Exploring the experiences of siblings of adults with intellectual/developmental disabilities during the COVID-19 pandemic

BACKGROUND

The COVID-19 pandemic has caused many adults with intellectual/developmental disabilities (IDD) to lose their daily routines and social support, and as a result, many adults with IDD are increasingly reliant on their family caregivers. Siblings often play a crucial support role for their brothers and sisters with IDD. As such, this study aimed to describe the experiences of adult siblings of people with IDD during the COVID-19 pandemic.

METHODS

The Sibling Collaborative worked with researchers to codesign an online survey, completed by 91 people, exploring sibling supports and concerns during the COVID-19 pandemic. The survey also aimed to identify helpful resources for siblings during this time.

RESULTS

The results showed that the majority of siblings are supporting their brother or sister with IDD during the COVID-19 pandemic and are concerned about the health and well-being of their brother/sister. The most common concern related to disruption of their brother's or sister's routine and activities. Although responses of older and younger siblings did not differ from each other, siblings whose brother or sister with IDD lived with family had some unique concerns relative to those whose siblings no longer lived with family. Siblings described how their own self-care and relationships with others, as well as support for their brother/sister, were particularly helpful during the COVID-19 pandemic.

CONCLUSIONS

Siblings are providing key support to their brother or sister with IDD during the COVID-19 pandemic, and they too must be supported. Siblings should be included in efforts to disseminate resources targeting people with IDD and their feedback and input must be obtained. It is also important to include sibling mental wellness as caregiver supports are created and implemented. More research is needed to further understand how to support sibling caregivers.

Optical assessment of nonimaging concentrators

An optical measurement method for nonimaging radiation concentrators is proposed. A Lambertian light source is placed in the exit aperture of the concentrator. Looking into the concentrator's entrance aperture from a remote position, one can photograph the transmission patterns. The patterns show the transmission of radiation through the concentrator with the full resolution of the four-dimensional phase space of geometric optics. By matching ray-tracing simulations to the measurement, one can achieve detailed and accurate information about the geometry of the concentrator. This is a remote, noncontact measurement and can be performed in situ for installed concentrators. Additional information regarding small-scale reflector waviness and surface reflectivity can also be obtained from the same measurement with additional analysis.

Faceted concentrators optimized for homogeneous radiation

For technical reasons, large three-dimensional compound parabolic concentrators (CPC's) are often built from facets with either no or only one-dimensional curvature. We analyze CPC approximations made with various numbers of axial and circumferential subdivisions. Incident radiation within half-angles of 10 degrees and 30 degrees is considered. The reflectivity of the mirrors is assumed to be 90% or 95%. The performance of faceted concentrators can be significantly improved by optimization as compared with heuristic CPC approaches. The highest increase in transmission that we observed was 19% greater as compared with that of a heuristic CPC approximation. The shapes of the optimized concentrators differ from that of a classic CPC, and most of the optimized concentrators are longer than a classic CPC. For practical concentrators with a small number of facets, the optimized geometry provides better performance than a heuristic approximation of the CPC shape.

Nonimaging optical designs for maximum-power-density remote irradiation

Designs for flexible, high-power-density, remote irradiation systems are presented. Applications include industrial infrared heating such as in semiconductor processing, alternatives to laser light for certain medical procedures, and general remote high-brightness lighting. The high power densities in herent to the small active radiating regions of conventional metal-halide, halogen, xenon, microwave-sulfur, and related lamps can be restored with nonimaging concentrators with little loss of power. These high fluxlevels can then be transported at high transmissivity with light channels such as optical fibers or lightpipes, and reshaped into luminaires that can deliver prescribed angular and spatial flux distributions onto desired targets. Details for nominally two- and three-dimensional systems are developed, along with estimates ofoptical performance.

Extracting concentrated guided light

The maximum concentration of radiation is proportional to the square of the refractive index of the medium in which it propagates. A medium with a high refractive index can also serve as a lightguide for concentrated radiation. However, if concentrated radiation is extracted from one medium, with a high refractive index, to another, whose index is lower (e.g., from fused silica into air), part of the radiation may be lost because of the total internal reflection at the interface. We present polygonal shapes suitable for efficient extraction of the concentrated radiation in a controllable way, without increasing the cross-section area (or diameter) of the lightguide. It is shown analytically and experimentally that the use of a secondary concentrator, followed by such a light extractor, both having a high refractive index, can provide considerably more power to a solar receiver with a specific aperture.

Nonimaging secondary concentrators for large rim angle parabolic troughs with tubular absorbers

For parabolic trough solar collectors with tubular absorbers, we design new tailored secondary concentrators. The design is applicable for any rim angle of a parabolic reflector. With the secondary, the concentration can be increased by a factor of more than 2 with a compact secondary reflector consisting of a single piece, even for the important case of a rim angle of 90 deg. The parabolic reflector can be used without changes; the reduced absorber is still tubular but smaller than the original absorber and slightly displaced toward the primary.

Tailored edge-ray concentrators as ideal second stages for Fresnel reflectors

For both linear and point-focus Fresnel reflectors, we present a new type of ideal nonimaging secondary concentrator, the tailored edge-ray concentrator, that can closely approach the thermodynamic limit of concentration. For large rim-angle heliostat fields, practical-sized secondaries with shapes that should be relatively easy to fabricate can achieve concentrations substantially above those of compound parabolic concentrators. This superiority stems from designing so as to accommodate the particular flux from the heliostat field. The edge-ray principle used for generating the new secondary dictates a heliostat tracking strategy that is different from the conventional one but is equally easy to implement.

[Hand-stretching reflex in children of different age and sex indicative for left- or right-handedness (author's transl)]

Young boys and girls when opening their mouth show an involuntary movement of one or both hands, i.e. slight flexion with maximal extension of fingers. The highest incidence of this "hand-stretching reflex" (HSR) is found in the age group of 4 to 5. Below this age more girls than boys are found with a positive HSR, whereas at the age of eleven girls are outnumbered by boys. Beyond this age the reflex disappears. Lefthandedness and leftsided reflex seem to correspond and vice versa. Lack of this reflex in the age group of 4 to 5 as well as persistence over the age of eleven seems to indicate retarded cerebral maturation.