The School as an Arena for Co-Creating Participation, Equity, and Well-Being—A Photovoice Study from Norway

Schools may play an essential role as an arena for co-creating community activities that enhance well-being, equity, and citizenship. Still, there is limited knowledge about physical and non-physical factors that contribute to well-being within such approaches. The aim of this study was to identify important factors for well-being as perceived by pupils, school employees, and parents in a community school in Norway. The participatory method photovoice was used, and seven pupils, six employees, and four parents participated by taking photos used as the basis for six focus group discussions. Transcripts of the discussions were analyzed using Systematic Text Condensation. The analysis showed that the participants experienced that the school’s built and natural environment, the activities happening there, and the human resources and organization at the school facilitated perceptions of safety, inclusion, and cohesion, which in turn contributed to well-being. Furthermore, the results showed that co-creating schools as a community arena could be an innovative way of ensuring participation, equity, and well-being in the community. Such an approach might be especially important in deprived areas or in multi-ethnic communities. An important prerequisite to succeed is the openness of the school’s staff to engage in co-creation with other stakeholders in the community.publishedVersio

Skolen som nærmiljøhus : en photovoicestudie om trivselsfremmende faktorer for barneskoleelever ved Alvimhaugen barneskole

Bakgrunn: Skolen er en viktig arena i barns liv og opplæringsloven gir alle barn og unge en rett til et skolemiljø som fremmer helse, trivsel og læring. Helsefremmende skoler og en «whole-school approach» er to tilnærminger som har fokus på å fremme helse og trivsel for elever, lærere og foresatte. Alvim er et område i Sarpsborg med utfordringer knyttet til levekår og Alvimhaugen barneskole har i flere år utviklet seg som et nærmiljøhus, som har flere fellestrekk med både helsefremmende skoler og en «whole-school approach». Formål: Det er lite forskning på hvordan skolen som nærmiljøhus påvirker elevenes trivsel. Formålet med denne oppgaven var derfor å undersøke hva elever på Alvimhaugen barneskole selv opplever som trivselsfremmende faktorer. Metode: Den kvalitative metoden Photovoice ble benyttet for å undersøke problemstillingen. Syv elever fra elevrådet ved Alvimhaugen barneskole deltok ved å fotografere trivsels- fremmende faktorer, og disse bildene var utgangspunktet for et gruppeintervju. For analyse av datamaterialet ble Malteruds Systematisk tekstkondensering benyttet, samt Drew & Guillemins rammeverk for bildeanalyse. Resultater: Sosialt miljø ble fremhevet av elevene som avgjørende for å trives på skolen, og vennskap var det aller viktigste. Inkluderende aktiviteter handlet om de ulike aktivitetene og tilbudene skolen tilbyr før, under og etter skoletid, med særlig vekt på det sosiale i aktivitetene og valgfriheten av disse. Trygghetsskapende tiltak innebærer skolepatruljen og trivselsleder som elevene opplevde skapte en trygghet og trivsel på skolen. Læringsmiljø beskriver betydning av arbeidsro og gode lærere for å trives. Fysiske omgivelser og struktur kom tydelig frem som en kategori gjennom bildeanalysen. Det fysiske miljøet og det at det er aktiviteter knyttet til skolen både før og etter skoletid, legger til rette for de ulike elementene som bidrar til trivsel. Konklusjon: Alvimhaugen barneskole som nærmiljøhus ser ut til å skape en følelse av trivsel og tilhørighet blant elevene. Elevenes perspektiv vil kunne være nyttig i videre utvikling av skolen, og for andre skoler som ønsker å utvikle skolen som et nærmiljøhus.Background: The school is an important arena in children's life and the Norwegian law of education gives all children a right to a school environment that promotes health, well-being and learning. Health-promoting schools and a "whole-school approach" are two approaches that focus on promoting health and well-being for students, teachers and guardians. Alvim is an area in Sarpsborg with challenges related to living conditions and Alvimhaugen Primary School has for several years developed as a “nærmiljøhus”, which has several common features with health-promoting schools and a whole-school approach. Purpose: There is little research on how school as a local community affects the students well-being. The purpose of this assignment was therefore to investigate what students at Alvimhaugen Primary School themself experience as trivial factors. Method: The qualitative method Photovoice was used to investigate the research question. Seven students from the student council at Alvimhaugen Primary School participated in photographing well-being factors, and these images were the starting point for a group interview. For analysis of the data, Malterud's Systematic Text Condensation was used, as well as Drew & Guillemins framework for image analysis. Results: The social environment was emphasized by the students as crucial for well-being at school, and friendship was the most important. Inclusive activities were about the different activities offered by the school before, during and after school hours, with emphasize on the social aspect and freedom of choice. measures for creating security involve the school patrol and well-being that the students experienced created a sense of security and well-being at school. Learning environment describes the importance of workforce and good teachers to thrive. Physical surroundings and structure clearly emerged as a category through the image analysis. The physical environment and the fact that there are activities related to school both before and after school time, facilitate the various elements that contribute to well-being. Conclusion: Alvimhaugen school as a “nærmiljøhus” seems to create a sense of well-being and belonging among the students. Their perspective may be useful in further development of the school, and for other schools that wish to develop the school as a “nærmiljøhus”.M-FO

European Multicenter Study of ET-COVID-19

Acute ischemic stroke and large vessel occlusion can be concurrent with the coronavirus disease 2019 (COVID-19) infection. Outcomes after mechanical thrombectomy (MT) for large vessel occlusion in patients with COVID-19 are substantially unknown. Our aim was to study early outcomes after MT in patients with COVID-19

European Multicenter Study of ET-COVID-19

International audienceBackground and Purpose: Acute ischemic stroke and large vessel occlusion can be concurrent with the coronavirus disease 2019 (COVID-19) infection. Outcomes after mechanical thrombectomy (MT) for large vessel occlusion in patients with COVID-19 are substantially unknown. Our aim was to study early outcomes after MT in patients with COVID-19. Methods: Multicenter, European, cohort study involving 34 stroke centers in France, Italy, Spain, and Belgium. Data were collected between March 1, 2020 and May 5, 2020. Consecutive laboratory-confirmed COVID-19 cases with large vessel occlusion, who were treated with MT, were included. Primary investigated outcome: 30-day mortality. Secondary outcomes: early neurological improvement (National Institutes of Health Stroke Scale improvement ≥8 points or 24 hours National Institutes of Health Stroke Scale 0–1), successful reperfusion (modified Thrombolysis in Cerebral Infarction grade ≥2b), and symptomatic intracranial hemorrhage. Results: We evaluated 93 patients with COVID-19 with large vessel occlusion who underwent MT (median age, 71 years [interquartile range, 59–79]; 63 men [67.7%]). Median pretreatment National Institutes of Health Stroke Scale and Alberta Stroke Program Early CT Score were 17 (interquartile range, 11–21) and 8 (interquartile range, 7–9), respectively. Anterior circulation acute ischemic stroke represented 93.5% of cases. The rate modified Thrombolysis in Cerebral Infarction 2b to 3 was 79.6% (74 patients [95% CI, 71.3–87.8]). Thirty-day mortality was 29% (27 patients [95% CI, 20–39.4]). Early neurological improvement was 19.5% (17 patients [95% CI, 11.8–29.5]), and symptomatic intracranial hemorrhage was 5.4% (5 patients [95% CI, 1.7–12.1]). Patients who died at 30 days exhibited significantly lower lymphocyte count, higher levels of aspartate, and LDH (lactate dehydrogenase). After adjustment for age, initial National Institutes of Health Stroke Scale, Alberta Stroke Program Early CT Score, and successful reperfusion, these biological markers remained associated with increased odds of 30-day mortality (adjusted odds ratio of 2.70 [95% CI, 1.21–5.98] per SD-log decrease in lymphocyte count, 2.66 [95% CI, 1.22–5.77] per SD-log increase in aspartate, and 4.30 [95% CI, 1.43–12.91] per SD-log increase in LDH). Conclusions: The 29% rate of 30-day mortality after MT among patients with COVID-19 is not negligible. Abnormalities of lymphocyte count, LDH and aspartate may depict a patient’s profiles with poorer outcomes after MT. Registration: URL: https://www.clinicaltrials.gov . Unique identifier: NCT04406090