An Intervention Supporting the Mental Health of Children with a Refugee Background.

This contribution proposes an intervention methodology that provides improved access to and effectiveness of mental health care facilities in Brussels, Belgium, for children and their families with a refugee and migration background. Migration is a complex process that involves several potential risk factors, and referral to mental health facilities is often ineffective. Consequently, optimal developmental opportunities for refugee children are hampered. The intervention is underpinned by a broad-based contextual perspective that seeks to bring to the surface and tackles the many challenges faced by these families. It takes into account the unique developmental context of refugee children, as well as the interplay with broader systems.

A file study of refugee children referred to specialized mental health care: from an individual diagnostic to an ecological perspective.

The past years have been characterized by a large refugee crisis across the globe. The exposure to preflight, flight, and resettlement stressors puts refugee children and their families at risk of developing emotional and behavioral disorders. A unique Western-based approach of mental health problems seems to be insufficient to address the complexity of interactions between individual vulnerabilities and more ecological surrounding systems. We looked into (1) the reasons for referral; and (2) the process diagnostic outcomes after ethnopsychiatric and psychological assessment. We conducted a thematic content analysis on 93 files of refugee children. The findings suggest that mental health care professionals need to hold into account the multiplicity and intertwining of ongoing challenges to the well-being of refugee children. The integration of a Western-based psychiatric assessment with a more ecologically based view can lead to a more culturally sensitive approach in refugee children and their families. This way, both under- and overdiagnosis of psychiatric disorders could be avoided to further optimalise mental health care in this population.

Effect of Photoperiod On Permethrin Resistance In Aedes aegypti.

Living organisms have been exposed to light-dark cycles that allowed them to adapt to different ecological niches. Circadian cycles affect hormone release, metabolism, and response to xenobiotic compounds. Current studies have shown that insect susceptibility to toxic agents depends on circadian cycles, mainly because the biochemical processes involved in detoxification and responses to oxidative stress are modulated by this process. The goal of this study was to determine the effect of photoperiod on resistance to permethrin in Aedes aegypti . Collections of Ae. aegypti from 4 locations in Yucatan, southern Mexico, were subjected to 2 different photoperiod schemes: dark (0 h light:24 h dark) and natural photoperiod (12 h light:12 h dark). The comparison of both photoperiods was evaluated with respect to permethrin resistance using bottle bioassays and by monitoring the possible mechanism related such as enzymatic activity and by the frequency of 2 knockdown resistance mutations in the voltage-dependent sodium channel gene (V1016I and F1534C). The susceptible strain was used as a reference. The mosquitoes in dark photoperiod showed a reduction in resistance to the pyrethroid. The α-esterases and glutathione S-transferase enzymatic activities showed lower levels in the dark photoperiod, and the frequencies of V1016I knockdown resistance mutation showed significant difference between photoperiod schemes.

Influence of climbing style on physiological responses during indoor rock climbing on routes with the same difficulty.

The objectives of this study were to (1) continuously assess oxygen uptake and heart rate; (2) quantify the extent to which maximal whole-body cardiorespiratory capacity is utilized during climbing on four routes with the same difficulty but different steepness and/or displacement. Fifteen expert climbers underwent a maximal graded exercise test (MT), on a treadmill, in order to assess their maximal physiological capacity. After MT, four sport routes, equal in difficulty rating but different in steepness and/or displacement, were climbed. Oxygen uptake and heart rate were continuously measured. Respiratory exchange ratio (RER) was calculated. Blood lactate concentration and rating of perceived exertion (RPE) were taken before and directly after climbing. Data were expressed as peak values (HRpeak, VO2peak and RERpeak) and as averages over the entire climb (HRavg, VO2avg and RERavg). During climbing, higher HRpeak and HRavg were found in routes with a vertical upward displacement in comparison to traversing routes with a horizontal displacement. The average absolute and relative oxygen uptake was significantly lower in the traversing route in comparison with the three other routes. The traverse is done at a lower percent of the running maximum. Comparing four routes with the same difficulty but different steepness and/or displacement shows that (1) routes with an upward displacement causes the highest peak and average heart rate; (2) routes with a vertical displacement on overhanging wall is physiologically the most demanding; (3) the traverse is physiologically the less demanding.

Diarrhea: a comparative study between 1953 and 1963 cases at the Manila Childrens Hospital

A ten year comparative report of diarrheal cases in 1953 and 1963 at the Manila childrens Hospital has been presented. A five year survey (1960-1964) of diarrheal cases in the same hospital has also been dealt with in the aspects of age, season and mortality percentage. The original 7.7 of diarrheal deaths in 1953 (preliminary report) now reduced to 1 in 1963 is significant as one of the lowest locally reported. The major factor for the satisfactory clinical results accrue to the effective use of the scalp vein infusion set and the recommended simplified form of fluid and electrolyte therapy.(Summary and conclusion)