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1.
InterAsia Cult Stud ; 25(3): 322-347, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38765180

RESUMO

Drawing on promotional materials in 2007-2008 and in 2021-2022, this article examines both Olympics to explore how the state has evolved in its governmental rationalities, and the related cultural and political implications. The 2022 Winter Games, despite its comparatively low profile and challenges posed by Covid-19, provided the Chinese state with a key moment to advance its confidence doctrine. Three discourses were mobilised pertaining to, first, the CCP's superb leadership and problem-solving skills; second, China's mega-infrastructure; and, third, created + made in China. The 2022 Olympics thus mobilised three confidence-driven discourses: leadership confidence, techno-scientific confidence, and creative confidence. In doing so, the 2022 Olympics envisioned, narrated, and materialised the popular discursive signifiers - technology, green and sustainability, and the future - the authorities already actively promoted in its political initiatives and policies. This contributed to the inward-oriented beliefs of self-reliance and self-improvement. Where we witnessed in 2008 a sense of curiosity and openness, within China and the world at large, we now face the complexities, dangers, and cultural essentialism, if not narcissism, of a confident China.

2.
Crisis ; 45(3): 234-241, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38441130

RESUMO

Background: Men account for three-quarters of suicide deaths in Australia. Self-reliant masculine norms may act as barriers to men's help-seeking and contribute to suicidal ideation. Men who seek help may be less likely to experience suicidal ideation. Aim: We evaluated the association between help-seeking intentions and suicidal ideation in Australian adult men using data from Wave 2 of the Australian Longitudinal Study on Male Health (Ten to Men). Method: Using scores on the General Help-Seeking Questionnaire, we explored the association between informal help-seeking intentions (e.g., friend, family), formal help-seeking intentions (e.g., psychologist), overall help-seeking intentions (all sources), and new-onset suicidal ideation. We conducted logistic regression analyses using a sample of 7,828 men aged 18-60 years. Results: Increased overall help-seeking intentions and informal help-seeking intentions were significantly associated with lower odds of new-onset suicidal ideation, whereas formal help-seeking intentions were not significantly associated. Limitations: The cross-sectional design limits inferences about causality. Conclusion: Men who have greater informal help-seeking intentions may be less likely to experience a new onset of suicidal ideation; however, more longitudinal research is needed.


Assuntos
Comportamento de Busca de Ajuda , Intenção , Ideação Suicida , Humanos , Masculino , Adulto , Austrália , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Estudos Longitudinais , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Estudos Transversais , Masculinidade , Inquéritos e Questionários
3.
Arch Suicide Res ; 28(1): 324-341, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-36908198

RESUMO

OBJECTIVE: In most countries, men are at higher risk than women for suicide death. Research focused on masculinity and men's mental health increasingly demonstrates that relationships between gender and various health outcomes, including suicidality, is complex as these relationships can be further explained by certain psychological processes or health behaviors. The objective of this study was to extend this area of research in a national sample of US men (n = 785) by investigating if their adherence to certain hegemonic masculine gender role norms (toughness and self-reliance through mechanical skills) is associated with the suppression of distressing thoughts and if thought suppression then increases their risk for suicidal thoughts and behaviors. METHODS: Men in the US who have recently experienced a stressful life event completed an anonymous online survey. Structural Equational Modeling (SEM) was used to test for direct and indirect effects (i.e., mediation) between variables. RESULTS: Men's engagement in thought suppression mediated the relationship between self-reliance and suicidality. The norm of toughness was both directly related to suicidality and mediated by thought suppression. CONCLUSIONS: Thought suppression appears to be a process that provides some explanation for the relationships between hegemonic masculine norms and suicidality in men, though this study indicated it may play only a small role. Research continues to build that certain masculine norms, such as self-reliance and toughness, are particularly concerning for men's health.HIGHLIGHTSMen's thought suppression mediates the relationship between self-reliance and suicidalityMen's toughness impacts suicidality both directly and via engagement in thought suppressionThese findings have implications for interventions that help men manage distressing thoughts.


Assuntos
Ideação Suicida , Suicídio , Masculino , Humanos , Feminino , Masculinidade , Saúde do Homem , Comportamentos Relacionados com a Saúde
4.
JMIR Form Res ; 7: e49325, 2023 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-37676723

RESUMO

BACKGROUND: In most countries, men are more likely to die by suicide than women. Adherence to dominant masculine norms, such as being self-reliant, is linked to suicide in men in Western cultures. We created a suicide prevention media campaign, "Boys Do Cry," designed to challenge the "self-reliance" norm and encourage help-seeking in men. A music video was at the core of the campaign, which was an adapted version of the "Boys Don't Cry" song from "The Cure." There is evidence that suicide prevention media campaigns can encourage help-seeking for mental health difficulties. OBJECTIVE: We aimed to explore the reach, engagement, and themes of discussion prompted by the Boys Do Cry campaign on Twitter. METHODS: We used Twitter analytics data to investigate the reach and engagement of the Boys Do Cry campaign, including analyzing the characteristics of tweets posted by the campaign's hosts. Throughout the campaign and immediately after, we also used Twitter data derived from the Twitter Application Programming Interface to analyze the tweeting patterns of users related to the campaign. In addition, we qualitatively analyzed the content of Boys Do Cry-related tweets during the campaign period. RESULTS: During the campaign, Twitter users saw the tweets posted by the hosts of the campaign a total of 140,650 times and engaged with its content a total of 4477 times. The 10 highest-performing tweets by the campaign hosts involved either a video or an image. Among the 10 highest-performing tweets, the first was one that included the campaign's core video; the second was a screenshot of the tweet posted by Robert Smith, the lead singer of The Cure, sharing the Boys Do Cry campaign's video and tagging the campaign's hosts. In addition, the pattern of Twitter activity for the campaign-related tweets was considerably higher during the campaign than in the immediate postcampaign period, with half of the activity occurring during the first week of the campaign when Robert Smith promoted the campaign. Some of the key topics of discussions prompted by the Boys Do Cry campaign on Twitter involved users supporting the campaign; referencing the original song, band, or lead singer; reiterating the campaign's messages; and having emotional responses to the campaign. CONCLUSIONS: This study demonstrates that a brief media campaign such as Boys Do Cry can achieve good reach and engagement and can prompt discussions on Twitter about masculinity and suicide. Such discussions may lead to greater awareness about the importance of seeking help and providing support to those with mental health difficulties. However, this study suggests that longer, more intensive campaigns may be needed in order to amplify and sustain these results.

5.
Artigo em Inglês | MEDLINE | ID: mdl-36900864

RESUMO

PURPOSE: This article aims to investigate the main drivers of mobile banking among Delhi-NCR consumers. The TAM (technological acceptance model) was used as a framework for this study. Only a few studies have looked at how online banking users in India plan to use other similar services, such as m-banking. In order to do this, a theoretical model was made using the technology acceptance model. This model was then expanded to include the factors that make m-banking users more likely to use mobile banking. These adoption factors include the feeling of being watched, the ability to do things on your own with a mobile device, social dominance, and the role of customer support as a mediator. The use of m-banking is the thing that matters. SCOPE: In the last two decades, digital mobile devices have become the primary preferred method of consumer communication. Throughout the past year, mobile banking has become increasingly popular. The increasing number of smartphones in use, as well as the government's push for cashless transactions, provide an opportunity for the Indian banking industry to rapidly expand its usage of mobile and online banking. METHODOLOGY: The data were collected through a structured questionnaire distributed to 376 respondents from different sustainable investment classes. The use of convenience sampling was imposed. Structure equation modeling (SEM), reliability, convergence, discriminate validity, and model fitness were achieved through SmartPLS 3. FINDINGS: The study found that the adoption factors had a significant impact on perceived surveillance, mobile self-reliance, and social domination and mediating role of customer support to use mobile banking. These latest findings will inform banks and financial institutions on the rise of m-banking in India, as well as provide insight into digital banking channels and add to the literature on the topic of digital banking adoption.


Assuntos
Computadores de Mão , Smartphone , Reprodutibilidade dos Testes , Tecnologia , Modelos Teóricos
6.
J Ayurveda Integr Med ; 14(1): 100474, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34836788

RESUMO

The current global economic and biomedical perspectives contribute content, strategy, and values to global health systems, like objectification and competition, which encourage the medicalisation of the system. Medicalisation overlooks our interdependence with other beings, the environment and biosphere. In contrast, ancient health traditions like Ayurveda, derived from Asian cultures, provide knowledge of the human being's composition of five basic states of nature that need to remain in constant equilibrium to ensure health (Svasthya). Asian health traditions encourage values like vulnerability and respect to facilitate an inherent relationship with the internal and external environment. The recent pandemic has revealed the fragile vulnerability in this nexus and the consequences to human health and well-being when that equilibrium is disturbed. Serious deliberations and discussions are needed between the modern economic and the Asian frameworks for healthcare which result in two different approaches to health and to health systems. This debate may encourage the creation of a philosophy and structure for a new global pluralistic health system more aligned to nature. These deliberations need to encourage the discussion of Svasthya (health), Soukhya (sustainable happiness), and the inner and outer ecological landscapes experienced by human beings that can be understood through mindful self-awareness. Global health systems need to evolve in the direction of a different, pluralistic philosophy of health that encourages a 'population's self-reliance in health' through an intimate and integrated connection with nature.

7.
Soc Psychiatry Psychiatr Epidemiol ; 58(3): 489-499, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36112162

RESUMO

PURPOSE: Many young people with mental ill-health do not seek support, and developmental growth in self-reliance may be a barrier to help-seeking. Increasing autonomy is a positive developmental task for youth and a key aspect of resilience. This study examined the influence of perceived social support and resilience on the previously unexamined relationship between self-reliance and intentions to seek help from informal, professional, and self-help sources for mental health problems. METHODS: An online survey was completed by a representative Australian community sample of 5,203 young people aged 12-25 years (half female), in May-June 2020. RESULTS: Path analysis showed the hypothesised conceptual model did not fit the data well, but a modified model was a good fit. Higher self-reliance was associated with lower intentions to seek informal and professional help, as expected, but not with greater intentions for self-help. The relationship between self-reliance and informal help-seeking intentions was fully mediated by perceived social support, whereas the relationship between self-reliance and professional help-seeking was also direct. Perceived social support fully mediated the relationship between self-reliance and resilience. Intentions to use self-help were not influenced by variables in the study, but higher self-help intentions were associated with higher professional help-seeking intentions. Associations were consistent across age and gender groups. CONCLUSION: The results show the critical role of social support for combating some of the unhelpful aspects of self-reliance for mental health help-seeking in young people. Future research should explore how self-reliance can hinder or be harnessed to facilitate accessing appropriate mental health.


Assuntos
Comportamento de Busca de Ajuda , Transtornos Mentais , Serviços de Saúde Mental , Adolescente , Humanos , Feminino , Saúde Mental , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Austrália , Apoio Social , Transtornos Mentais/terapia , Transtornos Mentais/psicologia
8.
Health Psychol Behav Med ; 10(1): 1124-1135, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36419544

RESUMO

A pluralistic Health system provides options for people to choose appropriate healthcare approach. However, the ability to make informed decision is infleuenced by many factors. An informed decision is one of the attributes of self-reliance. In this study, through the interactions with smallholder farmers, we tried to travel through the realm of communities' integrative practices and perceptions with a specific focus on traditional medicine concerning animal and human health. We aimed to understand what influences healthcare choices, mainly traditional medicine among people and how it contributes to self-reliance in primary healthcare. We conducted this case study in Aluva taluk of Ernakulam district in Kerala, India. Study participants were selected using the purposive sampling method and the data collected through 22 in-depth interviews and participant observation. Integrative healthcare practice is fragmented due to variations in the evidence perception by the people. Personal experiences, social and cultural factors, and health literacy influence health decisions in practicing integrative healthcare. Therefore, while investigating a concept like self-reliance, there is a need for analytical methods to embrace experiential, textual, inherited, and incorporated forms of learning. This further helps researchers and policymakers to recommend context-specific and sustainable solutions to create self-reliant communities in primary healthcare.

9.
Indian J Public Health ; 66(2): 214-222, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35859511

RESUMO

Self-reliance is the responsible behavior and the ability of an individual to take care of one's own health using local resources. A substantial proportion of the population use traditional medicine (TM) for primary health care (PHC) in low- and middle-income countries (LMIC). The underlying philosophy of the TM approach is self-reliance due to its emphasis on culture, traditions, customs, and local resources. Given the complexity and ambiguity of how self-reliance emerges, there is a need to have clarity in its understanding and the practice in relation to TM. Hence, we conducted this review to synthesize the factors determining the emergence of self-reliance in PHC using TM in resource-poor settings with a specific focus on LMICs. We searched PubMed, Google scholar, and the Social Science Research Network databases, and conducted reference tracking of selected articles. We included articles published between 2000 and 2020 May. Thematic analysis was done using QDA-miner Lite software version 2.1. We retained 29 papers for review and analysis. A conceptual framework was developed that located factors influencing the emergence of self-reliance. Self-reliance manifests through a socially constructed interaction between factors from the macro (policy and environment) to the micro context (community and household). Due to the lack of explanatory models, there is a substantial gap between understanding self-reliance and its application in health policy and practice. Achieving comprehensive PHC and universal health coverage requires policy provisions to create an enabling environment in health-care facilities, communities, and households that allows the emergence of self-reliance.


Assuntos
Política de Saúde , Pobreza , Países em Desenvolvimento , Humanos , Índia , Medicina Tradicional , Atenção Primária à Saúde
10.
J Migr Health ; 6: 100115, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35668733

RESUMO

Background: There are about 55 million Internally Displaced Persons (IDP), and some live in camp settlements, often for protracted periods. However, there is limited evidence on camp management and self-management strategies adopted by camp-dwelling IDPs. This paper reflects on the camp management and health resilience strategies practised by IDPs settled in camp-like settings, based on the first strategic objective of the International Organisation for Migration (IOM) Progressive Resolution of Displacement Situations (PRDS). Methods: Eight focus group discussions were conducted with 49 IDP camp leaders across eight camp-like settings in Northern Nigeria. Issues explored included community structure, leadership, public interaction, communication, and health management. Data were analysed using a framework approach under five factors related to the IOM PRDS first objective. Findings: IDPs exhibited resilience by adapting to their current locations, establishing internal camp and health management structures, and advocating with external organisations. Supportive communal relationships were an integral element in their adaptation. Methods of resilience involved social cohesion, setting up camp leadership committees, and seeking alternative means of income, protection, and healthcare management. Additionally, selecting representatives who could advocate for their well-being allowed them to request support and exercise their rights. Conclusion: Despite resource shortages, the IDPs adapted by setting up techniques for managing their affairs and available resources, finding innovative ways to cater for themselves, advocating for their needs, and supporting each other. These observations showed how displaced populations can be active actors in their change and development if basic and essential management support is provided. Engaging IDPs in camp management could reduce long-term dependency on humanitarian aid.

11.
Qual Health Res ; 32(10): 1464-1476, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35758178

RESUMO

Deleterious effects of separation and divorce on men's mental health are well-documented; however, little is known about their help-seeking when adjusting to these all-too-common life transitions. Employing interpretive descriptive methods, interviews with 47 men exploring their mental health help-seeking after a relationship break-up were analyzed in deriving three themes: (1) Solitary work and tapping established connections, (2) Reaching out to make new connections, and (3) Engaging professional mental health care. Men relying on solitary work and established connections accessed relationship-focused self-help books, online resources, and confided in friends and/or family. Some participants supplemented solitary work by reaching out to make new connections including peer-based men's groups and education and social activities. Comprising first-time, returning, and continuing users, many men responded to relationship break-up crises by engaging professional mental health care. The findings challenge longstanding commentaries that men actively avoid mental health promotion by illuminating wide-ranging help resources.


Assuntos
Masculinidade , Saúde Mental , Humanos , Masculino , Homens/psicologia , Saúde do Homem , Parceiros Sexuais
12.
J Ment Health ; : 1-9, 2022 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-35502838

RESUMO

Purpose: Adolescents are the least likely to seek help for their mental health problems. School may be an important route to improve early recognition of adolescents with mental health problems in need for support, but little is known about the barriers to school support.Materials and methods: Data were collected in a longitudinal cohort study of Dutch adolescents (age 12-16) in secondary school (n = 956). We assessed the relation between level of psychosocial problems at the beginning of the school year (T1) and the support used in school at the end of that school year (T2), whether the willingness to talk to others (measured at T1) mediates this relation, and whether stigma towards help-seeking (T1) moderates this mediation.Results: Adolescents with more psychosocial problems were more likely to use support in school and were less willing to talk to others about their problems, but the willingness to talk to others was not a mediator. Stigma moderated the relationship between psychosocial problems and willingness to talk to others.Conclusions: Most adolescents with psychosocial problems get support in Dutch secondary school regardless of their willingness to talk to others about their problems. However, perceiving stigma towards help-seeking makes it less likely for someone to talk about their problems.

13.
JMIR Form Res ; 6(5): e33262, 2022 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-35588367

RESUMO

BACKGROUND: Even when technology allows rural cancer survivors to connect with supportive care providers from a distance, uptake of psychosocial referrals is low. Fewer than one-third of participants in a telemedicine intervention for identifying rural survivors with high distress and connecting them with care accepted psychosocial referral. OBJECTIVE: The purpose of this research was to examine the reasons for which rural cancer survivors did not accept a psychosocial referral. METHODS: We utilized a qualitative design to address the research purpose. We interviewed participants who had been offered psychosocial referral. Semistructured interviews were conducted 6 weeks later (n=14), and structured interviews were conducted 9 months later (n=6). Data were analyzed descriptively using an inductive approach. RESULTS: Ultimately, none of the rural cancer survivors (0/14, 0%) engaged with a psychosocial care provider, including those who had originally accepted referrals (0/4, 0%) for further psychosocial care. When explaining their decisions, survivors minimized their distress, emphasizing their self-reliance and the need to handle distress on their own. They expressed a preference for dealing with distress via informal support networks, which was often limited to close family members. No survivors endorsed public stigma as a barrier to accepting psychosocial help, but several suggested that self-stigma associated with not being able to handle their own distress was a reason for not seeking care. CONCLUSIONS: Rural cancer survivors' willingness to accept a psychosocial referral may be mediated by the rural cultural norm of self-reliance and by self-stigma. Interventions to address referral uptake may benefit from further illumination of these relationships as well as a strength-based approach that emphasizes positive aspects of the rural community and individual self-affirmation.

14.
Sugar Tech ; 24(3): 630-650, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35464631

RESUMO

The South-Asian region including India is a major hub of sugar producing countries with ample presence in the global sugar scenario. India has a rich history of sugarcane and sugar production since time immemorial, and the industry has gradually evolved to find a place among the top sugar producing countries of the world. The innovative technological interventions for sugarcane improvement, production and management have helped the industry to progress towards a diversified and bio-based productive, sustainable and profitable one, thereby gradually becoming self-reliant. This self-reliant industry with the right mix of linkages and collaborations, has been successful in tackling the various unforeseen challenges including those that cropped up during COVID-19 pandemic. The industry also fulfils its Corporate Social Responsibilities leading to the overall betterment of its stakeholders. This has enabled the Indian sugar industry to align itself with the 2030 Agenda for Sustainable Development Goals.

15.
Environ Sci Technol ; 56(2): 1183-1193, 2022 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-34972261

RESUMO

Worldwide efforts to switch away from coal have increased the reliance on natural gas imports for countries with inadequate domestic production. In preparing for potential gas import disruptions, there have been limited attempts to quantify the environmental and human health impacts of different options and incorporate them into decision-making. Here, we analyze the air pollution, human health, carbon emissions, and water consumption impacts under a set of planning strategies to prepare for potentially fully disrupted natural gas imports in China. We find that, with China's current natural gas storage capacity, compensating for natural gas import disruptions using domestic fossil fuels (with the current average combustion technology) could lead up to 23,300 (95% CI: 22,100-24,500) excess premature deaths from air pollution, along with increased carbon emissions and aggravated water stress. Improving energy efficiency, more progressive electrification and decarbonization, cleaner fossil combustion, and expanding natural gas storage capacity can significantly reduce the number of excess premature deaths and may offer opportunities to reduce negative carbon and water impacts simultaneously. Our results highlight the importance for China to increase the domestic storage capacity in the short term, and more importantly, to promote a clean energy transition to avoid potentially substantial environmental consequences under intensifying geopolitical uncertainties in China. Therefore, mitigating potential negative environmental impacts related to insecure natural gas supply provides additional incentives for China to facilitate a clean and efficient energy system transition.


Assuntos
Poluição do Ar , Gás Natural , Poluição do Ar/análise , Carbono/análise , China , Carvão Mineral , Humanos
16.
J Clin Psychol ; 78(5): 857-876, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34614200

RESUMO

OBJECTIVE: Rural areas in the Southern United States are characterized by certain cultural values that may delay or prevent mental health service utilization. The present study examined a four-stage chain of serial mediation where higher levels of general self-reliance would be related to greater levels of public stigma, which would in turn be related to higher levels of self-stigma, followed by greater self-reliance about managing mental health problems, and finally, more negative attitudes toward seeking help from psychologists. METHOD: Community members who lived in rural counties in the Southern United States (N = 783) completed measures of these constructs online. RESULTS: Mediation analyses supported a direct association between general self-reliance and attitudes toward help-seeking that was explained in serial by higher levels of public stigma, self-stigma, and mental health self-reliance. CONCLUSIONS: Clinical implications for rural practitioners are suggested including instilling policy changes, increasing provider visibility, and addressing barriers in therapy.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Humanos , Análise de Mediação , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Estigma Social
17.
J Hand Surg Am ; 47(5): 475.e1-475.e7, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34400027

RESUMO

PURPOSE: Outcomes and recovery of endoscopic carpal tunnel release (ECTR) have been broadly examined in studies. The total recovery time can potentially be reduced by performing simultaneous, bilateral ECTR. In this study we prospectively investigated days to self-reliance. As secondary outcomes, we investigated direct postoperative recovery of hand function and pre and postoperative symptom severity after simultaneous, bilateral ECTR. METHODS: In this single-center prospective case series, we included all patients willing to participate after undergoing bilateral ECTR between December 2015 and July 2019. Every patient recorded days to self-reliance (when a patient could perform basic activities of daily living without the need for assistance from another person) and completed a preoperative and postoperative Boston Carpal Tunnel Questionnaire (BCTQ) evaluating postoperative hand function and pre and postoperative symptom severity. RESULTS: In total, 81 patients received simultaneous, bilateral ECTR. Median days until self-reliance was 4; mean number of days was 4.9. Concerning BCTQ scores, postoperative functional status increased significantly each day, and mean BCTQ score decreased gradually from intense difficulty to little difficulty in daily tasks over a period of 7 days. Preoperative BCTQ symptom severity showed significant improvement compared to postoperative symptoms, evolving from medium to slight symptoms. CONCLUSIONS: Simultaneous, bilateral ECTR offers recovery to self-reliance in 4 to 5 days with a gradual and significant increase of hand function in the following postoperative days. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic II.


Assuntos
Atividades Cotidianas , Síndrome do Túnel Carpal , Síndrome do Túnel Carpal/cirurgia , Endoscopia , Humanos , Procedimentos Neurocirúrgicos , Estudos Prospectivos
18.
Cardiol Young ; 32(3): 465-471, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34162456

RESUMO

BACKGROUND: Caring for infants after the first-stage palliative surgery for single-ventricle heart disease bring challenges beyond the usual parenting responsibilities. Current studies fail to capture the nuances of caregivers' experiences during the most critical "interstage" period between the first and second surgery. OBJECTIVES: To explore the perceptions of caregivers about their experiences while transitioning to caregiver roles, including the successes and challenges associated with caregiving during the interstage period. METHODS: Constructivist Grounded Theory methodology guided the collection and analysis of data from in person or telephonic interviews with caregivers after their infants underwent the first-stage palliative surgery for single-ventricle heart disease, and were sent to home for 2-4 months before returning for their second surgery. Symbolic interactionism informed data analyses and interpretation. RESULTS: Our sample included 14 parents, who were interviewed 1-2 times between November, 2019 and July, 2020. Most patients were mothers (71%), Latinx (64%), with household incomes <$30K (42%). Data analysis led to the development of a Grounded Theory called Developing a Sense of Self-Reliance with three categories: (1) Owning caregiving responsibilities despite grave fears, (2) Figuring out how "to make it work" in the interstage period, and (3) Gaining a sense of self-reliance. CONCLUSIONS: Parents transitioned to caregiver roles by developing a sense of self-reliance and, in the process, gained self-confidence and decision-making skills. Our study responded to the key research priority from the AHA Scientific Statement to address the knowledge gap in home monitoring for interstage infants through qualitative research design.


Assuntos
Cardiopatias Congênitas , Síndrome do Coração Esquerdo Hipoplásico , Coração Univentricular , Cuidadores , Feminino , Cardiopatias Congênitas/cirurgia , Humanos , Lactente , Cuidados Paliativos , Pais
19.
Data Brief ; 38: 107434, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34646918

RESUMO

The food self-sufficiency assessment of Bristol and Vienna was developed by applying the Metropolitan Foodshed and Self-sufficiency scenario (MFSS) model [1] in the proposed respective foodsheds. In the case of Vienna 25 surrounding districts (i.e. Niederösterreich region) were selected, whereas for Bristol 5 districts surrounding the city were included. The model takes the consumption patterns as well as the available area for agriculture in the proposed foodsheds as the main inputs. Intermediate calculations are developed using data on population and yields. The outputs after applying the MFSS model are: (1) the area demand (i.e. surface needed to meet the population´s dietary requirements) in terms of surface and radius, and (2) the potential food self-sufficiency, at district level and for the whole foodshed area. The outputs are shown for 12 scenarios resulting after combining four variables: (1) production system (conventional vs organic), (2) dietary shifts (domestic vs current diet), (3) reducing food losses and waste, and (4) population growth 2015-2050. The analytical outputs from the MFSS model are converted in spatial data after applying GIS software. Whereas some of the supporting information on the inputs are shown spatially, the spatial outputs are shown in the co-submitted publication [2], as well as a summary of the datasets shown here. These data can be used to develop food policies in both city-regions as well as to test whether a specific policy is feasible. The data might be especially useful for policymakers and governance actors (e.g. food policy councils) when developing or assessing the food policies for both cities. The data can be used also by policymakers in other cities developing foodshed assessments. Furthermore, other stakeholders (e.g. education, NGOs) might use the data to increase the awareness of the impact of dietary patterns on the food land footprint.

20.
Her Russ Acad Sci ; 91(4): 419-427, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34539148

RESUMO

This July marks the 100th anniversary of the founding of the Chinese Communist Party. This event motivated the authors of this article to consider the main problems that modern Chinese society is solving, the place of the PRC in the world economy and politics at the beginning of the third decade of the 21st century, and China's growing influence on the planet. China's undoubted successes, including in the fight against the coronavirus pandemic and in overcoming the recession caused by tough quarantine measures in early 2020, show the considerable viability of the state created by the Chinese communists, which is increasingly at the forefront of the world in the economy, science and technology, and culture. However, the path to the current rise of the great power was by no means an easy one, and the prospects for its development are perhaps one of the most debated issues in international discussions. China never tires of emphasizing the specifics of its history. At the same time, the diversity of the internal conditions of the colossal country together with the skillful application of carefully studied foreign experience yielded the extraordinary wealth of forms of development, which can serve as a guarantee of new achievements and, possibly, useful universals for all humankind.

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