Challenges in United Nations Peacekeeping Operations

Given the variety of actions concentrating on peacekeeping with significant successful operations, the United Nations (UN) continues to encounter concerns and challenges that have hampered its peacekeeping operations’ efficiency, effectiveness, and performance. This article aimed to investigate the primary challenges that adversely influence peacekeeping operations and challenge them based on the security theory proposed by Barry Buzan. According to the study’s findings, UN peacekeeping missions have been successful in addressing conflict situations and promoting peace in many regions of the world. Nevertheless, faults and challenges, notably in terms of the operations’ political, economic, and societal factors, have restricted the peacekeeping operations’ ability to achieve their objectives successfully. Therefore, a better policy that includes all involved actors, especially local government and the population, should be established in order to rebuild a conflict-torn country.

A review of disparities in access to infertility care and treatment outcomes among Hispanic women

Hispanic women have lower rates of use of infertility services than non-Hispanic White women. There are many barriers that impede access to infertility care including economic, geographic, cultural, and societal factors and there are disparities in treatment outcomes. Hispanic women are less likely to seek infertility care than non-Hispanic White women and even after infertility evaluation, Hispanic women are less likely to receive treatment for their infertility. Lower use of infertility treatments among Hispanic women is unlikely to be driven solely by economic factors. There is disappointingly little data on in-vitro fertilization treatment outcomes including the population of Hispanic women, and existing data has yielded conflicting results. Incomplete and variable reporting of race data across clinics raises the potential for misclassification bias and invalid study conclusions. Addressing disparities in access to reproductive medicine in the Hispanic population will required a multifaceted approach including expanded insurance coverage, improved education for both patients and providers, and additional research on barriers to care.

A qualitative focus group study concerning perceptions and experiences of Nigerian mothers on stillbirths

Objective To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. Design Qualitative, interpretative. Setting Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. Sample Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). In order to capture the experiences and perception of stillbirth within this cohort we approached mothers who had in a previous pregnancy experienced a stillbirth. Of the 31 who attended 16 had a previous stillbirth. Methods Semi-structured Focus Group Discussions, consisting of open-ended questions about stillbirth, beliefs, experiences and influences were held in MMSH, conducted over 1 day. Results Our findings highlight that this is a resource-poor tertiary facility serving an ever-growing population, increasing strain on the hospital and healthcare workers. Many of the participants highlighted needing permission from certain family members before accessing healthcare or medical treatment. We identified that mothers generally have knowledge on self-care during pregnancy, yet certain societal factors prevented that from being their priority. Judgement and blame was a common theme, yet a complex area entwined with traditions, superstitions and the pressure to procreate with many mothers described being made to feel useless and worthless if they did not birth a live baby. Conclusions As access to healthcare becomes easier, there are certain traditions, family and social dynamics and beliefs which conflict with scientific knowledge and act as a major barrier to uptake of healthcare services. The findings highlight the need for investment in maternity care, appropriate health education and public enlightenment; they will help inform appropriate interventions aimed at reducing stigma around stillbirth and aide in educating mothers about the importance of appropriate health seeking behaviour. Stillbirths are occurring in this area of the world unnecessarily, globally there has been extensive research conducted on stillbirth prevention. This research has highlighted some of the areas which can be tackled by modifying existing successful interventions to work towards reducing preventable stillbirths.

Bringing Transdisciplinary Aging Research From Theory to Practice

There is a growing emphasis to use a transdisciplinary team approach to accelerate innovations in science to solve complex conditions associated with aging. However, the optimal organizational structure and process for how to accomplish transdisciplinary team science are unclear. In this study, we illustrate our team’s experience using transdisciplinary approaches to solve challenging and persistent problems for older adults living in urban communities. We describe our challenges and successes using the National Institutes of Health four-phase model of transdisciplinary team-based research. Using a de-identified survey, the team conducted an internal evaluation to identify features that created challenges including structural incongruities, interprofessional blind spots, group function, and group dynamics. The team then identified responses to address the features that created challenges and determined indicators for success. Indicators for success were identified by the team as a place for continued evaluation of the teams’ collaborative effectiveness, transdisciplinary integration, and impact on the university and aging community. This work resulted in the creation of the team’s Transdisciplinary Conceptual Model. This model became essential to understanding the complex interplay between societal factors, community partners, and academic partners. Conducting internal evaluations of transdisciplinary team processes is integral for teams to move beyond the multi- and interdisciplinary niche and to reach true transdisciplinary success. More research is needed to develop measures that assess team transdisciplinary integration. Once the process of transdisciplinary integration can be reliably assessed, the next step would be to determine the impact of transdisciplinary team science initiatives on aging communities.

Canadian Career Firefighters’ Mental Health Impacts and Priorities

Firefighters’ perceptions of mental health can inform management. This qualitative study explored Canadian career firefighters’ experiences, needs, and research priorities with respect to mental health. Thirty-nine career firefighters (33 men, 6 women) of different ranks and geographic locales were interviewed using a semi-structured interview guide. The interviews were recorded, transcribed, and qualitatively analyzed using thematic analysis within an interpretive description approach. Firefighters reported that critical incidents and chronic job stressors contributed to mental health symptoms that led to burnout, compassion fatigue, and mental and physical injury. They were concerned with family impacts, like lack of full openness, reduced financial stability, and risk of divorce, and work impacts, like interpersonal conflict, lack of support to fellow firefighters, task avoidance, and absenteeism. A broad array of barriers and facilitators were found in firefighter work, culture, programs, social supports, health care, and societal factors. Variability in access to help, the changing fire service, and the complexity of knowing what to do to achieve mental health were evident across themes. Firefighters identified the need for research in four areas: awareness and monitoring, understanding etiology of mental health, better prevention and treatment, and access to care. Across domains of inquiry, context “two sides to the coin” and uncertainty were overarching themes.

The Case of the United States

Connectedness is vital for health and well-being. Families with lower socioeconomic status and of racial and ethnic minority groups experience inequities in social connections compared to families with higher income and of White race in the United States. We aimed to understand how families in lower-income neighborhoods experienced social connectedness and isolation during the COVID-19 pandemic and if and how political, economic, and other societal factors influenced social connectedness. We conducted in-depth interviews with nineteen caregivers of young children in Cincinnati, Ohio. Participants had a decreased sense of social connectedness to family and friends but also across all aspects of their lives. The current crisis has exacerbated preexisting societal conditions within the United States. We can learn from these caregivers how best to bolster social connectedness and disrupt social isolation.

Conflict and chaos: A case study of Ireland’s COVID-19 outbound travel market

During the COVID-19 pandemic the international outbound travel market from Ireland collapsed, declining at one point by 94%. This case study paper explores the environment which framed the collapse in travel, positioning it as one of conflict and chaos. The main objective is to document and analyse the legal, industry and societal factors which may have contributed to the collapse, identifying the key regulations, decisions, metrics, and societal responses, and exploring their intersection with outbound tourism. Three areas of inquiry are explored, namely: 1) the legal instruments used by government to restrict travel, 2) operational decisions made by industry, and 3) societal and media response to the pandemic. Three findings are presented from the desk research. First, it is suggested that the conflicting agendas of government and public health, the mainstream media and the travel industry would be more effectively dealt with in private as opposed to via news articles, social media arguments, and openly published letters. Second, clarity of communication from all three bodies needs improvement due to its impact on consumer confidence. Finally, the article proposes lessons for government in relation to future crisis management situations regarding outbound travel.

AI Model for Predicting Legal Judgments to Improve Accuracy and Explainability of Online Privacy Invasion Cases

Since there are growing concerns regarding online privacy, firms may have the risk of being involved in various privacy infringement cases resulting in legal causations. If firms are aware of consequences from possible cases of invasion of online privacy, they can more actively prevent future online privacy infringements. Thus, this study attempts to predict the probability of judgment types caused by various invasions within US judicial cases that are related to online privacy invasions. Since legal judgment results are significantly influenced by societal factors and technological development, this study tries to identify a model that can accurately predict legal judgment with explainability. To archive the study objective, it compares the prediction performance by applying five types of classification algorithms (LDA, NNET, CART, SVM, and random forest) of machine learning. We also examined the relationship between privacy infringement factors and adjudications by applying network text analysis. The results indicate that firms could have a high possibility of both civil and criminal law responsibilities if they distributed malware or spyware, intentionally or non-intentionally, to collect unauthorized data. It addresses the needs of reflecting both quantitative and qualitative approach for establishing automatic legal systems for improving its accuracy based on the socio-technical perspective.

Development of models of care coordination for rare conditions: A qualitative study

Introduction: Improving care coordination for people with rare conditions may help to reduce burden on patients and carers and improve the care that patients receive. We recently developed a taxonomy of different ways of coordinating care for rare conditions. It is not yet known which models of care coordination are appropriate in different situations. This study aimed to: i) explore what types of care coordination may be appropriate in different situations, and ii) use these findings to develop hypothetical models of care coordination for rare conditions. Methods: To explore appropriateness of different types of care coordination, we conducted interviews (n=30), four focus groups (n=22) and two workshops (n=27) with patients, carers, healthcare professionals, commissioners, and charity representatives. Participants were asked about preferences, benefits and challenges, and the factors influencing coordination. Thematic analysis was used to develop hypothetical models of care coordination. Models were refined following feedback from workshop participants. Results: Stakeholders prefer models of care that: are nationally centralised or a hybrid of national and local care, involve professionals collaborating to deliver care, have clear roles and responsibilities outlined (including administrative, coordinator, clinical and charity roles), provide access to records and offer flexible appointments (in terms of timing and mode). Many factors influenced coordination, including those relating to the patient (e.g., condition complexity, patient's location and ability to coordinate their own care), the healthcare professional (e.g., knowledge and time), the healthcare environment (e.g., resources) and societal factors (e.g., availability of funding). We developed and refined ten illustrative hypothetical models of care coordination for rare conditions. Conclusion: Findings underline that different models of care coordination may be appropriate in different situations. It is possible to develop models of care coordination which are tailored to the individual in context. Findings may be used to facilitate planning around which models of care coordination may be appropriate in different services or circumstances. Findings may also be used by key stakeholders (e.g. patient organisations, clinicians and service planners) as a decision-making tool.