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Author(s):  
Josephine Anthony

In childcare institutions (CCIs) in India, children with mild or moderate levels of disability are often placed with non-disabled children for care and protection. Generally, children with intellectual disability (ID), learning disability, hearing and speech impairment and multiple disabilities with ID are found to be living in these CCIs. In this best practice article, the challenges faced by these children with disabilities and the potential for inclusion within the CCI are discussed based on the field action project intervention of the Tata Institute of Social Sciences (TISS), Mumbai, with selected government CCIs. The article suggests a multi-pronged intervention approach for the Children with disability (CWD) at the levels of the individual CWD, peer group, CCI and the juvenile justice (JJ) System, which are together recognised as the stakeholders of an ‘inclusive ecosystem’. The article arrives at the ‘Inclusive Ecosystem Model of Rehabilitation’ by drawing from the individual–environment interaction model of disability.


2022 ◽  
pp. 145-170

This narrative discusses a research study using both qualitative and quantitative methods to illustrate the connections between writing and healing. College students who answered survey questions about their health reported anxiety as a concern. Writing in journals became a method of coping with anxiety, which led the research to evolve into a social action project of managing stress and eliminating the stigma surrounding anxiety. Resources to help anxiety include exercise, nutrition, and belonging to a supportive community.


2021 ◽  
Vol 1 ◽  
pp. 147
Author(s):  
Martin Coath ◽  
Ilona Mettiäinen ◽  
Roxana Contreras ◽  
Jusu Toivonen ◽  
John Moore

In this brief plain language report we introduce a novel diagrammatic way of thinking about interactions in transdisciplinary teams. This representation is designed to provoke debate about how teams which do not share a common world view can make progress, but not necessarily direct progress, towards common goals. We further identify a range of possible problems -- which we refer to as road-blocks -- which can limit progress and reduce the effectiveness of such projects. Finally we make short suggestions about how road-blocks might be lifted. The diagrammatic representation was developed as part of the plain language notes which were kept to document the progress of a work package -- part of the Blue-Action project -- dealing with Arctic Tourism. But the report draws on wider experience of transdisciplinary working in the team and attempts an easily readable summary of some aspects of how such projects do, and do not, work. We propose that interactions between members of a team that have little in common, with respect to experience and expertise, will rarely lead to outputs that meet the goals of the project unless supplementary activities first 'recast' their views towards a common frame of reference.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Tatiana Șuleșco ◽  
Galina Bușmachiu ◽  
Unchana Lange ◽  
Jonas Schmidt-Chanasit ◽  
Renke Lühken

Abstract Background In Europe, Aedes albopictus is an important vector of chikungunya virus and Dirofilaria nematodes and has been involved in local autochthonous circulation of dengue and Zika viruses. Due to the ongoing spread, targeted field surveillance at potential points of entry of invasive Aedes mosquitoes was initiated by the Republic of Moldova in 2020 as part of the transboundary “Invasive Aedes Mosquitoes COST-Action project.” Methods In 2020, ovitraps were positioned at each of three locations: the border crossing to Romania in Leuşeni (Hancesti region), Chişinӑu International Airport and Chişinӑu Botanical Garden. Results A total of 188 Aedes spp. eggs were collected at the Chişinӑu International Airport between August and September 2020. Twenty-three adults reared in the laboratory were identified morphologically as Ae. albopictus (Skuse, 1895), and 12 selected specimens were confirmed by molecular barcoding of the cytochrome oxidase subunit I gene region. In addition, one adult Ae. albopictus female at the same site was caught with a manual aspirator. Conclusions This is the first documented report of Ae. albopictus in the Republic of Moldova. The presence of immature and adult stages indicates the local reproduction of the species in the country. Therefore, it is crucial to extend and strengthen surveillance of the invasive Aedes mosquitoes to prevent Ae. albopictus and other exotic mosquito species from becoming established in the Republic of Moldova. Graphical abstract


Identity ◽  
2021 ◽  
pp. 1-15
Author(s):  
Sheila K. Marshall ◽  
L. Alejandra Botia ◽  
Mindy Ming-Chung Chiang ◽  
Jose F. Domene ◽  
Margaret Noel ◽  
...  

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Romana Haneef ◽  
Jürgen Schmidt ◽  
Anne Gallay ◽  
Brecht Devleesschauwer ◽  
Ian Grant ◽  
...  

Abstract Background The InfAct (Information for Action) project is a European Commission Joint Action on Health Information which has promoted the potential role of burden of disease (BoD) approaches to improve the current European Union-Health Information System (EU-HIS). It has done so by raising awareness of the concept, the methods used to calculate estimates and their potential implications and uses in policymaking. The BoD approach is a systematic and scientific effort to quantify and compare the magnitude of health loss due to different diseases, injuries, and risk factors with estimates produced by demographic characteristics and geographies for specific points in time. Not all countries have the resources to undertake such work, and may therefore start with a more restricted objective, e.g., a limited number of diseases, or the use of simple measures of population health such as disease prevalence or life expectancy. The main objective to develop these recommendations was to facilitate those countries planning to start a national burden of disease study. Results These recommendations could be considered as minimum requirements for those countries planning to start a BoD study and includes following elements: (1) Define the objectives of a burden of disease study within the context of your country, (2) Identify, communicate and secure the benefits of performing national burden of disease studies, (3) Secure access to the minimum required data sources, (4) Ensure the minimum required capacity and capability is available to carry out burden of disease study, (5) Establish a clear governance structure for the burden of disease study and stakeholder engagement/involvement, (6) Choose the appropriate methodological approaches and (7) Knowledge translation. These were guided by the results from our survey performed to identify the needs of European countries for BoD studies, a narrative overview from four European countries (Belgium, Germany, The Netherlands and Scotland) and the summary of a comparative study of country health profiles with national health statistics. Conclusions These recommendations as minimum requirements would facilitate efforts by those European countries who intend to perform national BoD studies.


2021 ◽  
Author(s):  
Tatiana Sulesco ◽  
Galina Busmachiu ◽  
Unchana Lange ◽  
Jonas Schmidt-Chanasit ◽  
Renke Lühken

Abstract BackgroundIn Europe, Ae. albopictus is an important vector of chikungunya virus, Dirofilaria nematodes and was involved in local autochthonous circulation of dengue virus and Zika virus. Due to the ongoing spread, a targeted field surveillance at potential points-of-entries for Aedes invasive mosquitoes was initiated for the Republic of Moldova in 2020 as part of the transboundary “Aedes Invasive Mosquito COST Action project”. MethodsIn 2020, ovitraps were positioned at each of three locations: the border crossing to Romania in Leuseni (Hancesti region), Chisinau International Airport and Chisinau Botanical Garden.ResultsA total of 188 Aedes spp. eggs were collected at the Chisinau International Airport between August and September 2020. Twenty-three adults reared in the laboratory were identified morphologically as Aedes albopictus (Skuse, 1895) and twelve selected specimens were confirmed by molecular barcoding of the cytochrome oxidase subunit I gene region. In addition, one adult female of Ae. albopictus was caught at the same site with a manual aspirator from a human.ConclusionsThis is the first documented report of Ae. albopictus in the Republic of Moldova. The presence of immature and adult stages indicates the local reproduction of the species in the country. Therefore, it is crucial to extend and strengthen surveillance of the invasive Aedes mosquitoes to prevent Ae. albopictus and other exotic mosquito species from establishing in the Republic of Moldova.


2021 ◽  
Vol 11 (2) ◽  
pp. 250-255
Author(s):  
Sharan J Kapadia ◽  
Yu Gao ◽  
Ewa Cumming

Background: The prevalence of type 2 diabetes mellitus (T2DM) in London is rising, obesity being a major driver. As part of a primary care placement, the authors (two medical students and a lead general practitioner) directly promoted the Reducing Weight with Intensive Dietary Support (REWIND) programme to patients in Northwest London and collected feedback on the promotion. Methods: The team developed and delivered three remote interventions: a redesigned patient-facing information leaflet, phone calls and text messages, and a live, interactive webinar, to directly engage patients and raise awareness about REWIND. Feedback was collected pre and post-webinar using an anonymised, online survey (essentially functioning as a ‘teaching’ evaluation). Results: Mean interest in REWIND had increased from 2.7 (pre-promotion) to 4.7 (post-promotion), knowledge about REWIND had increased from 2.1 to 4, and self-reported likelihood of enrolling had increased from 2.6 to 4.2 (P<0.01 in all cases). The reported usefulness of the leaflet and webinar was scored 3.7 and 4.4 respectively. Within two weeks of the webinar, two of these patients had joined REWIND. Conclusion: Feedback from the patients and GP revealed that the project successfully raised awareness, improved knowledge, and increased the likelihood of enrolment in REWIND. Diabetes programmes and organisations are encouraged to adapt the methods of this project to their own contexts, especially in light of COVID-19 where remote interventions will remain essential.


Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1320
Author(s):  
Humberto Peña-Jorquera ◽  
Valentina Campos-Núñez ◽  
Kabir P. Sadarangani ◽  
Gerson Ferrari ◽  
Carlos Jorquera-Aguilera ◽  
...  

This study aimed to determine whether pupils who have breakfast just before a cognitive demand, do not regularly skip breakfast, and consume a high-quality breakfast present higher cognitive performance than those who do not; furthermore, to establish differences according to their nutritional status. In this study, 1181 Chilean adolescents aged 10–14 years participated. A global cognitive score was computed through eight tasks, and the body mass index z-score (BMIz) was calculated using a growth reference for school-aged adolescents. The characteristics of breakfast were self-reported. Analyses of covariance were performed to determine differences in cognitive performance according to BMIz groups adjusted to sex, peak height velocity, physical fitness global score, and their schools. A positive association was found in adolescents’ cognitive performance when they had breakfast just before cognitive tasks, did not regularly skip breakfast, presented at least two breakfast quality components, and included dairy products. No significant differences were found between breakfast components, including cereal/bread and fruits/fruit juice. Finally, pupils who were overweight/obese who declared that they skipped breakfast regularly presented a lower cognitive performance than their normal-BMIz peers. These findings suggest that adolescents who have breakfast just prior to a cognitive demand and regularly have a high quality breakfast have better cognitive performance than those who do not. Educative nutritional strategies should be prioritized, especially in “breakfast skippers” adolescents living with overweight/obesity.


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