Communication and Social Inactivity During COVID-19 Lockdown in Hong Kong: Psychosocial Implications to Individuals With Aphasia, Their Primary Caretakers, and Healthy Adults

Purpose Hong Kong is among the first cities worldwide affected by COVID-19, with the first case confirmed on January 23, 2020, 7 weeks before the World Health Organization declared a pandemic on March 11, 2020. Although it has now been over a year since the onset of outbreak, there are still significant knowledge gaps on the short and long term impacts of COVID-19 on people with aphasia (PWAs) and their primary caretakers. With reference to a reshaped rehabilitation service plan to advocate for people facing disabilities and some pilot findings from an ongoing survey investigation in Hong Kong about PWAs' perspectives on the pandemic, this article aims to highlight the social inactivity and communication challenges posed to PWAs and healthy adults during lockdown. Conclusions The social isolation and mental implications among PWAs in Hong Kong subsequent to their limited opportunities to engage into social activities during the pandemic were evident. At the same time, one should not neglect the emotional and psychosocial impacts on PWAs' caretakers and other healthy adults. We encourage researchers from different parts of the world, especially developing and undeveloped countries, to explore and share current service delivery to PWAs and corresponding strategic plans to enhance clinical practices in this unprecedented difficult time.

Smartphone fundus photography: a narrative review

Background The idea to use smartphone for fundus photography was put forward in 2010. Over the last decade, there has been a dramatic development in this field. This narrative review focuses on the principle of smartphone fundus photography, how to master this technique, problems encountered by the beginners, camera applications/devices designed for this purpose and the safety profile of smartphone flashlights for retinal photoreceptors. Discussion Smartphone fundus photography using a condensing lens is based on the same principle as indirect ophthalmoscopy. Smartphone flashlight serves the purpose of light source or illuminating system. Real and inverted image of the retina is focused by the smartphone camera after adjustment of the filming distance. Beginners can face difficulties like adjustment of the filming distance, glare from condensing lens and reflection from the ceiling lights. Mobile camera applications and holding devices designed for this purpose can help the beginners to address these difficulties. There have been safety concerns about photo-biological risk for retinal photoreceptors by flashlight. Although the spectral irradiance on the retina, while using smartphone for fundus imaging is within the safety limits set by ISO 15004-2.2. The safety profile of latest model flashlights which deliver more power compared to older flashlights, need to be assessed. Conclusion Smartphone fundus photography is a cheap, cost effective, portable and a convenient method for retinal imaging. With practice and use of smartphone camera applications designed for this purpose, the beginners can master this technique. By training young ophthalmology residents and ophthalmic primary caretakers, this retinal imaging technique can be utilized for artificial intelligence, patient diagnostic and educational purposes.

Parental Migration and Children’s Problem Behaviours in Rural China: Testing an Integrative Theoretical Model

This study aims to investigate the social mechanism underlying the associations between parental migration and left-behind children’s delinquent and deviant behaviours in rural China. Using a middle school student sample, our results reveal that the effects of parental migration on children’s delinquency differ across caretaking arrangements. Specifically, compared with children living with non-migrant parents, those cared for by a remaining father (with a mother migrated) or by one grandparent (with both parents migrated) had weaker bonding with primary caretakers and schools, which led to delinquency and deviance directly or indirectly through more frequent association with deviant peers. In contrast, children living with a remaining mother or with two grandparents did not differ significantly from those living with non-migrant parents.

The impact of backyard gardening on livelihoods of households in Sedibeng District Municipality in Gauteng Province, South Africa

The study was conducted to evaluate the impact of backyard gardening on the livelihoods of households in Sedibeng District Municipality in Gauteng Province, South Africa. Data were drawn from 60 household vegetable producers. A structured questionnaire was used to conduct one-on-one interviews to gather data which were then analysed to compare variables and the level of livelihoods of household vegetable production. The results suggested that variables such as gender, household size, marital status and household income influence vegetable production. Women, as the primary caretakers of children, were found to be more involved in vegetable production than men. The vegetable production increased when households were headed by females. Households indicated that the implementation and evaluation of the programme under study, which was successfully undertaken with the assistance of Agricultural Advisors from Gauteng’s Department of Agriculture and Rural Development (GDARD), did impact their livelihoods positively. In conclusion, the study found that household vegetable projects can assist in alleviating poverty, create job opportunities and improve livelihoods of the community of Sedibeng District Municipality.

Not Only Environmental Conditions but Also Human Awareness Matters: A Successful Post-Crayfish Plague Reintroduction of the White-Clawed Crayfish (Austropotamobius pallipes) in Northern Italy

In Europe, invasive freshwater crayfish are not only changing freshwater ecosystems, but they are also leading to local extinctions of native freshwater crayfish. This is particularly evident for the populations of red swamp crayfish and spiny-cheek crayfish in northern Italy, which are threatening the last and isolated populations of the white-clawed crayfish. Here, we describe the steps that accompanied a successful reintroduction of the white-clawed crayfish in an Italian stream (Park Monte Barro) that, although isolated from other freshwater sites, suffered from an illegal introduction of the spiny-cheek crayfish in 2013. After the removal of presumably all the introduced spiny-cheek crayfish individuals, we started periodical surveys (twice a year) of the stream to confirm the absence of further introductions and to monitor environmental conditions. Prior to the reintroduction of the white-clawed crayfish that started in autumn 2018, we developed an intense dissemination activity to raise awareness of white-clawed crayfish features and importance among landowners surrounding the stream, including those suspected of the introduction of the spiny-cheek crayfish: we organized public meetings and we performed seven direct visits, house to house, to the local people providing information on good practices for white-clawed crayfish conservation. From 2018 to 2020, every autumn, we reintroduced a batch of 3-month-old white-clawed crayfish juveniles, and we developed a program for the monitoring of crayfish growth and density, water quality, and direct landowners’ disturbance of the site. We detected a significant increase of the white-clawed crayfish total length (TL) from the first reintroduction (October 2018) to June 2020. In 2020, crayfish were consistently larger than in the 2019 surveys; some of them were able to breed less than 2 years after the first reintroduction. In 2020, the estimated density of large crayfish reached 0.57 individuals/m2, which is lower than the density observed prior to extinction. We did not detect any case of human disturbance of the site. Our results underline that the reintroduction actions could be more effective when the stakeholders having the greatest potential impact on the species are identified, informed, and involved as primary caretakers of the activities.

“He Never Wants to Leave. I Would Leave in a Second.” Examining Perceptions of Rural Life and its Impact on Families who Migrate for Employment and Those who Stay Behind in Atlantic Canadian Communities

In Canada, interprovincial labor migration is a common form of mobile work that is significant for rural communities especially in Atlantic Canada. Unique to this form of labor migration is the gendered nature of the phenomenon resulting in men often leaving their wives, families and rural communities behind for employment opportunities in the oil and gas sectors thousands of kilometers away. As men leave their families and communities for employment, women who are left behind become primary caregivers to children in addition to also being the primary caretakers of the family home. The Tale of Two Islands project was a multi-year, cross regional mixed methods research study that examined labor mobility and its impact on families and communities. This paper examines how labor migration has impacted families and rural communities. Drawing upon focus group, conversational and key informant interviews with families impacted by mobile labor and practitioners who serve them, societal perceptions of gendered norms and perceptions of rural life became illuminated. This has contributed to multiple contradictions and role confusion as families adapt and adjust to periods of reunification and separation while striving to remain connected to their rural communities. Men yearn for opportunities to be an active member of their home communities but cannot a result of living away for extended periods of time. In contrast, women who stay behind in rural communities often chose to isolate from community activities as a result of perceived judgments that are attributed to traditional views of rural life and family roles.

Women Empowerment and Its Impact on Livelihood and Food Security of Households: A Review

Rural women in India and several countries of South-East Asia play crucial and significant role in livestock rearing, agriculture and other allied activities, but their contribution has not been incentivized given the due place they deserve. They always remain invisible workers. Increasing demand for milk and animal products in recent years intensifies livestock rearing as profitable enterprise for women. Many development programmes that aim at alleviating poverty and improving investments in human capital consider women’s empowerment a crucial pathway to achieve impact and often target women as their main beneficiaries. Women across the world have often been seen as the primary caretakers in a household. Hence, the intra-household dynamics that determine allocation of resources and their impact on well-being are in a subject of analysis. It has been seen that households do not necessarily act in an unitary manner. While allocating resources, women and men have their preferences for allocating food and nonfood resources and may therefore be involved in distribution of these resources differently, based on their bargaining power within the household. This article reviews the linkage of women empowerment and household food security and ways to measure it for effectively targeting the policies for strengthening the household food security.

Exploring Eating and Nutritional Challenges for Children with Autism Spectrum Disorder: Parents’ and Special Educators’ Perceptions

Autism spectrum disorder (ASD) is a complex neurodevelopmental disability that is frequently associated with food refusal, limited food repertoire and high-frequency single food intake mainly among children with ASD. Provision of nutrition can be very challenging due to the fact of these behavioural problems, either for the parents or special educators. Healthy nutrition is associated with providing and consuming nutritious food with results being in a good state of health. Semi-structured focus group discussions (FGDs) were conducted among 20 participants at a National Autism Centre to explore their understanding towards healthy nutrition. They were parents and special educators who were actively involved with children with ASD. A series of discussions were transcribed verbatim, and four researchers examined each transcript. Inductive analysis linking codes into main thematic categories was conducted using the constant comparison approach across the full data set. The outcome suggested that participants had limited knowledge relating to the proper dietary and nutritional needs of the children. The key messages from the discussion provide a foundation on the development of a nutrition education module which involves primary caretakers of children with ASD.

Supporting parenting during infant hospitalisation for CHD

Objective:To characterise the parenting priorities of mothers and fathers of infants hospitalised with CHD and generate recommendations to support parenting during infant hospitalisation.Study design:Through online crowdsourcing, an innovative research methodology to create an online community to serve as a research sample, 79 parents of young children with CHD responded to questions about parenting during hospitalisation via private social networking site. Responses were analysed using qualitative research methods.Results:Three broad themes were identified: (1) establishing a bond with my baby, (2) asserting the parental role, and (3) coping with fear and uncertainty. Parents value provider support in restoring normalcy to the parenting experience during infant hospitalisation.Conclusions:Care teams can support parenting during infant hospitalisation by promoting parents’ roles as primary caretakers and decision-makers and attending to the emotional impact of infant hospitalisation on the family.

Gender, Poverty Reduction and Social Work: A View from Burundi

Gender affects the kind of opportunities and constraints faced in life; human beings are constantly divided into hierarchies. In looking at poverty reduction in Burundi, we can see the critical role that gender plays. In Burundi, among the poor are many women as a result of being primary caretakers. The focus of this paper is to examine the interconnection between gender and poverty reduction as well as the role of social work, if there is to be any reduction in poverty. Social workers need to work with women who are at the forefront of poverty through encouragement of more opportunities for women in education, business and in areas of decision-making. In many areas women are regarded as unable to participate with men in decision-making as they are considered not to be on the same level with men, intellectually, socially, economically or politically. When a woman is educated, she is better able to provide for her children. This means that the future generations are also protected against poverty. Social workers have the role of educating women and men in Burundi about the importance of women in poverty reduction. This paper presents a brief review of literature on gender disparities and poverty as well as the role of social work in poverty reduction in Burundi.