. This response (sometimes called the fight or flight response) is important because it helps us defend against threatening situations. The response is preprogrammed biologically. Everyone responds in much the same way, regardless of whether the stressful situation is at work or home. Short-lived or infrequent episodes of stress pose little risk. But when stressful situations go unresolved, the body is kept in a constant state of activation, which increases the rate of wear and tear to biological systems. Ultimately, fatigue or damage results, and the ability of the body to repair and defend itself can become seriously compromised. As a result, the risk of injury or disease escalates.

An Exploration of Common Dyadic Coping Strategies: A Perspective from Pakistani Couples Living with Chronic Conditions.

This qualitative study was conducted to explore the common dyadic coping (DC) efforts of married couples, with a chronically ill partner. The sample for the study consisted of twelve couples chosen from Gujrat, Pakistan. The semi-structured interviews were conducted with the help of aninterview guide and analyzed using thematic analysis (Braun and Clarke, 2006). The following four major themes were emerged: "common problem-focused DC," "common emotion-focused DC," "common religious DC," and "combined pattern of intimate relationships." The findings indicated that partners are not preferring relational coping resources for problem- and emotion-focused DC. However, the majority of couples participate in religious DC process in a complementary way to cope with stressful situation in the result of chronic illness. The study also indicated various indigenous factors, for example, socioeconomic status, family culture, lack of physical resource, and religious standpoints contributing in the lack of connectivity and sexual intimacy. To conclude, the results revealed that future research is required to investigate the patient and partner's relationship in greater depth, focusing on above-mentioned contextual factors.

Variable angle tow-steered curvilinear fibres-based rotating arbitrarily layered composite beams- a coupled vibration of chordwise-flapwise-torsional motions by higher-order beam theory

In the present work, variable angle tow-steered curvilinear fibres-based straight composite rotating beam is studied for its coupled vibrational behaviours from different beam planes by a higher-order beam formulation satisfying plane stress situation and combining with finite element methodology. The structural theory is extended to include all the vibrational motions including chord- and flap-wise motions, axial and torsional vibrations of beam. The centrifugal force stiffening and gyroscopic effects stemming from rotational motions are taken into the formulation. The generic differential equations of equilibrium for the proposed structural theory are evolved adopting virtual dynamic work, Hamilton’s principle and a suitable C1 continuity based elemental equations are gotten. The newly constructed finite element formulation is tested for solved problems that are known in the literature. Based on in-depth analysis, vibration features of curvilinear fibre-based rotating generally layered composite beam including coupled dynamic motions in terms of vibrational modes and their frequencies pertaining to chord- and flap-wise, axial, torsional motions are detailed presuming variable angles along the curvilinear fibre path at the centre and layer edge, short and long beams, hub-radius, beam cross-section, and high rotational speed effects.