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• Higher peer problem is associated with increased portion sizes in various food groups. • Higher emotional well-being is linked to smaller sweet/snack portions in children. • Higher emotional/peer scores are linked to larger sugar-fatty portions in females. • Emotional status influences portion sizes, underscoring their impact on diet. This study aims to investigate the influence of psychosomatic and emotional status on food portion sizes (PSs) consumption from high energy-dense food groups in European children and adolescents. We hypothesized that psychosomatic and emotional status would have a significant association with the PS selection of energy-dense food. The study included 7355 children aged between 2 and 9.9 years at baseline (T0) (48.8% females); 3869 after 2 years (T1) (48.2% females), and 2971 (51.8% females) after 6 years of follow-up (T3). Psychosomatic and emotional status were measured using emotional well-being during the last week score (KINDL) and Strengths and Difficulties Questionnaire. PS was calculated from daily food intake recorded in 24-hour dietary recalls. The associations between emotional status indicators and PS from selected energy-dense food groups were assessed by multilevel linear regression models. In the cross-sectional analysis, we observed that higher KINDL scores were linked to lower PS consumption from sweet bakery products and savory snacks in both genders. Moreover, we found that adolescent females with high emotional and peer problem scores tended to consume larger PS of carbohydrate-rich and sugar-fatty food items (P <.017). Longitudinally, higher peer problem scores were associated with increased PS from bread and rolls, margarine and lipids, and dairy products in all genders and age groups (P <.017). In adolescents, psychosomatic and emotional status could be a trigger for consuming large PS from carbohydrate-rich and sugar-fatty energy-dense foods. Thus, nutritional interventions should consider emotional status to decrease unhealthy dietary habits in children and adolescents. Psychosomatic and emotional status have a significant association with the portion size selection of energy-dense food. Adolescents' females with more emotional and peer problems tend to consume more carbohydrate-rich and sugar-fatty food products. Higher emotional and peer problem scores were inversely associated with consumption larger portion sizes from bread and rolls, pasta, breakfast cereals, and cheese in both genders and only in school-age children. [Display omitted] [ABSTRACT FROM AUTHOR]

Background and aims. This study explores the impact of emotional health on cancer patients, acknowledging the controversies and lack of high-quality data in the field, particularly for rare cancers and younger patients. It highlights the significant prevalence of depression and anxiety among cancer patients, the inadequacies in addressing mental health during and after treatment, and the inconsistencies in prevalence rates due to varying study methodologies. This study unravels the importance of data regarding mental health status in a clinical dataset to accompany the biological sample to be included in a biobank. Methods. The study utilized a questionnaire to evaluate the opinions of cancer patients, clinicians, and researchers regarding the inclusion of mental health data in clinical datasets accompanying biological samples in biobanks. The study involved 120 participants (40 from each group), and the data were analyzed using statistical methods. Results. The study found significant differences in the perceived importance of including mental health information among the three groups. Patients showed a higher tendency (87.9%) to consider mental health questions relevant compared to researchers (72.08%) and clinicians (62.08%). The first four questions regarding emotional well-being received the highest positive responses, particularly from patients (94.3%). The findings underline the importance of addressing the mental health of cancer patients, which is often overlooked. The study emphasizes the necessity for integrating mental health data in biobanks and increasing psychological support for cancer patients. Conclusions. There are clear differences in how patients, researchers, and clinicians value emotional and psychological aspects. The study underscores the need for better education on modern medical practices and the benefits of comprehensive patient care, including mental health considerations. [ABSTRACT FROM AUTHOR]

Past research has recognized family functions and psychological factors like anxiety and Fear of Missing Out (FoMO) as significant influencers on smartphone addiction (SA) among adolescents. However, the precise association links between these elements have remained elusive. This study, grounded in family systems and structural family theories, and the Interaction of Person-Affect-Cognition-Execution (I-PACE) Model, examines these relationships among adolescent students. It investigated how family functions, particularly emotional status and discipline, alongside anxiety and FoMO, contribute to SA through Structural Equation Modeling (SEM). This study involved 1105 secondary school students (57.3 % females; Mage = 15.12, SD = 1.78) from Southern Thailand. The research unveils that a positive family emotional climate significantly reduces anxiety, FoMO, and SA. The study further elucidates that anxiety and FoMO serve as significant risk factors in exacerbating SA. Anxiety is found to be a full mediator in the relationship from discipline to SA and a partial mediator between emotional status and SA, with FoMO amplifying these mediation effects. The limitations of this study include its cross-sectional design and reliance on self-reported data.

Objective To explore the clinical effects of multiple sensory stimulation in patients with apathy after ischemic stroke, so as to provide reference for clinical nursing. Methods Conveniently selected 82 patients with apathy after ischemic stroke, they were randomly divided into experimental group and control group, with 41 patients in each group. The control group received routine nursing and psychological intervention, while the experimental group received a 4-week multiple sensory stimulation therapy on the basis of the control group. The effect was assessed by Apathy Evaluation Scale-Informant, and Positive and Negative Affect Scale, respectively. Results Before intervention, there was no significant difference in apathy symptom scores and Positive and Negative Affect Schedule scores between the two groups (P＞0.05). After 4 weeks of intervention, the scores of cognitive, emotional, behavioral, and interest dimensions as well as the total score of apathy symptoms in the experimental group were lower than those in the control group. The positive emotion scale score in the experimental group was higher than that in the control group, and the negative emotion scale score was lower than that in the control group, with statistical significance (P<0.05). Conclusion Multisensory stimulation can effectively alleviate apathy symptoms in patients with ischemic stroke, and improve emotional experience. [ABSTRACT FROM AUTHOR]

• An indoor nature-encountering activity on adults' impact can be evaluated by measurable factors that reflect ANS and emotional status. • Proposed demonstrating the effect of Pseudotsuga menziesii essential oil on psychophysiological status. • A wholesome indoor nature activity program for citizens that promotes positive emotions and relaxation. During the COVID-19 pandemic, we designed an indoor nature activity program for citizens with a relaxing effect similar to forest bathing to promote their physical and mental health. We integrated an indoor horticultural activity (Kokedama) with the breathing of Pseudotsuga menziesii (P. menziesii) and Lavandula angustifolia (L. angustifolia) essential oils (EOs) with the goal of creating a nature-inspired environment in an indoor setting where participants would feel as if immersed in a forest atmosphere. Taiwanese women participated in the experiment, using two Saturday mornings, one Saturday in a university classroom in the city center; and the other Saturday in a workshop in a Suburban Park. Intra-group comparisons were used to assess the Physiological responses to urban and suburban environmental stimuli and measured self-reported psychological responses. We recorded parameters associated with heart-rate variability and brainwaves. We also administered the State-Trait Anxiety Inventory-State (STAI-S) questionnaire before and after the participants had completed the entire program. After the participants had breathed the P. menziesii and L. angustifolia EOs, the levels of some physiological parameters increased (standard deviation of normal-to-normal intervals, normalized high frequency, and high alpha wave) and those of others decreased (normalized low frequency, low- to high-frequency ratio power, high beta wave, and gamma wave). These findings were corroborated by the data from the STAI-S questionnaires. The psychophysiological data from this study provide significant scientific evidence for the health benefits of an indoor nature activity program in women. [ABSTRACT FROM AUTHOR]

Improvements in mental health through real-time feedback on emotions have consequences for productivity and employee wellness. However, we find few extant studies on how real-time feedback on emotions can influence subsequent behavior modification in the Japanese workplace. We conducted a randomized controlled trial (RCT) with 30 employees of an insurance company in Japan and observed their emotions for 10 working days using a wearable biometric device. We compared the emotions of employees who had access to real-time emotional states (treatment group) with those of employees who did not (control group). The results of the panel regression analysis showed that access to real-time emotions was negatively associated with happy emotions and positively associated with angry and sad emotions. The results indicated that even after having access to the objective statuses of emotions, participants were unable to continue with happy emotions and reverse angry and sad emotions to other comfortable emotions. Our findings imply that feedback on real-time emotional states should be associated with appropriate training and motivation to utilize feedback for behavioral modification. [ABSTRACT FROM AUTHOR]

The process to become a public teacher in Spain involves a very strict examination. In order to pass this exam, a high level of emotional competence is required. During the preparation for this test, symptoms related to anxiety, depression and stress are experienced. The aim of this study was to investigate the effect of negative emotional state on emotional intelligence and psychological wellbeing as a function of the number of sittings in the competitive examination process. The research design was quantitative and exploratory. The sample consisted of 3578 candidates. The results show an increase in the effect of negative emotional states on emotional intelligence and psychological well-being in candidates who have taken part in the selection process more than twice. It is concluded that negative emotional states increase in their effect on emotional and psychological well-being as the number of exams taken increases. [ABSTRACT FROM AUTHOR]

Background: This study analyzed the rate of relapse and functional outcome after surgery for chronic osteomyelitis of long bones. Methods: This study included 100 cases of chronic osteomyelitis, which were treated with surgical debridement, along with a 6-week course of antibiotics. The patients were divided into two groups based on whether they had undergone preoperative magnetic resonance imaging (MRI) or not. A comparison of relapse rates was then conducted between these two groups. The patients were followed upto 9th month postop, and their functional outcomes were examined using the Association for the Study and Application of the Method of Ilizarov Criteria (ASAMI), Lower Extremity Functional Scale (LEFS), Disabilities of the Arm, Shoulder, and Hand (DASH), and Musculoskeletal Tumor Society (MSTS) questionnaires. Logistic regression analysis was used to assess the impact of risk factors on the recurrence or relapse. Results: Sixty patients had chronic osteomyelitis, and 40 patients were infected non-union. Twenty-five patients had preoperative MRI. The mean preoperative LEFS was 44 ± 13.59 (19-73). Preoperative ASAMI showed 4% excellent, 62% fair, 24% good, and 10% were poor. The preoperative MSTS emotional component showed that enthusiastic (0%), satisfied (0%), accepts (36%), and dislikes (60%). Among the infected non-union cases, 2 cases had a total disability, 15 cases had recreational restriction, and 23 cases had a partial disability. Majority cases were gram-positive organism cultured were methicillin-sensitive Staphylococcus aureus accounts 21%, and methicillin-resistant S. aureus accounts 16%. Common antibiotics administered were Cloxacillin in 23 cases, Meropenem in 11 cases, Septran in 8 cases, Linezolid in 8 cases, and Vancomycin in 7 cases. The mean duration of antibiotics administered was 6 weeks. At 9th month postoperative, ASAMI showed a reduction in the number of patients categorized as 'fair' from 12 to 9, while the number of patients classified as 'good' increased from 2 to 6 cases. Fourteen (66.6%) patients who were initially classified under the 'fair' or 'poor' category preoperatively decreased to 9 (42.8%) postoperatively. The number of patients in the 'good' category increased from 6 (28%) preoperatively to 9 (42.9%) at the 6-month postoperative mark. Of the 61 patients, 42 (64.6%) had significant functional improvement at 9th month postoperative among those who had chronic osteomyelitis, while of the 34 patients, 15 (44.1%) patients with infected non-union had significant functional improvement (P = 0.04). 20.7% out of 77 patients who were culture positive went on to have relapse within 9th month follow-up and 15% out of the 20 patients who had no-growth on intraoperative cultures went on to develop relapse following 9th month post-surgery follow-up. Nine patients (24.3%) in the posttraumatic group had recurrence of infection, while 1 patient had relapse at 6 months following surgery. At the 6-month follow-up, the percentage of relapse was 13.3% (n = 2) in the MRI group and 25% (n = 8) in the non-MRI group. Conclusion: The relapse rate was 19.8%. In total, 19.3% of surgical debridement had experienced a recurrence of infection within the 9 months follow-up, and 7.3% of patients required repeat surgery during the hospital stay. Factors that determined recurrence were age > 55 years, long bone involvement, fracture, monotherapy, receiving < 6 weeks of antibiotics, and inadequate treatment. Disease burden, financial conflicts, disability, and long duration of treatment affect the patient's emotional status. These factors may also affect the patient's compliance with the prescribed treatment plan. [ABSTRACT FROM AUTHOR]

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The article highlights the role of emotions as an alternative of behavior research that has already been thoroughly studied. Emotion studies in marketing concern emotional status of both customers and sellers and managers. Emotions become apparent in facial expression, in different gestures and body posture. The author raises questions dealing with emotion origin through agitation, their transformation, interaction between positive and negative emotions. Contrary and mutually complementary emotion status as a result of the same agitation was analyzed. The notion of satisfaction as a key emotion after getting or consuming product or service is discussed. The goal of the article is to show the basis of analyzing emotions, their estimation and to demonstrate how emotions function as irritants and what result can be obtained in influencing customers. As a conclusion the author describes prospects of further investigation aimed at studying emotions in marketing.

Background: During the early stages of the COVID-19 pandemic in China, social interactions shifted to online spaces due to lockdowns and social distancing measures. As a result, the impact of online social networking on users' emotional status has become stronger than ever. This study examines the association between online social networking and Internet users' emotional status and how offline reality affects this relationship. Methods: The study utilizes cross-sectional online survey data (n = 3004) and Baidu Migration big data from the first 3 months of the pandemic. Two dimensions of online networking are measured: social support and information sources. Results: First, individuals' online social support (β = 0.16, p < 0.05) and information sources (β = 0.08, p < 0.01) are both positively associated to their emotional status during the epidemic. Second, these positive associations are moderated by social status and provincial pandemic control interventions. With regards to the moderation effect of social status, the constructive impact of information sources on emotional well-being is more pronounced among individuals from vulnerable groups compared to those who are not. With regard to the moderation effect of provincial interventions, online social support has the potential to alleviate the adverse repercussions of high rates of confirmed COVID-19 cases and strict lockdown measures while simultaneously augmenting the favorable effects of recovery. Conclusion: The various dimensions of social networking exert distinct effects on emotional status through diverse mechanisms, all of which must be taken into account when designing and adapting pandemic-control interventions. [ABSTRACT FROM AUTHOR]

Wilson disease (WD) is a rare copper metabolism disorder caused by mutations in the ATP7B gene. It usually affects young individuals and can produce hepatic and/or neurological involvement, potentially affecting health-related quality of life (HRQoL). We assessed HRQoL in a cohort of Spanish patients with WD and evaluated disease impact on several domains of patients' lives, treatment adherence, drug preference and satisfaction, and healthcare resource utilisation in a cross-sectional, retrospective, multicentric, observational study. A total of 102 patients were included: 81.4% presented isolated liver involvement (group H) and 18.6% presented neurological or mixed involvement (group EH). Up to 30% of patients reported a deteriorated emotional status with anxiety and depression, which was greater in the EH subgroup; the use of neuropsychiatric drugs was high. Over 70% of the patients were satisfied with their current treatment but complained about taking too many pills, stating they would consider switching to another more patient-friendly treatment if available. The Simplified Medication Adherence Questionnaire revealed only 22.5% of patients were fully adherent to therapy, suggesting that alternative therapies are needed. This real-world study, even though is highly enriched with hepatic patients and mild disease, shows that WD impacts patients' HRQoL, especially in the emotional domain. [ABSTRACT FROM AUTHOR]

Background: This study analyzed the rate of relapse and functional outcome after surgery for chronic osteomyelitis of long bones. Methods: This study included 100 cases of chronic osteomyelitis, which were treated with surgical debridement, along with a 6-week course of antibiotics. The patients were divided into two groups based on whether they had undergone preoperative magnetic resonance imaging (MRI) or not. A comparison of relapse rates was then conducted between these two groups. The patients were followed up, and their functional outcomes were examined using the Association for the Study and Application of the Method of Ilizarov Criteria (ASAMI), Lower Extremity Functional Scale (LEFS), Disabilities of the Arm, Shoulder, and Hand (DASH), and Musculoskeletal Tumor Society (MSTS) questionnaires. Logistic regression analysis was used to assess the impact of risk factors on the recurrence or relapse. Results: Sixty patients had chronic osteomyelitis, and 40 patients were infected non-union. Twenty-five patients had preoperative MRI. The mean preoperative LEFS was 44 ± 13.59 (19-73). Preoperative ASAMI showed 4% excellent, 62% fair, 24% good, and 10% were poor. The preoperative MSTS emotional component showed that enthusiastic (0%), satisfied (0%), accepts (36%), and dislikes (60%). Among the infected non-union cases, 2 cases had a total disability, 15 cases had recreational restriction, and 23 cases had a partial disability. Majority cases were gram-positive organism cultured were methicillin-sensitive Staphylococcus aureus accounts 21%, and methicillin-resistant S. aureus accounts 16%. Common antibiotics administered were Cloxacillin in 23 cases, Meropenem in 11 cases, Septran in 8 cases, Linezolid in 8 cases, and Vancomycin in 7 cases. The mean duration of antibiotics administered was 6 weeks. At 1 year postoperative, ASAMI showed a reduction in the number of patients categorized as 'fair' from 12 to 9, while the number of patients classified as 'good' increased from 2 to 6 cases. Fourteen (66.6%) patients who were initially classified under the 'fair' or 'poor' category preoperatively decreased to 9 (42.8%) postoperatively. The number of patients in the 'good' category increased from 6 (28%) preoperatively to 9 (42.9%) at the 6-month postoperative mark. Of the 61 patients, 42 (64.6%) had significant functional improvement at 1 year postoperative among those who had chronic osteomyelitis, while of the 34 patients, 15 (44.1%) patients with infected non-union had significant functional improvement (P = 0.04). 20.7% out of 77 patients who were culture positive went on to have relapse within 1 year follow-up and 15% out of the 20 patients who had no-growth on intraoperative cultures went on to develop relapse following one year post surgery follow-up. Nine patients (24.3%) in the posttraumatic group had recurrence of infection, while 1 patient had relapse at 6 months following surgery. At the 6-month follow-up, the percentage of relapse was 13.3% (n = 2) in the MRI group and 25% (n = 8) in the non-MRI group. Conclusion: The relapse rate was 19.8%. In total, 19.3% of surgical debridement had experienced a recurrence of infection within the first year of follow-up, and 7.3% of patients required repeat surgery during the hospital stay. Factors that determined recurrence were age > 55 years, long bone involvement, fracture, monotherapy, receiving < 6 weeks of antibiotics, and inadequate treatment. Disease burden, financial conflicts, disability, and long duration of treatment affect the patient’s emotional status. These factors may also affect the patient's compliance with the prescribed treatment plan.

Background: Dysphonia impairs verbal communication of the sufferer, which can lead to social isolation, depression, and reduced quality of life. Evaluation of voice handicap and emotional impact of dysphonia are not routinely consider in our laryngology and voice clinics, despite the fact that about 50% to 60% of patients with dysphonia have social and psychological problems. Aims: The aim of this study is to investigate the voice handicap and emotional status among dysphonic and non-dysphonic individuals in our environment. Materials and Methods: It was a cross-sectional study that included dysphonic patients and non-dysphonic individuals matched for age and gender. A detailed clinical history was obtained, and the Voice Handicap Index (VHI) questionnaire was used to assess the voice handicap and emotional status of the participants. The mean VHI score of dysphonic and non-dysphonic participants was compared. Results: Ninety dysphonic patients and equal number of non-dysphonic controls completed the study. The mean VHI score dysphonic patients was higher (46.8 ± 17.7) than that of the controls (5.2 ± 3.9), and there was a statistical significant difference between the two groups (P = 0.000). Most of the dysphonic patients 69(77.8%) had poor emotional status, while most of the controls had good emotional status 83(92.3%). Conclusion: This study found high Voice Handicap Index and poor emotional status among dysphonic patients compared to controls. Therefore, patients with dysphonia should be reviewed by a psychologist in order to address the emotional aspect of their problem.

We assessed the mental health of children and adolescents aged 7 to 17 and their parents immediately after the first wave of the COVID-19 pandemic. A survey online was conducted in Belgium between May 29th and August 31st 2020. (1) Anxious and depressive symptoms were self-reported by one out of four children and hetero-reported by parents for one out of five children; (2) Anxiety scores were higher in children compared to adolescents; (3) Social introversion scores were significantly higher in adolescents compared to children; (4) No significant differences for anxio-depressive symptoms were found between healthcare worker parents and the other parents. Children's self- or hetero-reported symptoms were not found to be connected to parents' professional activities. This cross-sectional survey adds evidence to the impact the COVID-19 pandemic has had on children's and adolescents' emotional state, in particular on their levels of anxiety and depression. [ABSTRACT FROM AUTHOR]

Moyamoya disease (MMD) patients were now classified according to their cerebrovascular manifestations, with cognition and emotion ignored, which attenuated the therapy. The present study tried to classify them based on their cognitive and emotional performance and explored the neural basis underlying this classification using resting‐state fMRI (rs‐fMRI). Thirty‐nine MMD patients were recruited, assessed mental function and MRI scanned. We adopted hierarchical analysis of their mental performance for new subtypes. Next, a three‐step analysis, with each step consisting of 10 random cross validation, was conducted for robust brain regions in classifying the three subtypes of patients in a support vector machine (SVM) model with hypergraph of rs‐fMRI. We found three new subtypes including high depression‐high anxiety‐low cognition (HE‐LC, 50%), low depression‐low anxiety‐high cognition (LE‐HC, 14%), and low depression‐low anxiety‐low cognition (LE‐LC, 36%), and no hemorrhagic MMD patients fell into the LE‐HC group. The temporal and the bilateral superior frontal cortex, and so forth were included in all 10 randomized SVM modeling. The classification accuracy of the final three‐way classification model was 67.5% in average of 10 random cross validation. In addition, the S value between the frontal cortex and the angular cortex was positively correlated with the anxiety score and backward digit span (p <.05). Our results might provide a new perspective for MMD classification concerning patients' mental status, guide timely surgery and suggest angular cortex, and so forth should be protected in surgery for cognitive consideration. Different from traditional classification of Moyamoya disease (MMD) simply by clinical manifestations, we developed a new classification of MMD based on the cognitive function and built a support vector machine model with hypergraph of resting‐state fMRI for subtype classification. [ABSTRACT FROM AUTHOR]

Improvements in mental health through real-time feedback on emotions have consequences for productivity and employee wellness. However, we find few extant studies on how real-time feedback on emotions can influence subsequent behavior modification in the Japanese workplace. We conducted a randomized controlled trial (RCT) with 30 employees of an insurance company in Japan and observed their emotions for 10 working days using a wearable biometric device. We compared the emotions of employees who had access to real-time emotional states (treatment group) with those of employees who did not (control group). The results of the panel regression analysis showed that access to real-time emotions was negatively associated with happy emotions and positively associated with angry and sad emotions. The results indicated that even after having access to the objective statuses of emotions, participants were unable to continue with happy emotions and reverse angry and sad emotions to other comfortable emotions. Our findings imply that feedback on real-time emotional states should be associated with appropriate training and motivation to utilize feedback for behavioral modification.

Background: Obstructive sleep apnea (OSA) is often associated with decreased health-related quality of life (HRQoL). The aims of this study were to evaluate HRQoL, the clinical and psychological profile of suspected or verified OSA patients, and the impact of PAP therapy at 1-year follow-up. Methods: At T0, OSA-suspected subjects underwent clinical, HRQoL, and psychological assessment. At T1, OSA patients underwent PAP therapy in a multidisciplinary rehabilitation setting. At 1 year follow-up, OSA patients were evaluated for the second time. Results: At T0, OSA patients (n = 283) and suspected OSA subjects (n = 187) differed for AHI, BMI, and ESS. At T0, the PAP-treatment group (n = 101) showed moderate–severe anxious (18.7%) and depressive (11.9%) symptoms. At 1 year follow-up (n = 59), the sleep breathing pattern had normalized and there was a reduction of ESS scores and anxious symptoms. There was also an improvement in HRQoL (0.6 ± 0.4 vs. 0.7 ± 0.5, p = 0.032; 70.4 ± 19.0 vs. 79.2 ± 20.3, p = 0.001) and in satisfaction with sleep quantity (52.3 ± 31.7 vs. 71.4 ± 26.2, p = 0.001), sleep quality (48.1 ± 29.7 vs. 70.9 ± 27.1, p = 0.001), mood (58.5 ± 24.9 vs. 71.0 ± 25.6, p = 0.001), and physical resistance (61.6 ± 28.4 vs. 67.8 ± 27.4, p = 0.039). Conclusion: Considering the impact of PAP treatment on patients' psychological and HRQoL evaluations that we observed, our data are valuable for unveiling different profiles characterizing this clinical population. [ABSTRACT FROM AUTHOR]

Background & Aims: Aging is a result of physiological changes, such as a higher level of stress, functional impairment, decreased hormone production, and decreased metabolic rate, which can lead to catabolism and degeneration of organs (1). These processes lead to progressive loss of nerve extensions, bone mass, skeletal muscle mass, and strength. These are phenomena that disrupt the ability to perform daily life activities, reduce the quality of life and increase the risk of falling (2). Decreased ability to maintain balance may be associated with an increased risk of falling. In the elderly, falls usually lead to injury, loss of independence, associated illness, and premature death (22). Mobility, being strong and steadfast can help the elderly to remain independent, increase selfconfidence and well-being with age (23). Cognition, the ability to think clearly, learn, and remember, often changes with age. Although some people develop cognitive impairment or other types of cognitive decline, many older people experience fewer changes in memory and thinking (12,13). The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association determined that cognitive function can be divided into six key areas (13). These areas include executive function, attention, learning and memory, language, motor-perceptual function and social cognition. The areas that are especially shocking for this research are memory, executive function, complex attention and social cognition, memory is the ability to encode, store and retrieve information (14). Anxiety, depression and cognitive decline are common problems in the elderly population. which contribute to significant mental complications and illness (19). Group movement and mindfulness exercises are specifically designed to strengthen the body and improve neural flexibility and multitasking ability. Group exercise and mindfulness include lots of fun cardio, strength and balance movements that increase heart rate, and can improve flexibility and reduce the risk of some diseases in the elderly (23). Methods: The present research was semi-experimental with a pre-test and post-test design, with two experimental groups and one control group and a one-month follow-up test. The statistical population of the research was made up of all the elderly in District 5 of Tehran. The participants were selected by the Federation of Public Sports in Tehran. It was done by purposeful sampling. 60 people with an average age of 60-75 years, in the movement group (20 people), the mindfulness group (20 people), and control group (20 people) were included in the research. Fullerton-Rose & Loches (2006) Advanced Balance Clinical Instrument: This scale is a performance-based measure that broadly refers to various dimensions of balance. The brief cognitive status test was used to screen and evaluate the cognitive status of the elderly. This test was created by Folstein (1997) (7). The short form of the depression scale of the elderly was used to screen and examine the depression status of the elderly. This questionnaire, was created by Sheikh and Yasavij (1986), consists of 15 questions. The method of conducting the present study was that after receiving the code of ethics (Ir.iau.srb.rec.1399.147) from the National Biomedical Research Ethics Committee, Islamic Azad University, Tehran Science and Research Branch, a pre-test was taken from the participants. Then group movement intervention and mindfulness intervention were conducted for 12 weeks and after the end of the interventions, all the participants were tested in two rounds. Research data analysis: Descriptive statistics (mean and standard deviation) were used for data analysis. In the inferential statistics section, the method of analysis of variance with repeated measurements and its presuppositions and Benferoni's post hoc test were used. All statistical tests were analyzed at a significance level of 500, and SPSS version 24 software was also used for data analysis. Results: In this research, the assumptions of analysis of variance with repeated measurements and Bonferroni's post hoc test including normality test, homogeneity of variance matrix, homogeneity of variance of groups, homogeneity of variances and homogeneity of regression coefficients were implemented and investigated. The results of the Shapiro-Wilk test indicated the normality of the data distribution of the variables used for variance analysis. The results of the analysis of variance with repeated measurement show the difference between the experimental and control groups in the scores of emotional state (moderate depression, anxiety), cognitive state, overall balance score. The results of the analysis of variance with repeated measurement in depression showed that the difference between the depression post-test scores in the groups of group movement intervention, mindfulness exercises and the control group was significant for the source of group changes (F=7.88, P<0.05). Using Bonferroni's post hoc test, it was shown that there is a significant difference between the group movement intervention group and the control group (MD=0.691, P=0.001) and also between the mindfulness exercises group and the control group. The results of the analysis of variance with repeated measurement of anxiety showed that the difference between the post-test anxiety scores in the groups of group movement intervention, mindfulness exercises and control was significant for the source of group changes (F = 7.88, P<0.05). Using Bonferroni's post hoc test, it was shown that there is a significant difference between the group movement intervention and the control group (MD=0.747, P=0.001) and also between the mindfulness exercises group and the control group. Conclusion: The present study, which was conducted with the aim of comparing the effectiveness and comparison of group movement intervention and mindfulness on balance, emotional state and cognitive performance of the elderly with and without mild cognitive impairment, shows the positive effect of group movement intervention and mindfulness on improving balance, emotional state and cognitive function. The results of the research showed that group movement exercises and mindfulness exercises have a positive and significant effect in the post-exam. No significant difference was observed between the balance scores of the two groups of group exercise and mindfulness in the post-test. These very interesting findings show that not only exercise training can improve metabolic parameters, but if it is a group exercise, it improves motor, emotional and cognitive performance. Increasing motor, emotional and cognitive functions is important to reduce the risk of cognitive impairment. Therefore, the results of the present study show that group movement intervention and mindfulness in healthy elderly people can be implemented well. Adaptation and training causes continuous changes in the physiological parameters of motor, emotional and cognitive functions, and if it is group motor training, it changes to a greater extent. The present findings may contribute to recommendations for people of retirement age to cope with long-term declines in physical function, metabolism, and health. This research recommends that it is never too late to participate in exercise training to improve motor performance and that group exercise intervention is superior to mindfulness training. In addition, continued group exercise and mindfulness seem to help improve the maintenance of several parameters related to overall body function and health. [ABSTRACT FROM AUTHOR]

Background/Aims: Traumatic dental injuries have different effects on children and their parents, depending on the type of trauma and whether it is in primary or permanent teeth. Parents do not always seek immediate intervention for their children after each traumatic dental injury unless accompanied by conditions such as pain or bleeding that will increase emotional stress. The aim of this study was to evaluate the emotional status of parents and parents' attitudes toward urgent intervention for different traumatic dental injuries in both primary and permanent teeth. Material and Methods: A questionnaire consisting of two parts was designed with a reliability coefficient of 0.87 according to the results of a pilot study. The questionnaire was sent to parents as a Google Form via online communication methods such as WhatsApp and e‐mail. The first part included questions about the demographic data of the parents and children, and the second part consisted of images of traumatic dental injuries of primary and permanent teeth with questions to evaluate the emotional state of the parents and awareness of the necessity for urgent intervention. The Visual Analog Scale (VAS) was used to evaluate the emotional state, and "Absolutely yes;" "Yes;" "I don't have an idea;" "No;" and "Absolutely no" statements were used to evaluate parents' attitudes about urgent intervention. Categorical variables were shown as numbers and percentages and analyzed with Pearson chi‐square. Statistical significance was evaluated for p <.05, and correlations between variables were calculated with Pearson correlation. Results: The survey was completed by 845 parents. All traumatic injuries except extrusion (p =.202; p ≥.05) had statistically different VAS scores for primary and permanent teeth (p <.05). Parents' attitudes for urgent intervention were statistically significant for all traumatic injuries (p <.05) except 4‐mm intrusion (p =.062; p ≥.05), alveolar fracture (p =.282; p ≥.05), complicated crown fracture (p =.136; p ≥.05), and non‐traumatized healthy teeth (p =.110; p ≥.05). Conclusions: Traumatic dental injuries with excessive bleeding or tissue loss affect the emotional status of parents more than simple injuries, and they prefer to refer to dentists immediately. Parents responded with higher VAS scores and stronger desires for urgent intervention for permanent teeth injuries compared with primary teeth injuries which shows that parents still do not care about primary teeth as much as permanent teeth. [ABSTRACT FROM AUTHOR]

Past research has recognized family functions and psychological factors like anxiety and Fear of Missing Out (FoMO) as significant influencers on smartphone addiction (SA) among adolescents. However, the precise association links between these elements have remained elusive. This study, grounded in family systems and structural family theories, and the Interaction of Person-Affect-Cognition-Execution (I-PACE) Model, examines these relationships among adolescent students. It investigated how family functions, particularly emotional status and discipline, alongside anxiety and FoMO, contribute to SA through Structural Equation Modeling (SEM). This study involved 1105 secondary school students (57.3 % females; M age = 15.12, SD = 1.78) from Southern Thailand. The research unveils that a positive family emotional climate significantly reduces anxiety, FoMO, and SA. The study further elucidates that anxiety and FoMO serve as significant risk factors in exacerbating SA. Anxiety is found to be a full mediator in the relationship from discipline to SA and a partial mediator between emotional status and SA, with FoMO amplifying these mediation effects. The limitations of this study include its cross-sectional design and reliance on self-reported data. [ABSTRACT FROM AUTHOR]

The process to become a public teacher in Spain involves a very strict examination. In order to pass this exam, a high level of emotional competence is required. During the preparation for this test, symptoms related to anxiety, depression and stress are experienced. The aim of this study was to investigate the effect of negative emotional state on emotional intelligence and psychological wellbeing as a function of the number of sittings in the competitive examination process. The research design was quantitative and exploratory. The sample consisted of 3578 candidates. The results show an increase in the effect of negative emotional states on emotional intelligence and psychological well-being in candidates who have taken part in the selection process more than twice. It is concluded that negative emotional states increase in their effect on emotional and psychological well-being as the number of exams taken increases.

Human status detection (HSD) is important to understand the status of users when interacting with various systems under different conditions. Recently, although various machine learning algorithms have been applied to analyze and detect human status, there are no guidelines to utilize machine learning algorithms to analyze physical, cognitive, and emotional aspects of human status. Therefore, this study aimed to investigate measures, tools, and machine learning algorithms for HSD by applying a systematic literature review method. We followed the preferred reporting items for systematic reviews and meta-analysis (PRISMA) model to answer three research questions related to the research objective. A total of 76 articles were identified using two hundred keyword combinations addressing topics under HSD in the fields of human factors and human-computer interaction (HCI). The results showed that research on HSD becomes important in industrial systems, focusing on how intelligent systems based on machine learning (ML) differ from earlier generations of automated systems, and what these differences necessarily imply for HCI to design and evaluation. The tools used to collect data for HSD on different parameters are broadly discussed. Recent HSD studies seem to focus on cognitive load and emotion, whereas prior studies have focused on the detection of physical effort. This research assists domain researchers in identifying HSD approaches using different ML algorithms that are suitable for use in their research.

Background: Complementary medicine (CM) is often used as an opportunity for preventive health measures and supportive self-care practices. This study aimed to explore the use of self-care practices and preventive health strategies and the aspects of the experienced emotions during the COVID-19 pandemic in a population with an affinity for CM. Methods: The authors conducted an exploratory cross-sectional study using an anonymous 41-item online survey in the German language. The survey respondents were recruited among adults with an affinity for CM (e.g., as targeted through their memberships in CM associations) from September 2020 to February 2021. A selection of self-care methods, mainly from CM, was presented in the questionnaire. Numerical rating scales (NRSs), ranging from 0 = minimum to 10 = maximum, were used to measure the intensity of different emotions experienced during the pandemic. Statistical analysis was carried out descriptively. Results: A total of 1605 participants (80.6% female; mean age: 55.4 ± 12.6 [SD] years; 43.9% holding a university degree) were included. The use of self-care methods for health promotion during the pandemic was reported by 86.8% of the respondents. Respondents favored staying in nature (85.6%), healthy nutrition (85.6%), and physical activities (83.6%). More than 60% of the respondents made use of vitamin C and/or D, herbal medicines, nutritional supplements, relaxation techniques, breathing exercises, homeopathy, or meditation for health promotion. The analysis of emotional status by NRS (0–10) revealed the lowest mean ± SD (standard deviation) for "feeling lonely" (2.6 ± 2.9) and "feeling anxious" (2.8 ± 2.6), and the highest mean for "feeling connected to others" (6.2 ± 2.5) and "well-being" (5.8 ± 2.4). Conclusions: Participants used a wide variety of self-care methods and prevention strategies to promote their health during the COVID-19 pandemic and showed, overall, a balanced emotional status. Further research should include a control group representative of the general population, to investigate the possible impact of self-care strategies. Clinical Trial Registration Number: "Deutsches Register Klinischer Studien" (German Clinical Trial Register); registration number: DRKS00022909. [ABSTRACT FROM AUTHOR]

Key summary points: Aim: This study aims to investigate the effects of a synchronous tele-exercise program on physical fitness, quality of life, loneliness, and mood change when applied to older people under social isolation during the coronavirus pandemic. Findings: Synchronous tele-exercise seems to be an effective method to provide improvements in the physical fitness level of community-dwelling older people and maintain their quality of life. In addition, it can make positive contributions to coping with loneliness in the older people and improve their mood. Message: To maintain the physical fitness level and quality of life of community-dwelling older people, the exercises can be applied effectively via the synchronous tele-exercise method. Purpose: The study investigates the effects of synchronized tele-exercise on physical fitness level, quality of life (QoL), loneliness and mood of older people individuals who experience social isolation during the coronavirus pandemic. Methods: A randomized controlled study was performed with 30 volunteers. A synchronized online exercise protocol was applied to the study group (SG) (n = 15; 10 females, 5 males) (mean age 67.1 ± 3.7 years), while the control group (CG) (n = 15; 7 females, 8 males) (mean age 69.3 ± 5.6 years) was placed on the waiting list. Physical fitness (Senior Fitness Test Battery-SFTB), health-related QoL (Nottingham Health Profile-NHP), loneliness (Loneliness Scale for the Elderly-LSE), and mood changes (Positive and Negative Affect Schedule-PANAS) were evaluated. Results: There was a significant difference in all the subscales of SFTB (p < 0.05), physical activity and energy subscales, and total scores of NHP (p < 0.05) and PANAS positive emotional status score (p = 0.002) in the study group. While LSE scores worsened in the CG (p = 0.016), there was no significant difference in the SG (p = 0.162). Conclusion: Synchronous tele-exercise can provide improvements in the physical fitness level and can be used to maintain QoL and to improve the mood of community-dwelling older people. [ABSTRACT FROM AUTHOR]

Abstract Background Fragmented data exist on the emotional and psychological distress generated by hospital admission during the pandemic in specific populations of patients, and no data exists on patients scheduled for surgery. The aim of this multicentre nationwide prospective cross-sectional survey was to evaluate the impact of pandemic on emotional status and fear of SARS-CoV-2 contagion in a cohort of elective surgical patients in Italy, scheduled for surgery during the COVID-19 pandemic. Results Twenty-nine Italian centres were involved in the study, for a total of 2376 patients surveyed (mean age of 58 years ± 16.61; 49.6% males). The survey consisted of 28 total closed questions, including four study outcome questions. More than half of patients had at least one chronic disease (54%), among which cardiovascular diseases were the commonest (58%). The most frequent type of surgery was abdominal (20%), under general anaesthesia (64%). Almost half of the patients (46%) declared to be frightened of going to the hospital for routine checkups; 55% to be afraid of getting SARS-CoV-2 infection during hospitalization and 62% were feared of being hospitalised without seeing family members. Having an oncological disease and other patient-related, centre-related or perioperative factors were independently associated with an increased risk of fear of SARS-CoV-2 infection during hospitalization and of being hospitalised without seeing family members. A previous infection due to SARS-COV-2 was associated with a reduced risk of worse emotional outcomes and fear of SARS-CoV-2 infection during hospitalization. Patients who showed the most emotionally vulnerable profile (e.g. use of sleep-inducing drugs, higher fear of surgery or anaesthesia) were at higher risk of worse emotional status towards the hospitalization during COVID-19 pandemic. Being operated in hospitals with lower surgical volume and with COVID-19 wards was associated with worse emotional status and fear of contagion. Conclusions Additional fear and worse emotional status may be frequent in patients scheduled for elective surgery during COVID-19 pandemic. More than half of the participants to the survey were worried about not being able to receive family visits. Psychological support may be considered for patients at higher risk of psychological distress to improve perioperative wellbeing during the pandemic.

(1) Background: here is a growing need for integrated and multidimensional approaches to health, especially in a particular category of populations, school-dropout (SD) adolescents, who are traditionally more prone to risky behavior. This study aimed to describe the association between possible risk factors (substance use, eating disorders, social addiction) and well-being perception through the application of a personalized well-being index (PWBI) in SD youths. (2) Methods: Data were collected in 450 school-dropout adolescents (19 ± 2 years, male 308); the health-related quality of life (HRQoL) and risk behaviors were assessed by means of a battery of standardized questions. (3) Results: The results revealed an altered perception of well-being in association with eating disorders (p < 0.001), the use of psychotropic drugs (p < 0.001), and the amount of their consumption (p < 0.05). In particular, there was a decrease in emotional state (p < 0.001) and PWBI (p < 0.001) in the presence of eating disorders, and an impairment in all PWBI components, emotional states (p < 0.001), lifestyle habits (p < 0.05), and social contexts (p < 0.001) when taking psychotropic drugs. (4) Conclusions: risk or unhealthy behaviors significantly worsen individual well-being. This study highlights the change of paradigm from a disease-oriented model to an educationally strength-based model when monitoring psychosocial well-being in order to define preventive and health promotion strategies in a vulnerable category of the population. [ABSTRACT FROM AUTHOR]

Background: Prolonged periods of social deprivation, such as COVID-19-related lockdowns, are associated with deleterious effects on cognitive functions.Objective: The aim of this study was to gauge the effect of prolonged social isolation on the cognitive function of older adults with neurocognitive disorders.Methods: We recruited 125 older adults with minor or major neurocognitive disorders divided into two groups. The control group was tested at the first period of the study (October 2018-May 2019), whereas the experimental group was evaluated at the second chronological period of the study (October 2020-May 2021) during the second wave of COVID-19. Neuropsychological tests were performed at baseline and six months after baseline.Results: In the control group, significant changes in the scores from the Montreal Cognitive Assessment (MoCA; p = 0.049) and the Functional Rating Scale for Symptoms of Dementia (FRSSD; p = 0.005) were found between baseline and follow-up assessments, whereas no changes were identified in Mini-Mental State Examination (MMSE; p = 0.229) and Geriatric Depression Scale (GDS; p = 0.619) scores. In the experimental group, the scores from all neuropsychological tests (MoCA, MMSE, GDS, and FRSSD; p < 0.001 for all) were significantly different at follow-up when compared with those at baseline measurements. Moreover, significant deterioration of specific functions assessed in MMSE and FRSSD was detected, especially in the experimental group.Conclusion: This study highlights cognitive functions directly affected by social deprivation of individuals with neurocognitive disorders. The findings can be used in the rehabilitation from confinement and its negative consequences. [ABSTRACT FROM AUTHOR]

Introduction and hypothesis: We compared the effectiveness of intravesical combination treatment and intravesical treatment plus low-dose amitriptyline in patients with primary bladder pain syndrome (PBPS). Methods: A total of 53 patients were included in the study. Demographic data, voiding frequency, nocturia, visual analog scale (VAS) scores, validated O'Leary–Sant IC Symptom Index (ICSI), and IC Problem Index (ICPI) scores and scores on the Short Form-36 (SF-36) questionnaire were collected from the patients at the beginning of the treatment, and at the 6th week and 6th month of the treatment. The patients were divided into two groups. Group 1 received intravesical treatment for 6 weeks. Group 2 received intravesical treatment plus amitriptyline at a dosage of 10 mg/day. Results: The frequencies of voiding and VAS scores were significantly improved in groups 1 and 2 at the 6th week compared with pretreatment (in group 1 p < 0.001, p < 0.001, and in group 2 p < 0.001, p < 0.001 respectively). The median ICSI and ICPI scores also significantly decreased in groups 1 and 2 (in group 1 p < 0.001, p < 0.001, and in group 2 p < 0.001, p < 0.001 respectively). Scores on the dimensions of the SF-36 questionnaire were significantly improved in both groups. There was no significant change in terms of VAS, nocturia, ICSI or ICPI scores when comparing the 6th week and 6th month results in groups 1 and 2 (all p > 0.05). Only role functioning/emotional achieved a significant improvement in group 2 (p = 0.007). Conclusions: Intravesical combination therapies are effective in PBPS treatment. Adding low-dose amitriptyline to intravesical therapy in patients with PBPS improves emotional status. [ABSTRACT FROM AUTHOR]

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Plant food additives are becoming more and more popular and broadly applied products, though the information on risks they poses to the organism is limited and contradictive. Obesity and overeating are some of the commonest health issues around the world, and people are increasingly consuming workability-enhancing preparations as a simple and fast method of weight control. The plant-based preparations are considered less harmful than the synthetic chemical ones. Lavandula angustifolia Mill., Melissa officinalis L. and Vitex angus-castus L. are broadly used as food additives and medicinal plants, despite the fact that their complex physiological assessment on model animals in the conditions of obesity has not yet been performed. We carried out a 30-day experiment on white male rats. All the animals were given high-fat diet, and the experimental animals, in addition to this diet, received 5% crumbled dry herbs of L. angustifolia, M. officinalis or V. angus-castus. Taking into account the overall amount of consumed food, the mean daily gain in body weight; at the end of the experiment, we determined the index of the weight of the internal organs, biochemical and morphological blood parameters. At the beginning and the end of the experiment, the rats were examined for motor and orienting activities, and emotional status. Rats on high-fat diet gained up to 112% body weight by the end of the experiment, while rats that had received V. angus-castus gained up to 119%, M. officinalis – 135%, L. angustifolia – 139%, compared with the initial body weight. Addition of medicinal plants to the diet led to increase in average daily weight increment, significantly and reliably after consuming lavender and lemon balm, less significantly and unreliably after eating Vitex. L. angustifolia and M. officinalis reduced the relative brain weight, and ingestion of L. angustifolia and M. officinalis caused notable decrease in the relative mass of the thymus (down to 58% and 47% of the relative weight of thymus in animals of the control group respectively). Also, these plants decreased the motor and orienting activities of the rats by the end of the experiment. As for the biochemical parameters of blood, the activity of alkaline phosphatase significantly increased to 406% following consumption of Melissa, to 350% after consuming lavender, and to 406% after Vitex, compared to the control group. Furthermore, all the groups were observed to have increased AST and ALT activities. Intake of lavender led to increases in cholesterol (to 125%) and LDL cholesterol (to 228%), whereas the groups that consumed lemon balm were observed to have decreases in urea nitrogen (to 79%), totalbilirubin (to 63%) and triglycerides (to 63%). Addition of Vitex led to increase in the index of aterogenecity against the background of notable fall in HDL cholesterol (to 52% of the control group). The medicinal plants also contributed to the normalization of the glucose level. Morphological analysis of blood revealed no significant changes, except heightened content of monocytes in blood, which is characteristic of all groups, including the control. Effects of L. angustifolia, M. officinalis and V. angus-castus on the organism of rats on excessive-fat diet require additional histological, histochemical and immunological surveys.

Background and purpose: Difficulties in emotion processing and social cognition identified in multiple sclerosis (MS) patients have a potential impact on their adaptation to the social environment. We aimed to explore the neural correlates of emotion recognition in MS and possible differences between relapsing–remitting MS (RRMS) and secondary progressive MS (SPMS) patients by the Reading the Mind in the Eyes test (RMEt). Methods: A total of 43 MS patients (27 RRMS, 16 SPMS) and 25 matched healthy controls (HC) underwent clinical assessments, RMEt, and a high‐resolution T1‐weighted 3‐T magnetic resonance imaging (MRI) scan. The number of correct answers on the RMEt was compared between groups. T1‐weighted volumes were processed according to an optimized voxel‐based morphometry (VBM) protocol to obtain gray matter (GM) maps. Voxelwise analyses were run to assess potential associations between RMEt performance and regional GM volumes. Results: Taken altogether, MS patients reported significantly lower performance on the RMEt compared to HC. When dividing the patients into those with RRMS and those with SPMS, only the latter group was found to perform significantly worse than HC on the RMEt. VBM analysis revealed significant association between RMEt scores and GM volumes in several cortical (temporoparieto‐occipital cortex) and subcortical (hippocampus, parahippocampus, and basal ganglia) brain regions, and in the cerebellum in SPMS patients only. Conclusions: Results suggest that, in addition to other clinical differences between RRMS and SPMS, the ability to recognize others' emotional states may be affected in SPMS more significantly than RRMS patients. This is supported by both behavioral and MRI data. [ABSTRACT FROM AUTHOR]

Background. A violation of nutritional status (obesity) and emotional-behavioral status (depression) is one of the urgent problems of modern health care. Often these two problems are at the same time. Particularly striking manifestations of a decrease in nutritional and emotional statuses are observed in children with oncological diseases of various origins.Objective: to assess the emotional-behavioral status and nutritional status in pediatric cancer and hematological diseases after treatment.Materials and methods. The study included 112 children with acute lymphoblastic leukemia (n = 49) and central nervous system tumors (n = 63) in remission. Age 6–18 years (median 11.5 years). 66 male (58.9 %). The Aachenbаch questionnaire was used to assess the behavioral and individual-personality characteristics. CDI (children depression inventory) questionnaire was used to assess the presence and level of depression. Body mass index (in percentile terms) and body tissue composition by bioimpedance analysis (body fat and lean body mass were evaluated) were used to assess nutritional status.Results. As a result, it was found that a significant proportion of children have delayed effects of treatment in the form of reduced nutritional status and emotional and behavioral difficulties. Children with brain tumors have an increased risk of nutritional and emotional-behavioral disorders compared to children who have survived acute lymphoblastic leukemia. The nutritional and emotional-behavioral statuses of children are related: the presence of excess fat mass increases the risk of emotional-behavioral disorders. According to questionnaires, parents identify detected problems much more often than patients themselves.Conclusion. In children who have experienced antitumor treatment and achieved remission, in case of excess body fat, the risk of emotionalbehavioral disorders increases. Emotional-behavioral disorders can have a negative effect on rehabilitation measures; therefore, before starting rehabilitation measures it is necessary to take into account the nutritional and emotional-behavioral status of patients.

Objective Fibromyalgia (FM) is characterized by chronic widespread pain and both physical and emotional alterations, which in turn may affect the individual's quality of life. Thus, interventions aimed at treating such symptoms, without increasing fatigue, are needed. The aim of this study was to explore the effect of high-frequency transcranial magnetic stimulation (HF-TMS) and physical exercise (PE) on pain, impact of FM, physical conditioning, and emotional status in women with FM. Methods Forty-nine women with FM were randomly allocated to: (1) a PE group (PEG, n = 16), who underwent an 8-week (two 60-minute sessions/wk) low-intensity PE program; (2) a TMS group (TMSG, n = 17) receiving a 2-week (five 20-minute sessions/wk) HF-TMS intervention; and (3) a control group (CG, n = 16). Pain (ie, perceived pain and average pressure pain threshold), perceived impact of FM (ie, overall impact, symptoms, and perceived physical function), physical conditioning (ie, endurance and functional capacity, fatigue, gait velocity, and power), and emotional status (ie, anxiety, depression, stress, and satisfaction) were assessed at baseline (T0) and after the intervention (T1, at 2 weeks for TMSG and at 8 weeks for PEG and CG). Results The TMSG showed significant improvement in all studied variables after the intervention except for satisfaction, whereas the PEG showed improved average pressure pain threshold, perceived overall impact of FM and total score, endurance and functional capacity, velocity and power, anxiety, depression, and stress. In contrast, the CG showed no improvements in any variable. Conclusion Both PE and HF-TMS are effective in improving pain, impact of FM, physical conditioning, and emotional status in people with FM; HF-TMS achieved larger improvements in emotional status than PE. Impact TMS and PE have similar benefits for physical status, whereas TMS has greater benefits than PE for emotional status in women with FM. [ABSTRACT FROM AUTHOR]

Utilizing a World Health Organization (WHO) multi-national dataset, the present study examined the relationships between emotion, affective variability (i.e., the fluctuation of emotional status), and depression across six developing countries, including China (N=15,050); Ghana (N=5,573); India (N=12,198); Mexico (N=5,448); South Africa (N=4,227); and Russia (N=4,947). Using moderated logistic regression and hierarchical multiple regression, the effects of emotion, affective variability, culture, and their interactions on depression and depressive symptoms were examined when statistically controlling for a number of external factors (i.e., age, gender, marital status, education level, income, smoking, alcohol drinking, physical activity, sedentary behavior, and diet). The results revealed that negative emotion was a statistically significant predictor of depressive symptoms, but the strength of association was smaller in countries with a lower incidence of depression (i.e., China and Ghana). The association between negative affective variability and the risk of depression was higher in India and lower in Ghana. Findings suggested that culture not only was associated with the incidence of depression, but it could also moderate the effects of emotion and affective variability on depression or the experience of depressive symptoms.

Subthalamic nucleus deep brain stimulation (STN-DBS) is a alternative treatment in Parkinson's disease. The iam of this case report is to present a case with a positive effect of STN-DBS on early-term results in Parkinson's disease. A 45-year-old man who underwent STN-DBS surgery as a treatment method for Parkinson's Disease was presented. He was assessed in preoperative and postoperative period. STN-DBS surgery reduced the clinical severity of Parkinson's disease, the patient walked a certain distance in a shorter period, increased number of motion repetitions at a certain time interval, and decreased anxiety and depression level. In conclusion STN DBS surgery has a positive effect on physical functions in Parkinson's disease and it may be useful to perform follow-up study in order to evaluate changes in cognitive functions.

Subtalamik çekirdek derin beyin stimülasyonu (STN-DBS) Parkinson hastalığında alternatif bir tedavi yöntemidir. Bu çalışmanın amacı Parkinson hastalığında STN-DBS'nin erken dönem sonuçları üzerine etkisini bir olgu bağlamında incelemektir. Parkinson hastalığında bir tedavi yöntemi olarak STN-DBS cerrahisi geçiren 45 yaşında erkek hasta sunuldu. Olgu ameliyat öncesi ve sonrası olmak üzere iki kez değerlendirildi. STN-DBS cerrahisinin Parkinson hastasında Parkinson Hastalığının klinik şiddetini azalttığı, hastanın belirli mesafe arasını daha kısa sürede yürüdüğü, belirli zaman aralığında hareket tekrar sayısının arttığı, anksiyete ve depresyon düzeyinin azaldığı belirlendi. Sonuç olarak STN-DBS'in Parkinson hastalığında fiziksel fonksiyonlar üzerine olumlu etkisi belirlenmiş olup, kognitif fonksiyonlardaki değişikliklerin değerlendirilebilmesi için işlem sonrası izlem çalışmasının yapılması yararlı olabilir.

Introduction: The present study aimed at assessing the prevalence of periodontal diseases and oral hygiene in adults during the COVID-19 lockdown in Riyadh city, Saudi Arabia. Materials and methods: A web-based survey with a link was distributed to the participants through social media. A questionnaire consisting of 24 multiple-choice questions was used to obtain data like participants' medical information, activity performance, social life, emotional status, and oral hygiene during the COVID-19 lockdown (576 completed questionnaires). Results and discussion: The emotional status of participants during the lockdown, smoking, male gender, and nationality appeared as having a positive influence on the prevalence of periodontal diseases (OR= 1.93, OR = 1.91, OR= 1.82, OR= 2.74, p ≤ 0.05. respectively). Oral hygiene practices of Riyadh residents were not affected (p = 0.765) and the use of interdental cleansing aids increased (p = 0.006). Conclusions: COVID-19 lockdown can affect periodontal health in stressed or depressed people. [ABSTRACT FROM AUTHOR]

The therapeutic advantages of seeing plants have gained increasing consideration in stressful modern societies, however, evidence-based studies on how physiological and emotional states of individuals from different nationalities change when seeing different foliage colors are limited. The study was conducted to explore the physiological and psychological advantages of foliage colors as visual stimuli. The experiment included 40 men from two nations (age: 21.34 ± 3.50 years) and was carried out using five foliage colors including green, light green, green-yellow, green-red and green-white. Participants were exposed to each color for 2 min, when seeing the foliage colors, eye movements and oxy-Hb concentrations were continuously measured. Subjective evaluations of emotions were performed utilizing a semantic differential questionnaire. A significant decrease in oxy-Hb concentration in the frontal lobe was associated with the viewing of green and green-white plants by the Japanese participants and with viewing light green and green-yellow by the Egyptian participants. Participants spent higher fixation numbers and longer durations on these colors. The findings indicate that viewing of these plant colors was positively associated with physiological relaxation. Furthermore, these colors were associated with more positive feelings, such as calmness, comfort and naturalness. Therefore, the presence of these colors in spaces may have positive impacts on relaxation and emotional status.

Objective: To elucidate the presence, importance, and characteristics of menstrual changes related to stressful circumstances during the COVID-19 lockdown in Spain., Study Design: An online survey was administered in Spain to menstruating women aged 15-55 who had not contracted COVID-19. It collected information on activities during the lockdown, sexual activity, perceptions of emotional status, any changes in menstrual characteristics, and impact on quality of life. The analysis of menstrual changes was limited to responders who did not use hormonal contraception., Results: A total of 6449 women answered the survey, and 4989 surveys were valid for the final analysis. 92.3% of women had at least one menstruation period during the lockdown, while 7.7% had amenorrhea. Quality of life (QoL) associated with menstruation worsened in 19% of women, did not change in 71.7%, and improved in 1.6%. For 50.1% of the women, global QoL worsened during the lockdown; 41.3% remained about the same and 8.7% reported improvement. Sexual activity during the lockdown decreased in 49.8% of the respondents, remained unchanged in 40.7%, and increased in 9.5%. As far the menstrual changes are concerned, there were no statistically significant differences in amenorrhea incidence, regularity of the menstrual cycle, or the amount or duration of menstrual bleeding in non-hormonal contraceptive users when evaluated by the length and characteristics of isolation, the perception of exposure to COVID-19 and the economic or employment situation. Conversely, we found statistically significant differences according to the intensity of changes in emotional status due to lockdown stressors and changes in regularity, duration, and heaviness of menstruation., Conclusion: Changes in emotional status, but not the length and intensity of the isolation or exposure to the disease, significantly influenced menstrual disturbances during the COVID-19 lockdown., (Copyright © 2024 Elsevier España, S.L.U. All rights reserved.)

Background: During the COVID-19 pandemic, we designed an indoor nature activity program for citizens with a relaxing effect similar to forest bathing to promote their physical and mental health. We integrated an indoor horticultural activity (Kokedama) with the breathing of Pseudotsuga menziesii (P. menziesii) and Lavandula angustifolia (L. angustifolia) essential oils (EOs) with the goal of creating a nature-inspired environment in an indoor setting where participants would feel as if immersed in a forest atmosphere., Methods: Taiwanese women participated in the experiment, using two Saturday mornings, one Saturday in a university classroom in the city center; and the other Saturday in a workshop in a Suburban Park. Intra-group comparisons were used to assess the Physiological responses to urban and suburban environmental stimuli and measured self-reported psychological responses. We recorded parameters associated with heart-rate variability and brainwaves. We also administered the State-Trait Anxiety Inventory-State (STAI-S) questionnaire before and after the participants had completed the entire program., Results: After the participants had breathed the P. menziesii and L. angustifolia EOs, the levels of some physiological parameters increased (standard deviation of normal-to-normal intervals, normalized high frequency, and high alpha wave) and those of others decreased (normalized low frequency, low- to high-frequency ratio power, high beta wave, and gamma wave). These findings were corroborated by the data from the STAI-S questionnaires., Conclusions: The psychophysiological data from this study provide significant scientific evidence for the health benefits of an indoor nature activity program in women., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)

Introduction Olfactory dysfunction may be present in patients with nasal obstruction and septal deviation. The impact of olfactory dysfunction on the psychological profile and quality of life (QoL) of these patients remains unexplored. Objective The present study aimed to investigate the emotional status and QoL of patients with olfactory dysfunction and septal deviation and to identify predictors associated with clinically significant improvement of psychological status and QoL, focusing mainly on the role of olfactory recovery after septoplasty. Methods The olfactory function was quantitatively assessed using the ‘‘Sniffin’ sticks'' test (Burghart Messtechnik GmbH, Wedel, Germany) in 60 patients and 25 controls enrolled in this prospective study. The participants completed validated questionnaires specific for general health (Short Form-36), nasal-symptom related QoL (SinoNasal Outcome Test-22), olfaction-associated QoL (Questionnaire of Olfactory Deficits) and for assessing their psychological state (Short Anxiety Screening Test and Beck Depression Inventory) preoperatively and 6 months postoperatively. The patients used the Glasgow Benefit Inventory to evaluate their personal benefit after septoplasty with. Results Septoplasty led to significantly improved olfactory function. Patients with olfactory impairment had significantly lower nasal-symptom related QoL, higher stress levels, and more depressive mood compared with normosmics and controls before and after septoplasty. Postoperatively, personal benefit from surgery was higher in normosmic patients. Improvement of nasal-symptom related QoL was significantly associated with higher likelihood of clinically significant improvement of patients' psychological profile and more personal benefit from surgery. Olfactory dysfunction was negatively correlated with the emotional status of the patients. Conclusion Olfactory dysfunction appears to significantly affect the psychological status of patients with nasal obstruction, and olfactory recovery improves the patients' perception of personal benefit from septoplasty.

What factors negatively influence the accuracy of topical diagnosis of spinal nerve root lesion during neurological examination has not been solved until now.Objective: to identify the nature of the relationship between the accuracy of topical diagnosis of spinal nerve lesion from neurological symptoms in patients with cervical disk herniation and the peculiarities of their emotional status and quality of life.Patients and methods. Forty-eight patients with cervical disc herniation were examined. At first, the level of spinal nerve root lesion established during neurological examination was compared with the results of magnetic resonance imaging or computed tomography and surgical intervention. Thereafter, the importance of emotional factors in determining the accuracy of topical diagnosis is studied in these patients.Results and discussion. If there was a divergence between preliminary neurological and final diagnoses, personality traits, such as hysteria, psy-chasthenia, alexithymia, and trait anxiety were most significant. The most substantial differences were found in the index of alexithymia. The accuracy of topical diagnosis was influenced not only by the psychological profile of patients with cervical disc herniation, but also by their qualty-of-life indicators. These are persons who are anxious and suspicious and are characterized by anxiety, fearfulness, indecision, and constant doubt. They use the symptoms of a somatic disease as a means to avoid responsibility. These patients solve all their problems, by escaping into disease, which causes social maladjustment.Conclusion. The features of an individual's psychological profile as increased anxiety, hysteria, and psychasthenia reduce the accuracy of topical diagnosis of the lesion by 25.6%. Patients with cervical disk herniation, low quality-of-life indicators, and high scale scores for hypochondria, depression, psychasthenia, and trait anxiety need their emotional status to be corrected.

The article highlights the role, the need to develop personal resources in people with disabilities as a condition of success in their professional orientation. The content of this article is an attempt to fi nd experimental research on the personal resilience of people with disabilities. In the end, some recommendations are proposed for the training of professional resources.

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Purpose: The aim of study was to examine the features of emotional state and cognitive function of children with limited intellectual abilities during outdoor games. Methods: 40 pupils from the Smilyan Orphanage of Cherkasy Region participated in the research. All children were divided into two groups, the control and the experimental, with the existing diagnosis of moderate grade oligophrenia, and attended the 2nd and 3rd grades of correctional school. The control group consisted of 22 students, including 11 boys and 11 girls. The experimental group consisted of 18 students, of which 9 boys and 9 girls. The following research methods were used: analysis and generalization of the data of special scientific literature, pedagogical methods of research, method of comparison, methods of research of psycho-emotional state; psychomotor development; methods of mathematical statistics. Results: The results of researches presented in the article allow to state the positive influence of classes of motive games on the psycho-emotional state and cognitive function of children with intellectual disabilities, which will promote social adaptation of students with this nosology. Conclusions: Motivational games can be used during developmental and physical training sessions as an effective remedy for therapeutic effects in some mental disorders, as an effective non-medication remedy. This has a positive effect on the physical and psycho-emotional state of children with intellectual disabilities and can be applied in the process of adaptive physical education. [ABSTRACT FROM AUTHOR]