Toward best-practice post-disaster mental health promotion for children: Sri Lanka

There is a pressing need for low-cost intervention models to promote mental health among children in the wake of natural disasters. This article describes an evaluation of one such model: the Happy/Sad Letter Box (HSLB) Project, a mental health promotion intervention designed to minimize trauma in children, resulting from the Indian Ocean tsunami of 26 December 2004. The HSLB Project was implemented in 68 schools in Sri Lanka's Hambantota District from April 2005 forward. Methods included questionnaires (n = 203), interviews, and group consultation with schoolchildren, teachers, teacher counsellors, principals, educational zone directors and parents. The HSLB intervention was seen as relevant and non-stigmatized, cost-effective if implemented after initial recovery steps, anecdotally effective in identifying and helping resolve trauma, accommodating the full range of children's daily stressors and sustainable. Gender, children's age, school size and the level of the tsunami impact for response were found to correlate with response differences. Along four dimensions previously identified in the literature (ability to triage, matching of intervention timing and focus, ability to accommodate a range of stressors and context compatibility), the HSLB Project is a promising intervention model (1) for children; (2) at group-level; (3) relating to natural disasters. The Nairobi Call to Action [WHO (2009) Nairobi Call to Action for Closing the Implementation Gap in Health Promotion. Geneva: World Health Organization] emphasized the importance of mainstreaming health promotion into priority programme areas, specifically including mental health. The HSLB Project represents the integration of health promotion practice into disaster preparedness mental health infrastructure

Separation of conjoined twins: experiences of perioperative nurses and their recommendations

Within an 8-month period, an unprecedented and historical first in Queensland, Australia, the perioperative nurses were members of teams involved in the surgical separation of two sets of conjoined twins. Little is known about the (dis)stress that some of these perioperative nurses experienced nor how best to support them during such experiences. The aim of this paper is to report on the qualitative study that explored the experiences of those perioperative nurses involved in the surgical separation of cojoined twins and from their stories propose recommendations to support perioperative nurses who are confronted with such workplace experiences. Using a narrative methodology, nine perioperative nurses shared their stories of being involved in the surgical separation of conjoined twins in Australia. Narrative and thematic analyses were conducted and recommendations to support perioperative nurses through workplace (dis)stress were identified. Participants validated the findings and recommendations. The analyses revealed the themes of professionalism, teamwork, 'them vs. us' and emotional loads. Discussion: The sensationalism around the rarity of conjoined twins brought an intensive intrusiveness from the world media. As a result, secrecy within the hospital about the conjoined twin cases created divisions between those perioperative nurses on the teams and those not. The processes and outcomes of the two surgical cases were in contrast to each other. For some perioperative nurses this caused distress. It is essential that professional support is offered in a way in which the perioperative nurse can take it up without fear of negative judgement

Hypothalamic, metabolic, and behavioral responses to pharmacological inhibition of CNS melanocortin signaling in rats

International audienc

Diversidade dos noctuídeos (Lepidoptera, Noctuidae) em Salvador do Sul, Rio Grande do Sul, Brasil Diversity of owlet-moth (Lepidoptera, Noctuidae) in Salvador do Sul, Rio Grande do Sul, Brazil

<abstract language="eng">Diversity of owlet-moth (Lepidoptera, Noctuidae) in Salvador do Sul, Rio Grande do Sul, Brazil. The purpose of this paper is to describe the Noctuidae community in Salvador do Sul, Rio Grande do Sul. Light traps captured the insects of this research. The quantitative data were collected through weekly sampling, during one year (1994-1995); the qualitative data were collected through non-systematic sampling, during four consecutive years. The community characterization was based on the richness, abundance, specific constancy, diversity indices and abundance distribution; also total richness estimates were calculated, by nonparametric statistical procedures. In the systematized collecting there were captured 4017 noctuids of 108 species, distributed in 14 subfamilies; in the non-systematized, another 189 additional species and two subfamilies. Amphipyrinae, Hadeninae and Ophiderinae had the largest species richness. The more constant species were noctuids of great economic importance; the accessories were related to specific vegetable groups; the accidentals have their host unknown. The accessories and accidental species were captured more in spring and summer; also in these periods were measured the highest values of richness, abundance and diversity. There was no fit between observed/calculated log normal and log series distribution models. The 2nd order Jackknife and Michaelis-Menten equation procedures estimated that the total richness values were close to the total number of the species in the studied area