Taking Intersectionality Seriously

2019 ◽  
Vol 41 (2) ◽  
pp. 290-316 ◽  
Author(s):  
Donna Graves ◽  
Gail Dubrow
Keyword(s):  
Historic Preservation ◽  
Lived Experience ◽  
Federal State ◽  
Cultural Resources ◽  
Community Studies ◽  
Preservation Planning ◽  
Underrepresented Groups ◽  
Single Lens ◽  
Work Done

In recent years, preservation agencies at the federal, state, and locals levels have advanced more inclusive approaches to historic preservation by commissioning theme studies, surveys, and nominations to registers of historic places that address previously neglected aspects of US heritage. Much of the work done under the broad umbrella of inclusive histories has been focused on communities defined by a single aspect of identity. This essay raises questions about the effectiveness of single-community studies in addressing previously overlooked aspects of history at the intersections of race, class, gender, sexuality, and more. We encourage preservation professionals to take seriously the concept of intersectionality, which acknowledges the multivalent quality of lived experience, addresses the complexity of identity, and recognizes the multiplicity of communities with a stake in the preservation and interpretation of any given historic property. This essay argues for the strategic importance of learning from recent studies of LGBTQ resources to refine intersectional approaches to preservation planning, while identifying hidden barriers to inclusion and cultural equity in programs and projects that use a single lens to identify cultural resources associated with underrepresented groups.

ISSUES OF TOXICOLOGY IN THE UNDERGRADUATE TRAINING OF PHARMACEUTICAL PROFILE SPECIALISTS

2017 ◽  
pp. 8-16 ◽  
Author(s):  
O. Yu. Strelova ◽  
E. N. Stepanova ◽  
A. N. Grebenyuk
Keyword(s):  
Educational Process ◽  
Federal State ◽  
Teaching Staff ◽  
Basic Training ◽  
Undergraduate Training ◽  
Educational Standard ◽  
School Time ◽  
State Chemical ◽  
State Educational

The need for basic training in toxicology of students of pharmaceutical universities and departments of toxicology is justified. The experience of teaching toxicology and medical protection to students of the St. Petersburg State Chemical Pharmaceutical Academy was analyzed. Academic teaching staff were trained in the methodology of teaching toxicology, and a participated in the preparation of the all-Russian textbook «Toxicology and Medical Protection» (2016) and three tutorials for students of medical and pharmaceutical universities. It is shown that in accordance with the current Federal State Educational Standard of the third generation, toxicology issues are included in the curriculum of a complex discipline «Life Safety. Emergency Medicine» as a stand-alone module. Students study toxicology in the fifth year having received a good basic training in medical, biological, and professional disciplines in previous years. For realization of cognitive and creative activity of students in the educational process, modern educational technologies are used which make it possible to improve the quality of teaching and to use school time more efficiently. The potential of using algorithmic workbooks, interactive forms of training, test control, case-method for facilitating the perception of theoretical knowledge and improving the quality of practical skills development is demonstrated. Results of the anonymous questionnaire survey, in which 153 of 198 students who studied toxicology and medical protection in the autumn semester of the 2017/2018 academic year participated, are reported. It was shown that more than 80% of the students surveyed are convinced of the need to study toxicology during the undergraduate training of specialists of pharmaceutical profile and positively assessed the methodology of teaching toxicology that is performed at the St. Petersburg State Chemical Pharmaceutical Academy.

Automated Insulin Delivery Systems: Today, Tomorrow and User Requirements

2021 ◽  
pp. 193229682110299
Author(s):  
Marga Giménez ◽  
Ignacio Conget ◽  
Nick Oliver
Keyword(s):  
Lived Experience ◽  
Diabetes Management ◽  
Real Life ◽  
Insulin Delivery ◽  
Qualitative Assessment ◽  
Management Tool ◽  
Diabetes Distress ◽  
Glycemic Targets

Automated insulin delivery (AID) is the most recent advance in type 1 diabetes (T1D) management. It has the potential to achieve glycemic targets without disabling hypoglycemia, to improve quality of life and reduce diabetes distress and burden associated with self-management. Several AID systems are currently licensed for use by people with T1D in Europe, United States, and the rest of the world. Despite AID becoming a reality in routine clinical practice over the last few years, the commercially hybrid AID and other systems, are still far from a fully optimized automated diabetes management tool. Implementation of AID systems requires education and support of healthcare professionals taking care of people with T1D, as well as users and their families. There is much to do to increase usability, portability, convenience and to reduce the burden associated with the use of the systems. Co-design, involvement of people with lived experience of T1D and robust qualitative assessment is critical to improving the real-world use of AID systems, especially for those who may have greater need. In addition to this, information regarding the psychosocial impact of the use of AID systems in real life is needed. The first commercially available AID systems are not the end of the development journey but are the first step in learning how to optimally automate insulin delivery in a way that is equitably accessible and effective for people living with T1D.

scholarly journals Engaging patients: how to speak so patients want to listen

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rubinelli
Keyword(s):  
Health Professional ◽  
Lived Experience ◽  
Health Information ◽  
Health Professionals ◽  
Health Condition ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Basic Approaches ◽  
The Impact

Abstract The paternalistic approach to health professional-patient communication is often no longer successful. The main reasons for this include the fact that trust in medicine and health professionals is no longer taken for granted. In many domains, the concepts of 'expert' and 'science' are in shadow. Moreover, patients can access all sorts of health information, including information that is or seems inconsistent with the advice given by their health professionals. This talk aims to illustrate some basic approaches to communication that can enhance health professional-patient interaction. First, health professionals should consider their communication with patients as a form of persuasion. Persuasion, that does not equal manipulation, is a way to communicate that takes into consideration the knowledge, beliefs, and attitudes of interlocutors. By adopting a person-centered style, health professionals should present their advice by contextualizing it into the emotional and cognitive setting of the patients. Second, communication should consider the lived experience of patients, that is the impact that a health condition or a preventive behavior has on their quality of life and their experience of pleasure. Indeed, managing health conditions is not just applying health advice: it often demands a change in lifestyles that can negatively impact how patients live their lives. Third, health professionals should develop clear strategies to engage with information that patients find from other sources. Health professionals must ask patients if they disagree with them, and to clarify any eventual difference of opinion. The information age has positively favored a democratization of health information. Yet, it imposes that health systems care for their communication. This talk concludes by presenting main evidence from on how to reinforce hospitals, public health institutions, and health services in communication so that patients want to listen.

The Opportunities and Limitations of Tribal Consultation in Studies Conducted Under Section 106 of the National Historic Preservation Act

1998 ◽  
Vol 20 (3) ◽  
pp. 5-8
Author(s):  
Gail Thompson
Keyword(s):  
Historic Preservation ◽  
Decision Maker ◽  
National Park ◽  
National Park Service ◽  
Development Projects ◽  
Cultural Resources ◽  
Cultural Properties ◽  
Park Service ◽  
Traditional Cultural Properties ◽  
National Historic Preservation Act

Proposed construction and development projects that require Federal permits are subject to review under Section 106 of the National Historic Preservation Act, which requires that the Federal decision-maker take into account the project's potential effects on cultural resources listed or eligible for listing in the National Register of Historic Places. Over the years and especially after 1990 when the National Park Service released Bulletin 38, Guidelines for Evaluating and Documenting Traditional Cultural Properties (TCPs), Section 106 review has increased the consideration of designating TCPs and consultation with the Indian tribal organizations that value them. Bulletin 38 defines TCPs as places that have been historically important in maintaining the cultural identify of a community.

scholarly journals Qualitative research to explore the symptoms and impacts experienced by children with ulcerative colitis

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Jason A. Randall ◽  
Aiste Guobyte ◽  
Laure Delbecque ◽  
Louise Newton ◽  
Tara Symonds ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Lived Experience ◽  
Thematic Analysis ◽  
Gastrointestinal Disease ◽  
The United States ◽  
Self Report ◽  
Related Quality ◽  
High Level

Abstract Background Ulcerative Colitis (UC) is a chronic gastrointestinal disease that often presents during one’s most productive years and is characterized by colon inflammation. Key symptoms and impacts in adults are well-known, however, experiences among pediatric populations have not been well documented. The purpose of this study was to understand the health-related quality of life and symptomatic experience of children (2–11 years) living with UC. Methods Qualitative, semi-structured face-to-face interviews were conducted. Children aged 5–11 years were interviewed, as well as their parents/caregivers in matched dyads. Parents/caregivers of children aged2–4 years were interviewed within a parent/caregiver-only cohort. All participants were recruited from the United States. Interviews were coded using thematic analysis. Results Key symptoms and impacts reflecting the lived experience of UC were identified following thematic analysis, generating a conceptual model. A total of 32 participants (20 parents/caregivers and 12 children) were interviewed. Results identified a substantial burden of UC in children. All children and parents/caregivers reported that they/their child experienced stomach/abdominal pain. Other symptoms discussed by over 75% were blood in stool, diarrhea/loose stools, stool urgency, incomplete evacuation, stool frequency, and feeling gassy/passing gas. The most frequently discussed impacts by over 75% of participants were on emotional and practical aspects, seriously affecting quality of life. Conclusions Qualitative analysis of the interviews identified a substantial burden of UC on children, with a profound impact on their lives. The symptomatic experience is reflective of adults and adolescents. A high level of agreement between parents/caregivers and children was demonstrated regarding the perception of the presence or absence of symptoms. Children aged 8–11 years showed higher levels of agreement with parents/caregivers than did younger children, indicating appropriateness of self-report of symptom data in the 8–11 years age group.

scholarly journals The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Emma Farrell ◽  
Marta Bustillo ◽  
Carel W. le Roux ◽  
Joe Nadglowski ◽  
Eva Hollmann ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lived Experience ◽  
Health Care Providers ◽  
Evidence Synthesis ◽  
Qualitative Studies ◽  
Qualitative Evidence Synthesis ◽  
Care Providers ◽  
Critical Appraisal Skills ◽  
Health Complications

Abstract Background Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the effectiveness of health interventions. This review aims to systematically locate, assess and synthesise qualitative studies in order to develop a more comprehensive understanding of the lived experience of people with obesity. Methods This is a protocol for a qualitative evidence synthesis of the lived experience of people with obesity. A defined search strategy will be employed in conducting a comprehensive literature search of the following databases: PubMed, Embase, PsycInfo, PsycArticles and Dimensions (from 2011 onwards). Qualitative studies focusing on the lived experience of adults with obesity (BMI >30) will be included. Two reviewers will independently screen all citations, abstracts and full-text articles and abstract data. The quality of included studies will be appraised using the critical appraisal skills programme (CASP) criteria. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual. Discussion The findings from this synthesis will be used to inform the EU Innovative Medicines Initiative (IMI)-funded SOPHIA (Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy) study. The objective of SOPHIA is to optimise future obesity treatment and stimulate a new narrative, understanding and vocabulary around obesity as a set of complex and chronic diseases. The findings will also be useful to health care providers and policy makers who seek to understand the experience of those with obesity. Systematic review registration PROSPERO CRD42020214560.

WHAT ARE THE BORDERS OF DISTANCE LEARNING IN UNIVERSITIES?

2020 ◽  
pp. 8-11
Author(s):  
R.A. Almaev ◽  
Keyword(s):  
Distance Learning ◽  
Professional Education ◽  
Evidence Base ◽  
Federal State ◽  
Educational Standard ◽  
Higher Professional Education ◽  
State Educational ◽  
Discipline Programs ◽  
Independent Work

The possibilities of using distance learning on the Internet are considered with the fulfillment of the requirements of the Federal State Educational Standard of Higher Professional Education to the learning out-comes according to the indicators established in the discipline programs - to know, be able, and have skills. It is noted that distance learning, being accessible to users, does not have an evidence base for its effectiveness in ensuring the quality of education. In universities with a technological focus, the creation of an educational environment that meets the established requirements is impossible with distance learning. As an additional educational resource, it can be used in organizing students' independent work, studying optional courses, in DPO centers (retraining, professional development).

Bactericidal activity of disinfectants

2020 ◽  
pp. 13-18
Author(s):  
S. B. Lysko ◽  
M. V. Zadorozhnaya ◽  
O. A. Suntsova
Keyword(s):  
Federal State ◽  
Gram Positive ◽  
Gram Negative ◽  
Development Of Resistance ◽  
Wide Range ◽  
Ammonium Compounds ◽  
C Center ◽  
Test Cultures ◽  
Poultry Farming

The modern market of drugs off ers a wide range of disinfectants. However, the constant use of the same drugs contributes to the development of resistance in the microfl ora and reduces the quality of activities. In this regard to develop eff ective measures to combat and prevent infectious diseases, it is necessary to periodically monitor the activity of disinfectants used in the enterprise. The purpose of the researches was to study the bactericidal eff ect of disinfectants on the microfl ora of poultry enterprises. The researches have been carried out at the Siberian Scientifi c and Research Institute of Poultry Farming – a branch of the Federal State Budgetary Scientifi c Institution “Omsk Agrarian Scientifi c Center”. The activity of 8 disinfectants to 37 test cultures isolated from poultry farms of diff erent productivity trends and species of poultry (chickens, turkeys, quails) has been tested. It has been found as a result of the conducted research that the most expressed bactericidal eff ect on gram-positive and gram-negative microorganisms were complex disinfectants, which included glutaraldehyde in combination with quaternary ammonium compounds. Thus, 1 % solutions of Gludesive and Viroshield provided the death of all test cultures, Dinovis Ultra and TN-4+ – 92 and 84 % of cultures. The disinfecting activity of Mirosan drug and formalin was most expressed for gram-positive microfl ora, among gram-negative microfl ora resistance was registered in 25–75 % and 25–50 % of cultures, respectively. Drugs EcoSide Advansa and Ecocide C have showed the lowest activity to all investigated microorganisms. The largest number of resistant cultures to the tested disinfectants have been registered in the bacteria of the genus Citrobacter spp. and Pseudomonas aeruginosa, while simultaneously noted resistance to 4–6 drugs.

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