A narrative study on the psycho-social impact of sex trafficking on victim’s parents in the state of Karnataka

Purpose The purpose of this study is to explore the life of the victim’s parents in Karnataka and to gain a better understanding of the consequences or impact of sex trafficking on them. Design/methodology/approach A narrative research design was used in the study. Applying the method of narrative inquiry and the concept of three common spaces, the study explored the actual life situations and experiences of the victim’s parents. The study covered three pairs of parents as participants from two cities, i.e. Mysore and Bangalore in the state of Karnataka. Data was collected through in-depth face-to-face interview, informal conversations, photographs and field notes. Findings The study found that the victims’ parents are living an isolated or socially alienated life with potential symptoms of behavioural, cognitive and emotional disorders. The study also found that the victim’s parents fundamental right to live with dignity and respect have been violated. A significant finding in the study was that the parents did not cite or refer to any substantial efforts undertaken by non-governmental organisations in reintegrating the victim’s families within their communities. There are many rehabilitative services available for the victims. Unfortunately, the victim’s parents mostly remain unnoticed and unattended by therapists, social work practitioners and policymakers. An appeal is made to therapists, social workers, policymakers and individuals to support the victim’s parents. Originality/value All forms of human trafficking, especially sex trafficking has drawn considerable interest from researchers, policymakers, charities and non-government agencies. However, very little is known about the living conditions of the victim’s parents, especially the psycho-social status in their families and neighbourhood. Therefore, it was pertinent to explore the life of the victim’s parents including violation of their human rights. It highlights the importance of support from the society in reintegrating the victim’s families with their communities. This paper contributes to the qualitative literature by providing narrative evidence, which will lead to better policymaking and designing effective support services for the victim’s parents.

On An International Level, What Are The Functions Of An Individualized Education Program (IEP) Or Transition Plan (TP)?

More than 45 years of IEP/TP research and a few focused on IEP/TP functions or roles. Yet, the quality of an IEP/TP relies on the functions that it fulfills to satisfy the needs of its different users (Petitdemange,1985). The Quebec Ministry of Education (MEQ, 2004) and the Office of Special Education and Rehabilitative Services within the U.S. Department of Education (in Eichler, 1999) explicitly identified and described six to seven IEP/TP functions. However, a literature review and practising environments highlighted a greater number of functions. The goal of this research is to identify the different functions that an IEP/TP should fulfill in regard to the different needs of its diverse users. With the use of pedagogical value analysis method (PVA), results show a synthesis of more than 700 functions organized in an IEP/TP Functional Specification Matrix (FSM). The IEP /TP FSM is useful to create, monitor and evaluate IEP/TPs.

Applying Salutogenesis in Vocational Rehabilitation Settings

Rehabilitation services are more closely and directly linked to maintaining and regaining positive health lost by illness and by pathogenic side effects of health care than the provision of cure or care. There even exists some professional understanding that rehabilitation should start with the beginning of treatment and be integrated into treatment processes and not just follow after discharge of patients. But even the WHO definition of rehabilitation has a pathogenic bias by focusing on disabilities of people or on disabled people and not addressing their abilities explicitly. Therefore, salutogenesis still has to offer something and has an added value to rehabilitation as a supportive intervention for recovery processes.Within the wider field of rehabilitation, this chapter has a specific focus on vocational work-oriented rehabilitation, which is a combination of medical, psychological, social, and occupational activities with the goal of enabling a timely return to work after sickness absence. For that the chapter highlights how salutogenesis can be related to the design and implementation of vocational rehabilitative services. A summary of descriptive and intervention research is given on the impact of the sense of coherence (SOC) as a moderator on processes and outcomes of rehabilitation programs and on the influence of these programs on the development of the SOC. Recommendations for further research with more complex longitudinal designs are given.

Risk of Alzheimer’s Disease and Related Dementia Among Adults With Congenital and Acquired Disabilities

Objective Adults with congenital (cerebral palsy or spina bifida (CP/SB)) or acquired disabilities (spinal cord injury (SCI) or multiple sclerosis (MS)) have higher incidence of age-related health conditions. There is a gap in the literature about the risk of dementia among adults living with these disabilities. This study aimed to examine time to incidence of Alzheimer’s disease and related dementia (ADRD) among these disability cohorts. Method: Using national private payer claims data from 2007-2017, we identified adults (45+) with diagnosis of CP/SB (n=7,226), SCI (n=6,083), and MS (n=6,025). Adults without disability diagnosis were included as controls. Using age, sex, race/ethnicity, cardiometabolic, psychologic, and musculoskeletal chronic conditions, and socioeconomic variables, we propensity score matched persons with and without disabilities. Incidence of ADRD was compared at 4-years. Cox Regression was used to estimate adjusted hazard ratios (aHR) for incident early and late onset ADRD. Results Incidence of early and late onset ADRD were substantially higher among people with disabilities compared to their non-disabled counterparts. Adults with CP, SCI, and MS had higher risk for early [CP/SB: aHR= 3.35 (95% CI: 2.18-5.14); SCI: aHR=1.93 (95% CI:1.06-3.51); and MS: aHR=4.49 (95% CI:2.62-7.69)] and late [CP: aHR=1.68 (95% CI:1.38-2.03); SCI: aHR: 1.77 (95% CI:1.55-2.02); and MS: aHR=1.26 (95% CI:1.04, 1.54)] onset ADRD. Conclusions Risk of ADRD was higher among adults with CP/SB, SCI, and MS compared to their matched cohort without disability. Investment in early screening and use of therapeutic or rehabilitative services that may help preserving cognitive function among these patient cohorts is warranted.

Expectations, concerns and experiences of rehabilitation patients during the COVID-19 pandemic in Germany: a qualitative analysis of online forum posts

Background The COVID-19 pandemic, as well as efforts to prevent its spread, have had a strong impact on the delivery of rehabilitative services in Germany. While several studies have addressed the impact of these developments on health service providers and COVID-19 patients, little is known about its impact on patients in need of rehabilitative treatment because of other conditions. This study aims to identify expectations, concerns and experiences of rehabilitation patients related to service delivery in this situation. Methods Using a qualitative study design, user posts from six German online forums between March and Mid-November 2020 were systematically searched with respect to experiences, concerns and expectations of health care users toward receiving rehabilitative treatment. We used qualitative content analysis with inductive coding as our methodological approach. Results Users fearing physical or psychological impairment were concerned about not receiving timely or effective treatment due to closed hospitals, reduced treatments and limited admissions. In contrast, patients more concerned about getting infected with COVID-19 worried about the effectiveness of protective measures and being denied postponement of treatment by the funding bodies. During their stay, some patients reported feeling isolated due to contact restrictions and did not feel their treatment was effective, while others reported being satisfied and praised hospitals for their efforts to ensure the safety of the patients. Many patients reported communication problems before and during their treatment, including concerns about the safety and effectiveness of their treatment, as well as financial concerns and worries about future treatments. Several users felt that their concerns were disregarded by the hospitals and the funding bodies, leaving them feeling distressed, insecure and dissatisfied. Conclusions While some users report only minor concerns related to the pandemic and its impact on rehabilitation, others report strong concerns relating not only to their own health and safety, but also to financial aspects and their ability to work. Many users feel ignored and disregarded, showing a strong need for more coordinated strategies and improved communication specifically with funding bodies like health insurance companies and the German pension funds.

Quality of Life among Stroke Survivors

The physical and cognitive sequelae resulting in functional disabilities after Stroke has an influence on the quality of life (QoL) of stroke survivors. The objective of the study was to assess stroke specific quality of life among stroke survivors. A Quantitative descriptive study in which 50 stroke survivors attending the stroke OPD of a tertiary care hospital after a month were taken using convenient sampling. Their Quality of Life (QoL) was assessed in 12 domains using Stroke Specific Quality of Life (SS-QOL). The Data was analyzed using descriptive and inferential statistics. A fairly good QoL was seen among the study subjects. The mean SS-QOL was 174.86 with a SD of +/- 46.81 in a maximum score of 245 (71.37%). The most affected domain in SS-QOL was social role (59.36%), followed by family role (61.72%) and the least affected were vision (82.26%) and language (86.24%). The poor QoL in social roles and family roles clearly indicates the necessity to strengthen the stroke rehabilitative services in our community.

Health Profile Based on Healthy Family Index, Tambakmas Village From the Results of the PIS-PK Survey

The Healthy Indonesia Program is one of the programs of Nawa Cita's 5th agenda, which is to Improve the Quality of Life of Indonesian People. The purpose of this research is to improve the access of families and their members to comprehensive health services, including promotive and preventive services as well as basic curative and rehabilitative services. The benefits are increasing family access along with their members to comprehensive health services, including promotive and preventive services as well as basic curative and rehabilitative services. Collecting and processing data, including general data and special data, general data is data concerning the working area of Gantrung Health Center, population data and program goals. Special data is data on improving health status, health program coverage, and family and family member data. Identifying health problems and their potential solutions, analyzing and identifying health problems from existing data. At rt levels found some problems on the coverage of low healthy family indicators, this affected the index of healthy families rt levels, the average index of healthy families was on Pre-Healthy.The value is greater if the level of urgency is urgent, or the level of seriousness, or the level of development is increasingly concerning. Then multiply the level of urgency (U) by the level of Seriousness (S) and the level of Development (G). Problem priorities are sorted by multiplication results. Follow-up plans are drawn up jointly between program implementers/efforts with low healthy family indicator achievements. This is the cooperation of health workers and the community in realizing community empowerment in health development. In the follow-up plan still uses the family approach, with the survey data it can be known starting from rw targets, RT, families and individuals

Physiotherapy services in patient care in Bhutan

Physiotherapy and rehabilitative services are an integral part of patient care, but in many developing countries they are not considered a priority and are either not available or not easily accessible to those who need them. Bhutan is one such country where healthcare is provided free of cost to all, but as of 2021 physiotherapy services were available only in 26 of 48 hospitals and 19 of 20 districts. The number of physiotherapy professionals per 10,000 population is 1.4 with significant rates of attrition. There is lack of awareness among patients and other health professionals about physiotherapy and rehabilitation services. The country needs to integrate physiotherapy and rehabilitation services into the overall health policy framework and develop proper planning of human resources and infrastructure to meet the current and future demands.

Psychological and Physiological Complications of Post-Burn Patients in Pakistan

Pakistan has a burn mortality rate of 6.5%, with a considerable percentage of survivors suffering from long-term complications due to lack of rehabilitation. The aim of this review is to outline the important physiological and psychological after-effects of burn injuries. Relevant articles were included by conducting a comprehensive search between 20th March and 25th May 2020. Psychological complications of burns include depression, post-traumatic stress disorder, anxiety, sleep disturbance, phobias, guilt, suicidal thoughts, and personality changes. Physiological complications include scarring, contractures, pain, muscle wasting, and hypothermia. Other complications include infections. The review revealed a scarcity of literature regarding the prevalence and impact of long-term complications in post-burn patients. Our findings include a lack of rehabilitative services and high rate of post-burn complications in Pakistan. Rehabilitation of burn patients should be a continuation of active treatment and should begin from the day of admission, to reduce the morbidity and improve the quality of life of burn patients. Keywords: Burns; physiology; psychology; rehabilitation; quality of life.

3 Questions for an Online Learning Leader

Dr. Jill Drake is both Professor in the College of Education and Associate Vice President for Academic Affairs at the University of West Georgia. In the latter role, she currently oversees academic programming and assessment, transfer agreements, and internal curriculum approval processes. Jill has experience teaching face-to-face and online courses at the graduate and undergraduate levels in educational foundations, early childhood, and elementary education. Her research focuses on assessment in K-5 mathematics education, problem posing, and teaching mathematics to diverse populations. Internationally recognized for her research on problem posing, Dr. Drake has published two mathematics activity books for high school and middle school students. Prior to her appointment at the University of West Georgia, Jill was an educator at the early childhood, elementary, and middle school levels. She completed a Bachelor of Science in Elementary Education, a Master of Education in K-12 School Counseling, and a Specialist in Health and Rehabilitative Services at Florida State University. She holds a Doctorate of Education in Curriculum and Supervision from the University of Georgia and completed a postdoctoral program in math education at the University of West Georgia.