It never happened to me, so I don’t know if there are procedures”: identification and case management of torture survivors in the reception and public health system of Rome, Italy

Background: Access and linkage to care for migrant torture survivors is contingent on their identification and appropriate referral. However, appropriate tools for identification of survivors are not readily available, and the (staff of) reception systems of host countries may not always be equipped for this task. This study explores practices in the identification and case management of torture survivors in the reception structures and in the public health sector in Rome, Italy. Method: Data were analysed manually and codes and themes generated. Results: A non-homogeneous level of awareness and experience with torture survivors was observed, together with a general lack of knowledge on national and internal procedures for correct identification of torture survivors. Identification and case management of torture survivors was mainly carried out by non-trained staff. Participants expressed the need for training to gain experience in the identification and management of torture survivors’ cases, as well support and increased resources at both the reception and public health system levels. Conclusions: The crucial process of identification and prise en charge of survivors of torture among migrant and refugee populations is relegated to nontrained and inexperienced professionals at different levels of the reception system and public health care sector, which may carry a risk of non-identification andpossible harm to survivors. Additional resources and structured interventions are urgently needed, in the form of developing procedures, training, and adapted multidisciplinary services

The Hatfield-System versus the Weekly Undulating Periodised Resistance Training in trained males: Effects of a third mesocyle

We recently demonstrated that recreationally strength trained men, randomly assigned to either a Hatfield-System (HAT) group or a weekly undulating periodisation (WUP) group showed significant increases in strength and power during only 2 mesocycles (6 weeks) without differences between groups. The questions arise, whether an additional mesocycle would further enhance strength and power equally or differently between groups. The same 26 strength trained men, assigned to the HAT (n = 13; age = 26.8 ± 7.2 years) or to WUP (n = 13; age = 29.2 ± 9.0 years) performed an additional mesocycle (3 weeks). Anthropometric measures and strength testing were performed again after finishing the third mesocycle and were then compared with the results recorded after the second mesocycle. Both the HAT and WUP groups made significant (p ≤ 0.05) increases in strength and power – to approximately the same extent, again, without significant differences between groups. Thus, HAT and WUP are similarly effective over a nine-week training period, and the decision to use HAT or WUP depends on the preferences of the individual athlete

Le massage, une forme de traitement dans la médecine traditionnelle chez les Seereer Siin du Sénégal

Note portant sur l'auteur Note portant sur l'auteur Note portant sur l'auteur En observant les pratiques du guérisseur Geidj Faye, nous avons constaté l'importance et le rôle symbolique des massages dans la médecine traditionnelle Seereer. Ils constituent un bon exemple de la transmission des connaissances car ils relèvent d'un savoir secret qui est perpétué dans la famille, ce guérisseur étant le quatrième détenteur dans la lignée paternelle. En même temps, les explications du mode de foncti..

Ablutions et bains rituels chez les Seereer Siin du Sénégal

Note portant sur l’auteur Note portant sur l’auteur Note portant sur l’auteur Les pratiques de bains rituels et de lavages sont largement répandues dans la médecine traditionnelle Seereer. Elles révèlent différents modes de transmission des connaissances médicales. Le savoir populaire Les femmes ont une connaissance des plantes utilisées pour les lavages thérapeutiques pour les maux les plus répandus. Elles utilisent les plantes qui se trouvent à leur portée, près de la maison et des champs. ..

Du savoir commun à la connaissance de la nuit chez les Seereer Siin du Sénégal

Note portant sur l'auteur Note portant sur l'auteur Note portant sur l'auteur Le savoir populaire Le savoir populaire est accessible à tous. Il est souvent exempt de tout support rituel, il n'utilise les plantes et ne manipule le verbe que dans le but de soulager un mal symptomatique. Il se prodigue la plupart du temps dans le champ restreint de la famille, d'amis ou de voisins. Il est véhiculé gratuitement. Les femmes restent les soignantes privilégiées dans le domaine des affections courant..

‘She is like my mother’:Community-based care of drug-resistant tuberculosis in rural Eswatini

Patients with drug-resistant tuberculosis (DR-TB) have received community-based care in Eswatini since 2009. Trained and compensated community treatment supporters (CTSs) provide directly observed therapy (DOT), injectables and psychological support. We examined the acceptability of this model of care among DR-TB patients, including the perspective of family members of DR-TB patients and their CTSs in relation to the patient’s experience of care and quality of life. This qualitative research was conducted in rural Eswatini in February 2018. DR-TB patients, CTSs and family members participated in in-depth interviews, paired interviews, focus group discussions and PhotoVoice. Data were thematically analysed and coded, and themes were extracted. Methodological triangulation enhanced the interpretation. All patients and CTSs and most family members considered community-based DR-TB care to be supportive. Positive aspects were emotional support, trust and dedicated individual care, including enabling practical, financial and social factors. Concerns were related to social and economic problems within the family and fears about infection risks for the family and the CTSs. Community-based DR-TB care was acceptable to patients, family members and CTSs. To reduce family members’ fears of TB infection, information and sensitisation within the family and constant follow-up appear crucial

How is the implementation of empirical research results documented in conflict-affected settings? Findings from a scoping review of peer-reviewed literature

Abstract Implementation science scholars argue that knowing ‘what works’ in public health is insufficient to change practices, without understanding ‘how’, ‘where’ and ‘why’ something works. In the peer reviewed literature on conflict-affected settings, challenges to produce research, make decisions informed by evidence, or deliver services are documented, but what about the understanding of ‘how’, ‘where’ and ‘why’ changes occur? We explored these questions through a scoping review of peer-reviewed literature based on core dimensions of the Extended Normalization Process Theory. We selected papers that provided data on how something might work (who is involved and how?), where (in what organizational arrangements or contexts?) and why (what was done?). We searched the Global Health, Medline, Embase databases. We screened 2054 abstracts and 128 full texts. We included 22 papers (of which 15 related to mental health interventions) and analysed them thematically. We had the results revised critically by co-authors experienced in operational research in conflict-affected settings. Using an implementation science lens, we found that: (a) implementing actors are often engaged after research is produced to discuss feasibility; (b) new interventions or delivery modalities need to be flexible; (c) disruptions affect how research findings can lead to sustained practices; (d) strong leadership and stable resources are crucial for frontline actors; (e) creating a safe learning space to discuss challenges is difficult; (f) feasibility in such settings needs to be balanced. Lastly, communities and frontline actors need to be engaged as early as possible in the research process. We used our findings to adapt the Extended Normalization Process Theory for operational research in settings affected by conflicts. Other theories used by researchers to document the implementation processes need to be studied further