Impacts of climate change in coastal systems in Europe. PESETA-Coastal Systems study

Results of the physical impacts and adaptation cost assessment of sea-level rise for the European Union are presented for the A2 and B2 SRES socio-economic storylines and for a range of plausible sea-level rise scenarios, using data from the ECHAM4 and HADCM3 Global Climate Models (GCMs) models. In addition, to better understand the sensitivity of the results to the magnitude of sea-level rise, the full IPCC (2001) range of sea level rise predictions and scenarios of no climate change have also been modelled. These results are all derived using the global Dynamic Interactive Vulnerability Assessment (DIVA) tool for assessing regional to global coastal impacts and adaptation. Both the physical and economic impacts of sea-level rise increase with time for both the A2 and B2 storylines, especially under scenarios of high sea-level rise. Without adaptation, significant impacts and therefore damages are apparent. Significant populations are threatened with displacement by flooding and coastal erosion. An exploratory adaptation analysis using standard protection measures of dike construction and beach nourishment, where benefit-cost analysis suggests this is the optimum response, reduces these impacts significantly. While adaptation in Europe is likely to be much more diverse than these two smple options, these results demonstrate the significant benefits of protection, and more generally suggest that widespread adaptation to sustain human coastal activities would be prudent. Moreover, under these protection assumptions, coastal ecosystems are significantly reduced in area, especially under the high sea-level rise scenario and climate change raises significant challenges for wider coastal management in Europe, even if human uses in the coastal zone are protected.JRC.DG.J.2-The economics of climate change, energy and transpor

'No-one runs away for no reason' : understanding safeguarding issues when children and young people go missing from home

An estimated one in nine children will run away from home or substitute care before their 16th birthday in the UK. This paper explores the safeguarding concerns and responses for children and young people who run away or go missing from home. The majority of children and young people run away from home due to family relationship problems. Running away or being physically absent from home may be due to abuse and neglect. One in 11 children reported being hurt or harmed whilst running away. For some young people, 'running to' a person or situation can present many risks and can be part of a coercive and exploitative relationship. Despite these multiple indicators of risk, there has been little focus on safeguarding policies and practice for children and young people who run away from home. Drawing on a case example of a third-sector service using Return Interview Assessments, this paper argues that professionals must ensure that all children and young people who run away or go missing from home are given meaningful opportunities to be listened to, and taken seriously, in order to ensure that a wide range of safeguarding concerns can be addressed

Psychosocial Effects and Public Health Challenges of COVID-19 Pandemic in India

The COVID-19 pandemic is an ongoing global crisis that poses enormous and multifarious challenges to humanity since the end of 2019. The pandemic has severely devastated public health systems and universally affected socio-economic development. India is among the worst-hit nations owing to its massive population of 1.35 billion, and more significant socio-economic challenges than most other countries. Despite the current issues and challenges surrounding the COVID-19 pandemic, India has been making targeted efforts towards the fight against the spread of coronavirus, including medical, treatment, vaccination, community prevention and control strategies. The chapter examines the implications of the pandemic on Indian population which have certain unique challenges than other parts of the world. It delves on the gradual progression of the challenges among people especially the vulnerable and the disadvantaged in the existing public health systems. This chapter encompasses a wide array of human suffering and efforts for its mitigation. It highlights and brings to forefront the unique experiences of diverse populations who have faced a crisis within a crisis and its psychosocial ramifications, as well as the psychosocial adversities and public health challenges

Personal Experiences With Long Term Care Services and Supports

This report captures, in a direct way, the first hand experiences of older and disabled consumers of long term care services and supports. In addition, it includes the collective experiences of eight Maine communities regarding the long term care service delivery system in our state

Satisfaction Survey Results and Lessons Learned: Maine\u27s Aging & Disability Resource Center (ADRC) Project

The primary goal of Maine’s Aging and Disability Resource Center (ADRC) Project was to empower consumers to make informed decisions about long-term services and supports and to streamline access to existing services and supports through an integrated system. With funding from the Administration on Aging to strengthen and expand the number of Aging and Disability Resource Centers (ADRCs) in the state, all five of the Area Agencies on Aging were committed to becoming and/or strengthening their capacity to be fully functioning ADRCs. This report provides a summary of the results of consumer satisfaction surveys that were conducted for three years at all five ADRCs. The survey was designed to capture the consumer view of the ADRC services in key domain areas including: visibility/trust; efficiency; responsiveness and effectiveness. Also included is a summary of consumer comments that were shared by those responding to the survey and a summary of lessons learned from the administrators at the ADRCs. Significant accomplishments of the ADRCs were reported as training; providing information, resources, navigation assistance and options counseling to a broad spectrum of aging and disabled adults, along with their caregivers; the ability to expand the ARDC\u27s role into the disability community; and the connection with community providers. Challenges reported included the lack of resources and inability of the State Unit on Aging to be approved to apply for future funding; ongoing operations and expansion as a a fully functioning ADRC without the funding to support the additional work, and the need for updated on-line referral database and the staffing to maintain it

The Relationship between Anti-merozoite Antibodies and Incidence of Plasmodium falciparum Malaria: A Systematic Review and Meta-analysis

A systematic review and meta-analysis examining the association between anti-merozoite antibody responses and incidence of Plasmodium falciparum malaria by Freya Fowkes and colleagues aids identification of antigens that confer protection from malaria

Parosteal lipoma of the mandible: A case report and review of the literature

Introduction: Lipomata are soft-tissue mesenchymal neoplasms that are benign in nature and often asymptomatic. Lipomata commonly occur in the body, however, only 1%–5% are identified within the oral cavity, and lipomata with osseous metaplasia account for <1% of all lipomata. This report describes a patient presenting with an ossifying lipoma with parosteal localization at the mental protuberance. This is followed by review of the current literature for this rare entity. Materials and Methods: A PubMed literature review designating search terms including “oral” and “parosteal lipoma” or “lipoma with osseous metaplasia” or “ossifying lipoma” or “osseous lipoma” was conducted. Results: The literature review identified two previous reports of parosteal localization of lipomata in the mandible and 22 cases of lipomata with osseous metaplasia within the oral cavity. Conclusions: With the initial suspicion of a more malevolent diagnosis, this rare entity, with only two other cases identified, is important to consider in the clinician's differential diagnoses

Forgiveness in Community Cultural Contexts: Applications in Therapy and Opportunities for Expanded Professional Roles

After a decade of research, forgiveness is now emerging as a legitimately recognized psychological intervention. Clinical models, in order to\u27 be useful for the broad range of clients seen in therapy, are designed to be essentially nonreligious. However, many clients are religious and many cultural groups have used forgiveness to deal with a myriad of issues, both individual and societal. Descriptions of how diverse groups are currently applying forgiveness in a community cultural context are therefore needed in the clinical literature. This article will describe three such indigenous forgiveness applications. Forgiveness is seen to address racial, gender, and religious conflicts. Implications for clinicians in the therapeutic and broader community contexts are considered

Personal Experiences with MaineCare Services from People Who Use Elder and Adults with Disabilities Waiver and Private Duty Nursing/Personal Care Services.

This report provides the results from a survey and personal interviews that were conducted with MaineCare members who use long term services and supports -- specifically those who are on the Elder and Adults with Disabilities Waiver and those using Private Duty Nursing (PDN) Services. People who are eligible for these services generally need nursing care and assistance with a combination of activities of daily living (e.g. eating, toileting, mobility, transfer) and instrumental activities of daily living (e.g. meal preparation, grocery shopping, housework). People on the Waiver are medically eligible to be in a nursing home. The purpose of the survey and interviews was to provide information on the experience of members and their use of medical services; the coordination between the medical and home care systems; care transition services (e.g. from the hospital to home); home care services; and use of transportation services. The surveys also include information on the satisfaction of members with their workers, their use and need for assistive technology devices, and their access to other community resources