18 research outputs found

    The factor structure of the Forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen distinct populations

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    There is considerable evidence that self-criticism plays a major role in the vulnerability to and recovery from psychopathology. Methods to measure this process, and its change over time, are therefore important for research in psychopathology and well-being. This study examined the factor structure of a widely used measure, the Forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen nonclinical samples (N = 7510) from twelve different countries: Australia (N = 319), Canada (N = 383), Switzerland (N = 230), Israel (N = 476), Italy (N = 389), Japan (N = 264), the Netherlands (N = 360), Portugal (N = 764), Slovakia (N = 1326), Taiwan (N = 417), the United Kingdom 1 (N = 1570), the United Kingdom 2 (N = 883), and USA (N = 331). This study used more advanced analyses than prior reports: a bifactor item-response theory model, a two-tier item-response theory model, and a non-parametric item-response theory (Mokken) scale analysis. Although the original three-factor solution for the FSCRS (distinguishing between Inadequate-Self, Hated-Self, and Reassured-Self) had an acceptable fit, two-tier models, with two general factors (Self-criticism and Self-reassurance) demonstrated the best fit across all samples. This study provides preliminary evidence suggesting that this two-factor structure can be used in a range of nonclinical contexts across countries and cultures. Inadequate-Self and Hated-Self might not by distinct factors in nonclinical samples. Future work may benefit from distinguishing between self-correction versus shame-based self-criticism.Peer reviewe

    Interoception in anxiety and depression

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    We review the literature on interoception as it relates to depression and anxiety, with a focus on belief, and alliesthesia. The connection between increased but noisy afferent interoceptive input, self-referential and belief-based states, and top-down modulation of poorly predictive signals is integrated into a neuroanatomical and processing model for depression and anxiety. The advantage of this conceptualization is the ability to specifically examine the interface between basic interoception, self-referential belief-based states, and enhanced top-down modulation to attenuate poor predictability. We conclude that depression and anxiety are not simply interoceptive disorders but are altered interoceptive states as a consequence of noisily amplified self-referential interoceptive predictive belief states

    An Overview of Energy Access Solutions for Rural Healthcare Facilities

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    Quality in healthcare service is essential in giving rural dwellers a good standard of living. It has been established that many rural locations in Sub-Saharan Africa away from the grid connection have difficulty accessing electricity. The inaccessibility of reliable energy and essential medical equipment was the leading barrier to improved healthcare delivery in these rural locations. The deficiency of basic medical equipment to power essential services due to limited or unreliable electricity access has reduced rural healthcare workers’ care capabilities, resulting in higher mortality rates. This paper, therefore, reviews the existing energy solutions for rural healthcare facilities, thereby analysing different approaches and the geographical energy mix and ascertaining the effectiveness of various techniques and energy mix as solutions to effective healthcare delivery in healthcare centres. Hybrid Renewable Energy Sources (HRES) microsystems, like microgrids incorporated with solar panels and battery, is identified to ensure higher and more reliable energy access in rural healthcare centres. At the same time, the adoption of Demand Side Management (DSM) in the HRES deployment in countryside healthcare facilities is reported to decrease the initial cost of installation and improve efficiency. Lastly, in improving energy access, rural electrification planning is achieved through modelling tools related to energy access modelling

    An Overview of Energy Access Solutions for Rural Healthcare Facilities

    No full text
    Quality in healthcare service is essential in giving rural dwellers a good standard of living. It has been established that many rural locations in Sub-Saharan Africa away from the grid connection have difficulty accessing electricity. The inaccessibility of reliable energy and essential medical equipment was the leading barrier to improved healthcare delivery in these rural locations. The deficiency of basic medical equipment to power essential services due to limited or unreliable electricity access has reduced rural healthcare workers’ care capabilities, resulting in higher mortality rates. This paper, therefore, reviews the existing energy solutions for rural healthcare facilities, thereby analysing different approaches and the geographical energy mix and ascertaining the effectiveness of various techniques and energy mix as solutions to effective healthcare delivery in healthcare centres. Hybrid Renewable Energy Sources (HRES) microsystems, like microgrids incorporated with solar panels and battery, is identified to ensure higher and more reliable energy access in rural healthcare centres. At the same time, the adoption of Demand Side Management (DSM) in the HRES deployment in countryside healthcare facilities is reported to decrease the initial cost of installation and improve efficiency. Lastly, in improving energy access, rural electrification planning is achieved through modelling tools related to energy access modelling

    Mathematical Modelling of the Spatial Distribution of a COVID-19 Outbreak with Vaccination Using Diffusion Equation

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    The formulation of mathematical models using differential equations has become crucial in predicting the evolution of viral diseases in a population in order to take preventive and curative measures. In December 2019, a novel variety of Coronavirus (SARS-CoV-2) was identified in Wuhan, Hubei Province, China, which causes a severe and potentially fatal respiratory syndrome. Since then, it has been declared a pandemic by the World Health Organization and has spread around the globe. A reaction–diffusion system is a mathematical model that describes the evolution of a phenomenon subjected to two processes: a reaction process, in which different substances are transformed, and a diffusion process, which causes their distribution in space. This article provides a mathematical study of the Susceptible, Exposed, Infected, Recovered, and Vaccinated population model of the COVID-19 pandemic using the bias of reaction–diffusion equations. Both local and global asymptotic stability conditions for the equilibria were determined using a Lyapunov function, and the nature of the stability was determined using the Routh–Hurwitz criterion. Furthermore, we consider the conditions for the existence and uniqueness of the model solution and show the spatial distribution of the model compartments when the basic reproduction rate R01 and R0>1. Thereafter, we conducted a sensitivity analysis to determine the most sensitive parameters in the proposed model. We demonstrate the model’s effectiveness by performing numerical simulations and investigating the impact of vaccination, together with the significance of spatial distribution parameters in the spread of COVID-19. The findings indicate that reducing contact with an infected person and increasing the proportion of susceptible people who receive high-efficacy vaccination will lessen the burden of COVID-19 in the population. Therefore, we offer to the public health policymakers a better understanding of COVID-19 management

    The Adaptive Systemic Approach:Catalysing more just and sustainable outcomes from sustainability and natural resources development research

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    It has become increasingly common to include participatory processes, several academic disciplines, and additional wide-ranging ways of knowing, in using research to tackle the escalating environmental problems of the 21st Century. There are barriers to the success of these efforts. In this paper we present the Adaptive Systemic Approach (ASA). The ASA is designed to provide a clear pathway for research related to sustainability issues, river basin problems and natural resource development, and to deliver change towards improved ecological health and social justice outcomes. The design of the ASA rests on three key concepts: complex social-ecological systems, transdisciplinarity, and transformative social learning, together with Strategic Adaptive Management as the theoretically consistent operational process. We identify logical connections between the concepts and Strategic Adaptive Management so that the ASA emerges as a coherent and practical research and praxis pathway. The ASA process is then outlined to support uptake and wider application. We present findings from ASA praxis in a collaborative African research program considering river basin problems in seven countries, where key contextual learnings led to the recognition of five barriers to effective research impact outcomes: (1) Lack of an integrative conceptual grounding. (2) Participatory stakeholder engagement flawed by epistemic injustice. (3) Inadequate transdisciplinary team building. (4) Insufficient inclusion of learning, reflection, and systemic adaptation. (5) Inflated claims of probable impact in terms of creating change towards improved ecological health and social justice. We reflect on the ways the ASA contributes to breaching these barriers. Early key learnings from ASA praxis leads us to suggest that the ASA has practical value for policy makers, practitioners and researchers seeking pathways for fair and sustainable river management, and more broadly in natural resource development
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