Path Of Recovery Research Articles

Coping Strategies in Patients with Acquired Brain Injury: A Scoping Review.

In recent years, there has been marked interest in looking at the psychological consequences of medical conditions, such as traumatic or acquired brain injuries. Coping strategies are essential for clinical recovery and for dealing with the stressful events that a clinical condition brings with it. The purpose of this review is to analyze studies that explore how coping strategies influence psychological changes in patients with acquired brain injury. Studies were identified from research in the PubMed, Scopus, and Embase databases. According to our findings, patients with ABI utilize different coping strategies based on the circumstances and factors such as the diagnosis severity, their age, time lived with the pathology, and personal characteristics, which have an influence on quality of life and rehabilitation. This review demonstrated that coping strategies have an impact on different aspects of the clinical and personal lives of patients with ABI. The rehabilitation process must consider the influence of these mechanisms on dealing with situations, as they can change cognitive and emotional perceptions of patients' experience with the disease, as well as laying the foundations for functional or dysfunction in terms of the propensity of a person for the path of psychological and physical recovery.

Reconsidering the usefulness of long-term high-dose buprenorphine.

Buprenorphine has been successfully used for decades in the treatment of opioid use disorder, yet there are complexities to its use that warrant attention to maximize its utility. While the package insert of the combination product buprenorphine\naloxone continues to recommend a maximum dose of 16 mg daily for maintenance, the emergence of fentanyl and synthetic analogs in the current drug supply may be limiting the effectiveness of this standard dose. Many practitioners have embraced and appropriately implemented novel practices to mitigate the sequelae of our current crisis. It has become common clinical practice to stabilize patients with 24 - 32 mg of buprenorphine daily at treatment initiation. Many of these patients, however, are maintained on these high doses (>16 mg/d) indefinitely, even after prolonged stability. Although this may be a necessary strategy in the short term, there is little evidence to support its safety and efficacy, and these high doses may be exposing patients to more complications and side effects than standard doses. Commonly known side effects of buprenorphine that are likely dose-related include hyperhidrosis, sedation, decreased libido, constipation, and hypogonadism. There are also complications related to the active metabolite of buprenorphine (norbuprenorphine) which is a full agonist at the mu opioid receptor and does not have a ceiling on respiratory suppression. Such side effects can lead to medical morbidity as well as decreased medication adherence, and we, therefore, recommend that after a period of stabilization, practitioners consider a trial of decreasing the dose of buprenorphine toward standard dose recommendations. Some patients' path of recovery may never reach this stabilization phase (i.e., several months of adherence to medications, opioid abstinence, and other clinical indicators of stability). Side effects of buprenorphine may not have much salience when patients are struggling for survival and safety, but for those who are fortunate enough to advance in their recovery, the side effects become more problematic and can limit quality of life and adherence.

Renewables in the Energy Mix of Algeria, a pledge for food security

This paper examines the renewables potential in the energy mix of Algeria with a special insight to bioenergy and food security. In recent years, and at global scale, bioenergy was seen as the leading renewable energy source. That contribution was particularly consistent with long term climate targets. The 2015 updated version of the Algeria Renewable Energy Development Program foresees the introduction of biomass sector with a contribution of 1000 MW by 2030. This represents barely 5% of the country’s renewable energy targets which amount to 22 000 MW, 93.5% of which are planned for solar and wind. In 2020, this objective has been reduced to 15,000 MW and the deadline extended to 2035. To date, despite the growing perception of a real desire to encourage clean energy projects, the renewable energy installed capacity is less than 500 MW without any contribution from the biomass sector. However, whatever the goals or the achievements, the need for renewable deployment is crucial for strategic purposes such as energy, water desalination and food security. The relationship between food security, sustainable development, and renewable energy is well demonstrated. Ensuring food security is closely linked with energy, hence with renewable energy sources in the middle and long term, including biomass valorization. This paper presents a comprehensive outlook of the bioenergy sector, highlighting the barriers which stand in the path of biomass recovery and use. Today, it appears clearly that a significant increase in renewable energy can only be achieved by higher solar power production.

Methods and value of storytelling for stakeholders in post-disaster tourism scenarios

PurposeThe tourism sector continues to be an engine for economic growth for communities (Jenkins, 1980), and in post-disaster scenarios, destination can be overwhelmed with challenges, particularly for the local community. However, it is essential to seek the most effective path of recovery for individuals and communities. Gaps in contemporary post-disaster literature remain, as the focus often centres on infrastructure and economic developments (Cox and Perry, 2011). This paper aims to address such gaps by offering new ideas around the value of recovery focusing more on the victims, their stories and the role of tourism.Design/methodology/approachAs a theoretical paper, the applied method is described as a convenient approach to data collection and analysis. The methodological reasoning is down to the selection and examination of sources used to establish new theoretical understandings. The study applies a pragmatic research approach to embrace the spectrum of views that are present within the constructivist and positivist. The pragmatic philosophical approach supports multi-disciplinary studies and ensures a more holistic consideration of social conditions is embraced.FindingsThis paper offers new knowledge and ideas for post-disaster recovery scenarios. It presents a model that incorporates a range of (traditional, digital and immersive) methods and platforms in which stories can be shared and presented. It argues that allowing victims to share stories in different formats could support rehabilitation while also providing stronger, powerful narratives for tourists, leading to more effective tourism experiences.Originality/valueDisasters leave individuals and communities in devastation and with potentially lifelong trauma. In rehabilitation of victims is a vital ingredient to the recovery of a destination and its social fabric. This research offers new ideas around the use of digital technologies to generate stories of value that not only support victims of disasters but also offer visitors the opportunity to gain a deeper understanding of challenges and difficulties of dark places, often seen as a key part of the visitor experience and motive to places of tragedy.

Self-Help Movement and the Change Process of Recovery

The path of recovery from both addiction and trauma to resilience and transformation is rooted in the concept that all life is a balance between spirit and matter. Caring for the spiritual and physical selves requires self-reflection regarding life experiences and personal constructs. The central issue to positive mental health and the resolution of life problems, such as alcohol or drug addiction, gambling, abuse, etc., is partly vested in a robust management system that impacts an individual’s cultural and social support system. The demise of supportive communities is one of the significant losses of modern life. The self-help movement of Alcoholics Anonymous and other 12-step programs have always provided social support and encouragement to reflect on behaviors, motivations, and patterns that support healthy lifestyle changes. While it is not necessary for a recovering person to be religious, the movement may draw parallels to various spiritual and religious doctrines that recovering persons subscribe to; therefore, drawing these parallels only strengthens a person’s chances for long-term recovery

A study on power supply restoration strategy considering flexible resource regulation ability

AbstractThe rapid development of new energy technology can make this type of energy the primary power source in the future. However, new energy power generation is considerably affected by the environment, resulting in intermittent and fluctuating characteristics. Given the shortage of power generation in urban distribution networks during extreme weather, a study on power supply restoration strategy considering flexible resource regulation ability is proposed in this study. First, the typical adjustable flexible resources, air conditioners, and electric vehicles in urban distribution networks are modeled, and their adjustment ability is evaluated. Second, on the basis of the evaluation results, the optimal power supply recovery path is solved to ensure the power supply of essential loads in the distribution network. Last, the IEEE 33‐bus system proves that this method can quickly find the optimal path of power supply recovery and effectively reduce the power loss rate of essential loads, thus improving the toughness of urban distribution networks.

Toward the study of the relationship between psychological defenses and psychosocial stress factors in modern foreign science

The phenomenon of psychological defenses is considered from the standpoint of various approaches (cognitive, psychodynamic, behavioral, etc.), to understanding this phenomenon. The novelty in the research of foreign authors of the first quarter of the 21st century is traced. Empirical studies of psychological defenses within the framework of the theory of “stress vaccination”, “minority stress” in connection with “distorted perception”, social control and psychological well-being are presented. The impact of social factors (stress, depression, etc.) on the development of immature psychological defenses in a person, which reduce the level of psychological well-being, the ability to cope with mental conditions and disorders, and the level of self-esteem, is relevant. In cases of gender discrimination, alienation (avoidance) is more often chosen, while stigmatization on some other grounds leads to self-condemnation, self-doubt, and depression. Separate studies are devoted to the negative consequences of the use of immature and neurotic psychological defenses, as a result of which positive results are devalued, and the task is perceived subjectively as more difficult, while the use of mature protective mechanisms increases the mental stability of the individual. A number of modern foreign studies are devoted to understanding psychological defenses as factors of recovery or degradation, for example, the interpretation of the mechanisms underlying depression as protective (“smoke detector”), and sleepwalking and night terrors as a causes of “failure” of more mature and adaptive psychological defenses. The latest research on the trigger of time and place in its relationship with the cognitive processes of a person experiencing a psychotic episode can provide a more favorable outcome on the path of recovery. The purpose of this work was to study the current directions of research on the problem of psychological protection in foreign publications of the late 20th — first quarter of the 21st century. The research methods were the analysis and structured presentation of literary sources of foreign authors on the problem of the phenomenon of psychological defenses in modern foreign science.

Role of Cooperative Planning in Mixed-Economy and Its Impact on Development in Nepal

This paper discusses the importance of cooperative planning in the country that followed the mixed economy. This paper is based on the qualitative approach and the data were collected through secondary sources. A developing country like Nepal may not be adequately sustainable without the development of both private and public welfare sectors. After 1950, more enterprises were introduced in Nepal to uplift the existing status of the cooperatives for development in a mixed economy; the effort could not able to give satisfactory results however, the path of gradual and steady economic recovery as market space in development found to be started for the pro-poor in Nepal. Cooperative planning has introduced the principle of three pillars (public, private, and cooperative) of development in a mixed economy to address the demand and interests of poor and marginalized people in society. For this purpose, co-operatives have been providing foundations for uplifting their livelihood through the process of capital formation, landing, and saving in Nepal. However, most of the cooperatives in Nepal have operated and are controlled by rich and elite sections of society. Consequently, the activities of cooperatives are not found to follow the pathway of the three pillars of the economy. Hence, there is still a gap between reality and rhetoric in the operation of cooperatives in Nepal that should be reduced to uplift the livelihood of the poor and marginalized people.

IMPACT OF COVID-19 AND WAY AHEAD FOR KERALA IN MEDICAL VALUE TOURISM

Medical tourism is a rapidly growing industry with a market size valued at over USD 4.0 billion. The impacts of Covid-19 were felt harshly on the tourism industry, affecting medical tourism. With the economy coming back to normal, the sector is being revived at an even faster pace. India is at a vantage point with diverse culture, demography, and traditional techniques. India has carved out a prominent position in medical tourism with low cost, catering to patients that cannot afford to be in long waiting lines, with state-of-the-art medical care. The quantum of human resources, technological development, and active government intervention, create colossal possibilities to harness this sector. Kerala among other states uses a unique combination of modern and traditional medicine. Foreign-trained medical staff and numerous leisure spots help the state carve out a niche in this highly competitive segment. This paper discusses the boost that medical value tourism could grant Kerala and why this sector could be a significant revenue generator. Based on published data, the study discusses factors that make Kerala a hub for medical tourism, and trends and inflow of medical tourists. Out of the total number of Foreign Tourist Arrivals, the number of tourists arriving for medical purposes was 182,945. Despite a fall of 75 - 80% in Foreign Tourist Arrivals during the first two years (2019-2021) of the pandemic, hospitals in Kerala are making a comeback. For Kerala, the path of recovery is being made possible with changed marketing strategies and innovation to bring in more tourists. The article also discusses the concept and possibilities of Tourism 4.0 specifically, AI-driven telemedicine. The result of the article shows the impressive pace at which the sector is making a comeback and a positive impact on developing economies.

Housing market dynamics of the post-Sandy Hudson estuary, Long Island Sound, and New Jersey coastline are explained by NFIP participation

How flooding affects home values can determine the path of economic recovery for communities and have lasting impacts on national and global financial systems. Yet, our understanding of how flood insurance, community risk perception, and past flooding events shape future housing prices (HPs) remains limited. To explore this, we used a socio-environmental (SE) model and studied the temporal impacts of flooding on mean housing values across 496 coastal census tracts of New York, Connecticut, and New Jersey, US, from 1970 to 2021. The modeling exercise demonstrated that the initial economic impact of Hurricane Sandy was largely absorbed by the National Flood Insurance Program (NFIP); however, the region then exhibited a long-term decline in home values, which was well described by an interrupted time series model. We found significant correlations between SE model parameters describing HP change and those describing tract-scale behaviors and perceptions, suggesting that the salience of past flooding events and NFIP participation may be important regional drivers of HPs. Tracts with greater post-flood change in active insurance policies exhibited larger decreases in mean home values than those with more stable NFIP participation. An improved understanding of relationships between HPs, flood insurance, and community perceptions could support more equitable distributions of resources and improved policy interventions to reduce flooding risk.

Total and arbuscular mycorrhizal fungal communities in the first 3 years after the collapse of the Fundão Dam: are we on the ecosystem recovery pathway?

After the collapse of Fundão Dam in Mariana‐MG, Brazil, the discharge of iron ore mining waste into the Doce River watershed negatively impacted the landscape. Monitoring the composition and species richness of soil microbiota may be useful bioindicators of ecosystem recovery. This study aimed to compare soil chemical properties, total fungal species, and arbuscular mycorrhizal fungi (AMF) in sites unaffected and affected by mining tailings in the first 3 years after the collapse of Fundão Dam. Soil and root samples were collected in dry and rainy seasons over 3 years in unaffected (adjacent forest and pasture) and affected areas (REC1, REC2, and PASTrec) by mine tailings. Changes in soil chemical properties over the sampling period were measured by routine chemical analyses. Total fungi in the soil was determined by high‐throughput sequencing. AMF community was evaluated using spore number, root colonization, and denaturing gradient gel electrophoresis. Affected sites had higher ranges of pH and lower soil organic matter than unaffected sites. Revegetation had a positive effect on soil fungal community. Increased similarity in AMF DGGE analysis was observed in the two sampling sites over time. A high similarity of total fungi and AMF was observed between REC and pasture areas, suggesting that revegetation strategy employed may be heading towards a pasture condition. Thus, post‐disturbance analysis of this study was important to evaluate of ecosystem recovery affected by the rupture of iron ore mining dam and demonstrated that the soil microbiota was a sensitive bioindicator in this long path of ecosystem recovery.

There and back again: staff and service user perspectives on readmission to a secure mental health hospital

PurposeReadmission to hospital can be distressing, costly for the National Health Service (NHS) and legally it should be a last resort as it entails restriction of liberty. This study aims to develop an understanding of factors leading to readmission for a cohort of service users under the care of a community forensic mental health team (CFMHT) in England to consider how support could be improved to reduce incidence of future readmissions.Design/methodology/approachThematic analysis was used to examine case recording relating to 13 service users who were readmitted to hospital within a specified time period. The same service users were invited to complete questionnaires regarding their views of what contributed to the readmission to cross-reference with themes identified.FindingsThe analysis of case notes produced eight sub-themes. These were sorted into three overarching themes, illustrating the challenges that service users face upon discharge from hospital, the sense they make of these challenges and the impact upon relational patterns, in particular with the CFMHT. Researchers highlight that the multiple challenges can increase service users’ sense of being under threat which can lead to distrust of professionals.Practical implicationsPractical suggestions arising from the study were fed back to the subject team and are listed at the end of the paper.Originality/valueFindings from this study parallel those previously reported. This study contributes an inter-relational aspect of the factors and the central role of meaning-making in the path of recovery and building a life in the community.

Lingering challenges in everyday life for adults under age 60 with hip fractures – a qualitative study of the lived experience during the first three years

ABSTRACT Purpose We aimed to illuminate the lived experiences and the path of recovery for adults sustaining a hip fracture before the age of 60. Methods Participants were purposively sampled from a prospective multicenter cohort study in Sweden and Denmark, and narrative interviews were conducted with 19 individuals 0.7–3.5 years after the fracture. We used a phenomenological hermeneutic method to describe the participants’ expressed essential meaning. Results The experience of sustaining a hip fracture was expressed as a painful and protracted process of regaining self-confidence, function, and independence. It also implied a sense of growing old from one day to the next. Participants were afraid of new falls and fractures, resulting in an increased wariness. When expressing fears and persisting symptoms, participants described being neglected and marginalized by the healthcare system, which was perceived as non-receptive and routinely driven by a notion that hip fractures affect only the elderly. Rehabilitation targeted towards needs different from those of elderly individuals was requested. Conclusion The lived experience of sustaining a hip fracture in individuals under 60 includes substantial challenges in everyday life, even up to 3.5 years after the injury. Rehabilitation pathways tailored to the needs of younger patients are requested.

Economic Challenges and Policy Issues in the Emerging European Economies

In recent years, the major European economies have responded boldly and imaginatively to the path of economic recovery, but they still face major challenges on two levels: the economic level and what policy measures need to be taken to address them in light of the current economic situation. From an economic point of view, the major European economies also have their own more obvious problems to face due to the repeated epidemics and the general challenges caused by the high inflation rates. Due to rising energy prices and supply shortages in some industries caused by the Russo-Ukrainian war, high inflation has recently swept Europe, repeatedly breaking records, and will continue to plague Europe. In this regard, European economies have provided appropriate policy support, ranging from monetary policy to cooperation with other economies. European economies are actively responding to the economic crisis and looking for new opportunities. This time, however, the European economy Whether the recovery can bring its economy back to the level before the new krona epidemic and to what extent the shadow of the epidemic brought by the new mutant virus Omikron will have a potential impact on the European economic recovery is not yet clear. The recovery of European economies is stagnant and protracted.

FINANCING INDIA’S URBAN INFRASTRUCTURE: ISSUES AND CHALLENGES

Indian economy is expected to be one of the top performers in the world economy in the post covid era. While all the major economies of the world are finding it difficult to come back to pre-covid level, the Indian economy is on the path of a speedy recovery. With significant urbanization taking place, India will need to make a significant investment in its urban infrastructure. It is expected that $840 billion of investments is required in urban infrastructure over the next 15 years. This private player will have a significant role to play. This article attempts to identify the significant constraints in financing such a massive infrastructure needs of India.

Marketing Model of EMC Hospital during COVID-19 Pandemic

After facing COVID-19 Pandemic, the first thing to be recovered is the hospital and health industry. In order to do so, the improvement of International hospital needs to be studied for the next advancement. The dimension that covers international hospital is the label, sustainable marketing and their social media contents that is to be explored in order to discover something. The advancement of it needs to discover their model of marketing first in order to improve the industry. From the syntax to semantic we could able to perceive the quality of the international standard based on social media content as well as the data aid of related theories and various marketing and financial data that serves as pieces of the path of advanced health and hospital industry recovery after suffering the struggle of COVID-19 Pandemic.

Mexica Monism and Daoist Ethics in the Philosophy of Gloria Anzaldúa

Critical scholarship regarding the philosophy of Gloria Anzaldúa has proliferated in recent decades, especially in the fields of feminist theory, phenomenology, and epistemology. However, there is little analysis of the metaphysics which undergird their work and make possible their views on identity, experience, and community politics. First, this article will explore the significance of Anzaldúa’s ‘nos/otras’ and its relation to Mexica (Aztec) monistic metaphysics. Such a concept resists an us/them construction of the world because it situates the other as us: the Spanish word for ‘we’ is ‘nosotros’ and holds the ‘other/otros’ as its root, which Anzaldúa feminizes to ‘otras’. Second, we will compare Daoist and Mexica metaphysics, two monist systems, and unpack the moral implications for spirituality. Doing so, we will see that according to Anzaldúa’s monistic view, we are affected by each other’s spirit and have an obligation to be spiritually active in the world. This claim is found throughout Anzaldúa’s philosophy and is the key to understanding the spiritual implications of her work. Lastly, we will apply such a view to sexual trauma and see that Anzalduan metaphysics lays out a path of recovery. If sexual violence is the severing of trust with others, then Anzaldúa’s understanding of how the world is constructed gives us a way to re-establish trust with ourselves, each other, and our communities.

ДЕРЖАВНА ПІДТРИМКА ДІЯЛЬНОСТІ СУБ'ЄКТІВ ГОСПОДАРЮВАННЯ В УМОВАХ ВОЄННОГО СТАНУ

The Russian invasion led to the adoption of extraordinary decisions aimed at stabilizing economic processes in the country. In particular, the introduction of martial law created the need to intensify state support for economic activities in all sectors of the economy, but of particular importance are those that are focused on defense, food, energy security and others aimed at restoring infrastructure.. The analysis of innovative decisions introduced by the Ukrainian authorities in order to maximize the support of existing business entities for the continuation of economic activity, as well as the provision of simplified, adaptive procedures for starting economic activity, is carried out. According to the analysis of the proposed solutions, it is possible to characterize them, which were organizational (non-financial) and financial in nature, as well as determine the stages that Ukraine has already passed and should go through on the path of economic recovery. The study of the experience of state support for economic entities in the conditions of military operations of the Israeli state was important.. The new economic policy of the postwar period is characterized by the creation by the state power of acceptable conditions for economic activity, with the introduction of maximum state support. Now we have the opportunity to determine the transition in the system of state support from the crisis decisions that were necessary at the beginning of a full-scale invasion to another stage of legal regulation, which marks the introduction of measures that should help Ukrainian business entities to become competitive in the domestic and foreign markets in the conditions of prolonged hostilities. It is also important to develop instruments of state regulation of economic activity with the help of which not only stabilization of the economy in the conditions of hostilities is achieved, but also on its development and post-war revival. Keywords: state economic policy, state regulation, instruments of state regulation, economic activity, martial law.

Economic Contagion and the Repercussion on Remittances: Evidence from Low and Middle-Income Economies

The outbreak of the coronavirus disease in 2019 (COVID-19) wreaked havoc on the social, psychological, economic, and political buoyancy of all economic activities worldwide. The economic challenges caused by the interruption in worldwide economic activities significantly impacted remittances flow to low- and middle-income economies (LMIEs). This study used the past, present, and predicted remittances data of migration dynamics within countries to analyse the economic impact on remittances. Remittances to most LMIEs plunged during the pandemic intense period; however, the decline was temporary as the flows increased due to countrywide policies and individuals’ emergent needs. The trend of economic contagion is fundamentally unique in that even the primary source of remittance sending nations have been greatly impacted. The global nature of this pandemic raises numerous questions, including whether the decline in remittances will continue for a short term or will last for an extended period to stagnate LMIEs. This current study’s results reveal that while remittances flow to key recipient nations declined between 2019 and 2020, there has not been a sharp decrease and most of the nations were on the path of recovery in 2021. This study proposes that policymakers support remittances flow on a higher growth trend in successive years based on Sustainable Development Goals to attain global inclusive development. This research further recommends the adoption of higher technology transfer of remittances of migrant workers within the emerging and low- and middle-income economies.

Expanding Access to Naloxone: A Necessary Step to Curb the Opioid Epidemic.

The COVID-19 Pandemic has exacerbated the already worsening opioid epidemic within the United States. With a continuing increase in opioid overdose deaths, measures are needed to halt the needless number of deaths and begin on a path of recovery to address all the factors that impact the epidemic. The CDC has provided various recommendations to combat the increases in opioid overdose deaths. These recommendations have included expanded distribution and use of naloxone and overdose prevention education as essential services for people most at risk of overdose. While strategies should include the increase in community resources for those with opioid disorder and shifting the perspectives of healthcare to view opioid disorder as a chronic illness that can be treated with medication such as buprenorphine, these methods are not immediate enough to stop the trend in deaths. The United States must take immediate action to expand access to and use of Naloxone for the public and first responders. Naloxone alone cannot address the magnitude of this epidemic, but it is an essential first step in preventing immediate death while a multimodal strategy is enacted to fully protect those most at risk.