Mediating role of coping in the dispositional optimism-posttraumatic growth relation in breast cancer patients

The aim of the present study was to examine if coping strategies mediate dispositional optimism-posttraumatic growth relation in postoperative breast cancer patients. The data were collected from 90 patients in two hospitals. Regression analyses revealed that problem-focused coping fully mediated dispositional optimism-posttraumatic growth relation, but emotion-focused coping did not. That is, postoperative breast cancer patients who were optimistic were more likely to use problem-focused coping strategies that, in turn, led to the development of posttraumatic growth. The findings were congruent with the literature in which problem-focused coping was mostly highlighted as compared to emotion-focused coping, and in which optimism and problem-focused coping relationship was emphasized in the path of posttraumatic growth.     

Social Contact,Academic Satisfaction,COVID-19 Knowledge,and Subjective Well-being Among Students at Turkish Universities: a Nine-University Sample

Adverse effects of COVID-19 are seen not only on the physical health of infected individuals but also on their subjective well-being. Sudden changes in social lives, lockdowns, and shifts towards online education have had a negative impact on many people, especially university students. As part of an international study, the current study focused on the well-being of students at Turkish universities in relation to social contact, academic satisfaction, and COVID-19 knowledge. A total of 7363 students from nine universities (86.6% from state universities, 71.04% female, and 73.52% at bachelor’s level) participated in an online survey. Results revealed that females had lower levels of subjective well-being and academic satisfaction. According to a mediation model in the study, the relationship between social contact and well-being was mediated by academic satisfaction and COVID-19 knowledge. Our findings can guide future researchers, mental health professionals, universities, and policymakers to understand and improve subjective well-being of university students.

     

Does Ramadan Fasting Alter Body Weight and Blood Lipids and Fasting Blood Glucose in a Healthy Population? A Meta-analysis

In this study, we conducted a meta-analysis of self-controlled cohort studies comparing body weights, blood levels of lipids and fasting blood glucose levels before and after Ramadan taking into account gender differences. Several databases were searched up to June 2012 for studies showing an effect of Ramadan fasting in healthy subjects, yielding 30 articles. The primary finding of this meta-analysis was that after Ramadan fasting, low-density lipoprotein (SMD = ?1.67, 95 % CI = ?2.48 to ?0.86) and fasting blood glucose levels (SMD = ?1.10, 95 % CI = ?1.62 to ?0.58) were decreased in both sex groups and also in the entire group compared to levels prior to Ramadan. In addition, in the female subgroup, body weight (SMD = ?0.04, 95 % CI = ?0.20, 0.12), total cholesterol (SMD = 0.05, 95 % CI = ?0.51 to 0.60), and triglyceride levels (SMD = 0.03, 95 % CI = ?0.31, 0.36) remained unchanged, while HDL levels (SMD = 0.86, 95 % CI = 0.11 to 1.61, p = 0.03) were increased. In males, Ramadan fasting resulted in weight loss (SMD = ?0.24, 95 % CI = ?0.36, ?0.12, p = 0.001). Also, a substantial reduction in total cholesterol (SMD = ?0.44, 95 % CI = ?0.77 to ?0.11) and LDL levels (SMD = ?2.22, 95 % CI = ?3.47 to ?0.96) and a small decrease in triglyceride levels (SMD = ?0.35, 95 % CI = ?0.67 to ?0.02) were observed in males. In conclusion, by looking at this data, it is evident that Ramadan fasting can effectively change body weight and some biochemical parameters in healthy subjects especially in males compared to pre-Ramadan period.     

The specificity triad: notions of disease and therapeutic specificity in biomedical reasoning

Biomedicine is typically defined as the branch of medicine that is based on the principles of biology and biochemistry. A central tenet for biomedicine is the notion of disease and therapeutic specificity, i.e. the idea of tailored treatments for discrete disorders underpinned by specific pathologies. The present paper is concerned with how notions of disease and therapeutic specificity guide biomedical reasoning. To that end, the author proposes a model – the specificity triad – that draws on late philosopher and physician Ludwik Fleck’s concept of “style of thought” to offer a frame for investigating the intricate process through which links between disorders, mechanisms, and therapeutics are established by biomedicine. Next by applying the specificity triad model to scrutinize research efforts in two discrete areas of medicine—psychiatry and regenerative medicine—this paper seeks to stimulate pertinent discussions in and about biomedicine. These include discussions on the ambiguous epistemic status of psychiatry within contemporary biomedicine, as well as the relationship between developmental biology — historically relatively disjointed from biomedical enterprise — and the burgeoning field of regenerative medicine.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

The Effect of Religious Belief and Forgiveness on Coping with Diabetes

We aimed to investigate the relationship of religious beliefs and forgiveness in diabetic patients with various sociodemographic characteristics, emotional problems and glycaemic control. The study comprises 100 patients diagnosed with type 2 DM. We used a data collection form, the Scale of Forgiveness and Religiosity (SFR), Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). We also recorded blood glucose and HbA1c test results. A statistically significant relationship was determined only between the scores of the STAI-I and the religious belief scales (r = 0.198, p = 0.049). A statistically significant negative relationship was determined between the forgiveness scale points and the BDI (r = 0.326, p = 0.001), the STAI-II (r = 0.308, p = 0.002) and PAID (r = 0.313, p = 0.001) and a positive correlation with ADDQoL (r = 0.284, p = 0.004). To conclude, forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase quality of life.     

Cultural differences in neural function associated with object processing

Behavioral research suggests that Westerners focus more on objects, whereas East Asians attend more to relationships and contexts. We evaluated the neural basis for these cultural differences in an event-related fMRI study. East Asian and American participants incidentally encoded pictures of (1) a target object alone, (2) a background scene with no discernable target object, and (3) a distinct target object against a meaningful background. Americans, relative to East Asians, activated more regions implicated in object processing, including bilateral middle temporal gyrus, left superior parietal/angular gyrus, and right superior temporal/supramarginal gyrus. In contrast to the cultural differences in object-processing areas, few differences emerged in background-processing regions. These results suggest that cultural experiences subtly direct neural activity, particularly for focal objects, at an early stage of scene encoding.     

Photography as unconcealment: revisiting the idea of photographic transparency

What distinguishes photography from other visual mediums? This deceptively simple but fundamental question has been at the centre of both past and current debates on the aesthetics of photography for quite some time. In this article, I will first address the premise that this question is intrinsically ontological and unfolded in pioneering debates as a sequence of implications about photographic indexicality. I will then argue that the ontological implications of photographic indexicality have been largely overlooked in subsequent research due to scholars’ concerns with how photography appears to us rather than what photography is in itself. To this end, I will specifically examine Kendall Walton's highly contested transparency thesis and some of its rebuttals, which have exerted a sprawling influence on debates on the aesthetics of photography. I will also argue that, having been exceedingly implicit in his account, what appears as indexicality to Walton and the implications thereof with respect to the transparency argument has operated on a phenomenological level; thus, the thesis itself has failed in instances in which the problem of representation and the very existence of the medium come into play. Finally, I will suggest that indexicality can be regarded as a distinctive feature of photography only when it is considered a predicate of transparency as an interstice of ‘unconcealment’ in the Heideggerian sense that would call into question the very existence of the representation and the photographic medium.