Syftet med följande studie är att utifrån en sociokulturell teori bidra med ny kunskap om hur pedagoger i förskoleklass uppfattar språklek och dess betydelse för läs- och skrivinlärningen samt att identifiera pedagogernas medvetenhet för språklekens betydelse i ett främjande och förebyggande perspektiv inom det specialpedagogiska området. Tidigare forskning bekräftar användandet av språklek och att det med stor fördel kan användas i ett förebyggande syfte för läs- och skrivinlärningen.    Studiens empiriska material är insamlat genom ostrukturerade, semistrukturerade gruppintervjuer med inspiration från fokusgruppmetoden. Som metodisk ansats ses det empiriska materialet utifrån en kvalitativ innehållsanalys för att nå olika perspektiv på innehållet.  Resultatet visar att pedagogerna har en relevant utbildning för sitt kunskapsuppdrag och för språklek. Vidare visar resultatet att pedagogernas uppfattningar förstärker sambandet mellan tidiga insatser där språkleken har en tydlig plats och där språkleken kan ses som ett främjande arbetssätt i förskoleklass.  I diskussionen betonas framförallt de möjligheter som språkleken ger och hur det kan påverka skolor på organisationsnivå där beslut fattas om extra anpassningar och särskilt stöd.

Postpartum hemorrhage (PPH) is the leading direct cause of maternal mortality worldwide, with the majority of deaths taking place in the least developed countries of the world. Low- and middle-income countries (LMICs) have increased rates of PPH due to lack of access to healthcare, inadequate number of care providers and availability of interventions and resources needed. PPH has four main etiologies: uterine atony, trauma, retained placenta and coagulopathy. The most common and challenging to treat is uterine atony, where a lack of uterine contractility leads to massive hemorrhage postpartum. Specific risk factors have been identified that increase a woman’s risk of developing PPH. Risk factors of PPH can be categorized as biological, demographical and social risk factors. Many people in LMICs experience a lot of the social risk factors like lack of providers, skilled facilities and resources available to them in case of an obstetric emergency. Home births are also a common practice in many LMICs, placing a woman further from any resources she may have had access to if she was at a health facility. PPH can also occur in women without risk factors and requires that providers always be prepared to treat it. Interventions to treat PPH are well known and encompass both pharmacological and non-pharmacological interventions that are usually tried in a least to most invasive order. The first line of intervention is often to administer a uterotonic drug, preferably oxytocin. This poses a challenge to LMICs because oxytocin requires a cold-chain storage, which many LMICs countries lack. Therefore, uterotonics and non-pharmacologic interventions have increasingly been used in these regions. The final and ultimate life saving measure to stop bleeding is a hysterectomy, which is often not available in these rural places where home births take place, and has led to higher mortality rates. Prevention measures of PPH include increasing antenatal care (ANC) use and practicing active management of the third stage of labor (AMTSL) with all pregnancies. Use of ANC and ultrasound technology can help identify the biological risk factors that make a woman more likely to experience PPH. Solutions to lowering the occurrence of PPH in LMICs involve increasing resources and access to healthcare. An important part to increasing access is increasing the number of skilled health facilities and health providers. Community health workers (CHW) and skilled birth attendants (SBA) are vital to increasing the amount and acceptability of care in these regions. These workers are trusted members of the community that can help educate and bring resources to women, as well as women to the resources. Solutions to stopping PPH need to consider the affordability, acceptability and accessibility in order to reach people in remote areas with limited resources. Both immediate short-term interventions and long-term, longitudinal healthcare reform are necessary to save mothers in LMICs.

This study illuminated the perspectives of school psychologists who have developed behavior intervention plans (BIPs) that support successful change in student outcomes. A total of 15 school psychologists from two different school districts were interviewed using the critical incident method; participants shared their perceptions of effectively implemented behavior intervention plans. The participants emphasized the need for consistent communication among the team members, collaboration with key stakeholders, making modifications as needed during the implementation period, and adequate time to for school psychologists to provide training to teachers. The findings of this study emphasized the importance for school teams and other school stakeholders to understand the factors that are needed when they are addressing student behavior.

Many schools are transitioning towards a preventative approach to meet the needs of at-risk learners with academic and/or behavioral concerns through the Multi-Tiered Systems of Support (MTSS) framework. This qualitative study explored the perceptions of the impacting factors for MTSS and the needs of building leadership teams through semi-structured interviews using a video conferencing-based online platform. Participants included 15 building administrators from school districts in a mountain west state of the United States. Interviews were transcribed and analyzed through thematic analysis. A total of four themes or impacting factors were identified. First, participants reported that MTSS relies on the district's capacity to provide support and partnership, like administrators or district leadership. Second, provision and prioritization of resources (e.g., personnel, time, or training) was perceived as key to MTSS implementation. Third, stakeholder buy-in and disposition were perceived as effecting MTSS practices, including staff buy-in, the awareness of the need for MTSS, and building's culture and established practices. Lastly, other contextual factors in the building were reported as also influencing MTSS implementation. The results of this study can act as an implementation guide for building and district MTSS teams looking to strengthen and enhance their MTSS efforts. It is also a call to action for school districts nationwide to prioritize their MTSS practices through ongoing training, provision of resources, and consistent support to building-level teams. Finally, this study sheds light on the day-to-day realities of MTSS implementation. Limitations of this study include the following: (a) limited generalization of findings to other geographic regions; (b) little to no involvement of the participants in day-to-day implementation of MTSS interventions; (c) potential impacts of the COVID-19 pandemic; and (d) possible confirmation bias during data analysis. Steps were taken to ensure the trustworthiness of the data, including pilot interviews, member checks, analyst triangulation, and audit trailing.

Purpose of review: This article critically reviews the utility of “phenotypes” as behavioral descriptors in aging/HIV research that inform biological underpinnings and treatment development. We adopt a phenotypic redefinition of aging conceptualized within a broader context of HIV infection and of aging. Phenotypes are defined as dimensions of behavior, closely related to fundamental mechanisms, and, thus, may be more informative than chronological age. Primary emphasis in this review is given to comorbid aging and cognitive aging, though other phenotypes (i.e., disability, frailty, accelerated aging, successful aging) are also discussed in relation to comorbid aging and cognitive aging. Recent findings: The main findings that emerged from this review are as follows: (1) the phenotypes, comorbid aging and cognitive aging, are distinct from each other, yet overlapping; (2) associative relationships are the rule in HIV for comorbid and cognitive aging phenotypes; and (3) HIV behavioral interventions for both comorbid aging and cognitive aging have been limited. Summary: Three paths for research progress are identified for phenotype-defined aging/HIV research (i.e., clinical and behavioral specification, biological mechanisms, intervention targets), and some important research questions are suggested within each of these research paths.

Pregnant and postpartum women often face high levels of psychological stress that increase the risk of common mental disorders (CMDs), such as depression and anxiety. This stress is often not met with timely mental health care and, therefore, may create health inequities. Mobile technology-assisted interventions represent a new opportunity for pregnant and postpartum women that may address health equity, especially during and after the COVID-19 era. We conducted an equity-focused systematic review and included 18 randomized and non-randomized controlled trials for analysis. Our results suggest that mobile interventions can prevent and manage depression across ethnicities and carry the potential to reduce psychological distress. Evidence on anxiety and utilization of care was limited and more research is needed among pregnant adolescents. Our collaborative research approach highlights the potential of mobile technologies and the need for active involvement of patients and other stakeholders in the co-creation and evaluation of mobile interventions.

The purpose of this article is to explore psychoanalytically grounded approaches to organizational consultation. The article draws on existing literature as well as personal interviews with several contributors in the field to articulate certain critical concerns over psychoanalytically grounded organizational study and intervention. These include the inappropriate analyzing of clients, non-systemic interventions, wild analysis and collusion. The article examines in detail how contributors in the field see the work they carry out and how they respond to various criticisms. It is suggested that the parameters of clinical psychoanalysis may be used as the basis for a constructive dialog in the field aimed at addressing critical concerns and developing both theory and applications.

Objective: To measure the impact of an automated outbound telephone messaging system on herpes zoster (HZ) vaccinations among older adults in the community pharmacy setting. Design: Randomized controlled trial. Setting: 16 grocery store chain community pharmacies in Georgia and Tennessee, between December 2006 and May 2007. Patients: Adults 60 years or older who filled at least one prescription at a participating study pharmacy. Intervention: A 30-second automated outbound telephone message was delivered to patient households monthly during the first week of March through May 2007. The message advertised that older adults should speak with their pharmacist about the risk for HZ and the availability of a new vaccine. Main outcome measure: HZ vaccinations based on pharmacy profile records. Results: After 3 months, 146 and 46 vaccinations were administered to older adults among the study cohort populations, translating into HZ vaccination rates of 2.60% and 0.72% at intervention and control pharmacies, respectively (odds ratio 3.69 [95% CI 2.64-5.15], P < 0.001). Conclusion: Use of an automated outbound telephone messaging tool to inform older adults about their risk for HZ and the availability of a vaccine significantly improved vaccination rates in the community pharmacy setting.

Objective: To measure the impact of an automated outbound telephone messaging system on herpes zoster (HZ) vaccinations among older adults in the community pharmacy setting. Design: Randomized controlled trial. Setting: 16 grocery store chain community pharmacies in Georgia and Tennessee, between December 2006 and May 2007. Patients: Adults 60 years or older who filled at least one prescription at a participating study pharmacy. Intervention: A 30-second automated outbound telephone message was delivered to patient households monthly during the first week of March through May 2007. The message advertised that older adults should speak with their pharmacist about the risk for HZ and the availability of a new vaccine. Main outcome measure: HZ vaccinations based on pharmacy profile records. Results: After 3 months, 146 and 46 vaccinations were administered to older adults among the study cohort populations, translating into HZ vaccination rates of 2.60% and 0.72% at intervention and control pharmacies, respectively (odds ratio 3.69 [95% CI 2.64-5.15], P < 0.001). Conclusion: Use of an automated outbound telephone messaging tool to inform older adults about their risk for HZ and the availability of a vaccine significantly improved vaccination rates in the community pharmacy setting.

Objectives: Coordinated School Health (CSH) is a systematic approach to improving the health and well-being of school-age children. It is recommended for its potential to promote healthy weight in adolescents through strategic programming. Resources and programming for adolescent obesity prevention varies among schools, thereby limiting the intended benefits of CSH. The purpose of this study was to understand gaps in schools approaches to healthy weight promotion and support for overweight/obese students. We evaluated perceptions of adolescent obesity and environmental factors and programs facilitating healthy weight in high schools in Appalachian Tennessee. Methods: In 2012, 17 key school personnel from 5 randomly selected high schools were interviewed. Questions addressed their perceptions of adolescent obesity, school-based physical activity and nutrition programming, and support available to overweight/obese students. Thematic analysis was conducted to identify emerging themes. Results: Participants consistently identified adolescent obesity and/ or associated risk factors as major health problems within their schools. Barriers to physical activity and healthful eating were identified at multiple levels. Because of the sensitivity surrounding overweight/obesity, no particular programs or curricula targeted overweight/obese adolescents specifically, but they were available to all students. Support is not explicitly available; therefore, overweight/ obese students must seek out these resources. Conclusions: Findings suggest that although school personnel are concerned about the impact of adolescent obesity on health outcomes, there is wide variation across schools on the types and quality of programming available to address the issue. Results can be used to encourage school-based strengths and identify gaps in the CSH infrastructure in school systems.