Lessons Learned by Rehabilitation Counselors and Physicians in Services to COVID-19 Long-Haulers: A Qualitative Study

Coronavirus disease (COVID-19) may cause long-lasting adverse consequences after acute recovery, including functional limitations and reduced work capacity. Individuals with long-lasting complications of COVID-19 are known as long-haulers. There is a knowledge gap on how COVID-19 complications affect return-to-work (RTW) efforts. We aimed to describe the challenges that long-haulers encounter when RTW from the perspectives of rehabilitation professionals. In this study, four certified rehabilitation counselors and four rehabilitation physicians in outpatient rehabilitation centers participated in focus groups. Participants discussed challenges in working with long-haulers, including personal attributes, post-COVID-19 symptoms and complications, uncertain recovery and unpredictable outcomes, limited health care accessibility and support, and unsupportive work environments. Participants provide individualized services to meet long-haulers’ diverse needs as they do for all persons with disabilities, although they expressed uncertainty due to the variable disease course and risk of infection. Modifying workplace policies, especially gradual RTW, were frequently mentioned accommodations. The findings highlight the RTW issues of long-haulers. We provide recommendations on increasing awareness of the challenges and job accommodations of long-haulers.

The experience of organizing inclusive education of children and persons limited health by means of physical culture

The experience of the volunteer movement Kostroma State University´ (KSU) students in the rehabilitation center for the disabled of all ages and categories (RCD) and physical education classes in the Karaganda Medical University (MUK) ´ physical health center is presented. It has been established that in order to adapt children and persons with disabilities (limited health) to social life, it is necessary to involve them in the optimal level of physical activity, which entails the restoration of mental and vegetative functions of the body. There is a need to unite healthy persons and persons with disabilities into one group, as a result of which persons with disabilities acquire a sense of confidence, openness and gullibility towards the people around them and the coaching staff. Key words: healthy lifestyle (HLS), inclusion, adaptive physical education, disabilities, persons with limited health, inclusive competences, quasi-professional activity.

From DemenTia to DemenCia: Way More Than a Single Letter

Hispanic or Latino/a/x/e (H/L) individuals are at 1.5x risk for Alzheimer’s Disease and Related Dementias (ADRD) compared to non-H/L White individuals. Although H/L individuals make up roughly 18% of the U.S. population, they are vastly underrepresented in ADRD research. For example, less than 9% of individuals in the National Alzheimer's Coordinating Center (NACC) data set are H/L. Collaborative efforts like the ECHAR Network are working to increase the representation of H/L individuals in ADRD research across the U.S. A non-exhaustive list of barriers to H/L participation include limited health literacy, perspectives on aging, and preferences for family-centered care that aligns with H/L cultural values (e.g., familismo). For example, H/L individuals are less likely to have a medical conceptualization of the Spanish translation for dementia. The cognate “demencia” is more likely to be conflated with alternative meanings like insanity, which may create barriers when developing community-facing recruitment and study materials.

Technologies of inclusion of the disabled and persons with disabilities

The textbook analyzes social technologies used in various spheres of public life: education, employment, labor, etc., which are aimed at the inclusion of persons with disabilities and limited health opportunities (HIA). General recommendations on social design and organization of research in the field of inclusion are given, its ethical and gender aspects are touched upon. Meets the requirements of the federal state educational standards of higher education of the latest generation. For students of higher educational institutions studying in the fields of "Sociology", "Social Work", "Philosophy" (bachelor's degree level), as well as for masters and postgraduates, practitioners interested in the problems of inclusion of people with disabilities and disabilities.

Platelet-lymphocyte ratio and sepsis outcome in children

Background Sepsis is the most common cause of death in infants and children worldwide. Identification of patients with a high risk of death and accurately anticipating outcomes in the early phase is very important in order to provide adequate intervention to the patient. Predictors and scoring systems have been used to determine the prognosis of sepsis n children. The platelet-lymphocyte ratio (PLR), a newly-used marker for inflammation, has received recent attention, as it can act as an indicator in a variety of diseases, including sepsis. Objective o investigate the relationship between PLR and clinical outcomes in pediatric patients with sepsis. Methods This study was conducted using an analytic, observational method with a prospective cohort approach in children with sepsis in the Pediatric Intensive Care Unit (PICU) of Prof. Dr. R. D. Kandou Central General Hospital, Manado, North Sulawesi, from February to August 2020. We analyzed patients’ platelet-lymphocyteratio (PLR), mortality rate, and length of stay using SPSS software. The PLR were recorded once within the first 24 hours of PICU admission. Results Of 96 PICU patients, 87 patients were eligible for this study. In total, 50 patients (57.47%) died. Mean PLR was 77.53 among sepsis survivors and 157.2 among non-survivors (rpb=0.566, P<0.0001) indicating a strong relationship between PLR and mortality. We also found a strong positive linear relationship between PLR and PICU length of stay. Conclusion Platelet-lymphocyte ratio is a predictor of sepsis outcomes that can be easily and inexpensively checked. Thus, it can be used in regions with limited health facilities.

Information Seeking Needs of Mothers Who Bottle-Feed Their Young Infants: How the Information Seeking Process Affects Them and What Libraries Can Do to Help Them

<p>Aim: The aim of the study is to examine the information seeking experiences of mothers who bottle feed young infants. What are their information needs and how do they seek to fill them? What emotional impact does the information seeking process have on this group? What role can Libraries play in helping this group find information? Methodology: This research utilises Dervin's sense-making methodology. At the heart of sensemaking is the situation-gap-outcome triangle. Kuhlthau's uncertainty principle is also used to help analyse the results and understand the connection between emotion and information seeking. Other research is also used to understand the experiences of the interviewees and place them in a wider context. Results: Mothers who bottle-feed young infants often feel guilt and anger. They are often unprepared for bottle-feeding, especially if they planned to breast-feed, and access to information on bottle-feeding is limited. Health professionals are sometimes reluctant to provide information on bottle-feeding. Informal information sources, such as family, friends and other mothers, are very important. There is little awareness that Libraries are able to provide information on bottle-feeding even among mothers who are frequent Library users. Libraries can best support bottle-feeding mothers by becoming inclusive community spaces for mothers to meet and share information.</p>

Epidemiological Evaluation of Pediatric Elbow Injuries: A Retrospective Observational Single Center

Introduction Elbow fractures are the commonest fractures in the pediatric age group. The aim of this study is to evaluate the epidemiology of fresh and neglected pediatric elbow fractures in a hilly state of India with a limited health care facility. Materials and Methods This was a retrospective observational single-center study conducted between January 2019 and January 2021. Results Supracondylar was the most common fracture in 58.7% of patients followed by lateral condyle and proximal radius fracture. The highest number of fractures were reported in the age group of 5 to 8 years. In addition, 19% of patients presented with associated complications, 8% of patients had combination injuries of the ipsilateral upper limb, 16% of patients presented to the hospital 1 week after the trauma, 48% of patients had the first contact with a bonesetter/native practitioner. Conclusion Supracondylar fracture was the most common elbow fracture followed by lateral condyle. The most common involved age group was 5 to 8 years. A significant number of elbow fractures are mismanaged by native practitioners in rural India.

Health literacy and associated factors among undergraduates: A university-based cross-sectional study in Nepal

Health literacy is one of the most critical aspects of health promotion. Limited health literacy is also accounted for adverse health outcomes and a huge financial burden on society. However, a gap exists in the level of health literacy, especially among undergraduates. This study aimed to assess the levels of health literacy and its socio-demographic determinants among undergraduate students of Tribhuvan University, Nepal. A web-based cross-sectional survey was conducted among 469 undergraduate students from five institutes of Tribhuvan University, Nepal. The 16-item short version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) was used to measure students’ health literacy levels. Associated factors were examined using Chi-square tests followed by multivariate logistic regression analyses at the level of significance of 0.05. Nearly 61% of students were found to have limited health literacy (24.5% had “inadequate” and 36.3% had “problematic” health literacy). Female students (aOR = 1.6, 95% CI: 1.1–2.5), students from non-health related majors (aOR = 1.9, 95% CI: 1.2–3.0), students with unsatisfactory health status (aOR = 2.8, 95% CI: 1.7–4.5), students with poor financial status (aOR = 2.9, 95% CI: 1.2–6.8) and students with low self-esteem (aOR = 2.5, 95% CI: 1.5–4.1) were significantly more likely to have limited health literacy. The majority of the undergraduates were found to have limited health literacy. Gender, sector of study, self-rated health status, self-rated financial status, and self-esteem were significantly associated with limited health literacy. This study indicates university students should not be assumed to be health-literate and interventions to improve students’ health literacy especially for those whose majors are not health-related should be implemented. Further studies using a longer version of the health literacy survey questionnaire and qualitative methods to explore more on determinants of health literacy are recommended.

The time for National Colorectal Cancer Screening Program

In Egypt, there are no current screening or surveillance guidelines for CRC, and most of the individual screening is scarcely done. Consequently, many cases of CRC are diagnosed in a late stage. Hence, we are in a real and urgent need to formulate Egyptian guidelines that suites our population, our physicians and compel with our limited health resources. These guidelines if formulated and implemented will help to detect early stages of CRC, reduce the cancer-related treatment expenses, and will improve the prognosis.