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This paper presents a personal perspective from a carer about her mother's experience of care in hospital following a stroke.

This paper seeks to describe the experiences of people visiting elderly relatives in hospital, detailing the lack of care and negligent attitudes of nursing staff with regards to providing appropriate food and drink to the elderly patients.

This paper analyses responses from 94 concerned readers, who empathised with an article published in the Daily Mail detailing negligent, unprofessional and uncaring practice in an elderly relative's hospital care. They each wrote to A Dignified Revolution (ADR) and provided their own examples of either being a patient in hospital or witnessing their loved one's distress. This paper addresses one of the most common areas of concern: the management of hydration and nutrition.

The vast majority of the criticisms in the e‐mail correspondence that was received by ADR was directed towards severe deficits in nursing practice. The experiences that were shared demonstrated not only a contravention of the nurse's code of practice (Nursing and Midwifery Council), but also an abuse of older people's human rights. They also demonstrated not only the severe harm that could be caused to vulnerable older people and the trauma caused to relatives but also carers. Many respondents were dismayed at the complete lack of nursing assessments and the inconsistencies in the documentation about their relatives' care, including food and fluid charts, which was so fundamental to their care needs.

Older vulnerable people in National Health Service (NHS) hospitals are being deprived of the fundamental right to eat and drink, a right whereby the lack of nutrition and hydration causes not only untold suffering, but can cause death. To deprive a person of food and fluid is tantamount to abuse, and to be able to eat and drink is a basic human right. However, perhaps the challenge is greater than this with regard to older people. Perhaps, a significant cultural change in attitudes and behaviour towards older people by the NHS, if not the wider society, is required in the first instance.

This study aims to identify the key activities after sales and the intended criteria by the customers, considering their expected services after the product purchase process.

This study is a qualitative approach, and the co-creation logic and the Delphi technique were used in two rounds to design and validate the proposed model. To achieve this study’s aims, extensive literature, interviews, interaction and exploratory meetings were reviewed with manufacturers and consumers, and then the dimensions of the proposed model were regulated, corrected and validated in the two-round Delphi technique. The final model is presented after establishing the model in the test pilots and getting feedback from industry experts. To present a conceptual model, the enabler’s logic and the underlying results in the European Foundation for Quality Management (EFQM) Excellence Model were used.

The findings of this study include the identification of dimensions for the after-sales services model and the designing of a conceptual model in both sections of enablers and results. The enabler section of the proposed model includes seven dimensions, three main sectors and four support sections.

This model can be used to design, deploy or improve after-sales services system in manufacturing companies.

For the first time in an innovative procedure, the approach of value co-creation was used to design one of the organizational systems (after-sale services system). On the other hand, the conceptual pattern was proposed inspired by the EFQM Excellence Model, to create the necessary proportionality between the enabler and results sections.

Zika virus (ZIKV) statistics in Honduras are the highest among countries in Central America. National risk communication strategies have primarily focused on vector control and are integrated into existing approaches for Dengue and Chikungunya. Given the new evidence on ZIKV, there is a need to revamp risk communication strategies so that they are informed by dynamic listening methods such as knowledge, attitudes, and practices. The paper aims to discuss this issue.

A cross-sectional survey was administered to 604 respondents in 21 designated Honduran communities using a two-stage, 30-cluster sampling method.

Almost eight out of ten Hondurans knew that Zika can be transmitted by the bite of a mosquito; however, only 2 and 0.1 percent, respectively, were aware that Zika can be spread by sexual intercourse and from a pregnant woman to her fetus. In total, four out of ten Hondurans knew that there is a causal relationship between Zika and microcephaly in newborns, and three out of ten knew that there is an association between Zika and Guillian-Barré syndrome. Overall, 50 percent of respondents said that they did not have enough information about the disease.

The findings of this study clearly identify information priority gaps that need to be urgently addressed by national stakeholders involved in public health activities to protect the most vulnerable population against Zika disease and its complications.

This study is the first of its kind in Central America to inform any national risk communication strategy since the inception of the ZIKV response, particularly among at risk populations.

The purpose of this paper is to expand upon one theme in Richard Slaughter's The Biggest Wake Up Call in History (BWCH) – that of the “collective shadow.”

Along with Slaughter, the author contends that the denialism indicative of strong negative reactions to the publication of Limits to Growth since 1972 is part of a larger problem within the collective psyche that must be understood and confronted.

For the first time in history, largely due to the emergence of global consciousness and, more recently, the advent of the internet, it is conceivable that authentic global democracy could emerge as an alternate network power, which challenges the structural criminality within the collective shadow, as well as the secret rule of the Empire Power Elite.

This paper exposes structural criminality within the collective shadow, its relationship to the advent of disaster capitalism, and its role in the emergence of a global ruling class.