Conducting qualitative interviews using virtual communication tools amid the COVID-19 pandemic: A learning opportunity for future research

The COVID-19 pandemic has threatened the health and wellbeing of the global citizens which has led to a significant change in attitude, lifestyle and behaviour of people from diverse professions, including academics and researchers. Doctoral students and funded researchers with the time limit to their research project have experienced stress and anxiety due to the struggle of negotiating and managing timeline to complete the fieldwork for their research. In the current circumstances, increasing number of researchers are looking for alternative methods to conduct the fieldwork and complete the data collection. In this context, the aim of this viewpoint is to provide reflections on the challenges and opportunities experienced by the authors while conducting qualitative research fieldwork during the COVID-19 pandemic

“Medicine doesn’t cure my worries”: Understanding the drivers of mental distress of older Nepalese women living in the UK

The mental health of migrant communities is an important public health concern. A growing body of literature suggests that wider social determinants significantly contribute to the mental health and wellbeing of older migrants in their host countries. Despite the increasing population of Nepalese migrants in the UK, there is little research exploring the mental health needs of this community. This article explores older Nepalese women’s experiences of drivers of mental distress in London. Data was collected using in-depth interviews with 20 older Nepalese women living in the London Borough of Greenwich. Grounded thematic analysis of women’s narratives identified six overarching factors contributing to their emotional distress that pose significant risks to their mental health: absence of family, language barriers, housing problems, physical illness, lack of appropriate support, fears of death, and inadequate financial resources. In many cases, the impact of these factors was felt in combination rather than isolation, often influenced by cultural dynamics. Findings highlight that re-settlement in the absence of family is at the heart of emotional challenges for older Nepalese women. The paper concludes with a series of recommendations for supporting processes of settlement to mitigate this risk among older Nepalese women in the UK

Impact of COVID-19 on health services utilization in Province-2 of Nepal: A qualitative study among community members and stakeholders

Background The COVID-19 pandemic has posed unprecedented challenges and threats to the health care system, particularly affecting the effective delivery of essential health services in resource-poor countries such as Nepal. This study aimed to explore community perceptions of COVID-19 and their experiences towards health services utilization during the pandemic in Province-2 of Nepal. Methods The semi-structured qualitative interviews were conducted among purposively selected participants (n=41) from a mix of rural and urban settings in all districts (n =8) of the Province 2 of Nepal. Virtual interviews were conducted between July and August 2020 in local languages. The data were analyzed using thematic network analysis in NVivo 12 Pro. Results The findings of this research are categorized into four global themes: i) Community and stakeholders’ perceptions towards COVID-19; ii) Impact of COVID-19 and lockdown on health services delivery; iii) Community perceptions and experiences of health services during COVID-19; and iv) COVID-19: testing, isolation, and quarantine services. Most participants shared their experience of being worried and anxious about COVID-19 and reported a lack of awareness, misinformation, and stigma as major factors contributing to the spread of COVID-19. Maternity services, immunization, and supply of essential medicine were found to be the most affected areas of health care delivery during the lockdown. Participants reported that the interruptions in health services were mostly due to the closure of health services at local health care facilities, limited affordability, and involvement of private health sectors during the pandemic, fears of COVID-19 transmission among health care workers and within health centers, and disruption of transportation services. In addition, the participants expressed frustrations on poor testing, isolation, and quarantine services related to COVID-19, and poor accountability from the government at all levels towards health services continuation/management during the COVID-19 pandemic. Conclusions This study found that essential health services were severely affected during the COVID-19 pandemic in all districts of Province-2. It is critical to expand and continue the service coverage, and its quality (even more during pandemics), as well as increase public-private sector engagement to ensure the essential health services are available for the population

Opioids Inhibit Lateral Amygdala Pyramidal Neurons by Enhancing A Dendritic Potassium Current

Pyramidal neurons in the lateral amygdala discharge trains of action potentials that show marked spike frequency adaptation, which is primarily mediated by activation of a slow calcium-activated potassium current. We show here that these neurons also express an alpha-dendrotoxin- and tityustoxin-Kalpha-sensitive voltage-dependent potassium current that plays a key role in the control of spike discharge frequency. This current is selectively targeted to the primary apical dendrite of these neurons. Activation of mu-opioid receptors by application of morphine or D-Ala(2)-N-Me-Phe(4)-Glycol(5)-enkephalin (DAMGO) potentiates spike frequency adaptation by enhancing the alpha-dendrotoxin-sensitive potassium current. The effects of mu-opioid agonists on spike frequency adaptation were blocked by inhibiting G-proteins with N-ethylmaleimide (NEM) and by blocking phospholipase A(2). Application of arachidonic acid mimicked the actions of DAMGO or morphine. These results show that mu-opioid receptor activation enhances spike frequency adaptation in lateral amygdala neurons by modulating a voltage-dependent potassium channel containing Kv1.2 subunits, through activation of the phospholipase A(2)-arachidonic acid-lipoxygenases cascade

A cartilage growth mixture model for infinitesimal strains: solutions of boundary-value problems related to in vitro growth experiments

A cartilage growth mixture (CGM) model is linearized for infinitesimal elastic and growth strains. Parametric studies for equilibrium and nonequilibrium boundary-value problems representing the in vitro growth of cylindrical cartilage constructs are solved. The results show that the CGM model is capable of describing the main biomechanical features of cartilage growth. The solutions to the equilibrium problems reveal that tissue composition, constituent pre-stresses, and geometry depend on collagen remodeling activity, growth symmetry, and differential growth. Also, nonhomogeneous growth leads to nonhomogeneous tissue composition and constituent pre-stresses. The solution to the nonequilibrium problem reveals that the tissue is nearly in equilibrium at all time points. The results suggest that the CGM model may be used in the design of tissue engineered cartilage constructs for the repair of cartilage defects; for example, to predict how dynamic mechanical loading affects the development of nonuniform properties during in vitro growth. Furthermore, the results lay the foundation for future analyses with nonlinear models that are needed to develop realistic models of cartilage growth

Landscape Pattern – Marl Prairie/Slough Gradient: Vegetation Composition along the Gradient and Decadal Vegetation Change Pattern in Shark Slough: Annual Report 2012

In the southern Everglades, vegetation in both the marl prairie and ridge and slough landscapes is sensitive to large-scale restoration activities associated with the Comprehensive Everglades Restoration Plan (CERP) authorized by the Water Resources Development Act (WRDA) 2000 to restore the south Florida ecosystem. More specifically, changes in hydrologic regimes at both local and landscape scales are likely to affect vegetation composition along marl prairie-slough gradient resulting in a shift in boundary between plant communities in these landscapes. To strengthen our ability to assess how vegetation would respond to changes in underlying ecosystem drivers along the gradient, an improved understanding of reference conditions of plant community structure and function, and their responses to major stressors is important. In this regard, a study of vegetation structure and composition in relation to physical and biological processes along the marl prairie-slough gradient was initiated in 2005, and has continued through 2012 with funding from US Army Corps of Engineers (USACOE) (Cooperative Agreement # W912HZ-09-2-0018 Modification No.: P00002). This study addresses the hypothesis with respect to RECOVER-MAP monitoring item 3.1.3.5 – “Marl Prairie/Slough Gradients; patterns and trends in Shark Slough marshes and associated marl prairies”

A Geospatial Database of Tree Islands within the Mustang Corner Fire Incident of 2008

Fire, which affects community structure and composition at all trophic levels, is an integral component of the Everglades ecosystem (Wade et al. 1980; Lockwood et al. 2003). Without fire, the Everglades as we know it today would be a much different place. This is particularly true for the short-hydroperiod marl prairies that predominate on the eastern and western flanks of Shark River Slough, Everglades National Park (Figure 1). In general, fire in a tropical or sub-tropical grassland community favors the dominance of C4 grasses over C3 species (Roscoe et al. 2000; Briggs et al. 2005). Within this pyrogenic graminoid community also, periodic natural fires, together with suitable hydrologic regime, maintain and advance the dominance of C4 vs C3 graminoids (Sah et al. 2008), and suppress the encroachment of woody stems (Hanan et al. 2009; Hanan et al. unpublished manuscript) originating from the tree islands that, in places, dominate the landscape within this community. However, fires, under drought conditions and elevated fuel loads, can spread quickly throughout the landscape, oxidizing organic soils, both in the prairie and in the tree islands, and, in the process, lead to shifts in vegetation composition. This is particularly true when a fire immediately precedes a flood event (Herndon et al. 1991; Lodge 2005; Sah et al. 2010), or if so much soil is consumed during the fire that the hydrologic regime is permanently altered as a result of a decrease in elevation (Zaffke 1983)

Monitoring of Tree Island Condition in the Southern Everglades: Hydrologic Driven Decadal Changes in Tree Island Woody Vegetation Structure and Composition: 2012 Annual Report

This report examines the interaction between hydrology and vegetation over a 10-year period, between 2001/02 and 2012 within six permanent tree island plots located on three tree islands, two plots each per tree island, established in 2001/02, along a hydrologic and productivity gradient. We hypothesize that: (H1) hydrologic differences within plots between census dates will result in marked differences in a) tree and sapling densities, b) tree basal area, and c) forest structure, i.e., canopy volume and height, and (H2) tree island growth, development, and succession is dependent on hydrologic fluxes, particularly during periods of prolonged droughts or below average hydroperiods

Experiences of refugees and asylum seekers towards access and utilisation of sexual health services: A systematic review

A systematic review protocol for exploring the experiences and utilisation of sexually transmitted infections and HIV testing and treatments among refugees and asylum seekers in both overdeveloped and underdeveloped countries are the contexts of this review. Issues facing refugees and displaced people are some of the most complicated humanitarian concerns globally. The UN Refugee Agency, UK reports that at least 89.3 million people worldwide have been forced to flee their homes (UNHCR UK, 2021). Among them, nearly 27.1million are refugees and 4.6 million are asylum seekers (UNHCR, 2021). Evidence shows the access and utilisation of sexual health services among these populations are comparatively limited