bluuebunny/crossref_metadata_2025 huggingface dataset:
THE RELATION OF LONG-SUFFERING FOR HYPERTENSION AND FRAILTY WITH COGNITIVE FUNCTION STATUS IN ELDERLY AT PSTW BUDI MULIA 2 CENGKARENG
Authors: Hastuti Hera , Ahmad Shieva Nur Azizah , Oktavia Nanda Rizki , Winahyu Karina Megasari
Published: July 2023

The increase in the elderly population in the world has resulted in an epidemiological transition in the health sector so that there can an increase in the number of morbidity due to degenerative diseases, namely cognitive function problems. Poor cognitive function status can influenced by one of the respondent's characteristic domains such as the length of history of hypertension and the domain of health risk factors such as frailty. This study aims to find the relationship between long-suffering from hypertension and frailty on cognitive function status in elderly patients at PSTW Budi Mulia 2 Cengkareng. The research design used is descriptive analytic with a cross-sectional approach. Collecting data using the questionnaire The Edmonton Frailty Scale (EFS) and the Short Portable Mental Status Questionnaire (SPMSQ) which have been test for validity and reliability. The sample consisted of 58 respondents who were take using purposive sampling technique. Data analysis used in this study is the Pearson correlation. This study shows that 81% of respondents are between 60-74 years old, female gender is 67.2%, primary school education level is 56.9%. Meanwhile, the length of the elderly suffering from hypertension ≤5 years was 65.5%, mild frailty was 67.2%, and moderate cognitive dysfunction was 36.2%. The results of the Pearson correlation statistical test showed that there was a relationship between the length of suffering from hypertension and the cognitive function status with a value of p = 0.004 and there was a relationship between frailty and the cognitive function status with a value of p = 0.001. Elderly advised to support health by controlling a low salt diet so that cognitive decline does not become chronic so that they do not develop dementia and control frailty by eating foods high in energy and protein so that they do not worsen cognitive function.

Keywords: Frailty; Length of Suffering from Hypertension; Status of Cognitive Function
THE INFLUENCE OF PRECEPTORSHIP TRAINING ON THE GUIDANCE QUALITY TOWARDS CLINICAL PRACTICE STUDENTS
Authors: Turambi Aloysius , Musharyanti Lisa
Published: July 2023

The preceptorship model has been widely used in clinical nursing education to achieve clinical students’ competence.Although preceptorship is the core of clinical education, it also requires restructuring and support in its implementation so that preceptorship training develops. Preceptorship training has an important effect on competence, clinical skills, and satisfaction of the preceptor in guiding nursing students, but not all preceptor nurses are trained to perform this complex role.This study aims to identify the effect of preceptorship training on the guidance quality of clinical practice students.This study is a literature review, accessed from internet database searches i.e. Google Scholar, Pro Quest, and Sciencedirect with the keywords preceptorship, preceptorship training, preceptorship and clinical practice. From the Google Scholar database, 480 articles were found, 365 articles from Pro Quest and 327 from Sciencedirect. After going through the screening process and eligibility, 7 articles fit the inclusion criteria and were analyzed. The results showed that there are 4 parts that result from preceptorship training and affect the guidance quality of clinical practice students to increase knowledge, clinical skills, and confidence in the nursing process, improve communication skills, provide positive support to students, and connect the gap between theory and practice.

Keywords: Preceptorship; Preceptorship Training; Preceptorship And Clinical Practice
The THE EFFECTIVENESS OF INTERPROFESSIONAL COLLABORATION PRACTICE IN OPERATING ROOM
Authors: Mumtaz Dzakiyatul Fahmi
Published: July 2023

Background: Interprofessional Collaboration Practice (IPCP) is a process when several different health care professionals provide comprehensive health services, working together with patients, patients' families, nurses (caregivers) and the community to provide excellent quality care. IPCP is a team-based care action that focuses on improving the quality of patient and family services but is still limited to being applied in hospitals, especially in the operating room.

Aim: The purpose of this study was to determine the application of Interprofessional Collaboration Practice (IPCP) in the operating room.

Method: This research is a descriptive analytic study with a systematic-literature review design. The databases used are Sciencedirect, Pubmed, Sage and Spingerlink using the search keywords “Interprofessional Collaboration Practice Implement* AND adult patient AND operat* room AND improved patient health status”. Determination of scientific articles using the PRISMA Flow Diagram method by determining scientific articles according to research inclusion criteria.

Result: The results of this literature review were reviewed in full and founded 4 articles on the effective application of IPCP in reducing the incidence of Surgical Site Infection (SSI) and stimulating an increase in the quality of care provided by the IPCP team to patients with a history of surgery.

Conclusion: Interprofessional Collaboration Practice (IPCP) is effective in reducing Surgical Site Infection (SSI) and improving the quality of care for patients in operating room.

Keyword: Interprofessional Collaboration Practice, IPCP, operating room, SSI
Prinsip Resiprositas dalam Sengketa Kepailitan Lintas Batas Negara (Cross-Border Insolvency)
Authors: Halim Arivan
Published: July 2023

Penelitian ini bertujuan untuk menemukan kebenaran koherensi, menghasilkan argumentasi hukum, teori hukum atau konsep baru prinsip resiprositas sengketa kepailitan lintas batas negara (Cross-Border Insolvency). Tipe Penelitian ini dikualifikasikan ke dalam tipe penelitian hukum Legal Research.  Penelitian hukum merupakan suatu kegiatan know-how dalam ilmu hukum, bukan sekedar know-about. Sebagai kegiatan know-how, penelitian hukum dilakukan untuk memecahkan isu hukum yang dihadapi. Sehingga memberikan dreskripsi mengenai apa yang seyogyanya atas isu hukum yang telah dirumuskan. Hasil dari penelitian ini menyatakan bahwa instrumen hukum kepailitan Indonesia hingga saat ini belum secara jelas mengatur mengenai kepailitan lintas batas negara (Cross-Border Insolvency), terutama dalam hal status harta atau aset debitur pailit yang berada di luar yurisdiksi hukum Republik Indonesia.
Augmentation of Thermal Performance of Plate Fin Heat Sink
Authors:   Research Scholar, MIT School of Engineering, Pune, India, Sathe Anilkumar , Sanap Sudarshan ,   Research Guide, MIT School of Engineering, Pune, India
Published: July 2023

Heat sinks are popularly used in various industrial applications to cool electrical, electronics and automobile components. They are useful in removing the heat from the surfaces at elevated temperatures. The life of such devices depends on their operating temperature. Heat sinks are important parts of thermal management systems of most of these devices eg: Diods, thyristers, high power semiconductor devices such as integrated circuits of inverters, audio amplifier, microprocessors, microcontrollers etc. In many situations where heat transfer is by free convection where convective heat transfer coefficient is low, fins are the best solution because of their less cost and trouble free operation. The weight and size of equipment are the most important parameters of design. Present day demand, the use of compact systems in every application which leads to higher packing density. The failure rate of electronic equipments increase exponentially with the temperature. Also the high thermal stresses in the solder joints of electronic components mounted on circuit boards resulting from temperature variation are major causes of failure. Therefore thermal control has become an important factor in the design and operation of electronic equipment. The most preferred method for cooling these systems is passive cooling because it is cost effective and reliable. This leads to focus on development of effective fin heat sink. To make heat sink effective, geometry and orientation of the heat sink as well as heat transfer augmentation techniques plays important role. This paper highlights the use of heat sinks in electronic cooling applications and review of related literature of improving the heat transfer performance of plate fin heat sinks by surface modifications, interrupting the boundary layer and changing the orientation.
Examination of Permanent Magnet Synchronous Motor
Authors:   Assistant Professor, Electrical Engg, PIGCE, , Nagpur, India, Ahma Muneeb , Bopche Lakshmikant ,   Assistant Professor, Electrical Engg, PIGCE,, Nagpur, India, Umale Virendra ,   Assistant Professor, Electrical Engg, PIGCE, , Nagpur, India, Singh Saurabh K ,   Assistant Professor, Electrical Engg, SBJIET, , Nagpur, India
Published: July 2023

This paper focus on various loading conditions onthe Permanent Magnet Synchronous Motor and its application using field oriented control technique. Constant torqueapplication irrespective of speed isalso presented. This technique helps in lift and belt conveyors handling constant weight of material per unit time, in pumping and compressing and electric locos. Results of simulation shows that proposed system has high acceleration and deceleration rate with vector control,overall quick and dynamic response as well as excellent controlling ability. The vector control is a excellent technology for analysis and design of PMSM drive system. It provides designing and debugging for practical drive system. Modeling and different kinds of Permanent Magnet Synchronous Machines are studied and Simulation is carried out in Matlab and performance is studied at different operating conditions.
URETEROVAGINAL FISTULA-DILEMMAS IN DIAGNOSIS AND MANAGEMENT
Authors: Kumar Nelakuditi Pavan , Sumanth Thota Krishna , Babu Vedala Suresh , Chary KSN
Published: July 2023

Aims and Objective: Urinary leakage following gynecological surgery is a distressing complication. The incidence of iatrogenic ureteral injury during major gynaecological surgery is 0.5 to 2.5 percent. Diagnosis and management of UVstula is straight forward in majority of the cases. There are certain subsets of patients who present late to physician with persistent vaginal leak in such patients diagnosis with conventional radiography is difcult or may present with apparently normal radiological ndings. Materials and methods: This was a retrospective observational study conducted at our institute from Jan 2006 to Jan 2021. Patients who presented to urological opd with vaginal leak of urine for more than 6 months post-surgical procedure are evaluated. Results and Observations: Initial assessment included vaginal speculum examination to assess the anterior and posterior vaginal walls for any stulous opening or any leak from lateral fornix. The standard three-swab test was then performed to differentiate between vesico vaginal and Uretero vaginal stula and to rule out stress incontinence. Intravenous urography ndings in women with ureteric stula found to be normal in 7.69 %. In our study we perform clinical and speculum examination, three swab test, ultrasound, excretory urogram, cystoscopy, retrograde pyelogram, cone tip or bulb tip retrograde pyelogram, Ureteroscopy and cannulation of the stulous tract was done. Ureteric reimplantation was done in all case out of which three cases modied Lich-Gregoir procedure was done remaining cases required psoas hitch.
ASSESSMENT OF CORRECT USE OF INHALER DEVICES AMONG PATIENTS FOR OBSTRUCTIVE PULMONARY DISEASES
Authors: Sinha Nikhil , Choudhary Eblow
Published: July 2023

Background: Common respiratory conditions include Asthma and Chronic obstructive pulmonary disease (COPD). Improper use of inhalers remains a barrier to achieving optimal disease outcomes. Present study is to assess the correct use of inhaler techniques among the patients with asthma and COPD. This prospecti Material & Method: ve observational study was conducted among the patients with asthma and COPD attending to out-patients department of Respiratory Medicine for duration of 6 months from July to December 2022. Commonly used inhaler devices were evaluated among the patients using for symptoms relief. Patients above 18yrs with diagnosis of Asthma or COPD, regular on inhaler medication and willing to be part of study were included. All the patients were evaluated for the correct use of inhaler technique by the physician. Patients were asked to demonstrate the method by which they used the inhaler device at home. The checklist proforma was used to check the correct technique of the inhaler device. A total of 100 patients with COPD in 63 patients and Result: 37 patients with Asthma were included. The present study found that total 14 patients could perform all the steps correctly during the use of inhalers. It was seen that 86 patients were unable to use the inhalers properly. This study discovered a signicant rate of improper Conclusion: inhaler use in this region. Proper inhaler education is critical for optimal treatment with these inhaler devices
AYURVEDIC MANAGEMENT OF OLIGOSPERMIA: A CASE STUDY
Authors: Kumar Manish , Garg Sahil , Kumar Panda Srikanta
Published: July 2023

The condition known as oligoasthenozoospermia occurs when the two parameters, sperm count and sperm motility, are changed. It is assessed by semen analysis and shows a decrease in the concentration and proportion of motile spermatozoa in a sperm sample. Research indicates that conditions or causes affecting male reproduction account for roughly 50% of infertility cases in India. According to a research by the WHO from 1982 to 1985 in many locations, 20% of cases of infertility are caused by male factors. About 23% of Indian couples receiving infertility treatment blamed male factors for their infertility. It is possible to correlate oligoasthenozoospermia to the Sukra kshaya Lakshanas stated in Ashta sukra dushtis. A 31-year-old man with 1.5 years of marriage was diagnosed with oligospermia, which is characterised by a low sperm count and a lack of motile spermatozoa. Shodhan (Virechan) and Shamanchikitsa demonstrated an improvement in seminal parameters following Deepan/Pachan. This demonstrates the effectiveness of Ayurvedic medicine in the treatment of male infertility.
CLINICAL PROFILE IN PATIENTS WITH CEREBRAL VENOUS SINUS THROMBOSIS IN TERTIARY CARE HOSPITAL : A CROSS SECTIONAL STUDY
Authors: Arjundas Jagiasi Kamlesh , Ghanshyam Kamble Atish
Published: July 2023

CVST often creates challenges regarding diagnosis among physicians, due to the nonspecic symptoms and countless
presentation and absence of uniform symptoms. This study aims to understand current knowledge about CSVT including
its pathogenesis, etiogenesis, clinical prole, diagnosis, and treatment. A Methods: descriptive cross-sectional study was conducted in the
department of neurology at tertiary care hospital, Mumbai between January, 2021 and June 2022. This study was approved by institutional ethics
committee. All patients who were more than 18 years with diagnosis of cerebral venous sinus thrombosis, admitted to critical care unit of
neurology department were included in this study and those with bleeding disorder and prior anticoagulation therapy, already diagnosed with
CVST were excluded. CVST was 3 times more common in females than in m Results: ales and the age group of 21 to 30 years was more common
affected. Headache was the most common symptom seen and papilledema was the most common sign. In females puerperium was the main cause
of CVST. Superior sagittal sinus and right transverse sinus were the most common sinuses involved as seen on Computed
tomography(CT)venography/Magnetic resonance venography(MRV)and common nding was venous infarct. The mortality rate was 16%.
Patients with Isolated intracranial hypertension syndrome(ICH) had good outcome. Variables like age ≥35 years, GCS score of <8 and coma at
presentation were associated with poor prognosis. CVST has a wide range of cli Conclusion nical presentation. The prognosis is good in CVST
but early diagnosis with treatment and care is required in patients with poor prognostic factors.
ROLE OF TELEREHABILITATION IN LOW BACK PAIN DURING LOCKDOWN
Authors: Kumar Sandeep , Sambyal Smati , Kaur Kiranpreet
Published: July 2023

Background : Due to the high infection and mortality rate of COVID-19, many countries implemented periods of lockdown to reduce uncontrolled spread of the virus. Subjects with restricted access to adequate treatment would likely experience worsening of their quality of life and increased disability during and after the lockdown. As a result of the pandemic, telerehabilitation—remote medicine applied to the field of rehabilitation—became a firmly established practice in our society via the use of Information and Communication Technologies (ICT). Therefore, the study was planned to treat subjects with low back pain through telecommunication, to see its role on subjects conditions during the lockdown phase. 50 subjects, aged between 20-50 years, of both genders, diagnosed with back pain d Methods: ue to physical inactivity during lockdown were selected for the study. The subjects were consulted for physiotherapy treatment via video-conferencing. The subjects were assessed for the level of back pain and disability with Visual Analog Scale and Oswestry Low Back pain Questionnaire. Intervention was given for total four weeks and the subjects were reassessed by filling questionnaire via video call/WhatsApp. The findings of the present study Results: - indicated a significant role of Telerehabilitation in treating low back pain subjects by decreasing their pain intensity and disability. Conclusions:- This study findings concluded the positive outcomes of employing videoconferencing for one-on-one physiotherapy consultations.
NEUROIMAGING FINDINGS IN CHLDREN WITH SEIZURES – 1 MONTH TO 17 YEARS – A
HOSPITAL BASED PROSPECTIVE OBSERVATIONAL STUDY
Authors: V Shetty Mehika , K Srinivasa.
Published: July 2023

Introduction: Seizure is a transient occurrence of signs and or symptoms resulting from abnormal excessive neuronal activity in the brain. Among those who present with seizures some are specific to certain etiologies such as CNS infections, birth asphyxia or tumors but the cause of almost 70% of seizures is still unknown. Neuroimaging plays a vital role in diagnosis, localization and evaluating the prognosis of seizures in children. Objectives: To correlate the MRI or CT with clinical profile of children presenting with childhood seizures and to determine the etiological diagnosis of childhood seizures by neuroimaging and the probable risk factors associated with it. Methods: A total of 57 children between the age group of 1 month to 17 years presenting with seizures were admitted to MVJ hospital who fulfill the inclusion and exclusion criteria were recruited for the study, from December 2020 to June 2022. Children underwent imaging if there was evidence of seizure/abnormal neurologic exam/developmental delay, neuro- regression with seizures/ failure to control or worsening seizures or status epilepticus and raised intracranial pressure. Results: The study showed that 20 out of the 57 were to due to infectious causes (35.1%). Structural abnormality ranked the next highest (8.8%) followed by vascular (7%). 24 out of the 57 cases were idiopathic seizures (42.1%). Conclusions: Neuroimaging played a vital role in establishing the diagnosis, especially MRI played an incredible role in understanding the anatomy and structural lesions. Infectious diseases were the most common cause of seizures in this study. There was a strong association between positive neuroimaging findings and childhood seizures
A collection of memos discussing the concept of linguistic multiplexing
Authors: Ivanov Alexander
Published: July 2023

This work contributes into coding theory and techniques. It bundles the successive memos discussing the concept of so called linguistic multiplexing, a coding approach intended to extend the service of a less or more redundant coding procedure beyond its original duty, on the respective examples built around the Fast Ethernet physical layer protocol, type 100BASE-X (IEEE 802.3u). The memos are: [1] "Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" (describes the so called initial design, present at pp. 1-4 in the bundle); [2] "Improving on, Optimizing of, and Explaining the Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" (improved design, pp. 5-8); [3] "Simplifying but Usefully Extending the Improved Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" (simplified design, pp. 9-12); [4] "Increasing the Basic Resolution of the Simplified Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" (uniform design, pp. 13-16); [5] "Enabling a Preemption Function Over the Uniform Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" and [6] "Proving the Preemption Function Over the Uniform Data Coding Means and Event Coding Means Multiplexed Over the 100BASE-X PMD Sublayer" (preemptable design, pp. 17-20 and 21-24, respectively). Each memo provides with a rich graphic material describing a practicable solution. Feedback is welcome.
Doing belonging: Meanings of home and settlement among the Karen Community in Brisbane, Australia
Authors: Bird Jessica , Cox Leonie , Brough Mark
Published: July 2023

The phenomenon of belonging allows diasporic people to negotiate socio-cultural terrains that go beyond singular attachments to “here” or “there”. This paper interrogates doing belonging amongst members of the Karen refugee community from Burma settling in Brisbane, Australia. We use data collected over twelve months of ethnographic fieldwork using the methods of participant observation and semi-structured interviews. This paper presents an interpretation of challenges faced by Karen community members as they grapple with local and transnational complexities of belonging within their own community, whilst also establishing belonging to Australian social environments. We argue that Karen participants’ lived experiences of settlement challenge bounded notions of belonging, thereby allowing us to extend dominant constructions of settlement and social inclusion and give way to a more nuanced representation of an emerging diasporic community. We thus reposition a resettled refugee community away from disempowering and exclusionary notions that dominant constructions of belonging and inclusion tend to impose.
Access to Quality Education for Students with Disability
Authors: Macaulay Luke , Deppeler Joanne , Agbenyega Joseph
Published: July 2023

Conceptualising educational equity and academic achievement is a key task for inclusive education and the politics of inclusion. Recent Australian Government reports (2013-2016) on educational access and inclusion report low levels of educational access and attainment for students with disability. This paper considers the place that Pierre Bourdieu’s critical social theory has in helping us to conceptualise access, equity, and inclusion, and argue that the concepts of habitus, capital, and field (Bourdieu, 1977) have a key role to play in this process. Utilising these concepts to draw closely on three recent Australian Government reports (2013-2016) on educational equity and inclusion, our analysis has identified three consistent themes across these reports which disadvantage students with disability. These include cultural issues, economic capital, and the utility of education. These themes compound and culminate to highlight an issue of a lack of continuity across the field of education within Australia. As a consequence, the value of capital and operation of habitus function inconsistently across the field, rendering the process of the acquisition of success as being inequitable. Consideration is given to the need for a careful rethinking of how the inclusive education concept, connected to politics, can be transformed to eradicate inequities and inconsistencies to the benefit of all.
The Benefits of a Life-first employment program for Indigenous Australian families: Implications for ‘Closing the Gap’
Authors: Brown Lynsey , Osborne Katy , Walker Ruth , Moskos Megan , Isherwood Linda , Patel Katherine , Baum Fran , King Debra
Published: July 2023

There are significant and enduring inequities in education and employment outcomes between Indigenous and non-Indigenous Australians. In taking a ‘life-first’ approach to service provision the Building Family Opportunities Program (BFO) was able to successfully increase Indigenous Australians’ engagement with education and employment in South Australia. The evaluation of the BFO included quantitative administrative and survey data for 110 Indigenous families collected over a three year period, and qualitative data from interviews with 13 Indigenous jobseekers and focus groups with 24 case managers. Quantitative data revealed that similar proportions of Indigenous and non-Indigenous jobseekers achieved positive education/training and employment outcomes as a result of the program. Qualitative data were able to identify the strengths of this program as perceived by Indigenous families and case managers, including the practical and socio-emotional support offered to whole families, using a strengths-based, life-first approach. In the context of broader education and employment disadvantages experienced by Indigenous Australians, these results are significant and illustrate key lessons which can inform future policy and service delivery initiatives aiming to close the gap.
Sexual knowledge in adolescents with intellectual disabilities: A timely reflection
Authors: Rowe Becky , Wright Courtney
Published: July 2023

At its core, sexuality education for adolescents with intellectual disabilities (ID) is an international human rights issue. Adolescents with ID have the same sexual desires and needs as others, yet their sexuality is generally portrayed as problematic. Despite an ideological shift towards normalisation and inclusion of people with disabilities, sexuality education for adolescents with ID remains an under-explored field. The current article presents an informed literature review of the factors that influence the effectiveness of sexuality education on sexual knowledge among adolescents with ID, and an accompanying commentary on how these factors sit within wider disability studies and practice. As will be shown, the available evidence on sexual knowledge in adolescents with ID reports on sexuality education sources and delivery, sexual knowledge, conservative curricula, and social exclusion. This review of contemporary research from developed, westernised countries identifies important implications for policy, practice, and future research. This article is significant and timely given the disjunct between the current expression of sexuality in young people with ID and recent international human rights actions to promote both the rights of people with disabilities and sexuality education rights for all adolescents.
How the personal support networks of people with intellectual disability promote participation and engagement
Authors: Shelley Kathy , Donelly Michelle , Hillman Anne , Dew Angela , Whitaker Louise , Stancliffe Roger J , Knox Marie , Parmenter Trevor
Published: July 2023

Background: Social inclusion has been defined as an interaction between major life domains, including interpersonal relationships and community participation among other factors. Understanding the manner in which these life domains may inter-connect could inform efforts to promote social inclusion. This paper explores the role of personal support network members in establishing and maintaining community participation of a person with an intellectual disability.Method: An ethnographic research design allowed exploration of network interactions over a three-year period. In-depth interviews and participant observations were undertaken with nine people with an intellectual disability and their network members.Results: The networks promoted participation using various strategies. The person and their network gathered and shared information to determine what was meaningful to the person. Information about success was used to adapt developing strategies, enhance support, and build on existing gains.Conclusions: Personal networks provided insight into the practical and relational aspects of participation, and the importance of balancing risk and autonomy, vulnerability and freedom. Respect for the personhood, importance and dignity of each person at the centre of the network influenced this work.
An evaluation of a Housing First program for chronically homeless women
Authors: Oudshoorn Abe , Forchuk Cheryl , Hall Jodi , Smith-Carrier Tracy , Van Berkum Amy
Published: July 2023

Housing First is rapidly developing as a promising practice for ending homelessness. However, concerns have been raised regarding application for particular populations, such as women. Using a critical feminist lens, this evaluation assessed a Housing First program delivered in a mid-sized city in Ontario, Canada. The evaluation included interviews with program participants, program providers, and community key informants. Ultimately, the program proved successful in housing a small group of chronically homeless women, demonstrating that Housing First works with women, and works best when designed with the unique needs of women taken into consideration. The program achieved moderate fidelity to the Housing First model, and a number of recommendations are provided to better meet the unique needs of women. In particular, the issue of unresolved grief and loss in the context of child apprehension was identified as a root cause of ongoing trauma. Consideration is also given to the intersection between mental health services and Housing First programs.
Locale knowledge: Constructing place-based ways of knowing in complex disability service provision
Authors: McGhee Adrienne Lee
Published: July 2023

The current study employed ethnographic methodology to explore the nature and use of knowledge by 26 disability support workers who supported older people with an intellectual disability living at three supported accommodation services in metropolitan south-east Queensland. This paper presents one vignette from the larger ethnography entitled “Katie’s story: The final voyage”. Katie’s story describes how, after a diagnosis of terminal cancer, Katie’s support team responded to her profound and intensifying need from within existing resources, developing an embedded, practitioner-constructed, place-based knowledge that enabled Katie to die-in-place with dignity. Findings from the ethnography identified that – in the face of multi-faceted dilemma, systems constraint, and continually shifting complexity – disability support workers accessed a range of knowledges which they synthesised and translated into a unique, dynamic, responsive, and actionable locale knowledge for the purpose of supporting the unique and changing needs of older people with an intellectual disability. Findings from the research challenge current understandings of disability support worker knowledge as deficient, instead identifying worker ways of knowing as highly targeted, person-centred, and constituting place-based responses to the everyday contingencies and dilemmas of support. Findings from the study have implications for the professional development of disability support workers in their efforts to optimise social inclusion with and for people with an intellectual disability.
Compassionate care: a socially inclusive model for the routine medical care of people living with HIV/AIDs in India.
Authors: Larmar Stephen Anthony
Published: July 2023

This paper reports on a research project exploring a socially inclusive approach to providing routine medical care for people living with HIV/AIDs (PLHA) in India. Seven medical practitioners working in an outpatient clinic in a central city in India that gives emphasis to compassionate care were interviewed. The findings of the research indicate that compassionate care for PLHA in India promotes a socially inclusive model of support to increase beneficiary hope and reduce the stigma associated with this population.
Diversity, opportunities and challenges of inclusive theatre
Authors: Nijkamp Jeannette , Cardol Mieke
Published: July 2023

Many initiatives including theatre projects with disabled and non-disabled actorsaim at increasing the inclusion of people with intellectual disabilities. We tooktheatre as the context to learn about these inclusive practices. We searched thescientific literature for case studies to investigate: 1) What can inclusive theatreperformances look like?, 2) Which factors stimulate or hinder working inclusivelywithin a theatre?, and 3) How are inclusive theatre performances looked upon?Overall, inclusive theatre can take various forms, however realising inclusivecollaboration between actors with and without disability is not easy. Based onthe findings, it appears that participants of inclusive theatre without disabilitiesneed to be open to the different modes of expression of their colleagues withdisabilities, and to value this expression and provide room for it. All participantswith and without disabilities together need to develop new ways of working andco-creating, resulting in new skills and views. Inclusive theatre productions canmake people think differently about ability and normality, while at the same timehaving aesthetic power, but it is still controversial to consider these productionsas art instead of as social projects. It is important to realise that inclusive theatreimplies changes for every participant, just as an inclusive society would.
Diversity enforces social exclusion: Does exclusion never cease?
Authors: Amin Saqib
Published: July 2023

Diversity plays a vital role in sustainable development of any country. Discrimination, segregation and bigotry are escalating the pressure on the world’s population. This study aims to investigate the impact of ethnic and religious diversity on social exclusion (in the form of economic exclusion, exclusion from public service and exclusion from civic and public participation as indicated by United Nations Development Program (UNDP) by using data from 187-countries. Based on panel data methodology this study concludes that diversity, either ethnic or religious or both, can increase social exclusion and affect wellbeing at a population level. This study suggests that ethnic and religious diversity is an inherent part of most societies in a globalised world and is unlikely to be halted yet the unintended negative impacts of such increased diversity can be minimized by establishing cohesiveness in society.
Conducting Research with People with Nonverbal Autism: An Inclusive Methodological Approach
Authors: Hills Karenne J , Clapton Jayne , Dorsett Pat , Andersen Kirsty
Published: July 2023

Abstract

Current academic literature exposes a paucity of information about people with severe (nonverbal) autism from their own perspective. Most research pertaining to this population has obtained data from a secondary source such as a parent or caregiver. This paper describes the methodological approach to a study exploring the spirituality of people with nonverbal autism. The study was intentionally designed to work inclusively with people with nonverbal autism, rather than conducting research on or about them. As such, opportunity was provided for them to participate as direct respondents in the research process. The study explored the use of interview as a strategy for sourcing data from participants with nonverbal autism. A bricolage approach incorporating participant’s personal narratives provided an inclusive method for working with people who do not use spoken language to communicate. As communicating with this population necessitates the use of some type of augmentative device, certain strategies were adopted to address the particular practical, methodological and ethical challenges confronted during the research process. Interviews resulted in a rich source of data, providing unique insights into the lived experience of a severely under researched population. This study demonstrated that with researcher flexibility, a methodology that provides participants meaningful and inclusive involvement is not only possible, but beneficial in learning more about this marginalised group. Furthermore, this paper introduces a methodological approach that provides a platform for further research concerning people who do not communicate by speech.
Whose space is it anyway? Whose space is it anyway? The architecture of social exclusion and why it is bad for the public’s health.
Authors: Collinson Susan
Published: July 2023

Over the past decade there has been a significant upsurge in nationalist politics and sentiment in both Europe and the USA. Ideas of nationhood and sovereignty have become dominant themes within political discourse, and there has been a rise in the popularity of right wing parties that espouse strict immigration control. In the UK, the concept of ‘health tourism’ has become an issue in relation to the underfunded National Health Service (NHS). Similarly, benefit fraud (another much publicised form of ‘tourism’), often represented in the media as organised by eastern European gangs, has been used as a reason to challenge the free movement of people within the EU.

The 2016 presidential election in the USA, and the UK referendum on EU membership, in the same year, both focused on taking direct action against inward migration, which was characterised as having an adverse effect on the economies, infrastructures and social values of both countries. While Mexicans and Muslims were targeted in the USA, in the UK blame was directed at the free movement of EU citizens, especially those from eastern European countries such as Poland, Romania, Bulgaria and the Baltic states. Autochthonous populations (predominantly white and Christian) have become increasingly vocal in their rhetoric of fear: migrants taking your jobs, Muslims threatening your culture and security, political correctness restricting your liberty to speak your mind and, in the UK, the “deliberate attempt to water down the British identity” (UKIP, 2010) have all contributed to the creation of a hostile environment towards ‘others’ and ‘otherness’. This paper will look at the role of populist politics and contemporary architecture in assisting the demonization of the homeless, and will use the endemic levels of tuberculosis in the UK’s capital city, London, to exemplify the consequences for public health and the health of the public.
Does poverty impact student academic	outcomes and wellbeing in Australian universities? A systematic review
Authors: Brownfield Nicole Renee , Thielking Monica , Bates Glen , Morrison Fiona
Published: July 2023

Preliminary evidence suggests that Australian university students have higher levels of financial stress and food insecurity relative to the general population. However, the impact of poverty on students’ university experiences is rarely considered. The current systematic review sought to investigate whether poverty is associated with poorer academic outcomes and wellbeing in Australian tertiary students. The search included a range of terms related to financial stress, food insecurity, homelessness, housing insecurity, attrition, academic achievement, satisfaction with life, general health, and psychological distress. Twenty-seven (65.9%) of the 41 studies revealed a negative relationship between poverty and wellbeing, and/or a negative relationship between poverty and university engagement within Australian university student samples. Overall, the review found that poverty within tertiary students is associated with negative impacts on academic performance and well-being. Universities, governments, and researchers are therefore urged to explicitly identify the issue of poverty within higher education to begin to address it appropriately.
Economic Diversity and Social Exclusion: A Commentary on the Uneven Effect of COVID-19 on Historically Marginalized Populations in the United States
Authors: Taborda Elena K , Johnson David  E.
Published: July 2023

This commentary explores the effect economic diversity in the United States has on social exclusion and demonstrates how vividly the global pandemic has exposed such exclusion. The commentary is a clarion call to those who strive for not only genuine equality of opportunity, but also for equitable outcomes.
Vignettes to measure social interactions among nonparental adults and parents in the neighbourhood: a validation study
Authors: Rumping Sanne , Fukkink Ruben g , Boendermaker Leonieke
Published: July 2023

In this study the Vignettes Parenting Interactions in the Neighbourhood (V-PIN) was validated. These vignettes can be used to gain insight into and reflect on interactions in the neighbourhood between parents and nonparental adults. A correlational design (N = 134) was used to assess the reliability (i.e. internal consistency, test-retest), convergent and discriminant validity and relations with background variables of the V-PIN. Reliability (both internal consistency and test-retest) proved good. Positive, significant correlations provided evidence for convergent validity. The measure did not correlate with non-related constructs or background characteristics, which was an indication for discriminant validity. The newly developed measure seems useful to explore the perspectives of nonparental adults in parent-child interactions in neighbourhoods with a wide group of stakeholders with diverse cultural backgrounds and can (complemented with visualisations), be used to stimulate supportive interactions and inclusion in social work practices and the community.
Social Support As an Explanatory Mechanism of the Relationship Between Social Class and Mental Health in University Students: A Structural Mediation Model
Authors: McDonald Mollie , Cordova Jeniece , Meyers Lawrence
Published: July 2023

In addition to the challenges associated with economic adversity, college students of low socioeconomic status or self-identified social class are at higher risk of experiencing social isolation and mental health difficulties which can impede their academic success. Identifying modifiable protective factors can inform the development of interventions to improve the mental health of at-risk students. The present study examined social support as a potential explanatory mechanism. University students (N = 211) completed an assessment battery including various measures of social class, social support, and mental health. Three factors were identified, and structural equation modeling was employed to examine Supportive Social Environment (i.e., higher levels of general social support and social capital from peers and teachers) as a mediator of the relationship between Social Class Alienation (i.e., lower subjective social status and greater anticipated class-based rejection) and Mental Health Difficulties (i.e., greater levels of psychological symptoms and lower perceived ability to cope with emotions). The indirect effect was significant, and a comparison between a mediated model and an unmediated model indicated that Supportive Social Environment fully mediated the observed positive relationship between Social Class Alienation and Mental Health Difficulties. Results suggest that lower perceived social support (including from peers and teachers) contributes to the psychological struggles experienced by college students who self-identify as being of lower socioeconomic status. These findings have significant implications for programs developed to support students experiencing economic adversity by highlighting the importance of going beyond practical supports to better engage students socially.
Like a Social Breath: Homecare’s Contributions to Social Inclusion and Connectedness of Older Adults
Authors: Norvoll Reidun , Øye Christine , Skatvedt Astrid Helene
Published: July 2023

The detrimental effects of social isolation on health and well-being bring forward the need for increasing social inclusion and connectedness for older, homebound adults. Homecare services may be a source of social inclusion, but the inclusive dimensions and mechanisms of care have been less explored. This study aimed to develop more knowledge on how homecare can contribute to social inclusion by exploring older adults’ experiences with care visits as social encounters. The study utilised interviews with older adults from four municipalities in Norway and Denmark from 2018 to 2019 and drew on a combination of social inclusion theories and Goffmanian microinteractionism. Positive accounts of care encounters comprised three overlapping thematic dimensions: 1) bringing social life into the house, 2) creating connections to the outside world and 3) providing opportunities to participate in a broader array of social roles and identities. Despite variations, care visits could encompass social inclusive and connective aspects that enhanced thriving and wellbeing. Care visits increased opportunities for social participation and support of a valued self and comprised bonding, bridging and linking social capital. Care workers could be important interpersonal network resources at home, providing support and social stimulation, engagement and fun. Moreover, they could bridge to the outside society through conversations or by linking to services (e.g. day centres) that increased social participation and bonding with peers outside the house. The inclusive resources embedded in homecare need to be supported and utilised in policy and practice to increase older people’s inclusion.
Stories of survival and the importance of resilience in the face of increasing environmental, geopolitical, economic, social and health challenges
Authors: Harris Dr Paul , Ngendakurio John Bosco
Published: July 2023

Post the shock of COVID-19, the world continues to reel from new health challenges, more frequent and severe weather events - droughts in the northern hemisphere or floods in the southern hemisphere, geopolitical conflicts, energy crises, dramatic increases in cost-of-living pressures and their associated impacts including in housing and homelessness, food security issues and increasing rates of psychological distress. Australia’s National Science Agency, CSIRO (2022) notes that we can expect the next twenty years to be volatile marked by a combination of increasingly catastrophic weather events, geopolitical tensions, exacerbated health challenges associated with the post-pandemic world, high levels of psychological distress, increasing rates of chronic disease, an ageing population, a decline in trust in public institutions and explosion of artificial intelligence. In the context of existing, significant social inequalities, while we know that humans have a strong instinct to survive, we can also expect the divide to increase between the ‘haves’ and ‘have-nots’ in the face of such challenges. This relates to differences in the ability of different nations to respond to and/or meet these challenges, but moreover, the differences within groups within societies that will continue to be exposed, in particular, the differential impacts on population groups already marginalised will be exacerbated. Accordingly, this issue of the Journal of Social Inclusion, highlights stories of resilience, the power of adaption, the disruption of existing power structures and imbalances, and other methods and advances in promoting social inclusion and inclusive societies.