Opportunistic patient advice, in brief

In response to the COVID-19 outbreak, the UK Government provided public health advice to stay at home from 16 March 2020, followed by instruction to stay at home (full lockdown) from 24 March 2020. We use data with high temporal resolution from utility sensors installed in 280 homes across social housing in Cornwall, UK, to test for changes in domestic electricity, gas and water usage in response to government guidance. Gas usage increased by 20% following advice to stay at home, the week before full lockdown, although no difference was seen during full lockdown itself. During full lockdown, morning electricity usage shifted to later in the day, decreasing at 6 a.m. and increasing at midday. These changes in energy were echoed in water usage, with a 17% increase and a one-hour delay in peak morning usage. Changes were consistent with people getting up later, spending more time at home and washing more during full lockdown. Evidence for these changes was also observed in later lockdowns, but not between lockdowns. Our findings suggest more compliance with an enforced stay-at-home message than with advice. We discuss implications for socioeconomically disadvantaged households given the indication of inability to achieve increased energy needs during the pandemic.

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SWK-07. A MULTINATIONAL SURVEY OF PAEDIATRIC NEURO-ONCOLOGY SERVICES: A EUROPEAN RESEARCH NETWORK (ERN) PAEDCAN PROJECT

Neuro-Oncology ◽

10.1093/neuonc/noaa222.824 ◽

2020 ◽

Vol 22 (Supplement_3) ◽

pp. iii465-iii466

Author(s):

Katherine Cooper ◽

Barry Pizer ◽

Steven Lane ◽

Stefan Rutkowski

Keyword(s):

Economic Status ◽

Proton Beam Therapy ◽

Paediatric Oncology ◽

Interdisciplinary Cooperation ◽

Research Network ◽

Online Questionnaire ◽

Support Design ◽

Mortality And Morbidity ◽

Group Members ◽

Patient Advice

Abstract BACKGROUND Brain tumours are clinically and biologically highly diverse and account for 25% of paediatric neoplasms. They carry the highest mortality and morbidity of tumour groups. Their management presents significant challenges with performing modern diagnostic assessments, applying multimodal treatment and establishing interdisciplinary cooperation. Outcomes across Europe differ significantly with varying 5year survival reports of 42–79%. This SIOP-Europe PaedCan survey assessed the structures and facilities for individual states and highlight areas for cooperation and support. DESIGN: An online questionnaire was sent to SIOP-Europe Brain Tumour Group members. This had 55 questions assessing pathology, staging, surgery, radiotherapy and paediatric oncology infrastructure. For analysis of the data we divided countries into lower and higher economic status according to GDP (World Bank 2019) with a cut off of $30,100. RESULTS There were 388 respondents from 44 countries in 181 different institutions. In the lower GDP group we noted decreased access to biological characterisation of tumours and interdisciplinary tumour boards. In this group of nations, patients were less likely to have treatment by a paediatric specialist neurosurgeon, paediatric neuro-oncologist, neuroradiologist, and paediatric radiation oncologist. There was also less availability to perform early MRI (ventilated) and less access to proton beam therapy. This study supports the aim of the ERN to produce a roadmap document with specific standards and publish guidelines for all relevant diagnostic and therapeutic components of care. The ERN also aims to identify a network of institutions to provide patient advice and training to equalise treatment and outcomes for all children across Europe.

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In Sickness and Health: Views on Child Health From a Mayan Village

Journal of Transcultural Nursing ◽

10.1177/1043659618794845 ◽

2018 ◽

Vol 30 (3) ◽

pp. 242-249 ◽

Cited By ~ 1

Author(s):

Morgan E. Braxton ◽

Kim L. Larson

Keyword(s):

Central America ◽

Sustainable Development Goals ◽

Indigenous Population ◽

Behavioral Changes ◽

Water Filter ◽

Health Advice ◽

Health And Illness ◽

Qualitative Descriptive ◽

Development Goals ◽

Access To Food

Introduction: Guatemala is the only country in Central America with a majority indigenous population. Most indigenous Mayans prefer to seek health advice from family members. It is important to understand the beliefs of Mayan caregivers. The purpose of this study was to examine indigenous ways of explaining health and illness in the context of one Mayan village. Method: We applied a qualitative descriptive design in summer 2017. Interviews were conducted in Spanish with 10 Mayan caregivers, who were primarily female, between ages 19 and 50 years, in Guatemala. The sample was drawn from families who received a water filter the previous year. Results: Health was explained by access to food, including local herbs, and clean water. Illness was explained by bodily symptoms and behavioral changes. Discussion: Findings align with several United Nations 2030 Sustainable Development Goals and suggest a need to strategize with global partners.

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