Preventing skin tears among older adults in general practice

In this article, Sarah Jane Palmer discusses the importance of the prevention of skin tears and the role practice nurses can play Skin tears can present a complex and chronic problem for an older patient with fragile skin, and can be very disabling, reducing quality of life dramatically in some cases. The right care is essential from all members of the wider team caring for older patients, in order to identify risk factors for skin tears, as well as formulating a care plan of prevention that relates to these risk factors. Good skin care is essential, as well as patient education, and identifying ongoing issues with the patient's health that present a factor to consider when caring for them, such as mobility issues. Self-care should be encouraged where possible, and the correct use and choice of emollients that are pH balanced is crucial. By preventing skin tears we not only give the patient a far better quality of life, but we also reduce the need for very limited NHS resources.

Climate Change and Expectations for the Future of the Planet

The chapter “Climate Change and Expectations for the Future of the Planet” discusses one of the more amorphous stressors for Generation Disaster as it’s difficult to measure the psychological impact of a chronic problem like climate change. Many emerging adults recognize the problem and experience varying levels of stress about it, sometimes referred to as “eco-anxiety,” and many are actively engaged in combating its effects. Others consider it a lower priority than the many acute stressors they’re trying to manage, but in general younger generations express far more concern about the problem than their elders. The chapter explores these reactions and the efforts of some emerging adults to cope with a stressor many feel they unfairly inherited.

Kemiskinan dan Struktur Sosial di Maluku Dalam Perspektif Social Capital

This article aims to analyze the poverty problems and social structure in Maluku from a social capital perspective. Poverty is a human problem that hinders prosperity and civilization. The discourse of poverty in Indonesia to Maluku remains a crucial discourse to discuss and find a solution. Poverty has become a chronic problem because it is related to gaps and unemployment. In a proper sense, poverty is understood as a state of lack of money and goods to ensure survival. In Maluku, the latest data on poverty was recorded by BPS (center for statistic data) as of 2020 from September 2020, BPS recorded the number of poor people in Maluku amounting to 322.40 thousand people, or an increase of 4.2 thousand people when compared to March 2020, which was 318.18 thousand souls. Using a qualitative descriptive approach, this article offers a mapping of problems and approaches to social capital to address the acute problem of poverty in Maluku.

Alcohol Consumption Motivation in Adolescents

The number of alcoholic drinks that adolescents abuse was due to various reasons. The objective of the study was to explore the motivation of adolescents in consuming alcohol. This study used a qualitative descriptive method. 13 participants were selected according to the inclusion criteria using snowball sampling. The data collection used semi-structured interviews. The data analysis stage in this study used the Colaizzi technique. This study consisted 3 main themes and 19 sub-themes; (1) feelings: a) comfortable, b) happiness, c) relieved, d) satisfied; (2) encouragement: a) society, b) curious, c) addictive, d) friend invitation, e) escape, f) solidarity, g) got trouble, h) stimulate activity, i) looking for new experience; (3) achievement: a) got many friends, b) recognized, c) so it looks cool, d) he problem solved, e) able to tell stories, f) healthy in body. The consumption of alcohol in adolescents was based on the will of the adolescent, both from within the individual and from outside the individual which motivated adolescents to consume alcohol with a purpose that the individual believes. Alcohol abuse among adolescents is a chronic problem in the government's efforts to reduce numbers due to the effect of alcoholic drinks. Alcoholic drink is a type of drink that has an intoxicating effect, is dependent on nature and causes changes in behavior, perceptions, emotions and cognition for those who consume it

THE LINK BETWEEN ORAL HEALTH AND DIABETES COMPLICATIONS

Background: Although oral health is linked to diabetes, the likelihood of developing acute or chronic diabetic issues as a result of this link remains unknown in Ontario, Canada's most populous province. The impact of self-reported dental health on the chance of developing acute and chronic problems in a group of previously diagnosed diabetics is investigated in this study. Methodology: Diabetics (n = 5183) who took part in the Canadian Community Health Survey in 2003 and 2007–08 were studied retrospectively. Until March 31, 2016, self-reported oral health status was connected to health interactions in electronic medical records. After self-reporting oral health status, multinomial regression models were used to assess the likelihood of the first acute or chronic problem. Keywords: Population health, Acute, Oral health, diabetes complications, periodontal disease, Chronic.

Structural Violence in Korean Sports Community

Competitions in sport games can cause athletes to become overly immersed, and it can lead to violent incidents. In Korea, structural violence and animosity between senior and junior athletes and between coaches and athletes have been rampant in the field of sports (Sohn, 2011). Although criminal acts under the code of criminal procedure have been applied in many different cases of violence and the perpetrators have been punished, structural violence in sports community is still a chronic problem in Korea. The purpose of this study was to find and analyze specific examples of structural violence and actual cases of sports crimes occurring in sports to present countermeasures and mitigation measures against structural violence in the Korean sports community.

Do racismo na escola a uma escola contra o racismo: reflexões a respeito do cenário brasileiro

O presente artigo tem por objetivo apresentar ponderações a respeito da maneira como o racismo evidente e manifesto em falas e comportamentos de indivíduos na sociedade brasileira contribui para a negação da humanidade e o apagamento de sujeitos em função de seu pertencimento étnico-racial, levando-se em consideração o importante papel que a escola deve desempenhar a fim de combater quaisquer formas de preconceito e discriminação, principalmente produzindo ações que se tornem eficazes já nos primeiros anos do Ensino Fundamental. Para se atingir tal objetivo, utilizou-se como metodologia a pesquisa de caráter qualitativo, com delineamento exploratório, a partir do objetivo definido, e de procedimento bibliográfico com coleta de dados em textos já publicados a respeito do tema e dispostos em materiais impressos ou em meios digitais. O resultado a que chega com o escrito aponta para a necessidade do fortalecimento de práticas pedagógicas e de ações de conscientização para o enfrentamento de grave problema persistente na sociedade brasileira, na qual uma parcela ainda tem insistido na via da negação do racismo e na existência de uma democracia racial. Extraindo-se por conclusão a constatação de que a escola precisa abraçar sua missão social e permitir a efetivação de políticas educacionais incisivas e que se tornem eficazes para a formação de indivíduos dispostos ao diálogo e não ao conflito que apenas alimenta o abismo de ignorância caracterizador de uma sociedade que se tem mostrado, ao menos em parte, indisposta a enfrentar e resolver seus dilemas mais agudos.Palavras-chave: Racismo. Escola. Sociedade brasileira.From racism in school to a school against the racism: considerations about the Brazilian sceneABSTRACTThis article has by aim to present comprehensions about the way racism exposed and manifest em speeches and individual behaviors in Brazilian society contributes to the denial of humanity and the obliteration of some persons by their ethnic recognition, in considering the essential role of the school in this matter struggling any kind of prejudice and discrimination, mostly producing actions with substantial effectiveness mainly in the Elementary School. To achieve that objective, it was made use as methodology the research of qualitative type and exploratory basis with bibliographic procedure of data, accessing texts about the subject in books or digital media. The result of the discussion shows that it is needed the strengthening of pedagogic practices and actions of conscientization to face this chronic problem still existent in the Brazilian society, in which some individuals have insisted in the denial of the racism and in the reality of some kind of racial democracy. Considering by conclusion that it is through the school, assuming its social goal, the consolidation of educational and strength policies will be realized in the process of building persons opened to the dialogue but not to the conflict who only feeds the abyss of ignorance that it is a strong attribute of a society that has sadly revealed itself, at least some individuals, unable to face its major dilemmas.Keywords: Racism. Elementary School. Brazilian Society.Del racismo en la escuela a una escuela contra el racismo: reflexiones a respecto del panorama brasileñoRESUMENEste articulo tiene por objetivo presentar algunas consideraciones a respeto de la manera como el racismo claro y manifiesto en hablas y comportamientos de los individuos en la sociedad brasileña ha contribuido para la negación de la humanidad y el apagamiento de los sujetos en razón de su identificación étnico-racial, sabiéndose que la escuela tiene inevitablemente un papel muy importante a desempeñar en el combate a todas las formas de prejuicio y discriminación, principalmente produciendo acciones que sean eficaces ya en los primeros años de la enseñanza elemental. Para llegarse al cumplimiento de lo objetivo descrito se hace aplicación de metodología con investigación cualitativa, de carácter exploratorio, a partir de dicho objetivo, y de revisión bibliográfica acerca del problema con acceso a textos disponibles en línea o libros. El resultado alcanzado con este escrito muestra que es fundamental avanzar en el fortalecimiento de prácticas pedagógicas y de acciones para la tomada de conciencia mirando el enfrentamiento de uno grave problema mucho presente en la sociedad brasileña, en la cual una parte aún se posiciona por la negación del racismo y por la creencia en una democracia racial. Por lo tanto, una de las conclusiones es la constatación de que en Brasil la escuela necesita abrazar su tarea social y permitir la realización de fuertes políticas educacionales que se tornen caminos viables para la formación de individuos dispuestos al dialogo y jamás elijan el conflicto que sólo alimenta el abismo de ignorancia como marca de una sociedad que se tiene hecho ver, en parte, poco lista a enfrentar y solucionar sus dilemas más severos.Palabras clave: Racismo. Enseñanza Elemental. Sociedad Brasileña

On the optimization of maintenance storage cost in industry a fuzzy logic application

PurposeThe purpose of this paper is to construct a fuzzy logic model that acts as a decision support system to minimize inventory-related costs in the field of industrial maintenance. Achieving a balance between the unavailability and over-storage of spare parts is a problem with potentially significant consequences. That significance increases proportionally with the ever-increasing challenge of reducing overall cost. Either scenario can result in substantial financial losses because of the interruption of production or the costs of tied-up capital, also called the “solidification of capital.” Moreover, there is that additional problem of the expiry of parts on the shelf.Design/methodology/approachThe proposed approach relies on inputs from experts with consideration for incompleteness and inaccuracy. Two levels of decision are considered simultaneously. The first is whether a part should be stored or ordered when needed. The second involves comparing suppliers with their batch-size offers based on user-determined criteria. A mathematical model is developed in parallel for validation.FindingsThe results indicate that the fuzzy logic approach is accurate and satisfactory for this application and that it is advantageous because of its limited sensitivity to the inaccuracy and/or incompleteness of data. In addition, the approach is practical because it requires minimal user effort.Originality/valueTo the best of the authors’ knowledge, the exploitation of fuzzy-logic altogether with limited sensitivity experts' inputs were never combined for the solution of this particular problem; however, this approach's positive impact is expected to be highly significant in solving a chronic problem in industry.

Chronic Pain has become a Chronic Problem in Norway. What are we doing Wrong? A Report from a Norwegian Pain Clinic

hronic pain occurs in around 20% of European adults [1], affecting 100 million people. In Norway 30% of the population suffer from chronic pain [2]. Reasons for why Norwegians have such a high incidence of chronic pain is not known. Chronic pain has been associated with socio-economic deprivation [3]. However, the World Bank has declared Norway the richest country in the world [4]. All residents are covered by the National Insurance Scheme. Private medical insurance is limited and most hospitals are public. Outpatient care and medicines used in chronic diseases are usually heavily subsidized or free. Is it possible that these support systems and the provision of sick pay paradoxically reduce motivation in individuals to increase levels of activity, and reduce the use of medication, thereby delaying a return to work?