Health professionals' perceptions of cultural influences on stroke experiences and rehabilitation in Kuwait

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Informa UK Ltd.Purpose: The aim of this study was to investigate the perceptions of health professionals who treat stroke patients in Kuwait regarding cultural influences on the experience of stroke and rehabilitation in Kuwait. Health professionals interviewed were from a variety of cultural backgrounds thus providing an opportunity to investigate how they perceived the influence of culture on stroke recovery and rehabilitation in Kuwait. Method: Semi-structured interviews were carried out with 12 health professionals with current/recent stroke rehabilitation experience in Kuwait, followed by thematic analysis of the verbatim transcripts. Results: The health professionals identified several features of the Kuwaiti culture that they believed affected the experiences of stroke patients. These were religious beliefs, family involvement, limited education and public information about stroke, prevailing negative attitudes toward stroke, access to finances for private treatment, social stigma and the public invisibility of disabled people, difficulties identifying meaningful goals for rehabilitation, and an acceptance of dependency linked with the widespread presence of maids and other paid assistants in most Kuwaiti homes. Conclusion: To offer culturally sensitive care, these issues should be taken into account during the rehabilitation of Kuwaiti stroke patients in their home country and elsewhere

Seasonal occurrence of fin whale song off Juan Fernandez, Chile

© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Buchan, S. J., Gutierrez, L., Balcazar-Cabrera, N., & Stafford, K. M. Seasonal occurrence of fin whale song off Juan Fernandez, Chile. Endangered Species Research, 39, (2019): 135-145, doi:10.3354/esr00956.Fin whales Balaenoptera physalus were the species of baleen whale most widely caught by commercial whaling fleets off the Chilean coast and are globally classified as Endangered. However, very little is known about the present distribution and seasonal movements of fin whales off the coast of Chile. Passive acoustic data collected at the HA03 station of the Preparatory Commission for the Comprehensive Nuclear Test Ban Treaty Organization off the Juan Fernandez Archipelago (JFA) between 2007 and 2016 were analyzed. The temporal occurrence of fin whale song was examined using automatic detection via spectrogram cross-correlation of song notes and by calculating the average acoustic power in the frequency bands of fin whale song. Fin whale song off JFA was composed of regular 17 Hz notes associated with high-frequency components at 85 Hz, with singlet phrasing at a dominant primary inter-note interval of 14.4 s and a secondary interval of 30.8 s. There was a clear seasonal pattern in acoustic presence that was consistent across all years: low or no song during the austral summer and a peak in song occurrence in austral winter. A propagation loss model estimated the detection range at this site to be 186 km. Where the fin whales that are heard off JFA spend the summer months remains an open question. Possible locations include the Western Antarctic Peninsula and/or off northern-central mainland Chile. Further studies should be pursued to better understand the distribution and seasonal movements and to support the conservation of this Endangered species.We thank the Preparatory Commission for the Comprehensive Nuclear Test Ban Treaty Organization and the Chilean Commission of Nuclear Energy for proving the data used in this study. S.J.B. and N.B.C. were supported by the Center for Oceanographic Research COPAS Sur-Austral, CONICYT PIA PFB31. S.J.B. was also supported during analysis and writing by the Office of Naval Research Global (awards N62909-16-2214 and N00014-17-2606), and a grant to the Centro de Estudios Avanzados enZonas Áridas (CEAZA) ‘Proyecto CEAZA, 3er Fortalec-imiento de Centros Regionales, Programa Regional CONI-CYT R16A10003’. Our greatest thanks to John Hodgson MSc, Technical Director at Ocean Acoustic Developments and Adrian Brown of the Defence Science and Technology Laboratory (UK) for carrying out the propagation modelling free of charge. Many thanks to Rex Andrew for his help with PSD figure preparation in R. Thanks also go to Nathan Merchant for his kind help with PAMGuide. Many thanks to Michael Pitzrick for his guidance with XBAT. Many thanks to the members of the Southern Ocean Research Partnership Blue and Fin Whale Acoustic Trends Working group for useful discussions that improved the quality of this study

Associations between parenting strategies and BMI percentile among Latino children and youth with intellectual and developmental disabilities

Introduction: Maintaining healthy weight is a challenge for all children, and particularly for children with IDD compared to nondisabled children and for Latino children compared to non-Latino White children. Parenting practices related to food intake and physical activity have been found to be important in maintaining children\u27s weight. In this study, we describe the prevalence of overweight and obesity status among Latino children with IDD and their maternal caregivers and determine the relationship between food and physical activity parenting practices and childhood obesity among Latino children with IDD. Methods: We interviewed 94 Latino parent/child dyads and collected information about parenting practices, home environment, and parent and child height and weight using standardized measures. Parent body mass index (BMI) and child BMI percentile were calculated from height and weight. Results: The combined overweight/obesity status for children in our sample was high (60.3%) compared to national rates among nondisabled Latino children (56%) and non-Latino White children with autism (37%). Contrary to research on nondisabled children, we found that greater parental use of controlling dietary strategies was associated with lower BMI percentile in Latino children with IDD. These findings may be indicative of the fact that children with IDD tend to have unique dietary behaviors that warrant more disability and culturally sensitive strategies. Discussion: Our findings suggest that overweight and obesity is especially prevalent for Latino children with IDD and that more research is needed on family factors that promote health in Latino families of children with IDD

Mechanism of action of probiotics

The modern diet doesn't provide the required amount of beneficial bacteria. Maintenance of a proper microbial ecology in the host is the main criteria to be met for a healthy growth. Probiotics are one such alternative that are supplemented to the host where by and large species of Lactobacillus, Bifidobacterium and Saccharomyces are considered as main probiotics. The field of probiotics has made stupendous strides though there is no major break through in the identification of their mechanism of action. They exert their activity primarily by strengthening the intestinal barrier and immunomodulation. The main objective of the study was to provide a deep insight into the effect of probiotics against the diseases, their applications and proposed mechanism of action

Challenges in conducting community-driven research created by differing ways of talking and thinking about science: a researcher’s perspective

Increasingly, health scientists are becoming aware that research collaborations that include community partnerships can be an effective way to broaden the scope and enhance the impact of research aimed at improving public health. Such collaborations extend the reach of academic scientists by integrating a variety of perspectives and thus strengthening the applicability of the research. Communication challenges can arise, however, when attempting to address specific research questions in these collaborations. In particular, inconsistencies can exist between scientists and community members in the use and interpretation of words and other language features, particularly when conducting research with a biomedical component. Additional challenges arise from differing perceptions of the investigative process. There may be divergent perceptions about how research questions should and can be answered, and in expectations about requirements of research institutions and research timelines. From these differences, misunderstandings can occur about how the results will ultimately impact the community. These communication issues are particularly challenging when scientists and community members are from different ethnic and linguistic backgrounds that may widen the gap between ways of talking and thinking about science, further complicating the interactions and exchanges that are essential for effective joint research efforts. Community-driven research that aims to describe the burden of disease associated with Helicobacter pylori infection is currently underway in northern Aboriginal communities located in the Yukon and Northwest Territories, Canada, with the goal of identifying effective public health strategies for reducing health risks from this infection. This research links community representatives, faculty from various disciplines at the University of Alberta, as well as territorial health care practitioners and officials. This highly collaborative work will be used to illustrate, from a researcher’s perspective, some of the challenges of conducting public health research in teams comprising members with varying backgrounds. The consequences of these challenges will be outlined, and potential solutions will be offered

A First Look at Rotation in Inactive Late-Type M Dwarfs

We have examined the relationship between rotation and activity in 14 late-type (M6-M7) M dwarfs, using high resolution spectra taken at the W.M. Keck Observatory and flux-calibrated spectra from the Sloan Digital Sky Survey. Most were selected to be inactive at a spectral type where strong H-alpha emission is quite common. We used the cross-correlation technique to quantify the rotational broadening; six of the stars in our sample have vsini > 3.5 km/s. Our most significant and perplexing result is that three of these stars do not exhibit H-alpha emission, despite rotating at velocities where previous work has observed strong levels of magnetic field and stellar activity. Our results suggest that rotation and activity in late-type M dwarfs may not always be linked, and open several additional possibilities including a rotationally-dependent activity threshold, or a possible dependence on stellar parameters of the Rossby number at which magnetic/activity "saturation" takes place in fully convective stars.Comment: 8 pages, 4 figures, accepted for publication in Ap