scholarly journals Problems Faced by Married Women with Epilepsy in Indian Scenario: A Hospital-Based Study

2018 ◽  
Vol 05 (02) ◽  
pp. 080-086
Author(s):  
Sunil Kumar Sharma ◽  
Vijay Sardana ◽  
Dilip Maheshwari ◽  
Bharat Bhushan ◽  
Nishtha Jain ◽  
...  

Abstract Background Epilepsy is still being considered as a social stigma especially in developing countries such as India. This study was conducted to analyze the problems faced by married women with epilepsy in various aspects of personal and social life. Objectives The main purpose of this article is to study the psychosocial problems, drug compliance, clinical course, attitude of in-laws, and effect of epilepsy on pregnancy and its outcome in married women with epilepsy in Indian scenario. Design, Materials, and Methods This is a prospective observational study including 100 patients. Questionnaire-based face-to-face interview of all the patients was conducted. Patients were divided into informed and concealed groups and various attributes and their significance were compared. Statistical analysis was performed using SPSS-20.0 and Microsoft Office Excel software. Results Out of 100 patients, a total of 58 (58%) patients had informed prior to marriage, while 42 (42%) concealed it. Attitude of husband was negative in 33% (14 out of 42) of concealed group and was statistically significant (p = 0.03). Statistically significant adverse marital outcome was observed in concealed group and Muslim community (p = 0.0001). Majority of the patients in both groups (86%) opined that it should be disclosed prior to marriage. Conclusion In a developing country such as India, epilepsy is still considered a social stigma that can manifest as felt or enacted stigma. Previous studies clearly indicate increasing awareness. Social stigma associated with epilepsy can only be eliminated with collaborative efforts of healthcare professional, government, and general public.

2019 ◽  
Vol 1 ◽  
pp. 1-2
Author(s):  
Clio Andris ◽  
Dipto Sarkar

<p><strong>Abstract.</strong> Interpersonal relationships are an important part of social and personal health. Studies of social capital show that individuals and communities with stronger ties are have an economic and health advantage. Yet, loneliness and isolation are becoming major public health issues. There is a pressing need to measure where relationships are strong and how accessible one’s social ties are, in order to learn how to better support face-to-face meetings and promote social health in society. However, the datasets we use to study people and human behaviour are most often mobility data and census data &amp;ndash; which tell us little about personal relationships. These data can be augmented with information about where people have ties, and how their relationships unfold over geographic space. The data we use to study the built environment include building footprints and infrastructure, and we can annotate these data by how (well) infrastructure supports different kinds of relationships, in order to ask new questions about how the landscape encourages relationships.</p><p> We suggest a list of methods for representing interpersonal relationships and social life at various socio-spatial levels of aggregation. We give an example of each, with an effort to span various use cases and spatial scales of data modelling.</p><p> <strong>Dyads (line) and Ego-based (star):</strong> This geometric model represents a relationship between two individuals (Figure 1A). The individuals can be geolocated to households, administrative units, real-time locations, etc. The tie can be given a nominal category such as family or co-worker, and edge weights that signify reported relationship strength, frequency of contact, frequency of face-to-face meeting, et cetera. Star models represent a central individual and his/her geolocated ties (that radiate from the centre). The star illustrates the theoretical concept of personal extensibility.</p><p> <strong>Points of Interest (points):</strong> Points of interest provide a place-based perspective (note that these entities can also be represented as polygons such as building footprints, or lines such as gradients of interaction on a subway). Certain places are better suited for fostering relationships than others (Figure 1B), and each can be annotated with their ability to foster: new ties (a nightclub), gender-bonding ties (bowling leagues), romantic ties (romantic restaurants), inter-generational ties (a religious facility), professional ties (conferences), et cetera.</p><p> <strong>Polygons/Administrative Units (polygons):</strong> These data are attached to administrative areal units (Census boundaries, provinces, zones, etc.). The data represent surveyed data on relationship-related variables in censuses, social surveys and social capital surveys. These surveys ask about trust, friendliness with neighbours, social life, belongingness to institutions, and more (Figure 1C), illustrating the social health of an area.</p><p> <strong>Aggregate Flows and Social Networks (lies and networks):</strong> This model illustrates the geolocated, social ties within a spatial extent, i.e. the social networks of a group of many people over a large extent (Figure 1D). Data can be sourced from social media, telecommunications patterns, and other declarations of relationships.</p><p> <strong>Regions (polygons):</strong> Regions, that may describe neighbourhoods within one city, or an agglomeration of cities, can be defined by social ties. Instead of commuting or economic ties, regions are defined by a preponderance of social ties within a given polygon, and a lack of ties between polygons (or between the polygon and any external area). Social regions represent a likeness and strong ties between the people that live within the region (Figure 1E).</p><p> Given these methods for representing social life and interpersonal relationships as GIS data, new questions may arise. At the <strong>dyadic level</strong>: how can we map the presence of a relationship between two people? At the <strong>ego-based level</strong>: how far and with what kind of diversity do people have ties? At the <strong>point of interest level</strong>: what kinds of mapable data can describe places’ ability to create new relationships and foster existing relationships? At the <strong>polygonal level</strong>: what kinds of mapable data can show where relationships are strong or weak? At the <strong>levels of flows and networks</strong>: what kinds of mapable data can describe systems of diffusion? At the <strong>regional level</strong>: what physical and administrative boundaries guide social ties?</p><p> For cartographers and geographic modellers looking to study social life, data acquisition, analysis, and mapping are challenges. The point of this extended abstract is to inventory the possibilities of mapping these data, open a dialog for experimenting with what kinds of symbologies, associated variables, classification schemes, visualization techniques and data collection opportunities are available for this purpose. We also hope to create spaces for comparative studies that describe the implications of these choices. In our search, we find that the major research challenges are the following: 1) privacy 2) geolocatable data 3) qualitative vs. quantitative data and 4) assurance statistically-significant samples sizes 5) analysis and modelling 6) visualization. Nevertheless, our goal is to make these indicators and data more GIS-friendly and available to geospatial analysts, modellers and cartographers.</p>


Author(s):  
John Manzo

Contemporary social life is often depicted, in and out of the social sciences, as an ever-worsening subterfuge of alienation, ennui, and the systematic destruction of traditional, human-scaled, publicly-accessible, “organic” sociality that people once enjoyed. In this paper I do not contend that these trends in our social and commercial landscape are not happening. I will instead contend that conventional face-to-face sociability thrives even in the face of the loss of many traditional public meeting places. My focus in this piece is on social interaction in independent cafes that are known, and that self-identify, as what coffee connoisseurs term “third-wave” coffeehouses. Deploying the analytic perspective of ethnomethodology, which prioritizes and problematizes the observed and reported lived experiences of research subjects, I argue not only that “authentic” sociality flourishes in these spaces but I also consider the role of shop employees—baristas—in them and uncover their perceptions concerning social interaction between themselves and customers. As such I not only question prevailing understandings about the “death” of traditional sociability but also add to past research on the coffeehouse as social form by problematizing, for the first time, the work world of the baristas and their interactions with customers.


2020 ◽  
Vol 27 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Kneginja Richter ◽  
Lukas Peter ◽  
Andrea Rodenbeck ◽  
Hans Günter Weess ◽  
Steffi G. Riedel-Heller ◽  
...  

<b><i>Introduction:</i></b> Shiftwork can be a risk factor for a number of different somatic and psychological health conditions, especially sleep disorders. Shiftworkers sleep less than dayworkers, and 20–40% of them suffer from difficulties initiating and maintaining sleep, which result in reduced capacity for work and social life. A common coping strategy might be the use of alcohol, which presents a health and safety hazard as it further impairs sleep quality and exacerbates sleepiness in the workplace. This review aimed to assess the extent of such possible connections. <b><i>Methods:</i></b> We performed a systematic search of the scientific literature on shiftwork and alcohol consumption in PubMed, PsycInfo, and Cochrane Library. Only original studies comparing shiftworkers with non-shiftworkers were included. The recommendations of the <i>Preferred Reporting Items of Systematic Reviews and Meta-Analyses</i> were followed. <b><i>Results:</i></b> Fourteen articles are included in this review. Six studies report some kind of connection between shift- or nightwork and alcohol consumption, especially as a sleep aid. Conflicting or negative results are reported by 3 studies. <b><i>Discussion:</i></b> Shiftwork, especially working at night and in rotation shifts, is associated with binge drinking disorder in different professions. The reasons for pathological consumption of alcohol can be self-medication of sleep problems or coping with stress and psychosocial problems typical for shiftwork. Nurses aged over 50 years represent one important risk group. These results can be important for preventive programs against sleep disorders, including measures other than drinking alcohol as a sleep aid in the workplace of shiftworkers.


2020 ◽  
pp. 002076402094278 ◽  
Author(s):  
Ozlem Kackin ◽  
Emre Ciydem ◽  
Ozgur Sema Aci ◽  
Fatma Yasemin Kutlu

Background: Nurses, who are playing an important role during the coronavirus disease 2019 (COVID-19) outbreak, are exposed to a range of psychosocial stressors due to unforeseen risks. Objectives: The objective of this study is to determine the experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey. Settings: The data were collected between 9 May and 12 May 2020, in Istanbul, Turkey. Participants: The study sample consisted of 10 nurses, who cared for patients diagnosed with COVID-19. Methods: The research employed the descriptive phenomenological approach. The interviews were conducted face-to-face via the internet and were analysed with Colaizzi’s seven-step method. Results: The experiences and psychosocial problems among nurses caring for patients diagnosed with COVID-19 were categorised under three themes, which were further divided into subcategories. The theme of the effects of the outbreak was divided into working conditions, psychological effects and social effects; the theme of short-term coping strategies was divided into normalisation, refusal to dwell on experiences, avoidance, expression of emotions and distraction; and the theme of necessities was divided into psychosocial support and resource management. Conclusion: The nurses caring for patients diagnosed with COVID-19 in Turkey were adversely affected, both psychologically and socially, by the pandemic; they used short-term coping strategies, and they needed psychosocial support and resource management. They also faced stigmatising attitudes and experiencing burnout and were at risk for secondary traumas due to witnessing disease and death.


2016 ◽  
Vol 6 (9) ◽  
pp. 1813
Author(s):  
Jin Liu

This research is addressed to the critical consciousness of English major MA supervisors, employing the approach of critical pedagogy. This research includes three dimensions of teachers’ beliefs about critical consciousness, corresponding behaviors in the class and reflections after the class. The methods and data were collected by face-to-face interviews and classroom observations from three English major MA supervisors. The research findings can be summarized as the following respects: Firstly, three English major MA supervisors all have a good command of critical pedagogy and critical consciousness. Secondly, two English major MA supervisors bring the awareness to the class topics in the real social life, and pay much attention to the sociopolitical themes. Thirdly, only one supervisor pays close attention to the communicating with students and encouraged discussions, while two supervisors mainly adopt the teaching process of teacher-centeredness. Finally, Three English major MA supervisors do reflect after the class and their reflections do not guide directly their next teachings. What’s more, their reflections are not their own behaviors, but their students’ learning behaviors.


Author(s):  
Muhammad Nadhif ◽  
Agustinus Sutanto

In such a modern and complex era like today, urban millennials are used to growing up with digital era that works as a new (arus ruang gerak) in their lives as an individual and social being. The digital era grows slowly as a part of work, culture, and process that can not be separated from human lives. Nevertheless, in fulfilling their social needs, digital technology is usually used only as a media component which in the process is done secondarily where it tends to create a moral change towards individualistic. Therefore, a place that can accommodate social activities without letting the digital flow to stream free and unrestrained, and offers education on how to control the digital flow instead, is needed to fulfill social needs in this digital era. Architecture discusses how to fulfill the digital community needs as an existential tool, because despite everything, human still needs face-to-face communication as a primary means of communication. Digital Hub is presented as a place where interaction can happen primarily in a digital era. Specifically, this project also aims to build digital communities where individuals are not isolated from social life, and receives an existential from the balance between primary interaction needs and digital needs. This becomes relevant in a developing society, where changes in life necessity is happening continously, replacing old ways with new techniques. AbstrakPada era yang serba modern dan kompleks seperti saat ini, generasi milenial perkotaan sudah terbiasa untuk tumbuh sebagai era digital yang berperan untuk menjadi arus ruang gerak baru di dalam kehidupannya sebagai makhluk individu dan sosial. Era digital pun secara perlahan tumbuh sebagai bagian dari karya, budaya, dan proses yang tidak dapat terlepas dari perjalanan kehidupan manusia. Namun, dalam pemenuhan kebutuhan sosialnya, teknologi digital sering kali hanya dimanfaatkan sebagai komponen media yang dalam prosesnya dilakukan secara sekunder di mana memiliki kecenderungan untuk memancing perubahan moral ke arah individualistis. Dalam pemenuhan kebutuhan sosial di era digital tersebut, maka dibutuhkan wadah sosial sebagai wadah yang tidak membiarkan arus era digital mengalir begitu saja, tetapi berbicara mengenai bagaimana cara mengontrol arus digital itu sendiri. Dari hal tersebut, arsitektur berbicara tentang cara untuk memenuhi kebutuhan komunitas digital sebagai sarana eksistensi mereka. Karena bagaimanapun juga manusia tetap membutuhkan sifat komunikasi face-to-face yang melalui proses secara primer. Digital Hub hadir sebagai ruang interaksi secara primer pada era digital. Secara lebih spesifik, kehadiran proyek juga dimaksudkan untuk menghadirkan komunitas-komunitas digital di mana individu tidak terisolasi dari kehidupan sosial, melainkan memperoleh nilai eksistensi dari adanya keseimbangan antara kebutuhan interaksi primernya dengan kebutuhan digital yang bertumbuh di dalamnya. Hal tersebut menjadi relevan seiring dengan masyarakat yang sedang terus berkembang, di mana terdapat perubahan kebutuhan secara terus-menerus untuk mengganti cara-cara lama dengan teknik yang baru.


Author(s):  
S. T. Kokhan ◽  
N. I. Vinogradova ◽  
Yu. V. Sarudeykina

The global online transition has become a real challenge to the traditional form of education, which has prompted universities to reconsider the system of providing education services. The authors conducted a sociological study based on the investigation of the relationships of the academic teaching staff, their assessment of the effectiveness of the measures taken by the universities in organizing the transition to a distance learning (DL) format of education. Lecturers of regional universities of Russia, Kyrgyzstan and Mongolia took part in the study. The results of the study made it possible to identify the most organized and optimistic category of lecturers of Mongolian universities and focused attention on the main problems in the implementation of DL at all universities. The normalization of the epidemiological situation in the future, the restoration of the economic level of development of each country will enable the universities to define their approaches to the use of distance learning technologies (DLT) and their role in the traditional face-to-face education system in accordance with the needs of the students and the peculiarities of social life.


Author(s):  
Cecilia Serrano-Martínez ◽  

COVID-19 has brought a number of situations such as home office, unemployment, illness, cessation of face-to-face educational activities, etc., which generate psychosocial problems and increase the social gap between people in vulnerability situation. Housing is one of the pillars that can generate greater inequalities and increase it in a confined context. The goal of this study is to know the condition of housing and the experiences of families with children under four years old during the confinement in Spain. This research analyses 83 responses received from a questionnaire carried out during the third week after the end of the alarm state. The design of this survey is based on the 682 responses collected during the first weeks of the quarantine produced by COVID-19. The families give greater value to housing, due the centrality it occupies in their daily life. This study demonstrates the need to prevent and face future crises by incorporating psychosocial measures adapted to these new realities.


Author(s):  
Hiran Thabrew ◽  
Simona D'Silva ◽  
Margot Darragh ◽  
Mary Goldfinch ◽  
Jake Meads ◽  
...  

BACKGROUND Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consuming clinician-administered Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide and Depression, Safety (HEEADSSS) interview. The Youth version, Case-finding and Help Assessment Tool (YouthCHAT) is a relatively new, locally developed, electronic tablet–based composite screener for identifying similar psychosocial issues to HEEADSSS OBJECTIVE This study aimed to compare the performance and acceptability of YouthCHAT with face-to-face HEEADSSS assessment among 13-year-old high school students. METHODS A counterbalanced randomized trial of YouthCHAT screening either before or after face-to-face HEEADSSS assessment was undertaken with 129 13-year-old New Zealand high school students of predominantly Māori and Pacific Island ethnicity. Main outcome measures were comparability of YouthCHAT and HEEADSSS completion times, detection rates, and acceptability to students and school nurses. RESULTS YouthCHAT screening was more than twice as fast as HEEADSSS assessment (mean 8.57 min vs mean 17.22 min; mean difference 8 min 25 seconds [range 6 min 20 seconds to 11 min 10 seconds]; <italic>P</italic>&lt;.01) and detected more issues overall on comparable domains. For substance misuse and problems at home, both instruments were roughly comparable. YouthCHAT detected significantly more problems with eating or body image perception (70/110, 63.6% vs 25/110, 22.7%; <italic>P</italic>&lt;.01), sexual health (24/110, 21.8% vs 10/110, 9.1%; <italic>P</italic>=.01), safety (65/110, 59.1% vs 17/110, 15.5%; <italic>P</italic>&lt;.01), and physical inactivity (43/110, 39.1% vs 21/110, 19.1%; <italic>P</italic>&lt;.01). HEEADSSS had a greater rate of detection for a broader set of mental health issues (30/110, 27%) than YouthCHAT (11/110, 10%; <italic>P</italic>=.001), which only assessed clinically relevant anxiety and depression. Assessment order made no significant difference to the duration of assessment or to the rates of YouthCHAT-detected positive screens for anxiety and depression. There were no significant differences in student acceptability survey results between the two assessments. Nurses identified that students found YouthCHAT easy to answer and that it helped students answer face-to-face questions, especially those of a sensitive nature. Difficulties encountered with YouthCHAT included occasional Wi-Fi connectivity and student literacy issues. CONCLUSIONS This study provides preliminary evidence regarding the shorter administration time, detection rates, and acceptability of YouthCHAT as a school-based psychosocial screener for young people. Although further research is needed to confirm its effectiveness in other age and ethnic groups, YouthCHAT shows promise for aiding earlier identification and treatment of common psychosocial problems in young people, including possible use as part of an annual, school-based, holistic health check. CLINICALTRIAL Australian New Zealand Clinical Trials Network Registry (ACTRN) ACTRN12616001243404p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371422.


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