Centers For People Research Articles

Dolutegravir Plus Lamivudine as Initial Therapy for HIV-1 Infected and ARV-naïve Patients in West China, 24-Weeks Results of a Preliminary Real-world Study.

This preliminary real-world study (RWS) was designed to evaluate the antiviral efficacy, safety, and feasibility of the 2-drug regimen (2DR), dolutegravir plus lamivudine as the initial antiretroviral therapy (ART) among antiretroviral (ARV)-naïve adults with HIV-1 in West China. This RWS included the treatment of treatment-naïve adults applying 2DR of dolutegravir 50 mg once daily (QD) plus lamivudine 300mg QD with negative HBsAg from one single center of People's Hospital of Chongqing Banan District in West China. Viral load (VL), CD4+ T-cell count, and laboratory indicators were collected at baseline; weeks 4, 12, and 24, and thereafter every 24 weeks up to 144 weeks. The primary endpoint was the proportion of patients with HIV-1 RNA <50 copies/mL at week 24. A total of 54 ART-naïve patients were treated with the 2-drug regimen of DTG plus 3TC and were enrolled in this study since April 1st, 2020. Twenty-one patients received 24-week VL tests at screening as required by inclusion criteria. Median HIV-1 RNA at entry was 95,700 copies/ mL (interquartile range (IQR): 28,300-310,000) and the median baseline CD4+ cell count was 249 per cubic millimetre(IQR: 118-310). At week 24, 15 (71.4%) of 21 participants achieved virological success, defined as HIV-1 RNA < 50 copies/mL, while 10 (90.9%) of 11 participants with a baseline HIV-1 RNA < 100,000 copies/mL achieved virological success compared with 5 (50%) of 10 participants with a baseline HIV-1 RNA ≥100,000 copies/mL [Relative Risk (RR) 1.818; 95% CI 1.018-1.927]. In participants with CD4+ cell counts ≥ 200 cells/mm3, 9 (75%) of 12 participants achieved virological success compared with 6 (66.7%) of 9 participants with baseline CD4+ cell count < 200 cells/mm3 achieved it (RR 1.124; 95% CI 0.641-1.970). No major tolerability/toxicity issues were observed. This real-world study suggested that the 2-drug regimen of DTG plus 3TC could be considered as an alternative for ART-naïve patients in West China, especially with HIV-1 RNA less than 100,000 copies/mL at baseline, regarding the limits of viral load test frequency and the absence of HIV genotypic testing of viral resistance.

Delivering Social Services during the COVID-19 Pandemic: The Case of Older People Centers in Hong Kong

This study investigated how Hong Kong’s community centers for older people faced challenges and delivered services amid the Covid-19 pandemic. According to experiences of 110 health and social care workers who completed an electronic questionnaire, the provision of center-based services of most respondents were severely affected. Some of them launched online services but faced various constraints such as staff members’ limited knowledge, insufficient technical support and service users’ lacking required devices and poor internet connection. Hong Kong’s experience shows that digital literacy needs to be embedded into the future health and social care training curriculum. Also, effective digital communication training packages need to be developed with the involvement of service users. Moreover, innovative approaches have become imperative for health and social care practitioners to deal with the Covid-19 pandemic. Future studies can investigate the impact of Covid-19 from the perspective of older respondents and on various types of social services. Also, qualitative research methods can be adopted to collect rich data for deeper understandings on the difficulties of both service providers and users on delivering and receiving internet-based health and welfare services. In short, future studies can examine service users’ views on the impact of Covid-19 by using in-depth interviews.

GESTIÓN DE RECURSOS HUMANOS Y DESERCIÓN ESTUDIANTIL CON ESCOLARIDAD INCONCLUSA “EL GUABO”, PROVINCIA EL ORO, ECUADOR.

El estudio tuvo por finalidad probar la relaciónque existe entre la gestión de recursos humanos con ladeserción estudiantil del Centro de Educación Básicapara personas con escolaridad inconclusa “El Guabo”,provincia de El Oro, Ecuador, 2016. La investigaciónfue de tipo aplicada sustantiva, con diseño descriptiovocorrelacional, enfoque cuantitativo. La muestra estuvoconformada por 33 participantes de Educación Básicapara personas con escolaridad inconclusa. Se recolectódatos mediante la encuesta, instrumento el cuestionario,el procesamiento fue explicado en tablas y figuras. Seprobó la hipótesis con el estadístico de rho de Spearman,obteniendo un valor r = 0, 616, p –valor &lt; 0,05 para lahipótesis genera. Es decir, se tuvo evidencia estadísticapara rechazar la hipótesis nula y de aceptar la hipótesisalterna. Se concluyó que existe relación muy alta, positivay significativa entre la gestión de recursos humanos y ladeserción estudiantil en el centro de Educación Básicapara personas con escolaridad inconclusa “El Guabo”,provincia de El Oro, Ecuador.

Negotiating sameness and difference in geographies of older age

To advance understanding of the geographies of age segregation, this paper examines the intersectional social dynamics of age-segregated environments, considering how migration interacts with age segregation to breed sameness or diversity in ageing environments. We juxtapose findings drawn from two research projects, the first on international retirement migration in Spain, where older people inhabit certain geographical and social spaces with “people like them” sharing similar identity characteristics and preferences. The second project was in older people's centres in South London, more diverse sites where people are brought together on the basis of need rather than choice. In interrogating the different social dynamics operating in these age-segregated environments, we reflect on the implications of “choice homophily” for ageing experiences. We recognise the potential of differentiated spaces for ageing, but also question how homophilic choices in retirement can create self-selected and socially segregated retirement environments that reproduce divisions of “race” ethnicity and social class, which would undoubtedly be seen as problematic in other spheres of the life course.

A social psychological approach to cultural heritage: memories of the elderly inhabitants of Rome

Elderly inhabitants' memories can be a valuable source of information about the intangible aspects of cultural heritage of interest to tourists. Using the theory of social representations, this research project focuses on the urban area of the former 17th Municipality of Rome (located on the right riverbank of the Tiber River and including the neighborhoods of Prati and Borgo close to the Vatican City). All three older people's centers of the municipality have participated on a voluntary basis. The total of 64 persons provided demographic information, took tests assessing cognitive skills and memory, attended focus groups and participated in in-depth interviews in order to produce a documentary for tourists. As a result, the four most significant social representations of the cultural heritage of the former 17th Municipality of Rome have been identified and described in relation to the predominant emotions evoked. The final product consists of a documentary that includes selected interviews with the elderly inhabitants, insights from an archeologist and art historian, as well as local administration and authorities, in order to enrich tourist experience. Practical implications of the research project are discussed in relation to urban tourism.

Best Practices: Recovery Centers for People With a Mental Illness: an Emerging Best Practice?

The authors report a process evaluation that used rigorous qualitative methods consistent with best practice to assess the development and impact of a nascent recovery center in the New York City area. The center successfully delivered services that focused on helping increasing numbers of consumers achieve educational and functional improvements. Consumers perceived the center as providing a strong sense of community while also serving as a "stepping stone" to wider opportunities. Because they offer a feasible and popular means to help individuals with mental illness acquire skills, recovery centers may be an emerging best practice. Further research is necessary to test their efficacy.

Performing sem-teto: the transversal tactics of artivismo and the squatters' movement

‘Who has the right to the city?’ Henri Lefebvre1 Shortly after the turn of the millennium, when various Brazilian sem-teto (homeless) movements made the squatting of abandoned...

Kaleidoscope

AbstractKaleidoscope ‐ Lewisham Children and Young People's Centre brings together 23 health, social and educational services under a single roof in southeast London. Jeremy Melvin describes how van Heyningen and Haward Architects, after winning a high‐profile CABE competition, rose to the bureaucratic and architectural challenges of the project. Copyright © 2007 John Wiley &amp; Sons, Ltd.

State's Margins, People's Centre: Space and History in the Southern Thai Jungles

Introduction Nomadic foraging peoples, with their varying life-ways, may be taken as representative of the kinds of human-ecological adjustment that was common prior to the development and spread of horticultural-agricultural systems. This is not to claim that existing `nomads' should be seen as relies, or leftovers, in a framework of evolutionary development. (1) Nomadic forms of reproduction may, for example, arise where peoples are excluded from sharing in common resources by enemies, and may in response withdraw from cultivation or `settled' forms of lire into remote areas, where foraging economies offer the only mode of existence possible. The case of the Tasaday in the Philippines may be one such example, although the existence of the Tasaday is sometimes claimed to be a hoax (see Nance 1975, but see also Duhaylungsod 1993). It seems likely that at various times and places nomadic forms of social reproduction were pursued in parallel with other kinds of human-ecological adjustments, including horticulture and agriculture. Many nomadic peoples live in complex interrelationships with neighbours where trade and exchange of specific objects (sometimes including people and/or their labour) create an integrated system, which permits several forms of social and economic adaptation to persist side-by-side. To describe these as interdependent systems should not however obscure the likelihood of exploitation. In the case of the Mbuti pygmies and their Bantu neighbours (Turnbull 1968) the relationship appears relatively balanced. In others, dominant groups enslaved, by stealth and violence, the nomadic peoples living nearby. Slavery and various forms of bondage appear to have been common in many parts of Southeast Asia. It is further suggested that groups of people from the same ethno-linguistic background may at different times undertake different economic activities, for example, moving between foraging and pastoral adaptations (see for instance Denbow 1984 for Southern Africa). Benign or otherwise, where such complex systems have been displaced by the entailments of colonialism and/or incorporation into modern states, these older forms of adjustment cease to be viable. They may of course be replaced by other forms of symbiosis or interpenetration, with varying results. However, in most cases it is clear that the consequences are progressively less and less likely to favour the maintenance of indigenous nomadic life-ways and a viable system of cultural and social reproduction. The `Aslian' Peoples In this paper I shall discuss briefly the situation of the surviving small groups of nomadic foragers in the Southern Thai jungles who call themselves `Maniq'. These people are usually called `Sakai' in Thailand, and in early ethnography they were described as `Negritos'. Use of these terms today is generally considered pejorative, although they are still widespread. The Maniq are ethnically and culturally associated with relatives on the Malaysian side of the border and constitute the northernmost of the `Aslian' peoples. (2) I shall detail some of the ways in which their indigenous system of property and resource rights functioned, both internally and in relation to a broader system; I shall then outline the effects of contemporary transformations in their relations with the Thai state which has enclosed them. These groups have developed a variety of economic adjustments for several centuries, in a constant complex interplay with the other settled peoples increasingly encroaching on them; nonetheless, they have maintained a significant level of cultural, linguistic and social coherence. The present moment, where contemporary economic changes and the demands of the state have intersected in the last spaces of nomadic habitation, seems to signal the most threatening conditions of all. Although the tribal minority peoples of the Malay Peninsula have been the subject of scholarship and administration for many decades, there have been only limited attempts to grasp their ethnological and historical continuities. …

Emergency admissions to a regional adolescent unit: piloting a new service

Adolescent in-patient units within the NHS generally provide a broad range of services to large catchment areas and populations. ‘Pine Lodge’ Young People's Centre in Chester has piloted a new emergency admission service which it has run in conjunction with its existing treatment service. This paper sets out to discuss the potential difficulties in providing such a service in the setting of a general purpose adolescent unit; describe the specification of the piloted emergency service; and present the results of monitoring its use and efficacy during the first six months.

Regarding an Employment Training Assistance in Building Cleaning Jobs Provided by Cooperation Between an Enterprise and a Disabled People's Center

Regarding an Employment Training Assistance in Building Cleaning Jobs Provided by Cooperation Between an Enterprise and a Disabled People's Center

Reviews &amp; resources theatre

The Distances: The Diary of Alina Reyes, adapted and directed by Ralph Denier, performed by Margo Lee Sherman, based on a story by Julio Cortazar, translated by Paul Blackburn at the Spanish Institute, New York City, April 1984. Whoopie Goldberg, at Dance Theatre Workshop, New York City, February 1984. Mud, written and directed by Maria Irene Fames, at Theatre for the New City, Fall 1983. Sarita, witten and directed by Maria Irene Fames, at Intar, New York City, February 1984. A ... My Name is Alice, conceived and directed by Joan Micklin Silver and Julianne Boyd. New York City, Spring 1984. Delicate Feelings, book and lyrics by Rosalyn Drexler, music by Steve and Franne Rosenthal, directed by George Ferencz, at Theatre for the New City, New York City, May 1984. Las Gringos, conceived by Martha Boesing, created by the company of At the Foot of the Mountain, directed by Martha Boesing/Jan Magrane, at the People's Center, Minneapolis, Minnesota, April 1984. The Owl was a Baker's Daughter, by Alice Eve Cohen...

Reviews &amp; resources

Theatre Speech (The Predicament of Three Women in the Nuclear Age), written and directed by Avram Patt, Theatre for the New York City, October 1983, New York City Fen, by Caryl Churchill directed by Les Waters, London Joint Stock Theatre Group's production presented by Joseph Paff at the Public Theatre, New York City Top Girls, by Caryl Churchill, directed by Max Stafford‐Clark, Royal Theatre Court production presented by Joseph Papp at The Public Theatre, New York City Sophie, by comedienne Judy Sloan, October 1983, at the Gay Women's Alternative, New York City. Awake Sleeping Heart, a collage for five women based on the life, journals and paintings of the Mexican artist Fri‐da Kahlo, conceived and directed by Emma Missouri, October 1983, Northampton, Massachusetts Antigone Too: Rites of Love and Defiance, written and directed by Martha Boesing for At the Foot of the Mountain, August 1983, at the People's Center, Minneapolis, Minnesota Orgasmo Adulto Escapes from the Zoo, by Dario Fo and Franca Rame, performed by Estelle Parsons at the Public Theatre, New York City, Fall 1983. Dance Celebration of Traditional Cultures, La Mama Annex, November 11–13, 1983. History, An American Dream, by Anne Bogart, St. Mark's Church, October, 1983. Vamot A Andar (Let's Get Going), Wallflower Order and Grupo Raiz, October, 1983, Symphony Space, New York City Testimonies, New York City Political Dancers, Merce Cunningham Dance Studio, August 1983. Set and Reset, Trisha Brown and Company, Brooklyn Academy of Music, October 1983. Books The Amazing Decade: Women and Performance Art in America 1970–1980, edited by Moira Roth. Los Angeles: Astro Ariz, 1983. 149 pp., bibliographies. Cloth: $25.00; paper: $12.50 Woman and Spirituality by Carol Ochs. Totowa, New Jersey: Rowman and Allanheld, 1983. 144 pp., notes, bibliography, index. Cloth: $16.95 Women In Music: An Anthology of Source Readings from the Middle Ages to the Present, edited by Carol Neuls‐Bates. New York: Harper & Row, 1982. 332 pp., selected bibliography, index, illustrations. Cloth: $18.50 American Women Composers Before 1870 by Judith Tick. Ann Arbor, Michigan: UMI Research Press, 1983. 233 pp., appendix, notes, bibliography, index. Cloth: $44.95 Louise Farrenc, 1840–1875 by Bea Friedland. Ann Arbor, Michigan: UMI Research Press, 1980. 177 pp., appendices, notes, bibliography, index. Cloth: $49.95 Mourning Dress: A Costume and Social History by Lou Taylor, Boston: Allen & Unwin, 1983. 287 pp., appendices, chapter notes, select bibliography, index. Cloth: $24.50 Listings

Reviews

Book reviewed in this article:Rural Change and Public Policy: Eastern Europe, Latin America and Australia. Edited by W. P. AVERY, R. E. LONSDALE and I. VOLGYESNational Food Policy in the UK. By CENTRE FOR AGRICULTURAL STRATEGYThe Land and People of Northeast Brazil. By MANUEL CORREIA DE ANDRADE. (Translated by Dennis V. Johnson)Uxpanapa: Agricultural Development in the Mexican Tropics. By P. T. EWELL and T. T. POLEMANThe Waste of Nations. The Economic Utilisation of Human Waste in Agriculture. By LATTEE A. FAHM. Allenheld, Osmun &amp; Co., New JerseyThe Farmer as Manager. By TONY GILES and MALCOLM STANSFIELD. George Allen and UnwinPesticides: Contemporary Roles in Agriculture, Health, and the Environment. Edited by T. J. SHEETS and D. PIMENTELProspects for Agriculture in the European Economic Community. Edited by M. TRACY and I. HODACAgriculture and Society in Seventeenth Century Scotland. By IAN WHYTE. John Donald, Edinburgh