Ambivalent bonds, positive and negative emotions, and expectations in teachers' perceptions of relationship with their students with ADHD.

A growing body of research has been focusing recently on the life and well-being of students with attention-deficit/hyperactivity disorder (ADHD) and also on the well-being of their teachers. However, there is a need for in-depth, qualitative insights into ADHD issues from the teachers' perspectives. Therefore, the main aim of this qualitative study was to use thematic analysis to explore how teachers perceive the relationship with students with ADHD and the factors that influence the quality of this relationship. Sixteen teachers working with adolescent ADHD students were interviewed for this purpose. The results indicate that the quality of the teacher-ADHD student relationship is associated with the ADHD students related behaviours, ambivalent emotions of the teacher, the teacher's beliefs about ADHD and the beliefs about the determinants of the behaviour of the students with ADHD and the teacher's approaches and methods of work in the classroom. Furthermore, the results suggest that increasing the quality of the teachers' well-being is associated with knowledge of ADHD determinants, regulation of ambivalent emotions, empathy, teachers' ability to perceive positive qualities and the potentials of the students with ADHD and their motivation to teach ADHD students.

Implementation of a pan-European ecosystem and an interoperable platform for Smart and Healthy Ageing in Europe: An Innovation Action research protocol.

As life expectancy continues to increase in most EU Member States, smart technologies can help enable older people to continue living at home, despite the challenges accompanying the ageing process. The Innovation Action (IA) SHAPES 'Smart and Healthy Ageing through People Engaging in Supportive Systems' funded by the EU under the Horizon 2020 Research and Innovation Programme (grant agreement number 857159) attends to these topics to support active and healthy ageing and the wellbeing of older adults. This protocol article outlines the SHAPES project's objectives and aims, methods, structure, and expected outcomes. SHAPES seeks to build, pilot, and deploy a large-scale, EU-standardised interoperable, and scalable open platform. The platform will facilitate the integration of a broad range of technological, organisational, clinical, educational, and social solutions. SHAPES emphasises that the home is much more than a house-space; it entails a sense of belonging, a place and a purpose in the community. SHAPES creates an ecosystem - a network of relevant users and stakeholders - who will work together to scale-up smart solutions. Furthermore, SHAPES will create a marketplace seeking to connect demand and supply across the home, health and care services. Finally, SHAPES will produce a set of recommendations to support key stakeholders seeking to integrate smart technologies in their care systems to mediate care delivery. Throughout, SHAPES adopts a multidisciplinary research approach to establish an empirical basis to guide the development of the platform. This includes long-term ethnographic research and a large-scale pan-European campaign to pilot the platform and its digital solutions within the context of seven distinct pilot themes. The project will thereby address the challenges of ageing societies in Europe and facilitate the integration of community-based health and social care. SHAPES will thus be a key driver for the transformation of healthcare and social care services across Europe.

Patient delay in presenting symptoms of breast cancer in women in the Czech Republic.

BACKGROUND: Presenting breast cancer symptoms and seeking medical help is a key element in the dia-gnosis and treatment of this disease. Early presentation of symptoms increases the likelihood of recovery. However, some women do not seek medical attention as soon as they find a symptom and delay a visit to the physician. MATERIAL AND METHODS: This study is part of a project based on DIPEx qualitative methodology focused on experience of women with breast cancer. The aim of this article is to explore reasons for the delay of the presentation of breast cancer symptoms to a physician. Fifty-three interviews with women were collected across the Czech Republic. Aiming for maximum variation of the sample, the women represent different age groups, education level, marital status, stages of illness and types of treatment. The DIPEx qualitative methodology was used. The first part of the interview is narrative, followed by a semi-structured part. The interviews were verbatim transcribed for the analysis. The data were analysed using NVivo10 software. Open coding was applied from which the categories were constructed and the themes emerged. We used the OSOP (one sheet of paper) method for a thematic analysis. RESULTS: Delay in presenting symptoms to a physician is mainly caused by wrong symptom interpretation, and not considering symptom as serious. In some cases, defence mechanisms are activated and women tend to downplay the symptom. Cognitive distortion is triggered in some women who have experience with such a symptom. Other women tend to prioritize various life events over seeing a physician. Screening tests were perceived positively. CONCLUSIONS: Bearing the results in mind, we recommend aiming educational campaigns not only at symptom recognition and the importance of seeking medical help, but also the subsequent steps that need to be taken.