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Background: A strengths-based lens is essential for the pursuit of health equity among Indigenous populations. However, health professionals are often taught and supported in practice via deficit-based approaches that perpetuate inequity for Indigenous peoples. Deficit narratives in healthcare and health education are reproduced through practices and policies that ignore Indigenous strengths, disregard human rights, and reproduce structural inequalities. When strengths are recognised it is possible to build capacities and address challenges, while not losing sight of the structural factors impacting Indigenous peoples' health. Objective: In this paper, we examine Indigenous strengths-based approaches to policy and practice in healthcare and health professions education when delivered alongside teachings shared by Elders from the Cree, Blackfoot and Métis Nations of Alberta, Canada. Method: Literature and Elders' teachings were used to shift strengths-based approaches from Western descriptions of what might be done, to concrete actions aligned with Indigenous ways. Results: Four pointers for future action adopting a strengths-based approach are identified--enacting gifts: focusing on positive attributes; upholding relationality: centring good relationships; honouring legacy: restoring self-determination; and reconciling truth: attending to structural determinants of health. Conclusion: Identified directions and actionable strategies offer a promising means to advance Indigenous health equity through strengths-based actions that change existing narratives and advance health equity.

The agricultural policy of the European Union is currently focused on increasing the area of organic farming. Medicinal plants, including milk thistle (Silybum marianum [L.] Gaertn.), are particularly suitable for this type of cultivation. The aim of this study was to compare milk thistle fruits from organic and conventional farming in terms of the content of silymarin and individual flavonolignans, oil content, microbiological purity, as well as antimicrobial activity of the silymarin extract, mainly in relation to microorganisms responsible for skin infections. The raw material of Silybi mariani fructus obtained from organic farming did not differ in terms of silymarin and oil content compared to the raw material from conventional cultivation. However, it differed in the composition of silymarin and the level of microbiological contamination. Raw material from organic farming was mostly characterized by a higher proportion of the sum of silydianin and silychristin in the silymarin complex than the sum of silybinin A and silybinin B. In the samples from conventional cultivation, only genotypes with a predominance of silybinins were present. Although the total number of microorganisms (TAMC) and yeasts and molds (TYMC) on fruit from organic farming were several times higher than on fruit from conventional farming, it was still within the standards set for food products. All raw materials were free of Escherichia coli, Salmonella spp. and Listeria monocytogenes. In addition, it was shown that the silymarin extract from organic farming was generally characterized by greater antimicrobial activity, especially in relation to Staphylococcus aureus, which is resistant and troublesome in skin infections. [ABSTRACT FROM AUTHOR]

Descriptive title: Parents of children with rare diseases face pervasive challenges in meeting medical and social care needs. Existing research on the parents' experience of caring for a child with a rare disease is limited. This paper offers suggestions for better supporting families living with rare disease as well as possible avenues of future research. Background: Parents of children with rare diseases face pervasive challenges in meeting medical and social care needs. Existing research on the parent's experience of caring for a child with a rare disease is limited. Methods: An interpretive phenomenological approach was applied in this inquiry. Fifteen parents of children with rare diseases participated in semistructured interviews. Results: Interpretive thematic analysis revealed that due to the rarity of the disease and an overall lack of knowledge of the disease, there is an increase in the burden on the family in relation to "rarity" in addition to "disability." Four insights were also revealed: (a) Parents often know more about the disease then Health Care providers, and this leads to entanglements in communication and collaboration as experts and parents; (b) there is lack of coordination of care between providers and services caring for children with rare diseases; (c) there is a gap in accessibility to government supports; and (d) due to fragmented care, parents must fill the aforementioned gaps by juggling multiple roles including that of advocate, case manager, and medical navigator. Conclusion: This paper offers suggestions for better supporting families living with rare disease as well as possible avenues of future research. [ABSTRACT FROM AUTHOR]

The article offers the author's insights on the aspects of her role and behavior as an educator, researcher, and learner of life. She mentions the attention she have given to the power dynamics in the language that she uses. She also acknowledges her situation in the nursing education, which she says shapes a particular view of the world. She believes that an educator as a researcher is responsible for exploring, questioning, and provoking the complexity and dynamics among interested parties.