scholarly journals Identification of new demands regarding prehospital care based on 35,188 missions in 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Séverine Vuilleumier ◽  
Assunta Fiorentino ◽  
Sandrine Dénéréaz ◽  
Thierry Spichiger
Keyword(s):  
Prehospital Care ◽  
The State ◽  
Health Issues ◽  
Age And Gender ◽  
Naca Score ◽  
Major Transition ◽  
And Gender ◽  
Threat To Life ◽  
Demographic Evolution

Abstract Background Population ageing and increased prevalence of chronic diseases result in the emergence of new demands in prehospital care. The prehospital system is facing an increase of cases without acute threat to life (so-called “non-urgent”), which generates tension due to a higher number of admissions to emergency departments and a greater use of prehospital resources. Our aim is to understand this transition in prehospital activities and to delineate the primary missions performed by paramedics in 2018 with a focus on the population concerned, the severity of cases encountered and the typology of health issues. Method The study is retrospective, and descriptive, using a statistical description of 35,188 primary missions realized in 2018 in the State of Vaud (Switzerland). The characteristics taken into consideration are the age and gender of patients, as well as the health issue, the severity of cases based on National Advisory Committee for Aeronautics score (NACA score), and the time and place of intervention. Results The results describe the primary missions in the State of Vaud in 2018 and show that 87% of missions concern “non-urgent” situations (without acute threat to life). Over half of patients are 65 or older, the highest proportion of health issues, 49%, are medical and only 23% of missions are for traumas. Mission related to mental health issues reach 7% and those for intoxication 6%. Most missions take place between 7:00 am and 6:00 pm (67%), and around 12% of missions lead to the non-transport of the patient. Conclusion The prehospital sector is confronted with a major transition in terms of patient care. An increase of non-urgent cases is observed, associated with the care of persons aged 65 or more. Our results question the adequacy between the needs in terms of prehospital care and the paramedic profession as it is currently defined, as well as the place of this profession within the health network. Reflecting upon the role of paramedics with respect to the socio-demographic evolution of populations appears necessary, to analyse the adequacy of the paramedics’ skills to respond to the current needs.

Empirical Analysis of Clinical Evaluations on Children Involved in the Child Protection System: The Role of Age and Gender

2000 ◽  
Author(s):  
Erika Felix ◽  
Anjali T. Naik-Polan ◽  
Christine Sloss ◽  
Lashaunda Poindexter ◽  
Karen S. Budd
Keyword(s):  
Empirical Analysis ◽  
Child Protection ◽  
Protection System ◽  
Age And Gender ◽  
Clinical Evaluations ◽  
And Gender

Children’s Lives and Deaths in Merovingian Gaul

2020 ◽  
pp. 185-213
Author(s):  
Émilie Perez
Keyword(s):  
Social Identity ◽  
Age Groups ◽  
New Method ◽  
Recent Analysis ◽  
Age And Gender ◽  
The Past ◽  
And Gender ◽  
Grave Goods

The role of children in Merovingian society has long been downplayed, and the study of their graves and bones has long been neglected. However, during the past fifteen years, archaeologists have shown growing interest in the place of children in Merovingian society. Nonetheless, this research has not been without challenges linked to the nature of the biological and material remains. Recent analysis of 315 children’s graves from four Merovingian cemeteries in northern Gaul (sixth to seventh centuries) allows us to understand the modalities of burial ritual for children. A new method for classifying children into social age groups shows that the type, quality, quantity, and diversity of grave goods were directly correlated with the age of the deceased. They increased from the age of eight and particularly around the time of puberty. This study discusses the role of age and gender in the construction and expression of social identity during childhood in the Merovingian period.

scholarly journals 669 Increased Nightmares During the COVID-19 Pandemic: Exploring the Role of Resilience and Emotions

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A261-A262
Author(s):  
Jérémie Potvin ◽  
Laura Ramos Socarras ◽  
Geneviève Forest
Keyword(s):  
Young Adults ◽  
Protective Factor ◽  
Negative Emotions ◽  
Unique Contribution ◽  
Health Issues ◽  
Resilience Scale ◽  
And Gender ◽  
The Impact ◽  
Tremendous Impact

Abstract Introduction COVID-19 had a tremendous impact on many aspects of our lives and has caused an increase in stress and mental health issues in many people. We have recently found that there was an increase in nightmares during the pandemic in young adults. Since emotions have been associated with both resilience and nightmares, the objective of this study was to investigate the role of resilience and emotional changes in the increase in nightmares observed during the pandemic, in a group of young adults. Methods Resilience, emotions and nightmares were assessed using the Connor-Davidson Resilience Scale-10, the Differential Emotions Scale-IV and an adapted version of the Pittsburgh Sleep Quality Index. Measures were administered to 209 young adults (18–25 years old, 76.1% females). Hierarchical multiple regression models were computed to examine the unique contribution of changes in positive and negative emotions during the pandemic to the increase in nightmares during the pandemic. Analyses were controlled for nightmares and emotions prior to COVID-19, and for gender. The sample was separated in two groups: resilient and less resilient young adults. Results Results show that in less resilient young adults, nightmares prior to COVID-19 (β=.79, p<.001) and increase in negative emotions (β=.21, p=.033) significantly predicted nightmares during the pandemic and explained 67.0% of their variance. In resilient young adults, nightmares prior to COVID-19 (β=.56, p<.001) and gender (β=-.15, p=.04) significantly predicted nightmares during the pandemic and explained 52.0% of the variance. Conclusion Our results show that increase in negative emotions during the pandemic is associated with an increase in nightmares in less resilient young adults, but not in resilient young adults. Furthermore, our results show that in resilient young adults, being a woman is associated with an increase in nightmares during the pandemic. These results suggest that resilience may be a protective factor in managing the impact of negative emotions on nightmares, but only in men. Support (if any):

Do They Really Mean It? Children’s Inference of Speaker Intentions and the Role of Age and Gender

2019 ◽  
Vol 63 (4) ◽  
pp. 689-712
Author(s):  
K. Rothermich ◽  
O. Caivano ◽  
L.J. Knoll ◽  
V. Talwar
Keyword(s):  
Gender Differences ◽  
Young Adults ◽  
Video Clip ◽  
Age And Gender ◽  
Video Clips ◽  
Age And Gender Differences ◽  
Speaker Intentions ◽  
And Gender

Interpreting other people’s intentions during communication represents a remarkable challenge for children. Although many studies have examined children’s understanding of, for example, sarcasm, less is known about their interpretation. Using realistic audiovisual scenes, we invited 124 children between 8 and 12 years old to watch video clips of young adults using different speaker intentions. After watching each video clip, children answered questions about the characters and their beliefs, and the perceived friendliness of the speaker. Children’s responses reveal age and gender differences in the ability to interpret speaker belief and social intentions, especially for scenarios conveying teasing and prosocial lies. We found that the ability to infer speaker belief of prosocial lies and to interpret social intentions increases with age. Our results suggest that children at the age of 8 years already show adult-like abilities to understand literal statements, whereas the ability to infer specific social intentions, such as teasing and prosocial lies, is still developing between the age of 8 and 12 years. Moreover, girls performed better in classifying prosocial lies and sarcasm as insincere than boys. The outcomes expand our understanding of how children observe speaker intentions and suggest further research into the development of teasing and prosocial lie interpretation.

scholarly journals Educational and Ethical Views of Attar Neishabouri

2016 ◽  
Vol 8 (1) ◽  
pp. 267
Author(s):  
Reza Yazdani
Keyword(s):  
Well Being ◽  
Health Issues ◽  
Mental Images ◽  
Divine Attributes ◽  
Age And Gender ◽  
Stages Of Growth ◽  
Self Confidence ◽  
The Family ◽  
The Face ◽  
And Gender

<p>Attar believes that some health standards and different hygienic methods should be taught to children. Although teaching the methods of healthcare and well-being is among the necessities of life, child’s understanding and intelligence should not be ignored. There is no doubt that religious give great importance to health issues and even emphasize that they should be taught to children. Dealing with appearance causes that their truth-seeking spirit is misled. Accordingly, Sufism recommends people to abandon appearance and deal with the interior. In the stages of growth, child’s mental images are related to sensory issues. He gradually understands lighting, heating and other things that are exposed to his senses and realizes their differences. Formation of mental images and attention to their differences are related to the growth and complexity of the child’s nerves and experience. Affection and kindness to children is desirable. But parents and educators should know that going to extremes in this case is harmful. Attar believes that loving the children excessively causes that he is brought up as a weak and powerless person and loses his self-confidence. So, he shows weakness in the face of problems. But if he is educated with moderation, he will act accordingly. Too much attention to children makes them timid. Treating the children with justice and fairness is one of the Divine attributes. According to Attar, parents should not discriminate between their children and should deal with them justly in all aspects just as you like to be treated with justice in all situations. In many educational books, it is said that the apparent treatment of parents with children may vary according to their age and gender and this is difference rather than discrimination. Attar states that we should act carefully and accurately. These differences should not make parents not act fairly in loving children, but they should justify the children that if they were in such a situation, they would receive the same treatment. Discrimination and injustice in the family, whether tangible or intangible, cause that children feel contempt and become alienated from their family and education.</p>

scholarly journals Pathomorphological evaluation of hepatobiliary lesions in dogs and cats of Ankara region

2021 ◽  
Vol 91 (4) ◽  
pp. 359-378
Author(s):  
Yanad Abou Monsef ◽  
◽  
Osman Kutsal
Keyword(s):  
Liver Fibrosis ◽  
Post Mortem ◽  
Reference Standard ◽  
Age And Gender ◽  
Immunohistochemical Methods ◽  
And Gender ◽  
Hepatic Lesions ◽  
Histopathological Studies ◽  
Passive Congestion

The objective of this study was to investigate pathological disorders of the hepatobiliary system in dogs and cats in Ankara using pathomorphological methods, and to determine the types and frequency of the observed lesions. Furthermore, we aimed to evaluate hepatic reparation as a reaction of the liver to injury with different hepatobiliary lesions using immunohistochemical methods. Livers obtained from 56 cats and 74 dogs submitted for post-mortem investigation were examined macroscopically and microscopically. Samples with hepatic fibrosis were stained immunohistochemically with an α-SMA antibody. Lesions were found in 98% of the livers of the examined dogs and cats. The most common histopathological diagnoses were hepatitis (39.28%), hepatocellular lipidosis (16.07%), and cholangitis/cholangiohepatitis (14.28%) in cats. In dogs they were hepatitis (28.38%), passive congestion (25.68%) and proliferative lesions (21.62%). For some hepatobiliary lesions, breed, age and gender predispositions were observed. Immunohistochemically, the α-SMA antibody positively stained parenchymal, portal and septal myofibroblasts. A positive correlation was verified between immunohistochemical α-SMA scores and histochemical fibrosis scores. This is the first study in Turkey documenting both the incidence of hepatobiliary lesions among feline and canine species, and their pathomorphological features. In terms of reparation, the major role of the hepatic myofibroblasts in liver fibrosis was observed. There were variations in the intensity and location of positively stained cells according to the type of lesion. The conclusion of this research indicates the need to pay attention to certain hepatic lesions in dogs and cats, and provides a reference standard for further clinical and histopathological studies.

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