Advances and knowledge gaps on climate change impacts on honey bees and beekeeping: A systematic review.

The Western honey bee Apis mellifera is a managed species that provides diverse hive products and contributing to wild plant pollination, as well as being a critical component of crop pollination systems worldwide. High mortality rates have been reported in different continents attributed to different factors, including pesticides, pests, diseases, and lack of floral resources. Furthermore, climate change has been identified as a potential driver negatively impacting pollinators, but it is still unclear how it could affect honey bee populations. In this context, we carried out a systematic review to synthesize the effects of climate change on honey bees and beekeeping activities. A total of 90 articles were identified, providing insight into potential impacts (negative, neutral, and positive) on honey bees and beekeeping. Interest in climate change's impact on honey bees has increased in the last decade, with studies mainly focusing on honey bee individuals, using empirical and experimental approaches, and performed at short-spatial (<10 km) and temporal (<5 years) scales. Moreover, environmental analyses were mainly based on short-term data (weather) and concentrated on only a few countries. Environmental variables such as temperature, precipitation, and wind were widely studied and had generalized negative effects on different biological and ecological aspects of honey bees. Food reserves, plant-pollinator networks, mortality, gene expression, and metabolism were negatively impacted. Knowledge gaps included a lack of studies at the apiary and beekeeper level, a limited number of predictive and perception studies, poor representation of large-spatial and mid-term scales, a lack of climate analysis, and a poor understanding of the potential impacts of pests and diseases. Finally, climate change's impacts on global beekeeping are still an emergent issue. This is mainly due to their diverse effects on honey bees and the potential necessity of implementing adaptation measures to sustain this activity under complex environmental scenarios.

La abeja occidental Apis mellifera es una especie manejada que proporciona diversos productos de la colmena y servicios de polinización, los cuales son cruciales para plantas silvestres y cultivos en todo el mundo. En distintos continentes se han registrado altas tasas de mortalidad, las cuales son atribuidas a diversos factores, como el uso de pesticidas, plagas, enfermedades y falta de recursos florales. Además, el cambio climático ha sido identificado como un potencial factor que afecta negativamente a los polinizadores, pero aún no está claro cómo podría afectar a las poblaciones de abejas melíferas. En este contexto, realizamos una revisión sistemática de la literatura disponible para sintetizar los efectos del cambio climático en las abejas melíferas y las actividades apícolas. En total, se identificaron 90 artículos que proporcionaron información sobre los posibles efectos (negativos, neutros y positivos) en las abejas melíferas y la apicultura. El interés por el impacto del cambio climático en las abejas melíferas ha aumentado en la última década, con estudios centrados principalmente en individuos de abejas melíferas, utilizando enfoques empíricos y experimentales y realizados a escalas espaciales (<10 km) y temporales (<5 años) cortas. Además, los análisis ambientales fueron basaron principalmente en datos a corto plazo (meteorológicos) y se concentraron sólo en algunos países. Variables ambientales como la temperatura, las precipitaciones y el viento fueron ampliamente estudiadas y tuvieron efectos negativos generalizados sobre distintos aspectos biológicos y ecológicos de las abejas melíferas. Además, las reservas alimenticias, las interacciones planta-polinizador, la mortalidad, la expresión génica y el metabolismo se vieron afectados negativamente. Entre los vacios de conocimiento cabe mencionar la falta de estudios a nivel de colmenar y apicultor, la escasez de estudios de predicción y percepción, la escasa representación de las grandes escalas espaciales y a mediano plazo, el déficit de análisis climáticos y la escasa comprensión de los impactos potenciales de plagas y enfermedades. Por último, las repercusiones del cambio climático en la apicultura mundial siguen siendo un tema emergente, que debe estudiarse en los distintos países. Esto se debe principalmente a sus diversos efectos sobre las abejas melíferas y a la necesidad potencial de aplicar medidas de adaptación para mantener esta actividad crucial en escenarios medioambientales complejos.

Morphological, molecular, and histopathological studies on Hadjelia truncata from Columba livia domestica and its role as an environmental biological indicator.

Pigeons are a cosmopolitan group of birds with abundant and large populations associated with human activities. This study focused on determining parasitic infections within domestic pigeons (Columba livia domestica). Forty-eight pigeons were examined for infections, of which 29.16% were infected with a nematode parasite, identified as Hadjelia truncata (Habronematidae), under the koilin layer of their gizzards. The population of nematodes in infected gizzards did not exceed 20 adult worms. DNA from the gizzard worms was extracted and subjected to PCR using primers that amplify the partial 18S rDNA and cytochrome C oxidase subunit I (COX I) regions. Identification of this parasite based on microscopic study revealed the presence of trilobed lips with cephalic papillae and amphidial pores, as well as other characteristic features. In males, spicules were unequal with the presence of six pedunculated pairs of caudal papillae (4 pre- and 2 post-anal) and a tail surrounded with caudal ala. In females, the vulva was a rounded aperture located in front of the posterior end of the esophagus and uteri, which was filled with numerous embryonated eggs. DNA Sequences from partial 18S rDNA were homologous to sequences obtained from H. truncata in GenBank with a high percentage of identity. DNA sequences from mitochondrial gene COX I, however, were unique, and they were the first sequenced for H. truncata, since no sequences for this taxon were previously available in GenBank. Histopathological examination revealed enlargement of infected gizzards in comparison to non-infected ones, with the presence of necrosis and interstitial infiltration in the koilin layer. Concentrations of heavy metals (Fe, Cu, Zn, Cd, Cr, and Co) were measured using inductivity-coupled plasma in tissues (liver, muscles, and gizzards) from infected and non-infected pigeons as well as their parasites. Results showed different affinities of metals to tissues. Recovered parasites can minimize element concentration from their pigeon tissues. In Saudi Arabia, this study was considered the first report identifying pigeon nematodes and evaluating of the effects of their pathogenicity on the animals' welfare, as well as their application as a useful tool for monitoring environmental pollution.

Food waste-based bio-fertilizers production by bio-based fermenters and their potential impact on the environment.

Increasing food waste is creating a global waste (and management) crisis. Globally, ∼1.6 billion tons of food is wasted annually, worth ∼$1.2 trillion. By reducing this waste or by turning it into valuable products, numerous economic advantages can be realized, including improved food security, lower production costs, biodegradable products, environmental sustainability, and cleaner solutions to the growing world's waste and garbage management. The appropriate handling of these detrimental materials can significantly reduce the risks to human health. Food waste is available in biodegradable forms and, with the potential to speed up microbial metabolism effectively, has immense potential in improving bio-based fertilizer generation. Synthetic inorganic fertilizers severely affect human health, the environment, and soil fertility, thus requiring immediate consideration. To address these problems, agricultural farming is moving towards manufacturing bio-based fertilizers via utilizing natural bioresources. Food waste-based bio-fertilizers could help increase yields, nutrients, and organic matter and mitigate synthetic fertilizers' adverse effects. These are presented and discussed in the review.

Microplastics in coastal and oceanic surface waters and their role as carriers of pollutants of emerging concern in marine organisms.

Microplastics (Mps) pose a significant environmental challenge with global implications. To examine the effect of Mps on coastal and oceanic surface waters, as well as in marine organisms, 167 original research papers published between January 2013 and September 2022 were analyzed. The study revealed an unequal distribution of research efforts across the world. Fragments and fibers were the most frequently detected particles in ocean surface waters and marine biota, which mainly consisted of colored and transparent microparticles. Sampling of Mps was primarily done using collecting nets with a mesh size of 330 µm. Most articles used a stereomicroscope and Fourier-Transform Infrared spectroscopy for identification and composition determination, respectively. Polyethylene and polypropylene were the most frequent polymers found, both in coastal waters and in marine organisms. The major impact observed on marine organisms was a reduction in growth rate, an increase in mortality, and reduced food consumption. The hydrophobic nature of plastics encourages the formation of biofilms called the "plastisphere," which can carry pollutants that are often toxic and can enter the food chain. To better define management measures, it is necessary to standardize investigations that assess Mp pollution, considering not only the geomorphological and oceanographic features of each region but also the urban and industrial occupation of the studied marine environments.

Global plant invaders: a compendium of invasive plant taxa documented by the peer-reviewed literature.

Stopping invasive species early, before they are introduced or before they have a chance to spread, is essential for effective invasive species management. With new plants introduced constantly through global trade and shifting their ranges due to climate change, proactive action to prevent invasions is more important than ever. But, before we can prevent invasions through policy, monitoring, and management, we need to know the identity of which species are invasive. Existing lists of invasive plants vary across political and jurisdictional boundaries, often rely on inconsistent knowledge of local experts, and may conflate nonnative with invasive. Here, we reviewed papers published from 1959 to 2020 to create a single consistently derived list of known invasive plants. We searched the Web of Science core collection for "articles" containing the keywords "invasi*" and "plant" within the categories "Ecology," "Environmental Sciences," "Biodiversity Conservation," and "Plant Sciences." We also reviewed papers cited in reviews of invasive plants (see Metadata S1, Class II, Section B). We read titles and abstracts to identify papers that focused on nonnative and invasive vascular plants and included in the database any nonnative plant taxon either explicitly termed invasive in the paper or implicitly defined as invasive through a description of abundance, spread and/or impact. For 2017-2020, we included only papers that described multiple invasive plants, which are much more likely to uncover novel taxa. For each paper, we retained the reported invasive taxon name, text defining invasiveness, bibliographic information, and the country or countries in the invaded range where the study took place. We used Catalogue of Life and the Plant Taxonomic Name Resolution Source to resolve the taxonomy of the invasive taxa and compiled a list of unique invasive plants described in one or more scientific papers. We extracted data from 5,893 papers and identified 3,008 unique taxa, including 2,842 species, 96 subspecies, 29 varieties, and 41 hybrids. Of these, 2,981 taxa were resolved, while 27 were unresolved. 42% of the total unique taxa were studied once in the database. This database provides a consistent, global assessment of nonnative, invasive plant taxa. We release these data into the public domain under a Creative Commons Zero license waiver (https://creativecommons.org/share-your-work/public-domain/cc0/). Individuals who use these data for publication may cite this data paper.

COVID-19's Negative Impacts on Clinical Learning and Proposed Compensation Mechanisms Among Undergraduate Midwifery and Nursing Students of Jimma University.

BACKGROUND: Even though lockdown measures contributed to reducing the rate of COVID-19 transmission, it resulted in great distraction in clinical learning. Thus, the aim of this study was to assess COVID-19's negative impacts on clinical learning, and proposed compensation mechanisms among midwifery and nursing undergraduate students of Jimma University, southwest Ethiopia. METHODS: This study was conducted among 147 midwifery and nursing students of Jimma University in March 2021 using cross-sectional study design. The respondents were selected by simple random sampling method. Data were collected by using a self-administered questionnaire and analyzed descriptively by SPSS v.23. The results were presented in tables, and narrated. RESULTS: Three fifths (88 (59.9%)) of the study participants perceived high negative impacts of COVID-19 on their recent clinical learning. The proposed compensation mechanisms to be implemented before and during the next clinical practice include: using teacher-facilitated skill demonstration laboratory, case scenarios, clinical teaching videos, and clinical conferences. Students' effort to understand the objectives of their clinical learning and using multi-media to achieve it was another proposed compensation mechanism. Also, providing pre-placement training and in-service training with priority for students graduating during COVID-19 pandemic were proposed compensation mechanisms. CONCLUSION: COVID-19's negative impacts on clinical learning were great among the participants of this study. The proposed compensation mechanisms should be applied by all concerned bodies with great emphasis to end the long-term negative impact of the pandemic, thereby ensuring the production of competent midwives and nurses.

Potential hazards of biochar: The negative environmental impacts of biochar applications.

Biochar has been widely used as an environmentally friendly material for soil improvement and remediation, water pollution control, greenhouse gas emission reduction, and other purposes because of its characteristics such as a large surface area, porous structure, and abundant surface O-containing functional groups. However, some surface properties (i.e., (i) some surface properties (i.e., organic functional groups and inorganic components), (ii) changes in pH), and (iii) chemical reactions (e.g., aromatic C ring oxidation) that occur between biochar and the application environment may result in the release of harmful components. In this study, biochars with a potential risk to the environment were classified according to their harmful components, surface properties, structure, and particle size, and the potential negative environmental effects of these biochars and the mechanisms inducing these negative effects were reviewed. This article presents a comprehensive overview of the negative environmental impacts of biochar on soil, water, and atmospheric environments. It also summarizes various technical methods of environment-related risk detection and evaluation of biochar application, thereby providing a baseline reference and guiding significance for future biochar selection and toxicity detection, evaluation, and avoidance.

Positive and negative impacts of COVID-19, an analysis with special reference to challenges on the supply chain in South Asian countries.

The Coronavirus or COVID-19 is a disease based on an unknown virus. It seems that it started in China and has widely spread in almost all countries in the world. This pandemic situation is one of the widely spread diseases in recent history. However, there was an influenza pandemic in 1918 with the exact number of deaths still unknown. Some believe that the death toll would have been about 50-100 million people. At the time of writing this article, COVID-19 has infected 5,306,928 persons worldwide (when the article was finalised for publication, the number has increased up to 15,947,291). The article is aimed at analysing the positive and negative impacts of COVID-19 in a sociological perspective. It is further focused on possible challenges to the supply chain in South Asia. South Asian countries are highly influenced by the pandemic situation, and the regional representation is about 4% in the later part of May 2020 with an increasing tendency. Also, the article has a proposal for the control of the disease as well as the entire socio-economic, environmental and political atmosphere in a country, whilst particularly giving more weight to South Asia. The proposed actions are analysed in short-term, mid-term and long-term basis, and any expert and social worker who is involved in the pandemic control process can gain an insight into what to do and how to perform their tasks. A sociological analysis on COVID-19 is very important because there is a wing comprising dominant medical experts in the control and management of the disease. The article emphasises the importance of a sociological analysis in a pandemic situation. Naturally, anyone would think of a pandemic situation in very negative terms due to its emotional, socio-economic, environmental, political and cultural factors. However, it is also positive due to certain factors that help to reintegrate and reorganise the social system as a whole.

Impactos do TDAH à Adolescência: Revisão Sistemática de Literatura / Impacts of ADHD on Adolescence: Systematic Literature Review

RESUMO: Transtorno do Déficit de Atenção com Hiperatividade (TDAH) é um transtorno do neurodesenvolvimento caracterizado por níveis prejudiciais de desatenção e/ou hiperatividade-impulsividade. Foram investigados resultados obtidos em pesquisas sobre impactos do TDAH ao adolescente e foi utilizada a recomendação PRISMA 2020. As bases de dados consultadas foram: APA PsycNet, Lilacs, Medline, PubMed Central, Scorpus, SciELO, a partir dos seguintes descritores: Transtorno do Déficit de Atenção e Hiperatividade, TDAH, Attention Deficit Hyperactivity Disorder, ADHD e Adolescente, Adolescentes, Adolescência, Adolescent, Teenager e Adolescence. Os critérios de inclusão foram: artigos publicados em periódicos entre janeiro de 2001 e janeiro de 2021, em português e inglês, completos e disponíveis online, estudos empíricos, revisados por pares, terem adolescentes como participantes e apresentarem no título, resumo ou corpo do texto os descritores referidos. Os dados foram tratados e organizados conforme check list (recomendação PRISMA 2020). Análises estatísticas descritivas foram realizadas com o Excel 2019. Para apresentar os resultados, utilizaram-se o fluxograma PRISMA, quadro e figuras. Incluíram-se 68 artigos que apontaram variedade de impactos negativos ao desenvolvimento do adolescente nas áreas sociais/relacionais, comportamentais, biológicas, neurológicas, cognitivas, psicológicas e psicopatológicas. Possível limitação desta revisão pode ser a não inclusão de artigos em outros idiomas, além do inglês e português. Os resultados sugerem multidimensionalidade dos impactos do TDAH ao adolescente, requerendo abordagem pluridimensional para evitar cronicidade, reduzindo seus efeitos ao desenvolvimento.

ABSTRACT: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by harmful levels of inattention and/or hyperactivity-impulsivity. Results obtained from research on the impact of ADHD on adolescents were investigated and the PRISMA 2020 recommendation was used. The databases consulted: were APA PsycNet, Lilacs, Medline, PubMed Central, Scorpus, SciELO, from the following descriptors: Transtorno do Déficit de Atenção e Hiperatividade, TDAH, Attention Deficit Hyperactivity Disorder, ADHD and Adolescente, Adolescentes, Adolescência, Adolescent, Teenager and Adolescence. The inclusion criteria were: articles published in journals between January 2001 and January 2021, in Portuguese and English, complete and available online, empirical studies, peer reviewed, with adolescents as participants and presenting in the title, abstract or body of the text the referred descriptors. The data were processed and organized according to the check list (PRISMA 2020 recommendation). Descriptive statistical analyzes were performed using Excel 2019. The PRISMA flowchart, table and figures were used to present the results. Sixty-eight articles were included that pointed to a variety of negative impacts on adolescent development in the social/relational, behavioral, biological, neurological, cognitive, psychological and psychopathological areas. A possible limitation of this review may be the non-inclusion of articles in languages other than English and Portuguese. The results suggest the multidimensionality of the impacts of ADHD on adolescents, requiring a multidimensional approach to avoid chronicity, reducing its effects on development.

Ingestion of plastic marine litter by sea turtles in southern Brazil: abundance, characteristics and potential selectivity.

The ingestion of plastic marine litter (PML) by sea turtles is widespread and concerning, and the five species that occur in the southwestern Atlantic - green, loggerhead, olive ridley, leatherback and hawksbill - are vulnerable to this pollution. Here, we quantified and characterized PML ingested by these species in southern Brazil, and observed PML ingestion in 49 of 86 sampled individuals (~57.0%). Green turtles presented the highest rates and variety of ingested plastics, and such ingestion has been high at least since 1997. Omnivorous turtles presented higher PML ingestion than carnivorous ones. Loggerheads displayed a negative correlation between body size and number of ingested items. Green turtles ingested mostly flexible transparent and flexible/hard white plastics; loggerheads ate mainly flexible, hard and foam fragments, in white and black/brown colors. These results help us better understand PML ingestion by sea turtles, highlighting the seriousness of this threat and providing information for prevention and mitigation strategies.

Trauma during humanitarian work: the effects on intimacy, wellbeing and PTSD-symptoms.

Background: Organizations assisting refugees are over burdened with the Syrian humanitarian catastrophe and encounter diverse difficulties facing the consequences of this massive displacement. Aid-workers experience the horrors of war through their efforts to alleviate suffering of Syrian refugees. Objective: This study of Syrian refugee aid-workers in Jordan examined work-stressors identified as secondary traumatic stress (STS), number of refugees assisted, worker feelings towards the organization, and their associations to PTSD-symptoms, wellbeing and intimacy. It also examined whether self-differentiation, physical health, and physical pain were associated with these variables. Method: Syrian refugee aid-workers (N = 317) in Jordan's NGOs were surveyed. Univariate statistics and structural equation modeling (SEM) were utilized to test study hypotheses. Results: Increased STS was associated with lower self-differentiation, decreased physical health and increased physical pain, as well as elevated PTSD-symptoms and decreased intimacy. Decreased connection to the NGO was associated with lower self-differentiation, decreased physical health, increased physical pain, and with decreased intimacy and wellbeing. Lower self-differentiation was associated with increased PTSD-symptoms, decreased wellbeing and intimacy. Elevated physical pain was associated with increased PTSD-symptoms, and decreased wellbeing. Diverse mediation effects of physical health, physical pain and self-differentiation were found among the study's variables. Conclusions: Aid-workers who assist refugees were at risk of physical and mental sequelae as well as suffering from degraded self-differentiation, intimacy and wellbeing. Organizations need to develop prevention policies and tailor interventions to better support their aid-workers while operating in such stressful fieldwork.

Antecedentes: Las organizaciones que ayudan a los refugiados están sobrecargadas con la ayuda humanitaria siria catástrofe y encontrar diversas dificultades que enfrentan las consecuencias de esta masiva. Los trabajadores de ayuda al desplazamiento experimentan los horrores de la guerra a través de sus esfuerzos para alivian el sufrimiento de los refugiados sirios.Objetivo: Este estudio de trabajadores humanitarios de refugiados sirios en Jordania examinó los estresores laborales identificados como el estrés traumático secundario (STS en sus siglas en inglés), el número de refugiados asistidos, los sentimientos del trabajador con respecto a la organización, y sus asociaciones con los síntomas del TEPT, bienestar e intimidad. Se examinó también si la auto-diferenciación, la salud física, y el dolor físico se asociaban con estas variables.Método: Se encuestaron los trabajadores humanitarios de refugiados sirios (N=317) de organizaciones no gubernamentales (ONGs) en Jordania. Se utilizaron las estadísticas univariadas y el modelamiento de ecuaciones estructurales (SEM en sus siglas en inglés) para probar las hipótesis del estudio.Resultados: El aumento en el STS se asoció con una más baja auto-diferenciación, una disminuida salud física y un aumento del dolor físico, como también con síntomas elevados de TEPT y una intimidad disminuida. Una conexión disminuida con la ONG se asoció con una más baja auto-diferenciación, una disminuida salud física, un aumento de dolor físico, y con una disminuida intimidad y bienestar. Una más baja auto-diferenciación se asoció con un aumento en los síntomas del TEPT, y un disminuido bienestar e intimidad. El dolor físico elevado fue asociado con un aumento en los síntomas del TEPT, y un disminuido bienestar. Se encontraron diversos efectos mediadores de la salud física, dolor físico y la auto-diferenciación entre las variables del estudio.Conclusiones: Los trabajadores humanitarios que asisten a los refugiados se encuentran en riesgo de secuelas físicas y mentales como también de sufrir un deterioro en su auto-diferenciación, intimidad y bienestar. Las organizaciones necesitan desarrollar políticas de prevención y adaptar intervenciones para apoyar mejor a sus trabajadores humanitarios mientras operan en tan estresante campo laboral.

Children in the 2015 South Indian floods: community members' views.

Little is known about children's experiences and involvement in disaster preparation and recovery, in particular in low- and middle-income countries. Eliciting community members' perspectives on the 2015 floods in Tamil Nadu, India, may generate useful insights for improving services in low-resource settings. This qualitative study aimed to understand how children in Chennai experienced the floods, as reported by the adults in their community, and to explore children's involvement in disaster preparedness, response and recovery efforts as reported from the adults' perspective. We conducted in-depth, semi-structured interviews (N = 48) with family members (n = 36), and with staff of non-governmental organizations (NGOs) (n = 12) who actively participated in relief and recovery efforts. We also conducted two focus group discussions (n = 14) with NGO staff about a year after the 2015 South Indian floods in Chennai, India. Six broad themes regarding children's experiences and behaviours during and after the floods emerged: (1) unexpectedness of the floods; (2) children's safety - barriers and facilitators; (3) parents' reactions - helplessness, fear and pride; (4) children's reactions - helping hands, fun and fear; (5) barriers to a return to 'normal'; and (6) a determination to be prepared for next time. Children and families were deeply impacted by the floods, in part owing to a lack of preparation, as perceived by the study participants. It was also clear from the data analysis that caste and socioeconomic status played an important role in the families' ability to evacuate safely. Helplessness on the part of the parents was apparent, as was children's concern over recurrence of the flood. Similarly, gender appeared to affect child safety, recovery and other outcomes such as continued education. Priorities for future efforts involve the development and evaluation of child-centred education about flood awareness, child participation and safety.

Antecedentes: Se conoce poco acerca de las experiencias de los niños y su participación en la preparación y recuperación de desastres, en particular en países de bajos y medios ingresos. La obtención de las perspectivas de los miembros de la comunidad sobre las inundaciones de 2015 en Tamil Nadu, India, puede generar reflexiones útiles para mejorar los servicios en entornos de bajos recursos. Objetivo: Este estudio cualitativo apuntó a comprender a) Cómo experimentaron las inundaciones los niños en Chennai, según el reporte de los adultos en su comunidad, y b) explorar la participación de los niños en la preparación para el desastre, la respuesta y las labores de reconstrucción, según el reporte desde la perspectiva de los adultos. Método: Realizamos entrevistas semi estructuradas en profundidad (N=48) con miembros de la familia (n=36), y con miembros de organizaciones no gubernamentales (n=12) que participaron activamente en las labores de ayuda y reconstrucción. También realizamos dos grupos de discusión (n=14) con miembros de ONG, aproximadamente un año después de las inundaciones del sur de la India en 2015 en Chennai, India. Resultados: Surgieron seis amplios temas respecto a las experiencias de los niños y las conductas durante y después de las inundaciones: a) Lo inesperado de las inundaciones; b) Las barreras y facilitadores para la seguridad de los niños; c) La reacciones de los padres - impotencia, miedo y orgullo; d) Las reacciones de los niños ­ ayuda, diversión y miedo; e) Las barreras para el retorno a lo 'normal', y f) Una determinación para estar preparados para una próxima vez. Conclusión: Los niños y las familias estuvieron profundamente impactados por las inundaciones, en parte debido a una falta de preparación, según la percepción de los participantes del estudio. También fue claro desde el análisis de los datos que el status socioeconómico y de castas jugó un rol importante en la capacidad de las familias para evacuar en forma segura. La impotencia de parte de los padres fue evidente, así como también la preocupación de los niños por la recurrencia de la inundación. Así también, el género pareció afectar la seguridad, recuperación y otros resultados de los niños, como la continuidad en la educación, etc. Las prioridades para los esfuerzos futuros incluyen el desarrollo y evaluación de la educación centrada en los niños acerca de la concientización de las inundaciones, participación de los niños, y seguridad.