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Objective To summarize the breadth and quality of evidence supporting commonly recommended early childhood autism interventions and their estimated effects on developmental outcomes. Design Updated systematic review and meta-analysis (autism intervention meta-analysis; Project AIM). Data sources A search was conducted in November 2021 (updating a search done in November 2017) of the following databases and registers: Academic Search Complete, CINAHL Plus with full text, Education Source, Educational Administration Abstracts, ERIC, Medline, ProQuest Dissertations and Theses, PsycINFO, Psycholog...

Insights from Indigenous health systems in Australia show why relational self-care is important for the wellbeing of people, communities, and the planet, argue Pat Dudgeon and colleagues Western self-care tends to centre on practices that are aimed at supporting the health of individuals. Activities such as self-medication, rehabilitation, and accessing healthcare services are all generally focused on preventing disease and managing health in an individual. Indigenous self-care, on the other hand, includes these practices but also engages in a continuum of healing that supports the collective ...

Nel Wieman and Unjali Malhotra call for a “two eyed seeing” approach to healthcare, informed by both Indigenous and biomedical knowledge In Canada, genocidal policies and systems have devastated Indigenous peoples’ determinants of health.1 For example, as a consequence of the Indian Reserve System many Indigenous peoples live in isolated areas with limited or no access to healthcare, education, or employment opportunities.2 Furthermore, the colonial legacy of anti-Indigenous racism is prevalent across Canada, including its healthcare systems, so many Indigenous people fear accessing heal...

Objectives To assess the effectiveness of live zoster vaccine during more than 10 years after vaccination; and to describe methods for ascertaining vaccine effectiveness in the context of waning. Design Real world cohort study using electronic health records. Setting Kaiser Permanente Northern California, an integrated healthcare delivery system in the US, 1 January 2007 to 31 December 2018. Population More than 1.5 million people aged 50 years and older followed for almost 9.4 million person years. Main outcome measure Vaccine effectiveness in preventing herpes zoster, postherpetic neuralgia,...

Open access notables In AGU Advances, David Schimel and Charles Miller suggest that our economic and physical models around dealing with climate change have not kept up with evolving reality, in Do Two Climate Wrongs Make a Right?: