Tag: Indigenous Languages

Examining global Indigenous community wellness worker models: a rapid review

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Abstract

Background

There is a growing interest in employing community wellness worker models in Indigenous populations to address inequities in healthcare access and outcomes, concerns about shortage in health and mental health human resources, and escalating burden of chronic and complex diseases driving significant increase in health services demand and costs. A thorough review of Indigenous community wellness worker models has yet to be conducted. This rapid review sought to outline the characteristics of a community wellness worker model in Indigenous contexts across the globe, detailing factors shaping implementation challenges and success.

Methods

A rapid review of the international peer-reviewed and grey literature of OVID Medline, Global Index Medicus, Google, and Google Scholar was conducted from January to June 2022 for Indigenous community wellness/mental health worker models and comparative models. Articles were screened and assessed for eligibility. From eligible articles, data pertaining to study design and sample; description of the program, service, or intervention; model development and implementation; terminology used to describe workers; training features; job roles; funding considerations; facilitators and barriers to success; key findings; outcomes measured; and models or frameworks utilized were extracted. Data were synthesized by descriptive and pattern coding.

Results

Twenty academic and eight grey literature articles were examined. Our findings resulted in four overarching and interconnected themes: (1) worker roles and responsibilities; (2) worker training, education, and experience; (3) decolonized approaches; and (4) structural supports.

Conclusion

Community wellness worker models present a promising means to begin to address the disproportionately elevated demand for mental wellness support in Indigenous communities worldwide. This model of care acts as a critical link between Indigenous communities and mainstream health and social service providers and workers fulfill distinctive roles in delivering heightened mental wellness supports to community members by leveraging strong ties to community and knowledge of Indigenous culture. They employ innovative structural solutions to bolster their efficacy and cultivate positive outcomes for service delivery and mental wellness. Barriers to the success of community wellness worker models endure, including power imbalances, lack of role clarity, lack of recognition, mental wellness needs of workers and Indigenous communities, and more.

Effect of Salinity on the Development and Dormancy of Cladonema digitatum

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Abstract

Some hydrozoan species are known for their high adaptability and dormancy ability, e.g., Cladonema species, which are also promising model organisms. Since salinity affects the development and distribution of hydrozoan species, it is important to get further understanding of salinity tolerance and dormancy ability of Cladonema species. Cladonema digitatum is a cryptic species and is discovered only in artificial environments. In this study, multiple experiments have been conducted to determine how salinity affects the development of C. digitatum polyps and medusae, to describe the dormancy and recovery of the C. digitatum polyps, and to find the possible prevention and disposal protocol for the occurrence of Cladonema in artificial environments. As results, salinity range of 35–40 ppt was optimal for C. digitatum polyps, while C. digitatum medusae lived best in 30–35 ppt; C. digitatum would form menonts at 15, 50–60 ppt, revive and change their survival strategies after salinity upturned to 35 ppt, which could enhance their tolerance and adaptability. Cladonema digitatum medusae also showed different death rates when faced with sharp hypersaline and hyposaline stress. In summary, this research provided ecological information about salinity range and dormancy ability of C. digitatum, which not only facilitated tracing the wild habitats of the C. digitatum, but also provided the theoretical basic of elimination and prevention of Cladonema species intrusion and breeding conservation in the laboratory.

Incorporating uncertainty in Indigenous sea Country monitoring with Bayesian statistics: Towards more informed decision-making

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Abstract

Partnerships in marine monitoring combining Traditional Ecological Knowledge and western science are developing globally to improve our understanding of temporal changes in ecological communities that better inform coastal management practices. A fuller communication between scientists and Indigenous partners about the limitations of monitoring results to identify change is essential to the impact of monitoring datasets on decision-making. Here we present a 5-year co-developed case study from a fish monitoring partnership in northwest Australia showing how uncertainty estimated by Bayesian models can be incorporated into monitoring management indicators. Our simulation approach revealed there was high uncertainty in detecting immediate change over the following monitoring year when translated to health performance indicators. Incorporating credibility estimates into health assessments added substantial information to monitoring trends, provided a deeper understanding of monitoring limitations and highlighted the importance of carefully selecting the way we evaluate management performance indicators.

An Indigenous Relational Approach to Systemic Thinking and Being: Focus on Participatory Onto-Epistemology

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Abstract

This article is structured around my locating a lacuna in the (mainstream) literature describing the history of the field of “systems thinking”. I investigate how dominant accounts of this history do not include an account of the contributions of Indigenous sages and scholars’ systemic thinking. Such thinking (and being) is grounded in a relational onto-epistemology and attendant axiology – where knowing is consciously tied to (re)generating reciprocal relations with others – human and more-than-human – as we enact worlds-in-the making. The argument is that at the moment of “knowing/inquiring” we co-constitute with other agents (and not only human ones) the worlds that are brought forth. Otherwise expressed, there are never spectators, only participants in ongoing world-construction. I explore the way of explaining this as proffered by authors from a variety of geographical contexts as a backdrop to indicating how Indigenous critical systemic thinking has not been catered for by those writing the history of the so-called “systems community”. This is despite many Indigenous scholars self-naming their understandings as being systemic. I indicate that exploring global superwicked problems from the standpoint of an Indigenous onto-epistemology includes pointing to, and experimenting further with, radically different options for thinking-and-being than those that thus far have been storied by those writing the history of systems thinking. I indicate why it is important to take seriously this approach, rather than drowning its contribution.

Fourteen-year trends in overweight, general obesity, and abdominal obesity in Amazonian indigenous peoples

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Abstract

Background

Available data show that the epidemiological profile of most indigenous Brazilian populations is characterized by the coexistence of long-standing health problems (high prevalence of infectious and parasitic diseases, malnutrition, and deficiency diseases, such as anemia in children and women of reproductive age), associated with new health problems, especially those related to obesity (hypertension, type 2 diabetes mellitus and dyslipidemia). Based on this scenario, this study analyzed the nutritional profile of the adult population of seven indigenous peoples from the Brazilian Amazon in the years 2007 and 2021.

Methods

A total of 598 adults individuals were analyzed in 2007 (319 women and 279 men) and 924 in 2021 (483 women and 441 men), from seven indigenous peoples located in the state of Pará, who were assisted during health actions carried out in 2007 and in 2021. Body mass index classification used the World Health Organization criteria for adults: low weight, < 18.5 kg/m2; normal weight, ≥ 18.5 and < 25 kg/m2); overweight, ≥ 25 and < 30 kg/m2, and obesity, ≥ 30 kg/m2. A waist circumference (WC) < 90 cm in men and < 80 cm in women was considered normal.

Results

The data revealed heterogeneous anthropometric profiles, with a low prevalence of nutritional changes in the Araweté, Arara and Parakanã peoples, and high proportions of excess weight and abdominal obesity in the Kararaô, Xikrin do Bacajá, Asurini do Xingu and Gavião peoples, similar to or even higher than the national averages.

Conclusion

Different stages of nutritional transition were identified in the indigenous peoples analyzed, despite apparently having been subjected to the same environmental pressures that shaped their nutritional profile in recent decades, which may indicate different genetic susceptibilities to nutritional changes. The evidence shown in this study strongly suggests the need to investigate in greater depth the genetic and environmental factors associated with the nutritional profile of Brazilian indigenous peoples, with assessment of diet, physical activity and sociodemographic and socioeconomic variables that enable the development of appropriate prevention and monitoring measures.

Breakthrough SARS-CoV-2 infection and disease flares in patients with rheumatoid arthritis: result from COVAD e-survey study

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Abstract

COVID-19 has been suggested as a possible trigger of disease flares in patients with rheumatoid arthritis (RA). However, factors associated with disease flares remain unknown. This study aimed to identify factors associated with breakthrough infection (BIs) and disease flares in patients with RA following COVID-19. We analysed data from RA patients who participated in the COVID-19 vaccination in autoimmune diseases (COVAD) study. Demographic data, patient-reported outcomes, comorbidities, pharmacologic treatment and details regarding disease flares were extracted from the COVAD database. Factors associated with disease flare-ups were determined by multivariate logistic regression analysis. The analysis comprised 1928 patients with RA who participated in the COVAD study. Younger age, Caucasian ethnicity, comorbidities with obstructive chronic pulmonary disease and asthma were associated with COVID-19 breakthrough infection. Moreover, younger age (odds ratio (OR): 0.98, 95% CI 0.96–0.99, p < 0.001), ethnicity other than Asian, past history of tuberculosis (OR: 3.80, 95% CI 1.12–12.94, p = 0.033), treatment with methotrexate (OR: 2.55, 95% CI: 1.56–4.17, p < 0.001), poor global physical health (OR: 1.07, 95% CI 1.00–1.15, p = 0.044) and mental health (OR: 0.91, 95% CI 0.87–0.95, p < 0.001) were independent factors associated disease flares in patients with RA. Our study highlights the impact of socio-demographic factors, clinical characteristics and mental health on disease flares in patients with RA. These insights may help determine relevant strategies to proactively manage RA patients at risk of flares.

Pre-hispanic Datura ferox L. in the Southern Andes: archaeobotanical evidence from an Inca archaeological site at Salta, Argentina

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Abstract

Despite some consensus, the origins and dissemination routes of the different species of Datura remain controversial. Various sources like documents, ancient art and archaeobotanical remains from the Old World add to the archaeological, chemical, archaeobotanical and ethnobotanical evidence from the New World, contributing to the debate. This paper presents a synthesis of earlier research on Datura and the new results obtained from our analysis of the botanical remains from the archaeological site of Guitián in Northwestern Argentina, which reveal the presence of Datura ferox seeds within the context of rituals. There is evidence that the seeds had been processed and were possibly the remains of fermented maize beer (chicha) which was drunk on an Inca ceremonial structure (ushnu). Direct dating of the seeds reveals that they are from the 15th century ce. This confirms the presence of D. ferox in South America in pre-Hispanic times and adds to the list of psychoactive plants used by the inhabitants of the Inca empire.

Climate change-induced Glacial Lake Outburst Floods in Hunza Valley of Pakistan: an assessment of indigenous farming community perceptions and adaptation

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Abstract

Climate change is an emerging challenge that is triggering natural variabilities and disasters globally. In Gilgit–Baltistan (GB) region of Pakistan, Glacial Lake Outburst Floods (GLOFs) have been occurring frequently due to glacier surges, increasing the vulnerability of mountain communities, particularly small farmers. This research aims to investigate the climate change-induced GLOFs of the Shishper glacier in Hunza valley of GB with the intent of studying the farming activities; local awareness and perceptions toward climate change; impacts of climate change and GLOFs on agriculture; and adaptation mechanisms based on indigenous knowledge. Mixed-methods research approach was employed for a field survey in two villages inhabited by farmers of the Burusho community. Quantitative data were gathered from a sample of 180 respondents by using a structured questionnaire, whereas field observation coupled with photography and spot interviews were undertaken to accumulate qualitative data. Results revealed that many farmers lost their fertile land, and their crops and fruit orchards were severely damaged as a result of the devastating effects of climate change and recent GLOFs in 2019 and 2020, resulting in low crop yield and agricultural income. Local communities typically respond to GLOFs through self-help strategies and indigenous methods to sustain their livelihoods. However, our findings suggest that current adaptation practices are insufficient in light of rising climate risks. Thus, there is an urgent need to assist mountain communities by providing maximum support and interventions to enhance their resilience to future GLOFs and to increase people's adaptive capacity by strengthening their socioeconomic conditions.

From decolonisation to authoritarianism: the co-option of the decolonial agenda in higher education by right-wing nationalist elites in Russia and India

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Abstract

This article discusses how the critique of the monopoly of Western liberal thought through the decolonisation movement that was intended to increase the number of voices heard has been co-opted by nationalist politics in India and Russia. The debates in higher education in these countries reflect current key questions on the nature of the Indian and Russian nations—both under respective nationalist governments—where both are advocating a cutting off from Western modernity. Using Mignolo’s concept of “de-linking” that was intended to raise up non-Western ways of thinking, the article shows that India and Russia have adapted and simplified decolonial discourse to reject “Western-influenced” critiques of development, inequality, and authoritarianism. Under political pressure from these authoritarian regimes, universities have helped to embed repressive majoritarian politics through anti-Western rhetoric disguised as de-linking, enabling democratic backsliding by discrediting opposition. This is done to protect a new identity based upon state conceptions of traditional values, paradoxically erasing minority voices that do not fit neatly into the unified national narrative. When universities are branded as Western agents for being critical of local traditions and schools of thought, the space for critical thinking and democratic debate is ultimately removed, leaving those who oppose Putin and Modi with no safe way to engage with political discourse, and this actually undermines the intentions of decolonial philosophy.

Migration and self-employment: the case of internal migrants

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Abstract

In this paper, I compare the self-employment entry rate of internal migrants within the United States to that of individuals who have not moved. Internal migrants are defined as native born Americans who have migrated from one state to another. After controlling for a broad range of demographic and labor market characteristics, I find that Americans who have migrated to a state that does not border their initial state of residence are approximately 43% more likely to enter self-employment than Americans who have not moved. This higher rate of entry into self-employment among internal migrants remains robust to the inclusion of a wide range of controls. Since internal migrants are individuals who have made the decision to migrate, but are otherwise similar to native born non-migrants, this finding supports the idea that the higher self-employment entry rate among immigrants is driven in part by self-selection.