Children: paying the price of Bolsonaro’s social policy reform in Brazil

2021 ◽  
Author(s):  
Rafael da Silva Barbosa ◽  
Gary Spolander ◽  
Maria Lúcia Teixeira Garcia
Keyword(s):  
Social Work ◽  
Health Care Systems ◽  
Well Being ◽  
Right Wing ◽  
Life Chances ◽  
The Social ◽  
Social Policy Reform ◽  
Care Systems ◽  
Life Journey ◽  
The Impact

The impact of social inequality on children has enormous implications for young people throughout their life journey by negatively impacting their health, well-being and life chances. Following the democratisation of Brazil, significant change resulted in improvements to the social welfare and health care systems, which had begun to address long-standing social and health problems. This article critically explores the implications of current retrograde right-wing populist political government policies for Brazilian children within the context of efforts to reduce income inequality and improve the life chances of children. While recognising the enormous challenges of poverty, racial discrimination, precarity and socio-economic conditions, social work has recognised that the enactment of the profession requires political engagement and action against all inequality in professional practice. The implications of retrogressive policy are explored, and the authors call upon the profession globally to recognise these structural socio-economic challenges and question whether social work can afford not to be engaged in seeking change.

scholarly journals Impact of the COVID-19 pandemic on radiologists

2020 ◽  
Vol 72 ◽  
pp. 177-180
Author(s):  
Ganesh Hegde ◽  
Christine Azzopardi ◽  
Patrick Hurley ◽  
Harun Gupta ◽  
Naga Varaprasad Vemuri ◽  
...  
Keyword(s):  
Health Care Systems ◽  
Continuing Professional Development ◽  
Well Being ◽  
Radiology Workflow ◽  
Protective Equipment ◽  
Ability To Work ◽  
Innovative Solutions ◽  
The World ◽  
Care Systems ◽  
The Impact

COVID-19 pandemic is one of the biggest crises faced by health-care systems in the recent times. The aim of this study was to assess the impact of the COVID-19 pandemic on radiology workflow, working pattern, training and continuing professional development (CPD) activities, as well as personal well-being of the radiologists during the pandemic. Material and Methods: Questionnaire designed to gather the opinions regarding the impact of the COVID-19 pandemic was distributed to radiologists throughout the world in electronic format. Anonymized responses were obtained and analyzed. Two hundred radiologists, working in 17 different countries, responded to our questionnaire. Majority of the respondents were from India (72.8%) and 70% of the them were in the age group of 25–45 years. About 80% of respondents felt that they were well protected or moderately well protected in terms of the personal protective equipment (PPE), however, most of them felt that the use of PPE had affected their ability to work. Similar number of radiologists felt that there was significant reduction in the radiology workload. More than half of the respondents felt that their working patterns were altered by the pandemic with drastic impact on teaching, CPD activities, and personal well-being. COVID-19 pandemic has had profound impact on the radiologists all over the world. Learning from the experiences of the first wave should be used to provide innovative solutions to some of the challenges posed to provide better radiology services, training, and improve the well-being of radiologists if we encounter a similar situation in the future. COVID-19 pandemic had significant impact on radiologists. Radiologists felt that they were well or moderately well protected with PPEs; however, PPEs affected their ability to work. Radiology workflow was significantly reduced in the pandemic with more radiologists working from home. COVID-19 pandemic had deleterious effect on radiologist’s well-being, education, and CPD activities.

Patient self-testing in chronic disease management

2020 ◽  
Vol 44 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Maurice J. O’Kane
Keyword(s):  
Chronic Disease ◽  
Health Care Systems ◽  
New Technology ◽  
Glucose Monitoring ◽  
Well Being ◽  
Evidence Base ◽  
Self Testing ◽  
Care Systems ◽  
The Impact ◽  
Robust Evidence

AbstractChronic disease poses a major burden to patients and health care systems. This review considers how patient self-testing can contribute to the management of chronic disease. Self-testing can only confer benefit if it occurs in the context of an empowered patient who has the skills and training to translate test results into meaningful actions. The benefits may include improved clinical outcomes, greater patient convenience and improved psychological well-being; separately and together these may contribute to reduced costs of care. As self-testing may be expensive and burdensome to patients, it is important that its use in chronic disease is supported by a robust evidence base confirming its utility and efficacy. The design of studies to assess the impact of self-testing poses challenges for the researcher and the quality of evidence presented is often variable. Randomised controlled trials (RCTs) provide more robust evidence than observational studies; the intervention under study is not just self-testing but includes the educational support to allow patients to use results effectively. This review discusses the evidence base relating to patient self-testing in diabetes, anticoagulant monitoring and in renal transplant patients and in particular highlights the impact of new technology developments such as flash glucose monitoring in diabetes.

scholarly journals Yogic Interventions for Psycho-Physical Well-Being Under Covid-19 Times & After

2020 ◽  
Vol 15 (3) ◽  
pp. 80-88
Author(s):  
Nishtha Malik ◽  
Aditi Sharma
Keyword(s):  
Preventive Measures ◽  
Human Life ◽  
Health Care Systems ◽  
Belief System ◽  
Well Being ◽  
Emotional Challenges ◽  
Fresh Perspective ◽  
Care Systems ◽  
The Impact ◽  
Better Than

Health indeed is Wealth. The Corona Virus Pandemic has impacted the best health-care systems world-wide; even as the world grapples with the massive loss of human life causing pain to millions. The Pandemic is no more just a medical health challenge; it has thrown up spiritual and emotional challenges as it is affecting our belief system.  Prevention is Better than Cure is the mantra. Since, there is no allopathic medicine solution available; people are adopting various measures like social distancing and personal sanitization. There is an urgent need to assist the individuals to take all the preventive measures possible to boost their immunity, improve the respiratory system, and lessen the anxiety, stress, and depression. It can be difficult to not feel anxiety and sometimes panic over the coronavirus outbreak, with the onslaught of updates on news and social media.  Yoga has emerged as the perfect tool that an individual can follow to establish physical, mental, and spiritual balance to develop robust health and combat physical and emotional challenges. Yoga offers another path, a fresh perspective with which to deal with events that are beyond our control. The different asanas of yoga can help us to prevent COVID-19 by boosting our immune system and managing the stress that one is going through in this time of uncertainty. This study tries to specifically evaluate the impact of the preventive measures undertaken through Yoga practice. 126 respondents from different states of India were requested to perform yoga daily for 30 days. Significant changes were observed and are mentioned in detail. 

Social work in the web of social protection: Contexts and alternatives

2018 ◽  
Vol 63 (3) ◽  
pp. 291-305 ◽  
Author(s):  
Cláudia Priscila C dos Santos ◽  
Tatiane Valduga ◽  
Jorge Ferreira
Keyword(s):  
Social Work ◽  
Social Protection ◽  
Well Being ◽  
Evidence Based ◽  
Social Responses ◽  
The Social ◽  
Policy Measures ◽  
The Impact ◽  
The Relationship ◽  
The Web

In the context of research in the field of social work, we have carried out an analysis on the relationship between two social policy measures intended to promote the social well-being of its beneficiaries in Portugal. Through a deductive methodology, the results show the impact of the adopted measures aimed at reducing spending on social policies. Conclusions highlight that social workers can collaborate with alternative social responses in an evidence-based manner, enhancing practice, namely, regarding competencies for the realisation of social diagnosis within the context of peoples’ living conditions in order to promote access of citizens to social support.

A Vision for Excellence by Design

2019 ◽  
Vol 28 (4) ◽  
pp. 247-254 ◽  
Author(s):  
Patricia A. Hickey
Keyword(s):  
Critical Care ◽  
Moral Distress ◽  
Health Care Systems ◽  
Well Being ◽  
Organizational Health ◽  
Critical Care Nurses ◽  
Team Members ◽  
Care Systems ◽  
Care Improvement ◽  
The Impact

Generating evidence for care improvement has characterized my program of research spanning 20 years. Six domains are highlighted to advance the science and practice of critical care nursing in today’s complex health care systems. Employee well-being and taking care of team members are key priorities for successful leaders. Understanding that patient and staff outcomes are inextricably linked strengthens the need for care environments to be healing and holistic for staff and patients. The American Association of Critical-Care Nurses’ Healthy Work Environment framework empowers staff and optimizes the experience for patients, their families, and care teams. Appropriate staffing, guided by contemporary acuity measurement, takes into account the cognitive workload and complexity of nursing. Committing to a culture of certification and ensuring staffing models with appropriately educated and experienced nursing staff will remain important. In the past decade, we have established the impact of these specific nursing characteristics on improved patient outcomes. Understanding the attributes of empathic and empowered teams is requisite for authentic leadership. Interventions to mitigate moral distress are necessary to foster moral resilience among critical care nurses. The challenge for the future will be to support organizational health through the coexistence of highly reliable processes and clinical innovation. Excellence is achieved when systems are designed to support professional practice and clinical teams and environments.

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

scholarly journals The impact of the COVID-19 pandemic on socio-economic and sustainability

2021 ◽  
Author(s):  
Xueli Wei ◽  
Lijing Li ◽  
Fan Zhang
Keyword(s):  
World Economy ◽  
Social Economy ◽  
Secondary Data ◽  
Well Being ◽  
Cross Sectional ◽  
The Social ◽  
The World ◽  
The Status ◽  
Sectional Analysis ◽  
The Impact

Pumping elephantThe COVID-19 pandemic has adversely affected the lives of people around the world in millions of ways . Due to this severe epidemic, all countries in the world have been affected by all aspects, mainly economic. It is widely discussed that the COVID-19 outbreak has affected the world economy. When considering this dimension, this study aims to examine the impact of the COVID-19 pandemic on the world economy, socio-economics, and sustainability. In addition, the research focuses on multiple aspects of social well-being during the pandemic, such as employment, poverty, the status of women, food security, and global trade. To this end, the study used time series and cross-sectional analysis of the data. The second-hand data used in this study comes from the websites of major international organizations. From the analysis of secondary data, the conclusion of this article is that the impact of the pandemic is huge. The main finding of the thesis is that the social economy is affected by the pandemic, causing huge losses in terms of economic well-being and social capital.

scholarly journals ‘Getting back to normality seems as big of a step as going into lockdown’: the impact of the COVID-19 pandemic on people with early to middle stage dementia

2021 ◽  
Author(s):  
Catherine V Talbot ◽  
Pam Briggs
Keyword(s):  
Well Being ◽  
Cognitive Stimulation ◽  
Social Worlds ◽  
Middle Stage ◽  
People With Dementia ◽  
The Social ◽  
Function Loss ◽  
The Government ◽  
Person With Dementia ◽  
The Impact

Abstract People with dementia can experience shrinkage of their social worlds, leading to a loss of independence, control and reduced well-being. We used ‘the shrinking world’ theory to examine how the COVID 19 pandemic has impacted the lives of people with early to middle stage dementia and what longer-term impacts may result. Interviews were conducted with 19 people with dementia and a thematic analysis generated five themes: the forgotten person with dementia, confusion over government guidance, deterioration of cognitive function, loss of meaning and social isolation, safety of the lockdown bubble. The findings suggest that the pandemic has accelerated the ‘shrinking world’ effect and created tension in how people with dementia perceive the outside world. Participants felt safe and secure in lockdown but also missed the social interaction, cognitive stimulation and meaningful activities that took place outdoors. As time in lockdown continued, these individuals experienced a loss of confidence and were anxious about their ability to re-engage in the everyday practises that allow them to participate in society. We recommend ways in which the government, communities and organisations might counteract some of the harms posed by this shrinking world.

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