People Struggle Research Articles

Dealing with dichotomies in health care: Case reports

ABSTRACT Dichotomies with respect to medical orientations and public health have been common in the past and even in the present probably orchestrated by the traditional versus modern medical concepts that became eternal arena for disquiet in the healing world of many countries. In public health, the so-called technology tradition was especially dominant which assumed the power of technology and the paternalistic ‘managerial mode’ regarding disease control programs. Such a ‘managerial perversion’ has demolished the positivity of primary health care as well as the social determinants framework. It is important to consider cultural background, the belief systems and perceptions of the people in shaping the health behaviour of the people. We are presenting here two case reports on distinct scenarios in order to show the conceptual problems with respect to the notion of dichotomies and the linkages with health. These are based on our empirical explorations using qualitative methodologies. The first case is on non-communicable diseases in a tribal society in Kerala and the second one on utilization of Traditional Complementary and Alternative Medicine (TCAM) among palliative cancer patients from a district in Kerala. It is seen that as new problems emerge or when people struggle with diseases as presented in the two case reports, they tend to depend on the positivity of the deeply entrenched cultural artefacts in combination with modern systems and they tend to bridge the dichotomies rationally instead of viewing them retrograde. It is necessary to examine the reasons for engaging in such syncretic health behaviour which could be popular realizations on the positive and negative features of both health orientations. This approach of the people could be used effectively for managing such health problems in the community.

The Impact of Alai Suri Kurdayeti Magazine in Disseminating National Awareness

This paper, titled "The Impact of Alai Suri (Red Flag) Kurdayeti Magazine on the Propagation of National Awareness," delves into an examination of the content within Alai Suri Kurdayeti Magazine during the period of the mountain struggle and the revolutionary era, spanning from 1981 to 1982. Despite the protracted history of the Kurdish people's struggle for their national rights, the establishment of a comprehensive national identity remains an indispensable intellectual and vital requirement within Kurdish society, intrinsically tied to the notion of national consciousness. The manifestation of a national identity fundamentally hinges on shared national principles, a common language, culture, religion, history, collective aspirations, and unified political and legal principles, all of which necessitate a heightened state of national consciousness. Throughout the history of the Kurdistan liberation movement, diverse strategies have been employed to attain this identity, with media engagement serving as one prominent avenue. During a particularly sensitive period in Kurdish history within South Kurdistan (1981-1982), the Kurdish Socialist Party (PASOK) issued Alai Suri Kurdayeti Magazine. This publication, apart from accomplishing its political objectives, aimed to acquaint Kurdish society with various facets of life and intellect. Its purpose was to cultivate national thought and consciousness while alerting the community to the imminent threats they faced.

Measuring Minds: How Scientists Study How People Understand Others

In this article, we explore the science of understanding others’ minds. Specifically, we discuss how scientists try to study the processes of understanding the thoughts and feelings of other people (known as mentalizing) and of sharing other people’s emotions (known as empathizing). Understanding others is important because it helps people to build strong social connections with their friends, family, and people in their community. However, when people struggle with understanding others it might negatively impact their mental health or cause difficulties in their daily lives. Scientists are working hard to measure how people understand others—in the laboratory and in the real world. They use questionnaires and tests, observe people, track behaviors with mobile phones, and even image the brain. We will describe these methods and discuss how researching the understanding of others might help improve the lives of young people like you.

TRACING AMERICAN SPIRIT IN INDONESIA’S INDEPENDENCE: A HISTORICAL-COMPARATIVE STUDY

The US and Indonesia, two countries that fought for freedom, are fascinating subjects to delve more into, despite their great distance from one another and their distant times of conflict. This research used a Transnational American Studies perspective and comparative-historical analysis. By using comparative historical analysis, this research aimed to explore the similarities and differences that exist in the journey of American independence and Indonesian independence. The results of this research showed that even though the independence movements in the US and Indonesia occurred several centuries apart, they had the same goal, namely opposing colonialism. Both showed the same enthusiasm to fight colonial power and the desire to determine the fate of their nation without interference from other parties. Thomas Paine and Bung Tomo through their writings and speeches led the spirit of independence in the US and Indonesia. Even though they use different communication styles, both have an impact in forming the spirit of resistance and unity of their nation. Additionally, by looking at the history of the struggle of the Indonesian people, it can be seen the spirit of freedom that the US promoted.

Историческая значимость деятельности Иоанна Каподистрии в решении греческого вопроса в первой половине XIX века

The article examines the activities of Ioannis Kapodistrias as an eminent politician and diplomat in the history of Russia and Greece. It analyzes Kapodistrias’ contributions to the national liberation struggle of the Greek people for independence from Ottoman domination. The role of Russia in facilitating Greece’s path to independence is highlighted, alongside an exploration of the leaders of the Greek national liberation movement. The significance of Orthodox faith, indigenous traditions, and culture for the Greek people is also addressed. The research underscores the pivotal role of Ioannis Kapodistrias in fostering relations between the peoples of Greece and Russia, grounded in their shared Orthodox faith and the institution of the Orthodox Church. An examination of archival data, scholarly works, historical literature, and the statements of high-ranking officials from the Russian Federation provides essential groundwork for further study of the personality of Ioannis Kapodistrias, as well as the application of his experiences and insights in the modern geopolitical conjuncture.

What do they look for and what do they find? A coproduced qualitative study on young people's experiences of searching for mental health information online.

Many young people (YP) struggle with their mental health and look online for help. To capitalise on their digital presence, we need to better understand how and where they seek information online and what they think of what they find. We recruited 24 YP (aged 13-18 years). Online interviews were co-conducted by research team members and trained young researchers. We presented a persona with depression symptoms and asked about potential sources of information/support they might seek. They were also asked to think aloud while searching online and reviewing mental health resources (NHS, Young Minds). We used reflexive thematic analysis. Analysis generated four themes: (1) the online help-seeking process, showcasing where YP look for information and why; (2) the mismatch between the information YP expected to find and the reality; (3) the strategies YP employed to determine a source's trust and credibility and (4) individual differences that can influence help-seeking. Participants initiated their online search by Googling symptoms. They trusted NHS websites for basic medical information, while charities provided detailed content. Despite scepticism about content, social media offered validation. Online resources should prioritise visual appeal, user-friendliness, age-appropriate and personalised content and peer insights. Codesign is imperative to ensure high-quality, impactful research.

More than “A Matter of Deciding To”: Citizenship, Border Positionality, and Irresolution in Louise Erdrich’s The Night Watchman

Abstract This article considers Indigenous refusal to state-imposed US citizenship through a reading of Louise Erdrich’s The Night Watchman (2020). The novel follows the Turtle Mountain Band of Chippewa’s struggle to remain a federally recognized tribe during the US government’s move toward tribal termination in the 1950s. While the characters’ appeal to the US government could be construed simply as a plea for state recognition, the novel’s insistence on Chippewa kinship structures as a simultaneous and legitimate expression of the characters’ political identities suggests otherwise. Taking up conversations in Indigenous studies pertaining to the limits of state recognition and the possibilities of generative forms of refusal, the article expands upon Mohawk scholar Audra Simpson’s (2014) model of refusal with an emphasis on irresolution. This irresolution is manifested in the novel’s narrative form—which refuses closure. The article uses the term border positionalities to describe the unresolved and unsettled tension between the characters’ Indigenous and settler political identities. It contends that the incommensurability of these social and political identities makes Erdrich’s novel an important text for reading citizenship as an ongoing site of struggle for Indigenous people.

Inventarisasi, Pendampingan Dan Penulisan Sejarah Keluarga Veteran Di Kota Jambi

Veterans of the war of independence revolution are key witnesses in the history of the Indonesian people's struggle to seize and maintain independence and post-independence. The stories of the sacrifices of these heroic veterans are the most common examples of Indonesian nationalism. However, after Indonesia's independence lasted for 78 years. The stories of the sacrifices of these heroic veterans are the most common examples of Indonesian nationalism. The increasingly old age of the veterans makes it necessary to carry out documentation of historical sources owned by these veterans in a memoir and write their experiences in a book. The Community Service Team of the History Study Program, University of Jambi, held an inventory, mentoring and writing of the history of veteran families in Jambi City. It is hoped that this activity can provide an example and raise nationalism among the young generation of Jambi today.

Pilot to scale: Implementing a digital triage solution across a large comprehensive cancer centre.

225 Background: Princess Margaret Cancer Centre (PM) sees over 80,000 patients annually and primarily operates using an outpatient model. Historically patients use a phone/voicemail triage service to communicate with their care team between scheduled visits. Many patient queries lack critical information necessary for effective screening, assessment, and processing. In turn leading to delays or missed calls that negatively impact patient experience, system efficiency, and safety. To address these challenges, we piloted a digital triage service and subsequently implemented in sixteen clinics. This project evaluated initial adoption, usage, care patterns and satisfaction in the first 5 months post-implementation. Methods: We used human-centred service design to develop the digital triage service within the EMR (Epic). Implementation strategies to scale across all outpatient clinics included leadership buy-in, co-design with key stakeholders, a phased implementation approach, and improvement cycles. To evaluate initial adoption, usage and care patterns, we used EMR system data. To assess patient satisfaction, we surveyed patients who used the service during the first three months. We conducted semi-structured interviews with staff to understand their experience integrating digital triage into their workflow. Results: Following the go-live period, patients sent an average of 1096 digital requests per month, representing 16% of all triage requests (phone + digital). The most common requests were symptom management (36% of nursing requests) and appointment change requests (40% of administrative requests). The algorithm automatically routed 93% of requests to the most appropriate care team member, compared to 74% pre-implementation. When asked if they were satisfied with their experience, most patients agreed or were neutral (69% and 10%, respectively), while 21% disagreed. In semi-structured interviews, nurses and administrative staff described improved efficiency by having triage requests integrated within the EMR, while have challenges related to prioritizing requests across multiple channels (e.g. digital, phone, others). Conclusions: Digital triage is foundational for better cataloguing and understanding our patients' unmet needs at home and between visits, enabling a continuous learning process to understand when and why people struggle throughout their care journey. Ongoing analyses will explore disease site-specific trends, compare phone to digital triage, and identify differences between users of each method. The data will inform further improvement cycles on the build and workflows, while enabling appropriate resourcing of this critical service and shifts towards proactive care.

PSYCHOLOGICAL AND PEDAGOGICAL EXPERIENCE OF MEDIA EDUCATION

The article highlights the importance of developing media competence among students. The authors discuss theoretical and practical ways to promote media literacy education and develop media competence essential for students’ comprehensive preparation to use mass media. As practice shows the digitalization of all areas of social life brings not only advantages as professional and personal growth opportunities but also other additional concerns. People struggle to analyze, evaluate and comprehend the information because there are so many resources, the information is disseminated through various channels with tremendous speed. There is a rising need to promote media competences among students who consumes large amounts of information. In this rapidly developing digital world information consumers need a new set of competences to search for information effectively, intake and analyze it. It is important to facilitate systematic knowledge transfer on media and promotion of media competence needed to analyze the subject of the information and its purpose. Keywords:mass media, media education, media literacy, media competence.

REVISITING W.E.D. DU BOIS’S LEGACY IN THE HISTORIC STRUGGLE FOR RACIAL EMANCIPATION IN AMERICA OF THE 20TH CENTURY

This article explores William Edward Burghardt Du Bois’s legacy in the historical fight for African Americans’ emancipation in the United States of America. The study aims to delve into the contemporary relevance of Du Bois’s ideology in the quest for more racial equity and its impacts on Black people. His philosophy continues to shape discussions on race inequality and social justice since the perpetuation of racism and stereotypes against African Americans. His intellectual contributions, activism, and scholarship mark the hardest periods of racial segregation and discrimination. Actually, the struggle for the oppressed people’s intellectual prosperity is Du Bois’s most efficient alternatives for Blacks’ emancipation. In this process, he initiates the Niagara Movement in 1905 which merely fails. In 1909, the movement of N.A.A.C.P. is founded out of the inspiration from the previous one. In this regard, the current investigation utilizes the postcolonial theory to analyze and interpret his works and any documents related to Blacks’ activism. As main methodological framework, the qualitative approach allows to collect the textual data. As a result, the analysis has shown that Du Bois’s thoughts and convictions are timeless in the sense that his philosophy have positively impacted the interracial landscape in the American society

The self-efficacy for regular meditation practice scale (SERMS): Development and psychometric validation.

The health benefits of meditation are well-documented, yet people struggle to practice regularly. Domain-specific self-efficacy is an important modifiable driver of health behavior change that is poorly understood in the meditation context. As such, the present study developed the Self-Efficacy for Regular Meditation Practice Scale (SERMS) assessing confidence in one's capacity to meditate frequently and in a way that favorably impacts well-being, including securing the psychological, social, and structural supports needed for ongoing practice. Participants provided online survey data at baseline and 1-week follow-up. Exploratory factor analyses were conducted (n = 249) followed by confirmatory factor analysis (n = 249). A three-factor structure best fit the data, with subscales measuring self-efficacy to benefit from meditation, persist in meditation, and obtain teacher and community support. Validity and test-retest reliability coefficients supported the SERMS as a promising measure of self-efficacy for meditation that may further research on meditation behavior adoption.

PECULIARITIES OF INFORMATION AND ANALYTICAL SUPPORT IN DECISION-MAKING WITHIN GOVERNMENT BODIES

The modern world is increasingly entering the era of an information society, where the role of information becomes ever more significant. Information is accumulating rapidly and in large volumes, so quickly that people struggle to process and thoroughly comprehend the incoming information flow, leading to an overall reduction in usable information. In order to process relevant data effectively in the context of professional or other activities today, it is no longer sufficient to rely solely on traditional administrative experience to make informed management decisions. It is essential to incorporate scientific knowledge, comprehensive awareness, analytical and forecasting skills, as well as socio-political responsibilities, with an appropriate recognition of these processes. This is particularly relevant for public administration bodies—both central and regional levels of executive state power—and increasingly for local government authorities, which are gaining more authority as part of the decentralization process. In Ukraine, in particular, the ideology and framework for interaction between the state and society are changing, with an increased use of decentralization mechanisms that delegate specific functions and powers from state bodies (to varying degrees) to the level of territorial communities and even to civil society. The purpose of this article is to define the peculiarities of information and analytical support in the decision-making process within government bodies. The article systematizes approaches to information and analytical support in public administration. It identifies the subjects and objects of the information and analytical support system in state management processes and specifies the goals of such support. It justifies the need to highlight the key elements of the information and analytical support system for public administration. The article also outlines the principles guiding information and analytical activities conducted by government and local authorities. Levels of information and analytical work are established, taking into account the temporal dimension. Furthermore, the article identifies issues with information and analytical support in government bodies in Ukraine and suggests ways to address these challenges.

Ethics of research engagement with Deaf people. A qualitative evidence synthesis.

In this article, we explore ethical issues of Deaf people's engagement in research. To focus on the perspectives of Deaf people, we investigated existing qualitative and mixed methods research within a qualitative evidence synthesis. Our synthesis is based on a systematic database search (Scopus, PubMed) and reference check of included papers which resulted in 27 eligible papers. We analyzed the data using thematic synthesis and developed 5 analytical themes. The results present research as a struggle for Deaf people and emphasize the need for changes regarding recognition of Deaf research in a cross-cultural context, maintaining equal and partner relations, and provision of accessible communication. Our research contributes to understanding what the ethical inclusion of Deaf people in research implies. It may also support the development of evidence-based normative recommendations and scientific cooperation between Deaf and hearing people.

Post-diagnostic support for adults diagnosed with autism in adulthood in the UK: A systematic review with narrative synthesis.

More adults than ever before are seeking an autism diagnosis in adulthood. While receiving a diagnosis may be beneficial, many autistic people struggle to navigate their new diagnosis, and require support. This study conducted a systematic review of previous research on the support available after diagnosis (post-diagnostic support) for autistic adults without intellectual disability who were diagnosed in adulthood in the UK. A systematic review is a pre-planned method of searching for all relevant studies, before combining these to answer a larger question. The study aimed to investigate the availability of such support and its effectiveness, and to explore autistic adults' experiences of accessing support. We also used publicly available information to create a map of the post-diagnostic support services currently available across the UK. A systematic search of seven databases was conducted, to identify UK-based studies published after 2012. Nineteen studies were eligible to be included in the study. Although some form of post-diagnostic support is available across most areas in the UK, this mostly consists of providing information and 'signposting' the person to other services. These options may not meet the needs of autistic people, who want services such as psychoeducation (therapy whereby an individual receives education about their diagnosis to improve understanding and self-management), and peer support. Findings highlight the need for adequate support to alleviate the post-diagnostic challenges autistic adults face. The study could not evaluate the effectiveness of support options in the UK due to a lack of information about this in published research. Research shows that autistic adults would like low-level support services, psychoeducation, and peer support, and may also prefer autistic-led support. Further research is required to develop and evaluate post-diagnostic support programmes which include these elements.

Inheriting the Red Spirit and Exploring Youth Development

A new historical journey, striving for new youth, and carrying out the road of red historical exploration is a thing worth recording. The Communist Party of China provides group support for the majority of aspiring young people, cultivates advanced ideas, establishes lofty ideals, encourages personal practice, and comprehends the glorious ideas of communism in the experience of retracing the road of struggle. This article takes the historical trajectory of the Communist Party of China as the main line of research, walks into the exhibition hall, deeply understands the development process of the party and the achievements of urban progress, and does a good job in practice summary. In the process of social practice, think about the significance of inheriting the red spirit for the struggle of young people, and explore how young people struggle from the historical process to the law of practice.

Heavy Metal-Based Toxic Oxo-Pollutants Sequestration by Advanced Functional Porous Materials for Safe Drinking Water.

ConspectusWater scarcity as a consequence of either environmental or economic actions is the most compelling global concern of the 21st century, as ∼2 billion people (26% of the total population) struggle to access safe drinking water and ∼3.6 billion (46% of the total population) lack access to clean water sanitation. In this context, groundwater pollution by toxic heavy metals and/or their oxo-pollutants, such as CrO42-, Cr2O72-, AsO43-, SeO32-, SeO42-, TcO4-, UO22+, etc., have been becoming rapidly growing global concerns. The severe toxicity upon bioaccumulation of these oxo-anions has prompted the US Environment Protection Agency (EPA) to mark these persistent and hazardous substances as priority pollutants. Additionally, the heavy-metal-based pollutants are difficult to transform into eco-friendly substances, thus presenting serious challenges toward human health and environmental preservation. To this end, the emergence of advanced functional porous materials (AFPMs), including metal-organic frameworks (MOFs), covalent organic frameworks (COFs), metal-organic polyhedrons (MOPs), porous organic polymers (POPs), etc., have presented extraordinary opportunities in material research and water treatment applications. The liberty in designing and structural tunability of AFPMs, facilitated by utilization of structure-encoded molecular building blocks, enables precise control over target-specificity and structure-property correlations. Bridging the gap between strategic material design and on-demand real-world application can facilitate the development of next-generation sorbents/ion-exchangers for efficient water treatment.In this Account, we summarize the recent advancements from our group toward the development of cutting-edge multifunctional ionic-porous sorbents, offering viable solutions toward providing clean and safe drinking water. Our vision allows us to comprehend this challenge through two strategic factors: efficient oxo-anion capture via ion-exchange and specific host-guest interactions via installation of modular functional groups. To provide an overview, we first highlight the different structural variants and coexistance of various toxic oxo-anions depending on the pH of the medium and their adverse effects. Next, we highlight the promising potential of water stable cationic MOFs toward selective remediation of toxic Cr(VI), Mn(VII), Tc(VI), Se(IV), Se(VI), U (VI), As(III), and As(V)-based toxic oxo-pollutants from water. In the subsequent sections, we summarize the target-specific design strategies and oxo-anion remediation performances of ionic porous organic polymers and hybrid functional porous materials. The key role of target-specific designability and/or structural fine-tuning of AFPMs toward preferential sorption of oxo-pollutants is systematically demonstrate. Particularly, the role of ion-exchange (anion-exchange) processes toward targeted oxo-pollutant capture by ionic AFPMs has been discussed in details. In several examples, the AFPMs were successful in reducing the toxic oxo-anion concentration levels lower than the permitted values for drinking water by the World Health Organizing Committee (WHO), showcasing their real-world applicability potency.Our contemporaneous endeavors in exploring ionic AFPMs for selective toxic oxo-anion sequestration may serve as a blueprint to researchers for future development of the next generation sorbent materials for energy-economically feasible water treatment methods.

Housing the poor? Accessibility and exclusion in the local housing systems of Vienna and Milan

AbstractDespite featuring very different housing systems, both in Vienna and Milan a growing number of people struggle to access affordable and decent housing. Even though social housing policies are in place in both contexts, for many the unregulated and often unaffordable private housing market is the only option. Building upon Antonio Tosi’s work, we centre our analysis on the poor and compare how two very different local housing systems create the conditions for their inclusion or exclusion. Through a comparative analysis of the Viennese and Milanese local housing regimes and adopting a mixed methodology, we discuss how both generate conditions of exclusion and who the ones excluded are, which local policies address the poor and how appropriate these are for mitigating housing exclusion. Finally, we indicate some directions for policies aimed at tackling the intersections of poverty and housing exclusion, advocating for a maximization of the ‘sociality’ of housing policies, involving a shift in prioritisation from the middle classes to the most vulnerable groups and the loosening of certain formal access requirements to housing or welfare services that constitute barriers to these groups, where possible.

Antagonistic but holier than thou: Antagonistic people think they are (way) better-than-average on moral character.

Although clinical psychologists have long speculated that antagonistic individuals may lack insight into their moral deficits, some evidence has shown that more (vs. less) antagonistic people view moral traits as somewhat desirable and rate themselves as lower on moral characteristics (suggestive of some insight). But, we suggest that antagonistic people's struggles with insight can be detected as part of a basic social-cognitive bias that entails believing the self is better-than-average on socially desirable characteristics (i.e., the "better-than-average effect" [BTAE]). Specifically, although antagonistic people may rate themselves lower on moral characteristics than less antagonistic people, they may still believe that their relative standing on moral characteristics compares favorably to others. Participants (N = 515) completed indicators of the Dark Tetrad (D4) constructs (narcissism, Machiavellianism, psychopathy, and sadism) and rated themselves in relation to others on moral and immoral character traits. Overall, participants exhibited very large BTAEs (i.e., rated the self as "better-than-average" on moral character traits); only psychopathy and sadism consistently related negatively to BTAEs, but people with elevations in each D4 construct (or any D4 facet) still exhibited large-to-very-large BTAEs. Such antagonistic participants viewed themselves as possessing substantially greater amounts of moral than immoral character traits but viewed average others as possessing an equal mix of these traits. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Developing a module on the care of LGBTQIA+ individuals for health professionals: Research protocol.

Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual (LGBTQIA+) people struggle to identify a healthcare service that understands their problems and needs. Additionally, healthcare professionals also find it difficult to care for LGBTQIA+ as very little is studied or heard about management. The article presents a protocol for a pilot study aimed at the development of an LGBTQIA+ care curriculum for health science professionals. The study includes Phase I: The development of a curriculum based on a literature review and focus group discussion among LGBTQIA+ individuals, and Phase II: Pilot testing of LGBTQIA+ care curriculum. The study outcome will reflect the improvement in the knowledge of healthcare professionals on LGBTQIA+ care.