Symptom as History, Culture as Healing: Incarcerated Aboriginal Women’s Journeys Through Historic Trauma and Recovery Processes

2020 ◽  
pp. 287-314
Author(s):  
Judy Atkinson
Keyword(s):  
Recovery Processes ◽  
Historic Trauma

How to Evaluate Clinically Relevant Literature: Five Simple Rules for the Practicing Clinician in Stroke Neurorehabilitation

2020 ◽  
Author(s):  
Jonathan Sanching Tsay ◽  
Carolee Winstein
Keyword(s):  
Clinical Decision Making ◽  
Relevant Literature ◽  
Clinical Decision ◽  
Balance Sheets ◽  
Neural Connections ◽  
Recovery Processes ◽  
Immediate Recovery ◽  
Simple Rules ◽  
Busy Clinician ◽  
New Generation

Neurorehabilitation relies on core principles of neuroplasticity to activate and engage latent neural connections, promote detour circuits, and reverse impairments. Clinical interventions incorporating these principles have been shown to promote recovery while demoting compensation. However, many clinicians struggle to find evidence for these principles in our growing but nascent body of literature. Regulatory bodies and organizational balance sheets further discourage evidence-based, methodical, time-intensive, and efficacious interventions because practical needs often outweigh and dominate clinical decision making. Modern neurorehabilitation practices that result from these pressures favor strategies that encourage compensation over those that promote recovery. With a focus on helping the busy clinician evaluate the rapidly growing literature, we put forth five simple rules that direct clinicians toward intervention studies that value more enduring but slower biological recovery processes over the more alluring practical and immediate “recovery” mantra. Filtering emerging literature through this critical lens has the potential to change practice and lead to more durable long-term outcomes. This perspective is meant to serve a new generation of mechanistically minded clinicians, students, and trainees poised to not only advance our field but to also erect policy changes that promote recovery-based care of stroke survivors.

scholarly journals Scenario Analysis for Selecting Sewage Sludge-to-Energy/Matter Recovery Processes

Energies ◽  
2021 ◽  
Vol 14 (2) ◽  
pp. 276
Author(s):  
Francesco Facchini ◽  
Giovanni Mummolo ◽  
Micaela Vitti
Keyword(s):  
Sewage Sludge ◽  
Scenario Analysis ◽  
Value Chain ◽  
Circular Economy ◽  
Solid Material ◽  
Sludge Treatment ◽  
Sewage Sludges ◽  
Recovery Processes ◽  
Sewage Sludge Treatment ◽  
New Perspective

The sewage sludges are the byproducts of the wastewater treatment. The new perspective of the wastewater value chain points to a sustainable circular economy approach, where the residual solid material produced by sewage sludge treatments is a resource rather than a waste. A sewage sludge treatment system consists of five main phases; each of them can be performed by different alternative processes. Each process is characterized by its capability to recover energy and/or matter. In this paper, a state of the art of the sludge-to-energy and sludge-to-matter treatments is provided. Then, a scenario analysis is developed to identify suitable sewage sludge treatments plants that best fit the quality and flowrate of sewage sludge to be processed while meeting technological and economic constraints. Based on the scientific literature findings and experts’ opinions, the authors identify a set of reference initial scenarios and the corresponding best treatments’ selection for configuring sewage sludge treatment plants. The scenario analysis reveals a useful reference technical framework when circular economy goals are pursued. The results achieved in all scenarios ensure the potential recovery of matter and/or energy from sewage sludges processes.

scholarly journals Mapping, assessing and promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems

2021 ◽  
pp. 145507252098597
Author(s):  
Nina Kavita Heggen Bahl ◽  
Anne Signe Landheim ◽  
Hilde Eileen Nafstad ◽  
Rolv Mikkel Blakar ◽  
Morten A. Brodahl
Keyword(s):  
Substance Use ◽  
Clinical Pathways ◽  
Collaborative Study ◽  
Social Situation ◽  
National Guidelines ◽  
Social Situations ◽  
Recovery Processes ◽  
Substance Use Problems ◽  
Problematic Substance Use ◽  
Problematic Substance

Aim: The recent nationally implemented clinical pathways for the treatment of substance use problems in Norway require mapping and assessing of patients’ needs, challenges, and resources. However, there is a lack of tools for systematically mapping and assessing patients’ social situations and social networks as part of the national guidelines. The aim of this article is to present a tool developed to map and assess the patient’s social situation, and to propose approaches for promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems. Methods: The proposed tool and approaches are developed based on findings in a previous in-depth collaborative study of MPSOC and recovery among people with substance use problems who received help and services from Norwegian municipalities. Findings: The findings suggest that multiple communities (geographical, relational and ideal) and senses of communities (within and outside treatment) simultaneously can influence individual recovery processes from problematic substance use in both positive as well as negative ways. As such, these community dimensions are of central importance to include in mapping and assessing of patients’ social situations, as well as in the promotion of MPSOC through clinical pathways. Conclusions: The suggested tool and approaches can increase the likelihood of achieving key aims of the national clinical pathways. Most important, mapping, assessing and promoting MPSOC through clinical pathways may promote long-term recovery processes and positive recovery capital for persons with substance use problems.

scholarly journals Biomarkers of Angiogenesis and Neuroplasticity as Promising Clinical Tools for Stroke Recovery Evaluation

2021 ◽  
Vol 22 (8) ◽  
pp. 3949
Author(s):  
Lidia Wlodarczyk ◽  
Rafal Szelenberger ◽  
Natalia Cichon ◽  
Joanna Saluk-Bijak ◽  
Michal Bijak ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Stroke Recovery ◽  
Clinical Scales ◽  
Recovery Processes ◽  
Recovery Potential ◽  
Current State ◽  
Standard Procedures ◽  
Key Issues ◽  
Clinical Tools ◽  
Selection Of

Several key issues impact the clinical practice of stroke rehabilitation including a patient’s medical history, stroke experience, the potential for recovery, and the selection of the most effective type of therapy. Until clinicians have answers to these concerns, the treatment and rehabilitation are rather intuitive, with standard procedures carried out based on subjective estimations using clinical scales. Therefore, there is a need to find biomarkers that could predict brain recovery potential in stroke patients. This review aims to present the current state-of-the-art stroke recovery biomarkers that could be used in clinical practice. The revision of biochemical biomarkers has been developed based on stroke recovery processes: angiogenesis and neuroplasticity. This paper provides an overview of the biomarkers that are considered to be ready-to-use in clinical practice and others, considered as future tools. Furthermore, this review shows the utility of biomarkers in the development of the concept of personalized medicine. Enhancing brain neuroplasticity and rehabilitation facilitation are crucial concerns not only after stroke, but in all central nervous system diseases.

Metaphors and cultural narratives on adaptive responses to severe adversity: A field study among the Indigenous Pitaguary community in Brazil

2019 ◽  
Vol 57 (2) ◽  
pp. 332-345 ◽  
Author(s):  
Iara Meili ◽  
Eva Heim ◽  
Ana C Pelosi ◽  
Andreas Maercker
Keyword(s):  
Posttraumatic Growth ◽  
Field Study ◽  
Cultural Context ◽  
Field Research ◽  
Adaptive Responses ◽  
Cultural Narratives ◽  
Structured Interviews ◽  
The Core ◽  
Recovery Processes ◽  
Context Specific

The expressions resilience and posttraumatic growth represent metaphorical concepts that are typically found in Euro-American contexts. Metaphors of severe adversity or trauma and the expressions of overcoming it vary across cultures—a lacuna, which has not been given much attention in the literature so far. This study aimed to explore the metaphorical concepts that the Indigenous Pitaguary community in Brazil uses to talk about adaptive and positive responses to severe adversity and to relate them to their socio-cultural context. We carried out 14 semi-structured interviews during field research over a one-month period of fieldwork. The data were explored with systematic metaphor analysis. The core metaphors included images of battle, unity, spirituality, journeys, balance, time, sight, transformation, and development. These metaphors were related to context-specific cultural narratives that underlie the Pitaguary ontological perspective on collectivity, nature, and cosmology. The results suggest that metaphors and cultural narratives can reveal important aspects of a culture’s collective mindset. To have a contextualized understanding of expressive nuances is an essential asset to adapt interventions to specific cultures and promote culture-specific healing and recovery processes.

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