Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection

Short- to mid-term functional outcome in spontaneous cervical artery dissection is favorable, but the concomitant psychosocial impact is underreported. We aimed to determine these possible sequelae, with a special focus on sex differences, in our cohort of spontaneous cervical artery dissection subjects. During a standardized prospective in-house follow-up visit we, among other values, evaluated functional outcome (modified Rankin Scale [mRS]), psychosocial measures (return to work-, divorce rate) and health-related quality of life (WHO-QoL-BREF and SF-36-questionnaires). 145 patients participated in the long-term prospective follow-up. Median follow-up time was 6.5 years and excellent functional outcome (mRS ≤ 1) was achieved in 89.0% subjects. 87.6% returned to work and 17.6% married patients had a divorce during follow-up. Even though relevant baseline-/discharge characteristics and functional outcome did not differ between the sexes, women were less likely to return to work compared to men (79.7% vs. 93.8%; P = 0.010) and divorce rate was considerably higher in women (30.2% vs. 9.2%; P = 0.022). Health related quality of life did not differ significantly between the sexes, but women consistently reported lower values. Even though functional outcome is beneficial in most patients, measures to prevent poor psychosocial outcome should be considered in the long-term care of patients with spontaneous cervical artery dissection, especially women.

Judicial Procedure Of Divorce & Khula In Pakitan :An-Analytical Study

Family laws are an essence in settling on and resolving all issues in any country and in this regard tangling disputes between spouses and issues of divorce and Khula are brought forth the courts so that these matters and issues can be resolve and sort out neutrally and fairly. The court procedure has grave importance for the finest resolution of such sort of issues and cases. Sometime, the matters and cases , which are brought forth the courts , turn into the worst situation and become more complicated than before due to an inadequate and derisory procedure, Thus, judicial procedure related to the Divorce and Khula is an immense perceptive and a sensitive matter. Moreover, the amendments to the Muslim Family Laws of 2001 in actual were aimed at dealing familial cases and matters promptly, resolve all those familial cases which women have to confront, as well as to ensure the protection of their rights. Under the sub- Section 4 of section 10 of the family court Act, October, 2005, the people have been facilitated by reducing to bare bones the procedure of Divorce and Khula. According to the legal connoisseurs , the divorce rate has increased after these facilitating amendments and the situation is that the courts are sharing out the divorce degrees like sweetmeats. While sometime, under such law the grievance of the oppressed woman comes forth. In such familial cases, laws as well as the procedure of the court proceedings is also a very delicate issue in which the rate of the divorce and Khula can significantly be reduced by doing some effective changes and reforms. However, in this research paper , the analyses of the court procedure , regarding the issues of divorce and khula would be presented on.

Association Between Paternal Separation During Early Childhood and Pubertal Timing Among Girls Using Longitudinal Birth Cohort in Japan

IntroductionPrevious studies have shown that paternal absence leads to earlier pubertal timing among girls in high-income countries. Despite the low divorce rate in Japan, paternal separation is commonly seen due to a unique corporation system, tanshin funin, where employees relocate with their spouses and children. We examined paternal separation, including paternal absence (due to divorce or paternal death) and paternal tanshin funin, during early childhood as a predictor of earlier girl’s pubertal development, assessed as age at peak height velocity (PHV).MethodsThis study examined 15 214 girls from a longitudinal survey conducted in Japan from 2001 to 2016 by the Ministry of Health, Labor and Welfare. Paternal separation was determined by the occurrence through annual surveys conducted at ages 0.5 to 4.5 years. Outcome was defined as age at PHV between ages 6 to 15 years. We conducted linear regression, adjusted for potential confounders and other covariates.ResultsContinuous father cohabitation was seen in 88.7% of households, while paternal separation was experienced 1-2, 3-4 and 5 times (always) among 7.4%, 2.8% and 1.1% of households, respectively. Girls who confronted continuous paternal separation (5 times) experienced 0.42 years earlier [95% confidence interval (CI): -0.75, -0.10] age at PHV compared to their peers who always lived with their fathers.ConclusionGirls who experienced paternal separation throughout ages 0.5 to 4.5 years experienced PHV earlier.

Gulf property damage, housing price trends and US bankruptcy filings

Purpose This paper aims to examine potential causes of bankruptcy as they relate to hurricane damage. Investigate whether hurricanes result in personal bankruptcy filings due to real property damages. Strengthen existing descriptive results by using fully modified ordinary least squares (FMOLS). Design/methodology/approach Lagged FMOLS model is used with data from states that suffered hurricane damage between 2000 through 2020. FMOLS controls for various financial distresses that can cause bankruptcy filings. Findings Bankruptcy is usually filed for within one year of a hurricane. Changes in house prices and hurricane severity were significant indicators of bankruptcy filings. However, the divorce rate, commonly thought of as a primary reason for bankruptcy, is insignificant. Research limitations/implications Data was available on a state level for the independent variables. Hurricane damage needed to be financially significant enough for inland flooding to be measurable and influential. Practical implications Establishes that financial distress comes from several sources, not just home damage. Financial distress is highly correlated with whether a home was insured. Divorce does not cause bankruptcy filings. Social implications Federal flood insurance programs should be reexamined. Having a broader all-risk homeowner policy could reduce the number of households that file for bankruptcy after a hurricane. Originality/value Existing research uses descriptive statistics and obtains mixed findings regarding the association between hurricane damage and bankruptcy filings. The FMOLS approach provides clarity about this association.

Natural reduction of Ukraine’s population: Regional dimensions of the national threat

A significant decline in Ukraine’s population is mainly due to its natural decrease, which began in the 1970s and 1980s in the rural areas and had been determined by the objective trends in demographic transition, the inertia effect of the demographic losses in the past and the social policy of the political regime at that time. Likewise, the social and economic crisis of the 1990s deepened the depopulation processes. In the present research, correlation analysis demonstrated a relationship between the current dimensions of natural population decline and a number of socio-demographic factors (proportion of the rural population, mean age of the population, divorce rate and the mean age at first marriage). In recent years, the effects of the demographic crisis have been particularly acute in North-eastern and Central Ukraine, due to the deepening disproportions in the age and sex structures of the population. However, in the capital of Ukraine, Kyiv, and in some western regions, the natural decrease in population is less acute because of more balanced social and demographic indicators. Although religious and ethnic factors contribute to some extent to greater natural population growth, especially in the western and south-western regions, their impact on the processes of population reproduction in Ukraine is generally not significant. To sum up, in order to stop natural population decline in Ukraine, it is important to ensure more favourable conditions for demographic development in the economic, social, informational and cultural spheres of society. Furthermore, in areas of acute demographic crisis, it is important to raise the issue of rural reconstruction involving a variety of organisational and economic mechanisms.

Mediation in Marriage Disputes and Divorce (Analytical Study on the Application of Mediation in the Gorontalo Religious Court)

This article discussed mediation as a way of resolving marital disputes. Divorce was one form of marital dispute in the Religious Courts, and in terms of resolving marital disputes, mediation was required. Although the rules of mediation in the judiciary are very clear, the facts show that the disputing parties and the courts have not optimized their use so that the divorce rate every year does not experience a significant decrease; on the contrary, it increases. The theory regarding mediation procedures in the Religious Courts has clearly been stated in the Supreme Court of the Republic of Indonesia (No. 1 of 2016). This article aims to analyze the implementation of the mediation process at the Gorontalo Religious Court. Therefore, it is necessary to conduct more in-depth research on the effectiveness of the Gorontalo Religious Court to resolve marital disputes that lead to divorce, which can be avoided, and the litigants can get back together and foster a ‘sakinah mawaddah wa rahmah’ household. This article used a qualitative with an empirical juridical approach. It could be concluded that the mediation had been carried out at the Gorontalo Religious Court under the Regulation of the Supreme Court of the Republic of Indonesia (No. 1 of 2016). Four factors affect successful and unsuccessful mediation, namely the litigation party factor, the mediator factor, the advocate or lawyer factor, and the representative mediation room factor.

Pusaka Sakinah sebagai Upaya Penurunan Angka Perceraian oleh KUA Kiaracondong dan KUA Cipeudeuy di Jawa Barat

The high divorce rate encourages the Ministry of Religion to make various efforts to maintain family resilience. The Service Center Program of Sakinah Family or Program Pusat Layanan Keluarga Sakinah (Pusaka Sakinah) is one of the Ministry of Religion’s effort through the transformation of KUA’s role into a more significant in protecting Indonesian families from divorce. This article aims to get an overview of KUA's activities in implementing the Pusaka Sakinah program including the forms of innovation and initiative in pursuing program sustainability. The research method uses qualitative methode through case study type with the locus at KUA Kiaracondong representing program implementation in urban areas, and at KUA Cipeundeuy representing program implementation in rural areas. This study uses the theory of AGIL Structural Functionalism (Adaptation, Goal-attainment, Integration, Latency). This research results several findings: first, although the increasing role of KUA in facilitating the people to actualize sakinah family can be realized through the implementation of the Pusaka Sakinah program, efforts to maintain program sustainability are not an easy way due to KUA's high dependency on the institution in financing the program. Second, initiative and innovation are relatively limited because the concept of the Pusaka Sakinah program has not been understood and there has even been a misinterpretation on transforming KUA, causing disorientation, reduction, and even rejection of programs that are seen as burdensome to KUA. Third, the synergy of implementation program with similar programs carried out by other ministries and local governments is still low. In this regard, the Ministry of Religion needs to make efforts to increase the intended synergy which will also have a positive impact on the availability of resources in program implementation.

The Factors of Marriage Dissolution Between Hearing Impairment Couple at Melaka Syariah Court

The dissolution of marriage which occurs between Muslim married couple in Malaysia shall be referred to the Syariah Court either it is between typical couples or between couple with disabilities. However, couple with disabilities faces quite different challenges compared to typical couple in maintaining relationship. The article aims to identify the factors of marriage dissolution between hearing impairment couple registered at Malacca Syariah Court. The study uses the qualitative and interview research methodologies to identify conflicts in relationship confronted by hearing impairment couple which leads to dissolution of marriage. It is found that there are seven factors of marriage dissolution among hearing impairment couple which are the communication problem, lack of knowledge regarding Islamic Family Law, the intervention of family members in marital disputes, inadequate pre-marriage course, no specific marriage course through the period of marriage as well as post-marriage course for hearing impairment spouse. The implication of research discovers that all these courses shall be review in order to prevent escalated divorce rate among hearing impairment couple. Abstrak Setiap perceraian yang berlaku di antara pasangan berkahwin Muslim di Malaysia mestilah dirujuk kepada Mahkamah Syariah sama ada pasangan suami isteri tipikal ataupun pasangan Orang Kurang Upaya (OKU). Bagi golongan OKU pendengaran, cabaran yang dihadapi dalam meneruskan kehidupan rumahtangga walaubagaimanapun agak berbeza berbanding golongan tipikal. Tujuan artikel ini adalah untuk mengenalpasti faktor-faktor pembubaran perkahwinan antara pasangan OKU pendengaran yang didaftarkan di Mahkamah Syariah Negeri Melaka. Kajian menggunakan kaedah temu bual untuk mengenal pasti masalah pasangan OKU pendengaran yang membawa kepada pembubaran perkahwinan. Hasil kajian mendapati terdapat enam faktor pembubaran perkahwinan antara pasangan OKU pendengaran iaitu masalah komunikasi, kurang pendedahan tentang ilmu Undang-Undang Keluarga Islam, campur tangan ahli keluarga dalam masalah rumahtangga, kursus Pra-Perkahwinan yang dianjurkan tidak bersesuaian, tiada kursus khusus sepanjang tempoh perkahwinan dan tiada kursus pasca perkahwinan khusus bagi pasangan OKU Pendengaran. Implikasi dari kajian mendapati bahawa kursus-kursus khas tersebut perlu dikaji semula bagi mengurangkan kadar perceraian dalam kalangan pasangan OKU pendengaran.

Perkawinan Dalam Perspektif Tasawuf

This dissertation discusses Marriage in the perspective of Sufism (Study of analysis of Legislation on Marriage in Indonesia). This is done considering the high divorce rate in Indonesia even though the legislation regarding marriage has been made quite a lot by the government and even the Marriage Law No. 1 of 1974 and the Compilation of Islamic Law have long been enacted. The purpose of this study is to find out why Islamic marriage regulations and legislation in Indonesia have not been able to stem the flow of divorce and family disharmony, and what solutions can be offered in minimizing divorce in Indonesia, as well as how to establish marriage law with the Sufism approach. The process of collecting data is done by means of library research (Library Research). The reading material is described and analyzed using qualitative methods so that the causes of the high divorce rate in Indonesia are found. After the discussion, two main problems were found, namely formal problems and non-formal problems. Formal problems are problems that are related to the rules and regulations of marriage itself. While non-formal problems are problems that arise from the personal members of each family. To overcome problems related to formal problems, the solution offered is the need to review several articles in the Marriage Law Number 1 of 1974 and need to revive the functions of the Marriage Advisory Counseling and Conservation Agency (BP4) as before the Marriage Law Number 1 year 1974. Meanwhile, to overcome problems related to non-formal problems, it is necessary to give Sufism teachings to the bride and groom who are delivered when they attend bride and groom courses organized by the Ministry of Religion throughout Indonesia. In order to establish marriage law with the Sufism approach, the connection between Sufism values and laws in the frame of benefit is needed. For this reason, the values of Sufism such as warak and zuhud and qonaah and so on need to be developed and integrated in connection with marriage law. The interconnection of the values of Sufism with marriage law is needed in numbers to minimize the divorce rate in Indonesia. Keywords: Marriage law, Sufism