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Using multimedia technology to enhance self-advocacy of people with intellectual disabilities: Introducing a theoretical framework for ‘Multimedia Advocacy’
Get PDFBackground:Multimedia Advocacy is the use of digital technology for people with intellectual disabilities as means of developing identities, being heard, connecting to family and care networks and, advocating for change.Methods:We explore principles and theories that underpin Multimedia Advocacy, mapping disciplinary approaches that have influenced the concept and praxis.Results:We describe relevant theories from cultural and media studies, personal therapeutic practices, communication, universal design, and systemic adoption of technology. We discuss new ways of achieving person-centred working with digital technology. We aim to develop a stronger theory/practice dialogue between these disciplines.Conclusions:The theories described highlight the importance of embedding access and use of digital technology within everyday settings. Long-term implementation plans and buy-in from all organisational levels are required for Multimedia Advocacy tools to be embraced by health and social care systems so the voice of an individual is included and genuine person-centred practice is achieved
Data sharing for business model innovation in platform ecosystems: From private data to public good
Get PDFExtant research posits that open data could unlock more than $3 trillion in additional value worldwide across various application domains. This paper investigates a data-sharing perspective in business models of platform ecosystems and discusses how platform owners can derive more value using data. We chose a sample of 12 platforms in which data are used as a key resource for service propositions. By contrasting these cases, we identify and analyse four archetypes: data crawler, data marketplace, data aggregator, and data disseminator. We define the key features of these archetypes and demonstrate how they realise value via the platform. These archetypes can guide managers in realising private and public goods via data sharing. Building on our findings, we derive recommendations for data-driven business model innovation for platform ecosystems
Caregiver Perceptions of Autism and Neurodevelopmental Disabilities in New Delhi, India
Get PDFEvidence suggests that parenting an autistic child or a child with neurodevelopmental disabilities can be more challenging than parenting a child meeting their developmental milestones, especially when there is a dearth of support services, such as in low- and middle-income countries (LMICs). Despite the majority of the world’s children residing in LMICs, there are limited studies examining the understanding of developmental disorders and autism in these regions. We therefore aim to investigate perceptions of autism and developmental disabilities in caregivers of children in an urban setting in New Delhi, India. Thirteen semi-structured interviews with parents/caregivers of children were conducted in three groups: (1) caregivers with a child with a diagnosis of autism spectrum disorder (ASD); (2) caregivers with a child with a diagnosis of intellectual disability (ID); (3) and caregivers with children meeting their developmental milestones. Transcripts were analysed using framework analysis. Three themes on the impact of cultural and contextual factors on the recognition, interpretation, and reporting of autistic symptoms are discussed, and additional themes focus on the impact of diagnosis and family support. Our findings highlighted a vital need for greater community awareness and recognition of autism in India, for example through community and healthcare training, which may help to reduce stigma and facilitate wider family support
De-medicalising public mental health with the Power Threat Meaning Framework
Get PDFAims: To propose that much of the language and concepts in public mental health is medicalised and to suggest that the Power Threat Meaning Framework (PTMF), can be a useful resource for those wishing to take a de-medicalising approach.Method: Examples of medicalisation are drawn from the literature and from practice and key constructs in the PTMF are explained, drawing from the report which presented its research base.Results: Examples of medicalisation in public mental health include: the uncritical use of psychiatric diagnostic categories; the ‘illness like any other’ approach in anti-stigma campaigns; and the implicit privileging of biology in the biopsychosocial model. The negative operations of power in society are seen as posing threats to human needs and people make sense of such situations in varied ways though there are some commonalities. This gives rise to culturally available and bodily enabled threat responses which serve a variety of functions. From a medicalised perspective these responses to threat are characteristically seen as ‘symptoms’ of underlying disorders. The PTMF is both a conceptual framework and a practical tool that can be used by individuals, groups and communities.Conclusion: Consistent with social epidemiological research, prevention efforts should focus on preventing adversity rather than ‘disorders’ but the added value of the PTMF is that varied problems can be understood in an integrated manner as responses to a variety of threats whose functions could be met in different ways. Its message that mental distress is a response to adversity is comprehensible to the public and can be communicated in an accessible way
Barriers to tests and exams for autistic pupils: improving access and longer-term outcomes
Get PDFDespite the availability of access arrangements for tests and exams for pupils with special educational needs and disabilities, many autistic children and young people have low academic achievements. There is also a lack of consensus on what their educational priorities should be and a failure to link their school programmes to longer-term outcomes. More broadly in the UK, the value of tests in primary school is contested. In this qualitative study based in five mainstream primary schools in England, school staff (n = 36), autistic children (n = 10), their parents (n = 10), autistic adults (n = 10), and a sample of parents of children in the same class as the participating autistic children (n = 63) provided their views on school tests and educational priorities for primary school pupils. Findings reveal mixed opinions on what autistic pupils should study in school, and suggest that they are not receiving the access arrangements for tests to which they are potentially entitled. Additional factors, including stress in school and the language of test questions, create further barriers to education and success in tests. Addressing these issues and consulting with autistic pupils on their educational priorities could help improve their future well-being and attainment
Does digital transformation matter for operational risk exposure?
Get PDFBasel Committee recommends banks maintain a capital buffer for operational risk exposure based on business volumes, assuming aggressive actions for quicker business growth could increase risk exposures. We argue that technological innovations expose banks to more operational risk because technology helps increase business volume, but system failure, problems with internal processes, and disruptions from external and internal security threats are inherent to technology. Based on 10 years of data for 264 banks from 43 countries, we find that digitalized banking operation is an underlying driver of operational risk that comes with increased business volume. Banks proactively take more operational risks by increasing cyber spending to tackle FinTech competition in the digitalized economy. Digitalization could generally matter for operational risk exposure, but the natural experiment does not find cybersecurity threats per se could increase operational risks even though cybersecurity appears to be a serious threat to digital banking. The study creates new avenues for future research
Sports and Exercise Therapists – working across the physical activity spectrum
Get PDFThere is a growing recognition of the impact of musculoskeletal (MSK) conditions on people, employers, the health service and the economy. MSK conditions are now recognised as one of six major health disorders contributing to the burden of disease in England.1 Interestingly, the Government in England is looking to resource MSK provisions via leisure and community settings, with an initiative using MSK Hubs.2 It is an innovative idea but raises questions such as: Where will the workforce come from, and which practitioners have the expertise to deal with the prevention, treatment and rehabilitation of MSK conditions within a multidisciplinary team? With the mounting importance of high-quality MSK care to ease the burden on society, keeping as many people as possible physically active, Sports and Exercise Therapists can provide the solution
Molecular dynamics simulation in concrete research: A systematic review of techniques, models and future directions
Get PDFThis paper presents a comprehensive review of the application of molecular dynamics simulation in concrete research. The study addresses the background and significance of the topic, providing an overview of the principles, applications, and types of molecular dynamics simulation, with a particular focus on its role in enhancing the understanding of concrete properties. Moreover, it critically examines existing research studies that employ molecular dynamics simulation in concrete research, highlighting the associated benefits and limitations. The paper further investigates various simulation techniques and models employed in concrete research, offering a comparative analysis of their effectiveness. Additionally, the study explores future directions and identifies research needs in the field of molecular dynamics simulation in concrete, while also discussing the potential impact of this approach on the sustainability of the construction industry. By providing a comprehensive overview and critical analysis, this review serves as a valuable resource for researchers and practitioners interested in leveraging molecular dynamics simulation for advancing concrete science and engineering
A review of multi-scale modelling of concrete deterioration: Fundamentals, techniques and perspectives
Get PDFThe properties of concrete are degraded during service by coupled physical and chemical processes that operate at several length scales, and the prediction of its performance in engineering structures requires multi-physics, multi-scale modelling approaches. The aim of this paper is to provide a comprehensive overview of the current modelling techniques for analysis of concrete deterioration. The paper covers the fundamentals of modelling at several length scales, as well as the bridging/transition between scales, and the numerical methods based on continuum and discrete formulations appropriate to different scales. Considered are the key chemical and physical deterioration processes of carbonation, chloride ingress, freeze–thaw damage, and abrasion. The paper also reviews the validation and verification of multi-scale models and discusses future trends such as data science integration and sustainable concrete design. It is expected that the information presented here will be a valuable resource for researchers and practitioners in the field, highlighting advancements and stimulating future research in multi-scale modelling of concrete deterioration
