scholarly journals Positive Design for Children with Atopic Dermatitis—Enhanced Problem-Solving and Possibility-Driven Approach in the Context of Chronic Disease

2020 ◽  
Vol 4 (4) ◽  
pp. 69
Author(s):  
Veronika Weiß ◽  
Michael Minge ◽  
Bernhard Preim ◽  
Steffi Hußlein

Since the 1960s, atopic dermatitis has seen a steady increase in prevalence in developed countries. Most often, the onset begins at an early age and many patients are very young children. Due to their young age, their parents are forced to take over handling of the disease. As a consequence, atopic dermatitis places a high burden not only on affected children, but also on their parents and siblings, limiting human flourishing of a whole family. Therefore, the described research area calls for a possibility-driven approach that looks beyond mere problem-solving while building on existing support possibilities and creating new ones. This paper presents atopi as a result of such a possibility-driven approach. It incorporates existing patient education and severity scoring into an extensive service, adding new elements to turn necessary practices into joyful experiences, to create feelings of relatedness and to increase perceived self-efficacy, thus is suitable to enable human flourishing.

2020 ◽  
Vol 15 (3) ◽  
pp. 194-208
Author(s):  
Pravin Kumar ◽  
Dinesh Kumar Sharma ◽  
Mahendra Singh Ashawat

Atopic Dermatitis (AD) is a prolonged reverting skin ailment with characteristically distributed skin lesions. In the previous decades, researchers had shown a marked interest in AD due to its increased prevalence in developed countries. Although different strategies including biological and immune modulators are available for the treatment of AD, each has certain limitations. The researchers had shown considerable interest in the management of AD with herbal medicines. The establishment of herbal drugs for AD might eliminate local as well as systemic adverse effects associated with long term use of corticosteroids and also higher cost of therapy with biological drugs. The present review discusses the traditional East Asian herbal medicines and scientific data related to newer herbal extracts or compositions for the treatment of AD. In vivo animal models and in vitro cell cultures, investigated with herbal medicines to establish a possible role in AD treatment, have also been discussed in the paper. The paper also highlights the role of certain new approaches, i.e. pharmacopuncture, a combination of allopathic and herbal medicines; and novel carriers (liposomes, cubosomes) for herbal drugs on atopic skin. In conclusion, herbal medicines can be a better and safe, complementary and alternative treatment option for AD.


Cells ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 1392
Author(s):  
Hidaya A. Kader ◽  
Muhammad Azeem ◽  
Suhib A. Jwayed ◽  
Aaesha Al-Shehhi ◽  
Attia Tabassum ◽  
...  

Atopic dermatitis (AD) is one of the most prevalent inflammatory disease among non-fatal skin diseases, affecting up to one fifth of the population in developed countries. AD is characterized by recurrent pruritic and localized eczema with seasonal fluctuations. AD initializes the phenomenon of atopic march, during which infant AD patients are predisposed to progressive secondary allergies such as allergic rhinitis, asthma, and food allergies. The pathophysiology of AD is complex; onset of the disease is caused by several factors, including strong genetic predisposition, disrupted epidermal barrier, and immune dysregulation. AD was initially characterized by defects in the innate immune system and a vigorous skewed adaptive Th2 response to environmental agents; there are compelling evidences that the disorder involves multiple immune pathways. Symptomatic palliative treatment is the only strategy to manage the disease and restore skin integrity. Researchers are trying to more precisely define the contribution of different AD genotypes and elucidate the role of various immune axes. In this review, we have summarized the current knowledge about the roles of innate and adaptive immune responsive cells in AD. In addition, current and novel treatment strategies for the management of AD are comprehensively described, including some ongoing clinical trials and promising therapeutic agents. This information will provide an asset towards identifying personalized targets for better therapeutic outcomes.


Author(s):  
Gisela Bieling ◽  
Ruth Maria Stock ◽  
Florian Dorozalla

Demographic shifts are altering job markets in developed countries. A steady increase in the average age of employees and a decline in the number of young, qualified workers have intensified the war for talent, resulting in highly competitive and dynamic job markets. Using resource dependence theory, this study investigates how organisations respond to such challenges. An investigation of a sample of 153 German companies provides support for the hypotheses that HR managers implement age diversity management in both appraisal and compensation practices as a response to competitive job markets which, in turn, contributes to organisational performance.


2021 ◽  
pp. 1-14
Author(s):  
Douglas J. Kennett ◽  
Barbara Voorhies ◽  
Josue Gomez

We revisit the age and typological character of “Pox Pottery” that was reported in the 1960s by Charles Brush who considered it to be uniquely early (~2440 BC). Investigating the same two sites in coastal Guerrero where Brush excavated, we recovered Early Formative ceramics, some with the “pox” attribute. Here, we report potsherd frequencies for these deposits at both sites according to regional ceramic typologies, as well as AMS 14C dates used to establish a Bayesian stratigraphic chronology for each site to better constrain the age of these Early Formative period deposits. We argue that “Pox Pottery” is not a ceramic type per se and that the “pox” attribute occurs in multiple Early Formative period ceramic types. The earliest pottery is similar to other Red-on-Buff ceramic traditions from the Central Mexican Highlands and west of the Isthmus of Tehuantepec. Our chronological work demonstrates that these ceramics date between 1820 and 1400 cal BC, consistent with other recent studies indicating an early age of Red-on-Buff ceramics and suggesting shared cultural traditions distinct from the contemporary Locona interaction sphere that emerged in parallel.


2010 ◽  
Vol 2010 ◽  
pp. 1-39 ◽  
Author(s):  
Lorenza Putignani ◽  
Donato Menichella

Cryptosporidiumspp. are coccidians, oocysts-forming apicomplexan protozoa, which complete their life cycle both in humans and animals, through zoonotic and anthroponotic transmission, causing cryptosporidiosis. The global burden of this disease is still underascertained, due to a conundrum transmission modality, only partially unveiled, and on a plethora of detection systems still inadequate or only partially applied for worldwide surveillance. In children, cryptosporidiosis encumber is even less recorded and often misidentified due to physiological reasons such as early-age unpaired immunological response. Furthermore, malnutrition in underdeveloped countries or clinical underestimation of protozoan etiology in developed countries contribute to the underestimation of the worldwide burden. Principal key indicators of the parasite distribution were associated to environmental (e.g., geographic and temporal clusters, etc.) and host determinants of the infection (e.g., age, immunological status, travels, community behaviours). The distribution was geographically mapped to provide an updated picture of the global parasite ecosystems. The present paper aims to provide, by a critical analysis of existing literature, a link between observational epidemiological records and new insights on public health, and diagnostic and clinical impact of cryptosporidiosis.


2018 ◽  
Vol 31 (23) ◽  
pp. 9519-9543 ◽  
Author(s):  
Claudie Beaulieu ◽  
Rebecca Killick

The detection of climate change and its attribution to the corresponding underlying processes is challenging because signals such as trends and shifts are superposed on variability arising from the memory within the climate system. Statistical methods used to characterize change in time series must be flexible enough to distinguish these components. Here we propose an approach tailored to distinguish these different modes of change by fitting a series of models and selecting the most suitable one according to an information criterion. The models involve combinations of a constant mean or a trend superposed to a background of white noise with or without autocorrelation to characterize the memory, and are able to detect multiple changepoints in each model configuration. Through a simulation study on synthetic time series, the approach is shown to be effective in distinguishing abrupt changes from trends and memory by identifying the true number and timing of abrupt changes when they are present. Furthermore, the proposed method is better performing than two commonly used approaches for the detection of abrupt changes in climate time series. Using this approach, the so-called hiatus in recent global mean surface warming fails to be detected as a shift in the rate of temperature rise but is instead consistent with steady increase since the 1960s/1970s. Our method also supports the hypothesis that the Pacific decadal oscillation behaves as a short-memory process rather than forced mean shifts as previously suggested. These examples demonstrate the usefulness of the proposed approach for change detection and for avoiding the most pervasive types of mistake in the detection of climate change.


Agro-Science ◽  
2021 ◽  
Vol 20 (1) ◽  
pp. 9-14
Author(s):  
O.O. Olugbire ◽  
S. Olorunfemi ◽  
D.O. Oke

Over the years, cereals have been the major food consumed by humans and have also been used in animal diet and therefore highly commendable for playing a major role in the preservation of human race. Studies have shown that half of the total percentage of calories consumed in the world is from cereals while it is also the most traded agricultural crop at the international market. This motivates the need to assess its utilisation in the past, present and future. This review shows that much driven by the use of cereals are factors like consumption and dietary pattern of a person or country, technological advancement in adding value to it, income status, market forces of demand and supply, level of affluence and policy. The trend in global cereals utilisation since its domestication has indicated an upward one with bulk of it being consumed as food in developing countries while majority of it goes into feeding livestock in developed countries. Evidence from this study also shows that the per capita utilisation of cereals directly for food is exceedingly great in developing countries than developed countries which is an indicator of malnutrition when not balance with other nutrients as it was observed in Bangladesh where calorie intake of an adult is about 90% from cereals. While there is a steady increase in global cereals utilisation due to its discovered industrial use as fuel, increased population and other factors, it will be expedient to focus on its sustainability and environmental issues that are likely to come up as a limitation to meet future demands.


Soil Research ◽  
2020 ◽  
Vol 58 (3) ◽  
pp. 219 ◽  
Author(s):  
Ha T. N. Huynh ◽  
Lisa A. Lobry de Bruyn ◽  
Brian R. Wilson ◽  
Oliver G. G. Knox

Local soil knowledge (LSK) has been recognised for its importance in sustainable soil management and agroecosystems. This paper examines peer-reviewed articles and grey literature documents on LSK during 2003–2018. Research continues to be geographically focused on developing countries, but often in collaboration with researchers from developed countries. There were five key research themes: soil classification and agreement between local and scientific soil knowledge (Theme 1), value of LSK for soil management and decision-making (Theme 2), scientific approach to the incorporation of LSK (Theme 3), application of LSK for identification of and solutions to soil problems (Theme 4) and factors influencing soil knowledge development (Theme 5). Although Theme 1 continued to be a prevalent research area, confirming the importance of visible and topsoil characteristics identified by farmers, examining subsurface soil properties has garnered less research. For LSK to be thoroughly documented requires support by a pluralistic scientific assessment and greater incorporation of social science methodologies. An overarching finding from Themes 2–4 was the importance of designing national programs that incorporate LSK derived from local people and other stakeholders (e.g. scientists and policymakers) to conserve soils. Local soil maps, using LSK terminology, could broaden the appeal and use of maps by local stakeholders to support sustainable land-use planning from the field to national policy-making processes. Finally, cultural and political aspects, known to influence LSK, should be given greater consideration in further research to sustain and develop this knowledge (Theme 5).


2016 ◽  
Vol 5 (8) ◽  
pp. 69-72 ◽  
Author(s):  
Farah Rehan ◽  
Alina Qadeer ◽  
Irfan Bashir ◽  
Mohammed Jamshaid

Cardiovascular diseases (CVDs) have increased the mortality rate both in developing as well as developed countries, however a lower trend in death rates have been seen in developed and high income countries like USA, UK, Australia, Japan and other European countries due to improved life style, better strategic implementation, control of disease both in young and adults and especially reduced smoking habits. In developing countries CVD become an alarming situation due to prevalence of disease in early age that later on become chronic and difficult to control. Various risk factors that can contribute toward CVD in developing countries include smoking, high alcohol and salt intake, dietary factors, diabetes, high blood pressure and psychosocial aspects such as stress, anxiety and depression. Various other factors such as family history and the gender difference also contributing towards the high risk of developing CVD.Rehan et al., International Current Pharmaceutical Journal, July 2016, 5(8): 69-72http://www.icpjonline.com/documents/Vol5Issue8/02.pdf


2019 ◽  
Vol 19 (15) ◽  
pp. 10335-10359 ◽  
Author(s):  
Jens Mühle ◽  
Cathy M. Trudinger ◽  
Luke M. Western ◽  
Matthew Rigby ◽  
Martin K. Vollmer ◽  
...  

Abstract. We reconstruct atmospheric abundances of the potent greenhouse gas c-C4F8 (perfluorocyclobutane, perfluorocarbon PFC-318) from measurements of in situ, archived, firn, and aircraft air samples with precisions of ∼1 %–2 % reported on the SIO-14 gravimetric calibration scale. Combined with inverse methods, we found near-zero atmospheric abundances from the early 1900s to the early 1960s, after which they rose sharply, reaching 1.66 ppt (parts per trillion dry-air mole fraction) in 2017. Global c-C4F8 emissions rose from near zero in the 1960s to 1.2±0.1 (1σ) Gg yr−1 in the late 1970s to late 1980s, then declined to 0.77±0.03 Gg yr−1 in the mid-1990s to early 2000s, followed by a rise since the early 2000s to 2.20±0.05 Gg yr−1 in 2017. These emissions are significantly larger than inventory-based emission estimates. Estimated emissions from eastern Asia rose from 0.36 Gg yr−1 in 2010 to 0.73 Gg yr−1 in 2016 and 2017, 31 % of global emissions, mostly from eastern China. We estimate emissions of 0.14 Gg yr−1 from northern and central India in 2016 and find evidence for significant emissions from Russia. In contrast, recent emissions from northwestern Europe and Australia are estimated to be small (≤1 % each). We suggest that emissions from China, India, and Russia are likely related to production of polytetrafluoroethylene (PTFE, “Teflon”) and other fluoropolymers and fluorochemicals that are based on the pyrolysis of hydrochlorofluorocarbon HCFC-22 (CHClF2) in which c-C4F8 is a known by-product. The semiconductor sector, where c-C4F8 is used, is estimated to be a small source, at least in South Korea, Japan, Taiwan, and Europe. Without an obvious correlation with population density, incineration of waste-containing fluoropolymers is probably a minor source, and we find no evidence of emissions from electrolytic production of aluminum in Australia. While many possible emissive uses of c-C4F8 are known and though we cannot categorically exclude unknown sources, the start of significant emissions may well be related to the advent of commercial PTFE production in 1947. Process controls or abatement to reduce the c-C4F8 by-product were probably not in place in the early decades, explaining the increase in emissions in the 1960s and 1970s. With the advent of by-product reporting requirements to the United Nations Framework Convention on Climate Change (UNFCCC) in the 1990s, concern about climate change and product stewardship, abatement, and perhaps the collection of c-C4F8 by-product for use in the semiconductor industry where it can be easily abated, it is conceivable that emissions in developed countries were stabilized and then reduced, explaining the observed emission reduction in the 1980s and 1990s. Concurrently, production of PTFE in China began to increase rapidly. Without emission reduction requirements, it is plausible that global emissions today are dominated by China and other developing countries. We predict that c-C4F8 emissions will continue to rise and that c-C4F8 will become the second most important emitted PFC in terms of CO2-equivalent emissions within a year or two. The 2017 radiative forcing of c-C4F8 (0.52 mW m−2) is small but emissions of c-C4F8 and other PFCs, due to their very long atmospheric lifetimes, essentially permanently alter Earth's radiative budget and should be reduced. Significant emissions inferred outside of the investigated regions clearly show that observational capabilities and reporting requirements need to be improved to understand global and country-scale emissions of PFCs and other synthetic greenhouse gases and ozone-depleting substances.


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