Search Results (12)

Marriage is a social contract that carries a number of qualities recognized as having fundamental values. These qualities include a spiritual bond between spouses, mutual love, affection, and responsibility, the continuation of the generation, and the existence of social order. The social definition of marriage implies that it is a phenomenon that occurs not only between two individuals in the context of cultural continuity but also in other social structures. It evolves into a structure that encompasses not only the initial two families but also the broader societal context. In Islamic marriage, a contract is formalized between a man and a woman who meet the religious requirements for marriage. The contract is executed with their consent and in the presence of witnesses. However, from a cultural perspective, marriage embodies a multifaceted structure, influenced by religion, ritual practices, symbols, and traditions. In this study, topics such as oral culture, wedding traditions, and rituals are discussed, and cultural practices are interpreted. This study sheds light on the manner in which marriage rites influence the discourse and actions within the social structure. Such studies are of paramount importance in demonstrating the continuity and vitality of culture, as well as the transformative nature of ritual meanings over time. They underscore the notion that culture is an ever-evolving process of interpretation, a characteristic that is intrinsic to its very essence. These actions, inextricably linked to societal structures, have the potential to give rise to novel symbolic meanings and values at any given juncture. However, it is imperative to recognize that the mere analysis of texts representing oral culture products is insufficient for comprehending their ritual functions, social messages, and emotional dimensions. Consequently, an interdisciplinary approach that incorporates the study of transitional rituals and oral culture is necessary to achieve a more comprehensive understanding. By examining cultural elements from diverse perspectives, we can develop a more comprehensive and nuanced understanding of cultural diversity in Anatolia. Full article

Background: Suicide and self-injury are serious public health concerns, especially in young populations, owing to multiple social, cultural, and gender determinants. Qualitative evidence exploring narratives regarding the factors behind suicide among young women is rare in Pakistan. Objective: The present study aims to explore the complex dimensions of suicide or self-injury among young women of Southern Punjab. Methods: Semi-structured interviews were conducted in a marginalized district in South Punjab, with participants consenting to in-person meetings at their homes or phone interviews. We collected detailed accounts of fifteen deceased girls or self-harm survivors, with insights provided by close relatives of the victims. Results: Our findings identified several conducive factors to suicidality, including receiving insults in front of others, low self-esteem, household pressures, work burdens, unfulfilled romantic desires, feelings of worthlessness, cheating in love, marriage without choice, and engagement in risky behaviors. These causes could be categorized into personal (such as an inferiority complex), social (a lack of family support and frequent conflicts), and cultural factors (forced marriages). Conclusions: Our study advocates for empowering women through education and restricting access to suicide means, such as pesticides or Paraphenylenediamine (PPD). Moreover, the government should take strict measures to discourage the forced marriage of young females in rural contexts. This study highlights the importance of integrating suicide prevention initiatives with research efforts within Pakistan’s healthcare system. Full article

This article is an interdisciplinary study. The authors (a canon lawyer and a biblical theologian) endeavour to examine the text of the Book of Deuteronomy 24:1 through both canonical and exegetical lenses. They look at whether and to what extent it is aligned with the contemporary Catholic teaching on the permanence and indissolubility of marriage. They frame the research problem through a series of questions: Is the analysed text contrary to the Catholic Church’s position on the inadmissibility of divorce? Does it imply consent to divorce? Or does it permit marital separation but solely under specific conditions? First, the authors discuss the Catholic teaching on the permanence and indissolubility of marriage. They highlight a distinction between the two terms. They seek to expose the process of evolution of the institution of marriage from the Creation, i.e., God’s original intention in relation to marriage, through the Old Testament period of “hardness of heart”, i.e., from the original sin to the time of Jesus, to the third stage since Jesus, who restored the original order destroyed by sin and elevated the conjugal bond of two baptized people to the dignity of a sacrament. The authors then examine the concept of marital separation. By its very nature, it does not sever the marital bond. The authors explain the legal grounds for separation, among them adultery and failure to maintain marital fidelity. Next, they conduct an in-depth semantic analysis of the studied text and discuss divorce proceedings in the light of Deuteronomy 24:1. They close the discussion with conclusions. Due to the interdisciplinary nature of the work, the authors relied on the literature from the domains of biblical studies and canon law. Full article

Over the last three decades, the receipt of formal sexuality education has declined, with half of adolescents nationwide receiving the minimum Healthy People standard of sexuality education from 2015 to 2019. Further, racial and geographic inequities in sexuality education remain, with Black women and girls more likely to receive abstinence-only-until-marriage instruction. We sought to describe Black women’s sexual education in two southern states, North Carolina and Georgia. We conducted a qualitative community-based participatory research study. We held focus-group discussions with forty-nine Black women in Georgia and North Carolina between May 2019 and January 2020. The research team, the reproductive justice organization, and the Research Board reviewed, discussed, and refined themes developed using deductive thematic analysis. Most participants were employed. The median age was twenty-seven. From the participants’ accounts, we observed the inadequacy of sexuality education and the resulting process of unlearning inaccurate, negative information and learning positive and accurate information about sexuality. Participants expressed a desire for accessible, high-quality sexual education for themselves and the next generation that addresses autonomy, pleasure, and consent. Our findings highlight the need for investment in existing community efforts and in creating high-quality, culturally responsive comprehensive sexuality education nationwide to effectively address structural barriers to accessing sexuality and relationship information and skills. Full article

Background: Sickle cell anemia (SCD) is a relatively uncommon health condition in many countries, but it is prevalent in Saudi Arabia mainly due to the high incidence of consanguineous marriages. Regrettably, there are elevated rates of vaso-occlusive crises (VOCs) and blood transfusions, leading to poor quality of life and significant financial strain. Objective(s): This study aimed to assess the frequency of blood transfusions, out-of-pocket expenditures (OOPEs), and health-related quality of life (HRQoL) in SCD patients. Methods: This was a questionnaire-based cross-sectional study that involved SCD patients at a university-affiliated tertiary care center in Riyadh, Saudi Arabia. The patients’ medical and sociodemographic characteristics were obtained from the electronic medical records. Data on HRQoL and OOPEs were collected through a questionnaire-based interview. To present the baseline characteristics, descriptive statistics such as mean, standard deviation, frequency, and percentage were used. In addition, various statistical tests, including the Chi-Square test, Student t-test, one-way ANOVA, and multiple linear regression, were performed. Results: One hundred and eighteen patients consented to participate and were included in the analysis. Almost 53% of the patients were females. The mean age of the sample was 31 years, while the age-adjusted quality-adjusted life years (QALYs) was 24.33 years (p-value < 0.0001). Most patients (83.05%) reside in Riyadh with a monthly family income of less than USD 2666.67 (75.42%). Monthly OOPEs were, on average, USD 650.69 ± 1853.96, and one-third of the adult patients reported income loss due to illness, further exacerbating their financial strain. High frequency of blood transfusion (β = −0.0564, p-value = 0.0066) and higher number of comorbidities (β = −0.10367, p-value = 0.0244) were negatively associated with the HRQoL among adult patients. On the other hand, adult patients with higher levels of education had better HRQoL (β = 0.05378, p-value = 0.0377). Conclusions: The findings of this study highlight the negative impact of SCD on patients’ HRQoL and financial well-being. This underscores the urgent need for comprehensive systemic approaches to address the challenges posed by SCD in Saudi Arabia. Full article

Wedding rituals and ceremonies have been depicted in various forms of literature, art, and illuminated manuscripts in medieval times. These representations offer valuable insights into the cultural, religious, and social aspects of weddings during that period. This article considers the state of research on visual representations of the wedding ceremony in the Middle Ages and how these pictures reflect legal, religious, and cultural/social aspects of medieval life in Europe. Using examples from various religious, literary, and legal texts, several questions will be addressed: In which contexts were the pictures of wedding ceremonies created? What is depicted and what is not? Which legal, religious, and cultural aspects are reflected in the medieval visualizations of the wedding ritual and how do the visualizations correspond to the religious, legal, and cultural setting of the wedding ritual in the Middle Ages? Illuminated legal manuscripts, particularly the Liber Extra, the Decretals of Pope Gregory IX, reveal much about the rituals that signified the essence of the medieval wedding ceremony: the exchange of consent, the joining of the right hands (dextrarum iunctio), and the blessing of the union by a priest. Since the Fourth Lateran Council in 1215, marriage was considered a sacrament by the Church, making the ritual a fulcrum of religious life. However, only the consummation of a marriage was able to bring the property-related effects of marriage into effect, and some pictures from a secular context refer to this part of the wedding ceremony. The primary function of these visual representations of marriage was the illustration of the text, in both canon law manuscripts and medieval literature. Therefore, they are, besides the textual transmission, valuable sources and crucial interpretive keys for understanding the legal and socio-cultural dimensions that shaped the institution of marriage in medieval Europe. Full article

Background: The aim of this study was to compare the rates of vaccination against COVID-19 infection in psychiatric outpatients and the general population, as well as rates of infected patients. In addition, the level and type of anxiety due to the pandemic were observed in patients with psychotic, anxiety, and depressive disorders. Materials and Methods: In the present study, 171 patients with pre-existing mental disorders completed the questionnaire about the doses and types of vaccination against COVID-19. During 2021–2023, patients with different mental disorders, aged from 18 to 80, were included. All patients filled in a self-reported questionnaire including general information (age, sex, marriage, education, working status, comorbid conditions) as well as questions about mental health, receiving vaccination, and the course of COVID-19 infection if it was present. All patients gave informed consent for the interview. Results: Patients with pre-existing mental disorders were more likely to be vaccinated against COVID-19 compared with the general population. The Sinopharm vaccine was most frequently applied. In the observed patients, 46.8% were infected, but just 7% had a medium or serious form of infection and were not vaccinated. Conclusions: In our study, the percentage of vaccinated psychiatric patients was greater than that in the general population, except in psychotic patients, who were mostly limited by fear. Such results can be explained by the high percentage of somatic comorbidities in this population and perhaps insufficient information about the positive effects of vaccination. Full article

In his writings, the Bāb (1819–1850), the founder of the Bābī religion, introduced laws and pronounced ethical injunctions pertaining to women that marked a significant departure from Muslim legal norms and social customs prevailing in Iran and the wider Islamic world. His statements signal a deliberate attempt to improve the status of women, including in marital relations. They addressed issues such as mutʿah and taḥlīl marriages, polygyny, bridal consent, divorce and spousal relations. This article examines the Bāb’s statements on these issues and reflects on their significance for the rights of women in the context of Muslim juridical opinions and social customs, focusing mainly on the nineteenth and early twentieth centuries. Full article

This study aimed to discover and propose solutions to various decision-making problems, including obtaining consent, encountered by physicians when administering genetic testing to patients with disabilities. A preliminary survey and focus group interviews (FGIs) were conducted with 27 specialists who had 5–25 years of clinical experience in rehabilitation medicine, pediatrics, and obstetrics and gynecology, regarding their experience in providing genetic testing to people with developmental disabilities. This included the “role of medical staff in the patient’s decision-making process”, “difficulty of the consent process for genetic testing”, and so forth. Some limitations were identified in the genetic testing communication process for patients with disabilities. Although providing information corresponding to the level of understanding of each person and accurately evaluating the correct consenting ability is important, the usage rate of auxiliary tools, such as booklets and videos, was only 50.0%. Additionally, there were concerns regarding the marriage prospects of people with disabilities. For people with developmental disabilities to provide consent for genetic testing, legal consent forms and explanation aids that consider individual characteristics are necessary. Moreover, education on disability awareness throughout society, including cost support, is needed. Full article

Type III von Willebrand disease is present in the Punjab province of Pakistan along with other inherited bleeding disorders like hemophilia. Cousin marriages are very common in Pakistan so genetic studies help to establish protocols for screening, especially at the antenatal level. Factors behind the phenotypic variation of the severity of bleeding in type III vWD are largely unknown. The study was conducted to determine Mutations/genetic alterations in type III von Willebrand disease and also to determine the association of different mutations, methylation status, ITGA2B/B3 mutations and alloimmunization with the severity of type III vWD. After informed consent and detailed history of the patients, routine tests and DNA extraction from blood, mutational analysis was performed by Next Generation Sequencing on Ion Torrent PGM. DNA methylation status was also checked with the help of PCR. In our cohort, 55 cases were detected with pathogenic mutations. A total of 27 different mutations were identified in 55 solved cases; 16 (59.2%) were novel. The mean bleeding score in truncating mutations and essential splice site mutations was relatively higher than weak and strong missense mutations. The mean bleeding score showed insignificant variation for different DNA methylation statuses of the VWF gene at the cg23551979 CpG site. Mutations in exons 7,10, 25, 28, 31, 43, and intron 41 splice site account for 75% of the mutations. Full article

What accounts for the endurance of forced marriage (kahwin paksa) narratives in Malaysian public culture? How does one explain the ways popular fascination with forced marriage relate to assumptions about heteronormative institutions and practices? In a society where most who enter into marriages do so based on individual choice, the enduring popularity of forced marriage as a melodramatic trope in fictional love stories suggests an ambivalence about modernity and egalitarianism. This ambivalence is further excavated by illuminating the intertextual engagement by readers, publishers and booksellers of Malay romantic fiction with a mediated discourse on intimacy and cultural practices. This article finds that forced marriage in the intimate publics of Malay romance is delivered as a kind of melodramatic mode, a storytelling strategy to solve practical problems of experience. Intertextual narratives of pain and struggle cast light on ‘redha’ (submission to God’s will) and ‘sabar’ (patience), emotional virtues that are mobilised during personal hardship and the challenge of maintaining successful marital relations. I argue that ‘redha’ and ‘sabar’ serve as important linchpins for the reproduction of heteronormative institutions and wifely obedience (taat). This article also demonstrates the ways texts are interwoven in the narratives about gender roles, intimacy, and marital success (or lack thereof) and how they relate to the modes of romantic melodrama. Full article

Background: This study aimed to identify the association between occupational stress and depression-well-being by proposing a comprehensive and flexible job burden-capital model with its corresponding hypotheses. Methods: For this research, 1618 valid samples were gathered from the electronic manufacturing service industry in Hunan Province, China; self-rated questionnaires were administered to participants for data collection after obtaining their written consent. The proposed model was fitted and tested through structural equation model analysis. Results: Single-factor correlation analysis results indicated that coefficients between all items and dimensions had statistical significance. The final model demonstrated satisfactory global goodness of fit (CMIN/DF = 5.37, AGFI = 0.915, NNFI = 0.945, IFI = 0.952, RMSEA = 0.052). Both the measurement and structural models showed acceptable path loadings. Job burden and capital were directly associated with depression and well-being or indirectly related to them through personality. Multi-group structural equation model analyses indicated general applicability of the proposed model to basic features of such a population. Gender, marriage and education led to differences in the relation between occupational stress and health outcomes. Conclusions: The job burden-capital model of occupational stress-depression and well-being was found to be more systematic and comprehensive than previous models. Full article