RESUMO
Aim: The presentation shares traditional Native American knowledge about wellbeing and caring for a person's body, heart, connection to the Creator, ancestors, and the land Methods: Drawing upon community narratives and traditional ancestral knowledge themes pertinent to the topic will be presented. Narrative Review Results: Ancestral knowledge is essential to access and practice in? community care and healing. This knowledge is sacred to the lives wellbeing, and continuation of traditional ways for Confederated Tribes of Warm Springs (CTWS) people. CTWS young people play an important role in these practices for their community and elders. The practice of taking CTWS children from families was a pivotal moment that pushed forward the concept of mental health for the CTWS. The threat of climate change, and the COVID-19 pandemic's activation of memories of imposed isolation between our people and from traditional ways continues to impact our young people. The process of healing from historical and present-day traumas includes grieving those losses and healing from addictions, as well as physical and sexual abuse Conclusion(s): Rebuilding and strengthening connections to the land Chuush (water in Sahaptin language), food gathering, and being with each other, is central to our young people's, and community's, healing The path of returning to our traditional understanding of the knowledge of what the Creator has provided for the CTWS people will be shared. This knowledge is useful for the care of young people Native and non-Native alike.
RESUMO
Background: After two years of COVID in which activities were reduced due to the pandemic and each one's life was affected by restrictions and limitations, the Sickle Cell Disease (SCD) Association in Padova teamed up with the Sickle Cell Group at the Pediatric Hematology Oncology and Bone Marrow Transplant Unit to celebrate the Sickle Cell Disease world day by organizing an online meeting with children/youths and their families. Theme of the meeting was: "My Life with SCD: poems, pictures and writings express our view on disease and care". Aim(s): One of the goals of this meeting was to create an opportunity for individuals with SCD to meet and have a constructive discussion with each other about the disease and express their feelings after two years of pandemic. Method(s): One month before the meeting children, teenager and parents were asked to sharer with the organizing team any drawing, painting, poem, writing, that they felt could express their feelings or experience of the disease itself or how it affected their life, or their experience in the hospital. The materials received were organized in a power point presentation and At the meeting, families were able to see a PowerPoint presentation with the poems, drawings, writings. Each author had the choice to personally share their production or have it read out loud by a member of the team. Free time to comment or share experiences was given. Result(s): 20 children, teenagers and parents participated. Countries of origin (Nigeria, Ghana, Congo, Albania, Italy), religious background (catholic, muslim, no religion, other) were different as well as disease genotype (HbSS, HbSC, HbSBdegree), severity or treatment received (Hydroxyurea, transfusion, Hematopoietic stem cell transplantation -HSCT, none). Drawings and writings regarded experience with the disease (mechanism of action, admissions), feelings experienced (fear, hope, light at the end of the tunnel), aspirations (sports) and gratitude (to the social and medical team, to parents) (Figure 1). Surprisingly, families who had a child having undergone HSCT, reported on the need and importance to talk about this experience for years after the event and made a request of a support goup. Finally, all families underlined the need to meet again soon to discuss together issues related to personal experience with SCD, even via web. of discussion with each other and with the drepanocytosis group;and that throug the online telematics platform it is still possible to involve all families, listening and trying to comfort them on doubts and perplexities about the disease, In conclusion, it can be said that after two years of pandemic, in our setting, online meeting can help patients and families reconnect with each other and activities can be planned to aid experiences and feelings. Patients' associations and Health Care Teams can collaborate in this area.
RESUMO
Among the longstanding problems made vivid by the COVID-19 pandemic are challenges in gathering data to inform the use of vaccines in pregnancy. Although it was known early on that pregnant persons and their offspring faced greater risks of morbidity and mortality from COVID-19 infection, they were excluded from all trials that led to authorization of vaccines. And while reassuring evidence has since been gathered, delays, as well as mixed public health messaging, have led to low uptake of vaccines among pregnant populations, as well as disproportionate burdens for pregnant persons. Dr. Lyerly will consider key ethical issues foregrounded by the COVID-19 response in pregnancy, including the distortions of risk, misaligned incentives, and regulatory challenges. Drawing on results of the NIH-funded PHASES Project, she will describe key conceptual shifts and ethical frameworks that have recently been advanced to better serve the interests of pregnant persons and their offspring facing illness in pandemic and other contexts, as well as specific recommendations for responsible and timely research with this population.
RESUMO
This paper presents the NATAL DESENHADA extension project, a partnership between DARQ/UFRN and the USK Natal group. Such project seeks to foster discussions on cultural heritage through actions that articulate heritage education activities with drawing on location practices, starting from two premises: an extended approach to the concept of cultural heritage, in which everyday life is treated as a base;and the understanding that heritage education takes place in broad cultural contexts in which the school is not the only educational agent. By emphasizing the need to broaden the concept of cultural heritage and the incorporation of everyday practice as a fundamental element in this discussion, we consider addressing access and inclusive practices as fundamental aspects for the discussion. In 2018 and 2019, the activities took place in person, in the neighbourhoods of Ribeira and Cidade Alta, and aimed to build nexuses between generations that did not know these neighbourhoods in a pulsating and lively way. In 2020 and 2021 the project held online meetings due to the COVID19 pandemic. During 2020, activities pointed to the diversity of uses, memories, affection and difficulties in valuing cultural heritage in the Alecrim neighbourhood. In 2021, virtual activities happened in small towns around the state and in the Natal metropolitan region. In 2022, the face-to-face format was resumed, in neighbourhoods in the north of the city, having high school communities as target audiences. We reinforce the importance of extension actions in bringing academic knowledge closer to the daily life of cities, incorporating it into the spectrum of cultural heritage. We emphasize that the adaptation to the remote mode, with the adoption of digital resources, does not replace the experience of the body in the city. © 2022, Lusofona University. All rights reserved.
RESUMO
As the faculties of literacy and numeracy are universally recognized as worthy of pedagogical nurturing, so this article champions an older, graphic articulacy: visualcy. An articulacy with the language of drawing that distinguishes the visual arts from other disciplines. Its nurturing has been compromised by the shift away from teaching drawing in UK secondary schools and HE art schools, even before COVID. We argue that this shift is in part a consequence - perhaps unintended - of the neo-liberal values permeating the UK education sector. The article presents a critique of the those values seen as a significant obstacle to drawing's educational benefits, and offers an optimistic basis for its place in the curriculum.
RESUMO
Risk calculators have been utilised to predict the risk of infection from SARS-CoV-2. Inputs include the dimensions of the indoor space, number of infected persons and activity, and inhalation rate of susceptible persons. The compartment model requires an estimate of the Air Changes per Hour (ACH) in the space, as the concentration is changing as a result of the dynamic balance between the generation and removal of exhaled quanta. ACH can be estimated using CO2, engineering drawings, or airflow measurements, but these estimates are often incorrect due to mechanical anomalies and mixing inefficiencies, or in the case of CO2, an absence of continuous occupancy for a sufficient amount of time. SF6 as a tracer gas to establish ACH has been used extensively for many decades to measure air exchange. This approach was utilised to assist a school in managing risk of infection in their facility during an exam period. © 2022 17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022. All rights reserved.
RESUMO
Children, like everyone, have been affected in multiple ways by the changes the pandemic has caused. This study aims to explore how 4–6-year-olds (N = 50) express through drawings and narrations their meanings and feelings around coronavirus. From a rights-based approach and in particular, children's rights to access information, to express their ideas and be listened to, the study captures how young children think of and feel about the coronavirus, during the first lockdown in early 2020. There were three overarching themes that emerged through data, indicating how children represent the physical characteristics of coronavirus, the relationship between coronavirus and people's health and routines and various emotional states stemming from and towards coronavirus. Such findings draw attention to the importance of taking into account children's perspectives, while providing them with information that promotes their well-being and health, despite the occurrence of challenging and/or disruptive situations, like the pandemic.
RESUMO
The special drawing right (SDR) is issued by the International Monetary Fund (IMF). The SDR has the potential to strengthen dramatically the international monetary system. Established in 1969 and allocated twice during its first decade, the SDR was in the institutional closet from 1980 until 2009 when $250 billion in SDRs were allocated to members of the IMF to help address the global financial crisis. In 2021, another $650 billion in SDRs were allocated to help address the Coronavirus pandemic. The SDR has proved itself as a crisis instrument. This paper proposes regular annual SDR allocations.
RESUMO
Drawing as an activity aids problem solving, collaboration, and presentation in design, science, and engineering and artistic creativity as well as expression in the arts. Unfortunately, blind, and partially sighted learners still lack an inclusive and effective drawing tool, even in the digital age. In response, this research aims to explore what an effective drawing tool for blind and partially sighted individuals (BPSI) would be. Raised-line drawing kits aim to provide this, but in prior work, our usability tests of raised line graphics with blind and partially sighted participants rated the raised line graphics that we tested as barely comprehensible relative to 3D models, which they rated as highly comprehensible. Semi-structured interviews with our participants afterward suggest that they found 3D models to be more comprehensible because these are consistent with haptic principles of perception whereas conventions of raised line graphics, such as a line representing a surface edge, replicate visual cues of source images and thereby violate haptic principles of perception. Therefore, we hypothesize that a drawing tool for blind and partially sighted drawers could be effective by recruiting affordances of 3D models. Through co-design sessions conducted during the Covid-19 pandemic with blind and partially sighted drawers (BPSD), we prototyped a tangible 3D model construction kit for non-visual haptic drawing with a digital interface to a 3D virtual environment. Our current investigation of user needs is informing us of our ongoing iterative development of an accessible 3D scanning application that is enabling blind and partially sighted individuals to build and scan in 3D models constructed from a more flexible range of materials beyond what was possible with our previous prototype.
RESUMO
Purpose: As the COVID-19 emergency evolved, a wide range of 'new' technology based solutions were offered to meet clinical and occupational health needs in Europe. This technology extended beyond the standard medical devices usually deployed in clinical settings, and therefore required rapid assessment of suitability for use in hospitals. Here we describe a hospital-based COVID-19 technology assessment service (www.misa.ie/researchdevelopment/ bioengineering-lab/technology-assessment) that was developed and share our experience of its implementation. Material(s) and Method(s): A scientifically grounded assessment service was established to evaluate specific technological solutions. This service was led by a team of 2 Senior Medical Physicists and 1 Senior Clinical Engineer, with each assessment drawing on pan-hospital expertise and a specialist technology evaluation infrastructure. Each solution was evaluated using a standardized agile process: 1) user centric needs assessment;2) applicable literature and international standards review;3) balanced risk-benefit assessment;4) initial device functionality and usability assessment;5) in-depth device technical testing and safety assessment;6) rapid communications and detailed reporting;7) support for local clinical implementation/ installation with on-going evaluation. Evaluations were described in the form of short Bulletins with a webpage developed to share these findings internationally. Result(s): To date, a diverse range of technological systems and innovative solutions were evaluated, including thermal cameras for mass temperature screening, baby monitor devices for isolation room communications, augmented reality systems, a varied range of thermometers, and connected health technologies for remote working and clinical testing. Substantial variability in quality and standard of systems on offer was identified, with potential patient risks highlighted and mitigated. Critical success factors of the assessment service identified include: a central focus on the impact of solutions on both patients and staff, accessible local scientific and technical expertise supporting real-world testing and user feedback, an agile process which was responsive to high levels of uncertainty and a rapid communications process that was adaptive, responsive and connected both locally and nationally. Conclusion(s): Emergency situations, while challenging, are a huge stimulus for healthcare system-wide changes where barriers to technological innovation are significantly reduced, providing significant opportunities for adoption of new and innovative solutions. While there is a need for timely and practical technology assessments during an acute emergency, these should still be grounded in well-established scientific and safety principles that prioritize the health and safety of patients, staff and the public. A hospital-based COVID-19 technology assessment service has provided a practical and successful solution to this challenge.Copyright © 2023 Southern Society for Clinical Investigation.
RESUMO
Digitally networked distance learning strategies in the virtual learning environment (VLE) have been increasingly mandated in studio drawing courses in the COVID-19 era. This phenomenon of studio teaching in absence of the studio is referred to in this analysis as an ‘ex-studio' model. This article posits an alternative and a corrective to the failures and limitations of digital ex-studio learning and teaching through the understudied, underappreciated and largely defunct strategy of correspondence teaching via postal networks. A critique of online studio teaching experiences in the field of drawing is contrasted with the potential for correspondence courses, informed by mail art practices, to re-engage distance learning with community building, material knowledge, skill formation, effective formative assessment, coherent workload allocation and teacher–learner rapport. © 2022 Intellect Ltd.
RESUMO
This section offers gastrointestinal nursing-related news briefs as of April 2023 including constipation, bloating and diarrhoea in long Covid-19, role of urine test in reducing surveillance for bowel cancer, and information on the Great British Poo Taboo.
RESUMO
"2000 eyes” is an artwork made for the Gran Teatro La Fenice di Venezia. It is a handmade spherical perspective drawn from observation in equirectangular projection, on the occasion of the special setup "Chiglia” (keel) designed during the Covid-19 Pandemic. This experimental project aims at testing practices and techniques to create gigapixel hand-drawn panoramic views of complex environments from observation and showing how the use of 360° drawings may enhance the perception of artworks and spaces, adding value to the visitor's experience. The original panoramic drawing and its interactive 360° version are currently exhibited in one of the halls of the Theater. The permanent installation presents one possible way to experience an artwork focusing on the intersection of digital and physical worlds. © 2023, ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering.
RESUMO
This paper describes a robotic system that supports the remote teaching of technical drawing. The aim of the system is to enable a remote class of paper-based technical drawing, where the students draw the drawing in a classroom, and the teacher gives instructions to the students from a remote place while confirming the paper drawing. The robotic system has a document camera for confirming the paper, a projector, a flat screen to project a cursor on the paper, and a video conference system for communication between the teacher and the students. We conducted two experiments. The first experiment verified the usefulness of a projected cursor. Eight participants evaluated the comprehensibility of the drawing check instruction with or without the projected cursor, and the results suggested that the use of the cursor made the instructions more comprehensible. The second experiment was conducted in a real drawing class. We asked the students in the class to answer a questionnaire to evaluate the robotic system. The result showed that the students had a good impression (useful, easy to use, and fun) of the system. The contribution of our work is twofold. First, it enables a teacher in a remote site to point to a part of the paper to enhance the interaction. Second, the developed system enabled both the students and the teacher to view the paper from their own viewpoints.
RESUMO
An open comparative study was conducted to assess the efficacy and safety of cytoflavin in the treatment of 50 patients who underwent SARS-CoV-2 infection, with subsequently developed mild cognitive impairment after leaving an infectious disease hospital. The survey was carried out using the Montreal Cognitive Assessment Scale (MoCA test) for the study of cognitive status, as well as the SF-36 questionnaire to determine parameters of the quality of life of patients and to assess the level of asthenia, anxiety and depression during follow-up (at the beginning of study and after 10 days of fluid therapy). Patients of the main group received intravenous infusion of cytoflavin for 10 days at a dose of 10 mL per 100 mL of 0.9% sodium chloride solution, while the comparison group received "active placebo" (100.0 mL of 0.9 sodium chloride solution) also for 10 days. During observation, the main test group patients showed significant discrepancies in the amount of complaints such as dizziness, headache, and decreased cognitive performance versus placebo group. According to the MoCA test results, patients of the main group showed higher total score on the background of improved cognitive functions: attention improved by 13.2%, p < 0.05 (subtest "repetition" of the number series in forward and reverse order and the "cotton" subtest with letter "A");regulatory skills improved by 9.8%, p < 0.05 (speaking "fluency" subtest);visual-constructive skills improved by 11.4%, p < 0.05 ("clock drawing" subtest);phrase repetition improved by 11.3%, p < 0.05, and literature associations improved by 11.3%, p < 0,05. Based on the results of the SF-36 questionnaire, the life quality was also significantly improved, by 19.5%, p < 0.05 on the average (including physical functioning and condition, pain intensity, general condition, vitality and mental health indicators). The tolerance of cytoflavin in all patients was good and there were no side effects related to the drug. Thus, the use of cytoflavin in the complex treatment of SARS-CoV-2 patients, who suffered from the infection with encephalopathy/mild cognitive impairment developed as part of the postvoid syndrome, reduces neurological deficit and helps to restore neurocognitive functions.Copyright © 2021 Eieeaeoea aaoiia
RESUMO
Introduction: In 2020, stroke and ambulance clinicians in North Central (NC) London and East Kent introduced prehospital video triage, which permitted stroke specialist assessment of suspected stroke patients on scene. Key aims included reducing conveyance of non-stroke patients to stroke services and reducing transmission of Covid-19. Method(s): Rapid, mixed-method evaluation of prehospital video triage in NC London and East Kent (conducted July 2020-September 2021), drawing on: * Interviews with ambulance and stroke clinicians (n=27);observations (n=12);documents (n=23). * Survey of ambulance clinicians (n=233). * Descriptive analysis of local ambulance conveyance data (n=1,400;April-September 2020). * Difference-in-differences regression analysis: team-level national audit data, assessing changes in delivery of clinical interventions in NC London and East Kent relative to elsewhere in England (n=137,650;2018-2020). Result(s): Clinicians perceived prehospital video triage as usable, safe, and preferable to 'business-as-usual'. Several interrelated factors influenced implementation: impetus of Covid- 19, facilitative local governance, receptive professional values, engaging clinical leadership, active training approaches, and stable audio-visual signal. Stroke clinician capacity was a risk to sustainability. Neither area saw increased time from symptom onset to arrival at services. Delivery of clinical interventions either remained unchanged or improved significantly, relative to elsewhere in England. Conclusion(s): Prehospital video triage in NC London and East Kent was perceived as usable, acceptable, and safe;it was associated with some significant improvements in secondary care processes. Key influences included national and local context, characteristics of triage services, and implementation approaches.
RESUMO
The events of the past 2 years related to the pandemic have shown that it is increasingly important to find new tools to help mental health experts in diagnosing mood disorders. Leaving aside the long-covid cognitive (e.g., difficulty in concentration) and bodily (e.g., loss of smell) effects, the short-term covid effects on mental health were a significant increase in anxiety and depressive symptoms. The aim of this study is to use a new tool, the "online” handwriting and drawing analysis, to discriminate between healthy individuals and depressed patients. To this purpose, patients with clinical depression (n = 14), individuals with high sub-clinical (diagnosed by a test rather than a doctor) depressive traits (n = 15) and healthy individuals (n = 20) were recruited and asked to perform four online drawing/handwriting tasks using a digitizing tablet and a special writing device. From the raw collected online data, seventeen drawing/writing features (categorized into five categories) were extracted, and compared among the three groups of the involved participants, through ANOVA repeated measures analyses. The main results of this study show that Time features are more effective in discriminating between healthy and participants with sub-clinical depressive characteristics. On the other hand, Ductus and Pressure features are more effective in discriminating between clinical depressed and healthy participants. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.
RESUMO
The Covid19 pandemic has been causing an unprecedented global crisis. The severity depends on how long the pandemic will last, as well as the national and international responses of governments. To prevent the spread of epidemics, it is not possible to use only economic and military might, but also "soft power" to be used to deal with it. The "soft power" in this research is Vietnam's political system. Vietnam's anti-epidemic achievements in recent years have clearly demonstrated the role of the Vietnamese political system. This study focuses on analyzing how the Vietnamese political system participates in the prevention of the Covid19 pandemic, the effects brought about by "soft power", thereby drawing lessons for the next period.Copyright © 2020 Ubiquity Press. All rights reserved.
RESUMO
Background: Mammographic screening programmes reduce breast cancer mortality, but detect many small tumours with favourable biological features which may not progress during a woman's lifetime. Screen-detected cancers are treated with standard surgery and adjuvant therapies, with associated morbidities. There is a need to reduce overtreatment of good prognosis tumours and numerous studies have evaluated the omission of radiotherapy in this context. However, there is little evidence to support surgical de-escalation, although percutaneous minimally invasive treatment approaches have been described. Vacuum-assisted excision (VAE) is in widespread use for management of benign lesions and lesions of uncertain malignant potential. SMALL (ISRCTN 12240119) is designed to determine the feasibility of using this approach for treatment of small invasive tumours detected within the UK NHS Breast Screening Programme (BSP). Method(s): SMALL is a phase III multicentre randomised trial comparing standard surgery with VAE for screendetected good prognosis cancers. The main eligibility criteria are age >=47 years, unifocal grade 1 tumours with maximum diameter 15mm, which are strongly ER/PR+ve and HER2-ve, with negative clinical/radiological axillary staging. Patients are randomised 2:1 in favour of VAE or surgery;with no axillary surgery in the VAE arm. Completeness of excision is assessed radiologically, and if excision is incomplete, patients undergo open surgery. Adjuvant radiotherapy and endocrine therapy are mandated in the VAE arm but may be omitted following surgery. Co-primary end-points are: 1. Noninferiority comparison of the requirement for a second procedure following excision 2. Single arm analysis of local recurrence (LR) at 5 years following VAE Recruitment of 800 patients will permit demonstration of 10% non-inferiority of VAE for requirement of a second procedure. This ensures sufficient patients for single arm analysis of LR rates, where expected LR free survival is 99% at 5 years, with an undesirable survival probability after VAE of 97%. To ensure that the trial as a whole only has 5% alpha, the significance level for each co-primary outcome is set at 2.5% with 90% power. The Data Monitoring Committee will monitor LR events to ensure these do not exceed 3% per year. Secondary outcome measures include time to ipsilateral recurrence, overall survival, complications, quality of life and health economic analysis. A novel feature of SMALL is the integration of a QuinteT Recruitment Intervention (QRI), which aims to optimise recruitment to the study. Recruitment challenges are identified by analysing recruiter/patient interviews and audiorecordings of trial discussions, and by review of trial screening logs, eligibility and recruitment data and study documentation. Solutions to address these are developed collaboratively, including individual/group recruiter feedback and recruitment tips documents. Result(s): SMALL opened in December 2019, but recruitment halted in 2020 for 5 months due to COVID-19. At 7st July 2022, 142 patients had been randomised from 26 centres, with a randomisation rate of approximately 45%, and a per site recruitment rate of 0.4-0.5 patients/month, approaching the feasibility recruitment target of 144 patients. Drawing from preliminary QRI findings and insights from patient representatives, a recruitment tips document has been circulated (on providing balanced information about treatments, encouraging recruiters to engage with patient preferences, and explaining randomisation). Individual recruiter feedback has commenced, with wider feedback delivered across sites via recruitment training workshops. Conclusion(s): Despite pandemic-related challenges, SMALL has an excellent recruitment rate to date and is expected to have a global impact on treatment of breast cancer within mammographic screening programmes.
RESUMO
The COVID-19 outbreak has caused a significant impact on the higher education system unprecedented in modern history. Learning institutions were closed, tight regulations enforced to encourage social and physical distancing and switched classes from face-to-face to online delivery (ODL). As a result, e-learning tools and platforms were explored to keep students engaged in learning during this pandemic. Although this virtual teaching–learning adaptation is not by choice and challenging for both educators and students, modern technology has encouraged us to explore a new interactive way of delivering knowledge and continue students' learning engagement. This paper focuses on the alternative teaching methods that have been conducted in Architecture Measured Drawing, which traditionally relies on physical interactions and interaction in the form of collaborative work in-studio learning and field trips. A case study of one (1) private university conducted the Architecture Measured course online in response to the pandemic has been investigated. This paper aims to identify the teaching and learning methods of this course during the pandemic and to analyze the level of students' engagement throughout the course. A survey was distributed to students enrolled in the module to gain feedback on their experience. Findings proved that the alternative method adopted has shown that students have experienced different types of engagement with each stage in the course. Students' engagement was maintained at a high level despite the shift and completed the course successfully. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.