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1.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740597

ABSTRACT

OBJECTIVES: In order to aid the development of practical oral health improvement programs for adults, this study examined whether a correlation exists between oral health indices assessed by experts and self-perceived oral health status. METHODS: Raw data from the second year (2013–2015) of the sixth Korea National Health and Nutrition Examination Survey were analyzed. Among those surveyed, adults over the age of 19 were designated as research subjects. RESULTS: The DT indices, prosthetics indices, and Community Periodontal indices were higher when the subjective oral health status was “Bad.” CONCLUSIONS: The results of this study demonstrated the consistency between subjective and objective oral health status. Thus, self-perceived oral health status is a reliable index to evaluate adult oral health projects for improving the quality of life of adults, improving their oral health, and evaluating future oral health services.


Subject(s)
Adult , Dental Caries , Dental Prosthesis , Humans , Korea , Nutrition Surveys , Oral Health , Periodontal Index , Quality of Life , Research Subjects
2.
Saúde Soc ; 27(4): 1033-1043, Out.-Dez. 2018. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-979226

ABSTRACT

Resumo Este estudo trata do recrutamento de sujeitos de pesquisa em ensaios clínicos multicêntricos internacionais financiados pela indústria executados em uma universidade pública brasileira entre janeiro de 2010 e dezembro de 2016. Analisou-se um conjunto de 63 contratos de ensaios clínicos, documentos administrativos e regulatórios. Os resultados demonstraram a participação de 75 países, dos quais 16% são latino-americanos. Foram obtidos dados sobre o recrutamento de sujeitos de pesquisa em âmbito local (356 sujeitos), nacional (3.774 sujeitos) e internacional (82.696 sujeitos), além de informações sobre o número de centros participantes no Brasil e o custo de cada ensaio. A maioria dos ensaios era de fase III (77,78% dos casos) e previa um recrutamento total nacional entre 18 e 80 sujeitos de pesquisa por ensaio (entre 4,42% e 11,46% do recrutamento internacional). Identificou-se forte correlação negativa entre os dados sobre contratos, orçamento e recrutamento e a cotação média anual do dólar. A totalidade dos ensaios adotou método competitivo de recrutamento associado ao pagamento por sujeito incluído na pesquisa. Isso é preocupante e demonstra uma contradição entre essa prática e as recomendações das diretrizes éticas nacionais. A ausência da informação sobre o número de sujeitos a serem recrutados no país revela, em 19% dos casos, um erro recorrente no processo regulatório. Conclui-se que a disponibilidade de informações detalhadas sobre o recrutamento nas pesquisas envolvendo seres humanos é importante para o correto dimensionamento e organização dos esforços de proteção dos sujeitos de pesquisa, e que atualmente essa premissa não está sendo cumprida de modo adequado.


Abstract This study concerns the recruitment of research subjects in industry-sponsored multicentric international clinical trials carried out at a Brazilian public university between January 2010 and December 2016. A set of 63 clinical trial agreements, administrative and regulatory documents was analyzed. The results showed that 75 countries were involved in these international trials, of which 16% were Latin American. Data about the recruitment of research subjects at the local (356 subjects), national (3774 subjects) and international (82,696 subjects) levels were obtained, as well as information on the number of Brazilian research centers involved and the costs of each trial. Phase III trials were the most frequent (77.78% of the cases) and they estimated a total national enrollment between 18 and 80 research subjects per trial (which means between 4.42% and 11.46% of international recruitment). A negative correlation was found between agreements, research resources, recruitment data, and yearly average dollar exchange rate. All the trials adopted competitive recruitment method associated with payment for subject included in the research. This is worrying and shows contradiction between this practice and the recommended national ethical guidelines. The lack of data on recruitment at the national level reveals, in 19% of the cases, a frequent regulatory process failure. It is concluded that the availability of detailed data on recruitment for researches involving human beings is important for the accurate sizing and organization of the efforts to protect research subjects, and that currently this premise is not being appropriately followed.


Subject(s)
Humans , Male , Female , Multicenter Studies as Topic , Patient Selection , Research Subjects , Clinical Studies as Topic , International Cooperation
3.
Trab. educ. saúde ; 16(3): 1381-1402, Sept.-Dec. 2018. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-963024

ABSTRACT

Resumo Estudo sobre os participantes de ensaios clínicos na área de oncologia, discutindo o paradoxo entre progresso científico e iniquidade social. Buscou-se conhecer quem são essas pessoas e analisar aspectos envolvidos nas suas decisões, com base em entrevistas e documentos. Houve maior participação feminina. Os participantes tendem a ter poucos anos de estudo formal e baixa renda. A maioria é aposentada e do lar e não tem assistência à saúde privada. Suas decisões giraram em torno da busca pela cura ou melhora, e pela garantia de acesso regular a cuidados integrais de saúde e medicamentos. A assinatura do termo de consentimento livre e esclarecido não garantiu a expressão da autonomia, pois informações essenciais como os objetivos, riscos e cuidados pós-estudo são praticamente desconhecidas. Os participantes da pesquisa tendem a não compreender os objetivos da investigação, ou superestimam os benefícios médicos diretos de sua participação, sem consciência dos riscos envolvidos e do que significa uma pesquisa. Os resultados deveriam incitar ao exercício e ao diálogo mais críticos entre os diferentes atores e instituições envolvidos na área da pesquisa com seres humanos, objetivando promover uma ciência consciente e responsável, que impeça que pessoas sejam colocadas em situação de desigualdade, vulnerabilidade e sofrimento moral.


Abstract This is a study about the participants of clinical trials in the field of oncology that discusses the paradox between scientific advances and social inequality. We sought to get to know these people and to analyze the aspects involved in their decisions based on interviews and documents. Female participation was more expressive. The participants tend to have low schooling and low income. Most of them are retirees and housewives, and do not get assistance from the private health system. Their decisions revolved around the search for cure or recovery, as well as for the assurance of regular access to comprehensive health care and medicines. Signing the free and informed consent form did not guarantee the expression of autonomy, because crucial information, such as the goals, risks and post-study care are virtually unknown. The research participants tend to not understand the goals of the investigation, or they overestimate the direct medical benefits of their participation, and they tend to be unaware of the risks involved and of what does a research mean. The results should stimulate more critical practices and dialogues among the different players and institutions involved in the field of the research with human subjects, with the goal of promoting a science that is conscious and responsible, and that prevents people from being put in situations of inequality, vulnerability and moral suffering.


Resumen Estudio sobre los participantes de ensayos clínicos en el área de oncología, discutiendo la paradoja entre avance científico y desigualdad social. Se buscó conocer quiénes son esas personas y analizar los aspectos involucrados en sus decisiones, con base en entrevistas y documentos. Hubo mayor participación femenina. La tendencia es que los participantes tienen pocos años de estudio formal y bajos ingresos. La mayoría es jubilada y ama de casa, y no tiene asistencia médica privada. Sus decisiones giraron en torno a la búsqueda de la cura o una mejora, y el acceso regular garantizado a la atención médica integral y a los medicamentos. La firma del formulario de consentimiento voluntario e informado no constituyó una expresión de autonomía, ya que información esencial como objetivos, riesgos y cuidados posteriores al estudio es prácticamente desconocida. Los participantes de la investigación tienden a no comprender los objetivos de la investigación, o sobreestiman los beneficios médicos directos de su participación, sin ser conscientes de los riesgos implicados y lo que significa una investigación. Los resultados deberían incitar al ejercicio y al diálogo más críticos entre los diferentes actores e instituciones involucrados en el área de la investigación con seres humanos, a fin de promover un entendimiento consciente y responsable, que impida que las personas sean colocadas en situación de desigualdad, vulnerabilidad y sufrimiento moral.


Subject(s)
Humans , Clinical Trial , Ethics, Research , Research Subjects , Social Inequity , Neoplasms
4.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 7(2): 215-238, abr./jun. 2018.
Article in Portuguese | LILACS (Americas) | ID: biblio-988354

ABSTRACT

Busca-se identificar os direitos fundamentais dos participantes da pesquisa que devem ser resguardados no curso dos experimentos. Pretende-se, ainda, tratar da autonomia e da vulnerabilidade, como pressupostos ínsitos à situação de pesquisa, esclarecendo a sua relevância para a maximização da tutela. Metodologia: A pesquisa tem natureza bibliográfica, em livros e artigos da área jurídica, em legislações ordinárias e resoluções relacionadas, bem como em artigos publicados em periódicos da área de Saúde. Resultados: A realização de pesquisas científicas com pessoas deve ter como pressuposto primordial a observância adequada e eficaz dos seus direitos fundamentais inerentes, considerando que, nesta relação, não se deve afastar o exercício da autonomia, revelada pela obtenção do consentimento, e a condição de vulnerabilidade. Conclusão: A preservação dos direitos fundamentais dos participantes da pesquisa deve pugnar pela captação da exteriorização de uma vontade verdadeiramente esclarecida, considerando, inclusive condições de vulnerabilidade que se concretizam a partir de circunstâncias distintas e de aspectos sociais e econômicos diferentes. Tal garantia depende da coleta de um consentimento adequado e eficaz por parte do pesquisador responsável, resguardando de forma mais ampla a dignidade e os direitos daqueles sujeitos que participam da pesquisa. (AU)


Objective: It seeks to identify the fundamental rights of research participants that should be protected in the course of experiments. It is also intended to address autonomy and vulnerability, as inherent assumptions to the research situation, clarifying its relevance for the maximization of guardianship. Methodology: The research has a bibliographic nature, in books and articles of the legal area, in ordinary legislations and related resolutions, as well as in articles published in periodicals in the area of Health. Results: Scientific research with people must have as a primary presupposition adequate and effective observance of their inherent fundamental rights, considering that in this relationship, the exercise of autonomy, revealed by obtaining consent, and the condition of vulnerability should not be ruled out. Conclusion: The preservation of the fundamental rights of the research participants should strive to capture the externalization of a truly enlightened will, considering, including conditions of vulnerability that are materialized from different circumstances and from different social and economic aspects. Such a guarantee depends on the collection of an adequate and effective consent from the researcher in charge, protecting more broadly the dignity and the rights of those subjects who participate in the research. (AU)


Objetivo: Se busca identificar los derechos fundamentales de los participantes de la investigación que deben ser resguardados en el curso de los experimentos. Se pretende, además, tratar de la autonomía y de la vulnerabilidad, como presupuestos íntimos a la situación de investigación, aclarando su relevancia para la maximización de la tutela. Metodología: La investigación tiene naturaleza bibliográfica, en libros y artículos del área jurídica, en legislaciones ordinarias y resoluciones relacionadas, así como en artículos publicados en periódicos del área de Salud. Resultados: La realización de investigaciones científicas con personas debe tener como presupuesto primordial la observancia adecuada y eficaz de sus derechos fundamentales inherentes, considerando que, en esta relación, no se debe apartar el ejercicio de la autonomía, revelada por la obtención del consentimiento, y la condición de vulnerabilidad. Conclusión: La preservación de los derechos fundamentales de los participantes de la investigación debe pugnar por la captación de la exteriorización de una voluntad verdaderamente esclarecida, considerando, incluso condiciones de vulnerabilidad que se concretan a partir de circunstancias distintas y de aspectos sociales y económicos diferentes. Esta garantía depende de la recolección de un consentimiento adecuado y eficaz por parte del investigador responsable, resguardando de forma más amplia la dignidad y los derechos de aquellos sujetos que participan en la investigación. (AU)


Subject(s)
Ethics, Research , Research Subjects , Human Experimentation/ethics
5.
Psicol. ciênc. prof ; 38(2): 391-402, abr.-jun. 2018.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-955643

ABSTRACT

Resumo O presente artigo tem por objetivo fazer uma reflexão sobre o modelo de sujeito Ocidental que foi construído a partir da modernidade e discutir como se dá a interação, ou a ausência dela, entre o paradigma do sujeito lógico e do sujeito ontológico na pesquisa em Psicologia da Saúde. Tal caminho será feito por meio de algumas correntes de pensamento que influenciaram a forma como o indivíduo moderno concebera o mundo, são elas: o racionalismo cartesiano, os movimentos do século XVI como uma decisão pela categoria de sujeito, o criticismo kantiano e a invenção do conceito de "homem", por meio da antropologia, e, por fim, o giro feito pela Fenomenologia husserliana tanto na síntese ativa, como na síntese passiva, que acabaram por propor o corpo próprio como um conceito que permite pensar a relação entre o sujeito e o mundo. Este artigo utiliza-se do método fenomenológico e da pesquisa bibliográfica como metodologia de trabalho....(AU)


Abstract This article aims to reflect on the modernity-built western model of subject and discuss how the interaction, or lack thereof, occurs between the logical and the ontological subject paradigm in Health Psychology research. This will be done through some thought currents that influenced how modern individuals conceive the world, namely: the Cartesian rationalism, the sixteenth century movements as a decision for the category of subject, the Kantian criticism and the invention of the concept of "man" by anthropology. Finally, we will address Husserl's phenomenology approach to active synthesis as well to passive synthesis, which ultimately proposes one's own body as a concept that allows us to consider the relationship between the subject and the world. This article makes use of the phenomenological method and literature as its working methodology....(AU)


Resumen El presente artículo tiene por objetivo hacer una reflexión sobre el modelo de sujeto occidental que fue construido a partir de la modernidad y discutir cómo se da la interacción o la ausencia de ella entre el paradigma del sujeto lógico y del sujeto ontológico en la investigación en Psicología de la Psicología de la Salud. Este camino se hará por medio de algunas corrientes de pensamiento que influenciaron la forma en que el individuo moderno concibió el mundo, son ellas: el racionalismo cartesiano, los movimientos del siglo XVI como una decisión por la categoría de sujeto, el criticismo kantiano y la invención del concepto de "hombre", por medio de la antropología, y, por fin, el giro hecho por la Fenomenología Husserliana tanto en la síntesis activa, como en la síntesis pasiva, que acabaron por proponer el cuerpo propio como un concepto que permite pensar la relación entre el sujeto y el mundo. Este artículo se utiliza del método fenomenológico y de la investigación bibliográfica como metodología de trabajo....(AU)


Subject(s)
Research Subjects , Anthropology , Psychology
6.
Ágora (Rio J. Online) ; 21(1): 105-115, jan.-abr. 2018.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-904818

ABSTRACT

Examino, por meio de uma leitura fundada no conceito de Nachträglichkeit, o movimento do pensamento de Lacan a partir de seus escritos antecedentes até o momento em que formaliza a função do sujeito, com o objetivo de identificar os fios discursivos que impelem Lacan em direção a esse conceito. Tal movimento retrospectivo permite verificar o quanto dois dos principais predicados do sujeito - o fato de ele ser causado no campo do Outro e de manter um índice de indeterminação impossível de ser objetivado - estão presentes nos questionamentos de Lacan pelo menos desde sua tese de doutorado.


I follow Lacan's thoughts from his antecedent essays to the moment that he formalizes the function of the subject, reading those texts with the help of the concept of Nachträglichkeit, with the objective of unraveling the discursive threads that propel Lacan in the direction of the concept of subject. This retrospective movement shows that two of the most important predicates of the subject - the fact that the subject is caused in the field of the Other, and yet the subject maintains a indetermination that is impossible to be objectified - are present at least since Lacan's doctorate thesis.


Subject(s)
Personality , Psychoanalysis , Research Subjects
7.
Article in English | WPRIM (Western Pacific) | ID: wprim-740396

ABSTRACT

PURPOSE: Oral carcinoma cuniculatum is a rare well-differentiated variant of oral squamous cell carcinoma. The purpose was to systematically review its unique features to differentiate it from other variants as verrucous carcinoma, papillary squamous cell carcinoma and well-differentiated squamous cell carcinoma. MATERIALS AND METHODS: A systematic review was performed using MEDLINE, Dentistry and Oral Sciences Source and PubMed databases and any existing articles related to the research subject missed in the search strategy to screen ones reporting cases occurring exclusively in the oral cavity in English literature. Variables analyzed included clinical, etiologic, imaging, histopatholgical features, treatment, follow-up and survival rates. RESULTS: From 229 hits, 17 articles with 43 cases were included in the systematic review. Clinically it showed a female predilection with pain and/or ulceration of a relatively long duration and exudation being the most common symptoms. Histologically, it showed more endophytic features comprising well-differentiated squamous epithelium with absent or minimal cytological atypia and multiple keratin filled crypts or cuniculus. Inflammatory stromal reaction and discharging abscesses were reported in most of the cases. Bone destruction was predominant in most imaging features. Complete surgical resection with a safety margin was the treatment of choice in most of the cases with few recorded recurrence cases. CONCLUSION: Apprehensive knowledge of oral carcinoma cuniculatum unique features is essential to avoid its misdiagnosis and provide proper treatment especially for recurrent cases.


Subject(s)
Abscess , Carcinoma, Squamous Cell , Carcinoma, Verrucous , Cuniculidae , Dentistry , Diagnostic Errors , Epithelial Cells , Epithelium , Female , Follow-Up Studies , Humans , Mouth , Recurrence , Research Subjects , Survival Rate , Ulcer
8.
Article in English | WPRIM (Western Pacific) | ID: wprim-718797

ABSTRACT

PURPOSE: Patient education is a dynamic and continuous process that should be implemented during the entire time of hospital stay and even afterward. Studies have shown the typically poor quality of patient education in Iran and its failure to convey the required knowledge and skills to patients. The purpose of this study was to survey the experience of nursing students in regard to the challenges of patient education in hospitals. METHODS: This qualitative study was conducted using the conventional qualitative content analysis approach on a sample of 21 undergraduate nursing students (4th semester and beyond), which was drawn from the Qom Nursing and Midwifery School through purposive sampling with maximum variation. Data were collected through semi-structured interviews conducted over a period of 45 to 75 minutes, and were analyzed using the conventional qualitative content analysis. RESULTS: Results were derived from the experiences of 21 nursing students (nine males, 12 females) about the research subject. The primary themes identified in the study were the student-related, patient-related, instructor-related, education environment-related, and curriculum-related barriers to patient educations. CONCLUSION: Participants believed that patient education in Iranian hospitals is faced with many challenges. Nursing instructors and curriculum planners should ensure more emphasis on patient education at the initial semesters of nursing education curriculum and make sure that it is included in the evaluation of students. Hospital officials should provide a dedicated education environment with suitable facilities, tools, and atmosphere for patient education. Also, special education programs need to be developed for less educated patients.


Subject(s)
Atmosphere , Curriculum , Education , Education, Nursing , Education, Special , Humans , Iran , Length of Stay , Male , Midwifery , Nursing , Patient Education as Topic , Qualitative Research , Research Subjects , Students, Nursing
9.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-716690

ABSTRACT

Allergic rhinitis is the most common chronic rhinitis in children and is the most common allergic disease in childhood and adolescence in Korea and most countries around the world. In this review article, we have summarized some of the research articles on allergic rhinitis that have been published in the Korean Academy of Pediatric Allergy and Respiratory Disease (KAPARD) Journals so far in order to celebrate and look back on the 30th anniversary of the KAPARD. Over the past 30 years, the members of the KAPARD have published many research papers on the epidemiology, causes, risk factors, and comorbid conditions of allergic rhinitis based on ‘one airway diseases’ and treatment and we hope that these studies will be helpful not only in confirming the research capacity of KAPARD but also in setting up research subjects and research topics related to allergic rhinitis in the future.


Subject(s)
Adolescent , Anniversaries and Special Events , Child , Epidemiology , Hope , Humans , Hypersensitivity , Korea , Research Subjects , Rhinitis , Rhinitis, Allergic , Risk Factors
10.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-715234

ABSTRACT

The Korean Society of Clinical Microbiology (KSCM) has supported participation in the European Society of Clinical Microbiology and Infectious Disease (ESCMID) Summer School for several years. The school is held every year in Europe for one week and in 2017 was held at the Borstel Research Center, located in Borstel, a small town near Hamburg, Germany. A total of 80 participants from 26 countries attended and included 42.5% (34) males, 57.5% (46) females, and most were residents. The summer school was held for 6 days except for moving time, and there were 29 lectures, 4 small group tutorials, and 80 student presentations. The lecture subject areas included overall topics of clinical microbiology and infectious diseases. Experts from all over Europe gave lectures explaining the basics as well as recent discoveries. Small group tutorials were mainly focused on tuberculosis. Student presentations included active discussions by the students regarding their research subjects or cases. There were also social events such as dinners, visiting museums, cruise ship excursions, and watching outdoor play. Based on personal experience, I recommend young KSCM members attend the ESCMID Summer School because communicating with people from various countries broadens horizons despite a long itinerary and a busy schedule.


Subject(s)
Appointments and Schedules , Communicable Diseases , Europe , Female , Germany , Humans , International Educational Exchange , Lecture , Male , Meals , Museums , Research Subjects , Ships , Tuberculosis
11.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-713470

ABSTRACT

PURPOSE: To analyze articles published in the Korean Journal of Women Health Nursing from 2013 to 2017 to determine the latest research trends and understand how 2013 Korea Women's Health Statistics were reflected in journal articles. METHODS: A total of 130 studies were analyzed. Research design, types of research, research framework, research subjects, characteristics of quantitative research, characteristics of qualitative research, and keywords were analyzed using a structured analysis format. RESULTS: Quantitative and qualitative research accounted for 83.8% and 13% of these 130 studies analyzed, respectively. Non-experimental and experimental research accounted for 70.7% and 13.1% of these studies, respectively. The most frequent study subjects were childbearing women (62.8%), including college students, mothers, and adults. A total of 69.1% of non-experimental research and 88.2% of experimental research used convenience sampling. Questionnaires were most frequently used for data collection. The most frequent keyword domain involved health-related concepts (41%) among nine domains and the most frequently used keyword was “women.” CONCLUSION: This study suggest that further experimental research should be conducted in the future. Also, adolescent and the elderly women should be focused on as subjects in future studies based on results of 2013 Korean Women's Health Statistics.


Subject(s)
Adolescent , Adult , Aged , Data Collection , Female , Humans , Korea , Mothers , Nursing , Qualitative Research , Research Design , Research Subjects , Women's Health
12.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740264

ABSTRACT

BACKGROUND: In this research, we conducted an analysis to grasp the relationship between hearing and quality of life and to prepare effective troubleshooting. METHODS: In this study, we analyzed using the data of the 6th term of the National Health and Nutrition Survey of the Disease Management Headquarters. And, out of 7,380 people, 3,598 adults over the age of 40 years who participated in the hearing test were selected as final research subjects and analyzed. RESULTS: It was confirmed that the result of the analysis affects the quality of life based on hearing. The quality of life associated with hearing loss was unpleasant, motor ability, anxiety/depression, and everyday life affected in order of self management. And factors having an effect on the quality of life of the study subjects were found to be gender, elderly, unmarried, low hearing, low household income, absence of economic activity, and low teaching standards. CONCLUSION: The conclusion is that strengthening education for realistic management and prevention rather than treatment for unconditional hearing impairment will overcome low self esteem and loneliness and alleviate any uncomfortable life that people with hearing loss give. It is expected to be possible.


Subject(s)
Adult , Aged , Disease Management , Education , Family Characteristics , Hand Strength , Hearing Loss , Hearing Tests , Hearing , Humans , Loneliness , Nutrition Surveys , Quality of Life , Research Subjects , Self Care , Self Concept , Single Person
13.
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-914560

ABSTRACT

Este artículo desarrolla varios fundamentos de la psicología junguiana desde las elaboraciones directas de su creador, el psicólogo suizo Carl Gustav Jung, perspectiva también llamada, por muchos psicólogos de esta teoría, psicología compleja. A la par aquí se exponen algunas ideas claves referentes al pensamiento complejo de Edgar Morin, cuyo sustento es derivado del paradigma de la complejidad. En este ejercicio se encuentran pautas que podrían brindar un sustento epistemológico a algunos conceptos junguianos proponiendo, a su vez, otra mirada a esta corriente psicológica. Así, tal como lo propuso Jung, se entiende que el reconocimiento de las profundidades inconscientes es tan necesario para el sujeto como el entendimiento de su consciente y la dinámica entre ambos.


This article develops several foundations of the Jungian psychology from the direct elaborations of its creator the Swiss psychologist Carl Gustav Jung, perspective also called, by many psychologists of this theory, like complex psychology. At the same time, some key ideas regarding Edgar Morin's complex thinking are presented, whose sustenance is derived from the complexity paradigm. In this exercise are found guidelines that could provide an epistemological support to some Jungian concepts, proposing, in turn, another look at this psychological current. Thus, as Jung proposed, it is understood that the recognition of the unconscious depths is as necessary for the subject as the understanding of his conscious and the dynamics between both. Recalling that, according to the complex thinking, it is in the concurrence, from where a more real approach towards the understanding of the systems is possible. It is understood then that the unconscious should not be explored exclusively in relation to that which afflicts the subject, as a repetition (circular), but also as to its creative facet ­unconscious that with the help of consciousness, it becomes recursive (spiral) and source of healing.


Subject(s)
Humans , Jungian Theory , Psychotherapy , Unconscious (Psychology) , Research Subjects/psychology
14.
Estud. Psicol. (Campinas, Online) ; 34(4): 454-466, out.-dez. 2017.
Article in English | LILACS (Americas) | ID: biblio-891876

ABSTRACT

Global problems are accelerating to the point where they are challenging civilization. The author reflects on how early mentors in Biological and Psychological science modeled a new paradigm for their inquiry that included subject-subject participation, qualitative methods, a wider range of accepted evidence and the ability to indwell in a state of "not knowing" and letting coherence emerge. Such an approach not only leads to new knowledge but also develops capacities and competencies in the researcher that are more adequate for understanding complex and seemingly intractable crises of global the 21st century. The author identifies three levels of crisis occurring simultaneously: conceptual, cultural and existential which undermine coherence at personal and societal levels. When societies destabilize doubt and uncertainty rise producing the possible responses of defensiveness, anarchy and transformation. To optimize the possibility of transformation a new kind of psychology is needed that is better adapted to current conditions. Persons of Tomorrow, a term coined by humanistic psychologist Carl Rogers during the upheavals of the 1960s, have the consciousness and capacities to address these crises in creative and transformative ways. The non-profit International Futures Forum has developed theory, pedagogy and social practices to facilitate transformative innovation. Case examples of its and others' transformative projects are described and linked to the urgent need to develop and to practice as Persons of Tomorrow.


Os problemas globais estão aumentando a tal ponto que ameaçam a civilização humana. A autora reflete sobre como seus mentores das áreas de Biologia e Psicologia desenvolveram um novo paradigma em suas pesquisas que se caracteriza por contemplar uma relação sujeito-sujeito entre o pesquisador e o participante da pesquisa, métodos qualitativos, uma gama mais ampla de evidências comprovadas e a habilidade para colocar-se numa posição de "não saber' de forma a permitir que a coerência sobre algo possa surgir naturalmente. Tal abordagem, não apenas leva a novos conhecimentos, como também desenvolve capacidades e competências no pesquisador que são mais adequadas para compreender as complexas e aparentemente insolúveis crises do século 21. A autora identifica três níveis de crises ocorrendo de maneira simultânea - conceitual, cultural e existencial - e que tendem a solapar a coerência nos níveis pessoal e social. Quando as sociedades se desestabilizam dúvidas e incertezas aparecem produzindo reações de defesa, anarquia e transformação. Para otimizar a possibilidade de transformação, faz-se necessário um novo tipo de Psicologia, mais adaptado às condições atuais. Pessoas do Amanhã, um termo cunhado pelo psicólogo humanista Carl R. Rogers durante os conflitos da década de sessenta do século XX, possuem a consciência e as capacidades para enfrentar estas crises de modo criativo e transformador. A Futures-Forum, uma organização sem fins lucrativos, desenvolve teorias, estratégias pedagógicas e práticas sociais visando facilitar inovações transformadoras Exemplos deste e de outros projetos transformadores são descritos e também associados a urgente necessidade do desenvolvimento de uma prática no estilo das Pessoas do Amanhã.


Subject(s)
Humans , Knowledge , Research Subjects
15.
Rev. bioét. (Impr.) ; 25(1): 19-29, jan.-abr. 2017.
Article in Portuguese | LILACS (Americas) | ID: biblio-843339

ABSTRACT

Resumo Esta revisão bibliográfica tem como objetivo discutir os conceitos de autonomia, consentimento e vulnerabilidade do participante de pesquisa clínica por meio de abordagem qualitativa. Discute-se ainda a relação da autonomia versus paternalismo; a vulnerabilidade e o double standard; e a prática do imperialismo moral em países periféricos. Ponderam-se os pontos mencionados sob o prisma da bioética latino-americana. Por fim, é apontada como nova perspectiva a reestruturação da legislação e dos comitês de ética em pesquisa.


Abstract The present study is a bibliographic review that aimed to discuss the concepts of autonomy, consent and vulnerability of clinical research participants by the qualitative approach. It also discussed autonomy versus paternalism, vulnerability and the double standard, and the practice of moral imperialism in peripheral countries. Reflections are offered on the points mentioned above in the light of Latin American Bioethics. Finally, the restructuring of legislation and of Research Ethics Committees represents a new perspective.


Resumen Este estudio de revisión bibliográfica tiene como objetivo discutir los conceptos de autonomía, consentimiento y vulnerabilidad del participante de investigación clínica, por medio de un enfoque cualitativo. Se discute también al respecto de la autonomía versus el paternalismo, la vulnerabilidad y el double standard, y la práctica del imperialismo moral en países periféricos. Se hace una reflexión sobre los puntos mencionados bajo el prisma de la bioética latinoamericana. Finalmente, se señalan como nuevas perspectivas la reestructuración de la legislación y de los comités de ética en investigación.


Subject(s)
Humans , Male , Female , Bioethics , Decision Making , Health Vulnerability , Human Experimentation , Informed Consent , Personal Autonomy , Scientific Research and Technological Development , Ethics Committees , Human Rights , Paternalism , Qualitative Research , Research Subjects
16.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-653119

ABSTRACT

This study was conducted to provide basic data on the relationship between the happiness and job satisfaction of dental hygienists. The research subjects were 264 dental hygienists in Busan and Gyeongsangnam-do. The study was conducted using structured questionnaires and the collected data were analyzed using IBM SPSS software, ver. 20.0. The happiness index, which was based on general characteristics, showed the greatest significant differences in life satisfaction (p<0.05) among adults over 36 years of job experience, negative emotions (p<0.01) among adults under 25 years of job experience, and negative emotions (p<0.05) among adults with 4~10 years of job experience. The factors that improved the job satisfaction of dental hygienists were life satisfaction, prime duty at the work place, and a positive effect. On the contrary, negative emotions lowered the job satisfaction. The happiness of the dental hygienist is an important factor not only for the improvement of the hygienist's personal quality of life, but also the patient's health. It is necessary for dental hygienists to maintain good relationships with coworkers during in the workplace, as well as employers, to have an administrative system that offers proper compensation, improvement of the work environment, and opportunities to improve professionalism at the workplace.


Subject(s)
Adult , Compensation and Redress , Dental Hygienists , Happiness , Humans , Job Satisfaction , Professionalism , Quality of Life , Research Subjects , Workplace
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-160687

ABSTRACT

The purpose of this study is to investigate domestic and international research trends in studies of medical students' characteristics by using the scoping review methods. This study adopted the scoping review to assess papers on the characteristics of medical students. The procedure of research was carried out according to the five steps of the scoping review. The full texts of 100 papers are obtained and are read closely, after which suitable 88 papers are extracted by us for this research. The review is mapped by the year of the study, source, location, author, research design, research subject, objective, and key results. The frequency is analyzed by using Microsoft Excel and SPSS. We found 70 papers (79.5%) on a single medical school, 15 (17.0%) on multiple medical schools, and three (3.4%) on mixed schools, including medical and nonmedical schools. Sixty-nine (79.5%) were cross-sectional studies and 18 (20.5%) were longitudinal studies. Eighty-two papers (93.2%) adopted questionnaire surveys. We summarized research trends of studies on medical students in Korea and overseas by topic, and mapped them into physical health, mental health, psychological characteristics, cognitive characteristics, social characteristics, and career. This study provides insights into the future directions of research for the characteristics of medical students.


Subject(s)
Cross-Sectional Studies , Humans , Korea , Longitudinal Studies , Mental Health , Research Design , Research Subjects , Schools, Medical , Sociological Factors , Students, Medical
18.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-187081

ABSTRACT

PURPOSE: This study examined the dietary behavior and the effects of nutrition education according to the stages of behavioral changes in sodium reduction of healthy male adults (20~69 years) in Gwangju·Chonnam Regions. METHODS: The research subjects were 200 male adults. RESULTS: A significantly higher mean age was observed in the stage of Action·Maintenance (A·M) than in the stage of Precontemplation (PC) and stage of Contemplation·Preparation (C·P). Significant differences in the frequency of exercise, eating out, and preference for salty food, intake frequency of Udon, Ramen and Sundae according to the stages of behavior change in sodium reduction were observed. The dietary behavior scores and intake frequency-related dietary behavior scores of A·M were significantly higher than PC and C·P. Nutrition education for sodium reduction improved the dietary behavior score significantly in PC and C·P, as well as the rate of correct answers of sodium-related nutrition knowledge in all stages. After the nutrition education, PC decreased greatly, and A·M increased. CONCLUSION: Subjects in PC and C·P had an undesirable propensity in dietary behavior, and nutrition knowledge compared to A·M, but the nutrition education for sodium reduction greatly improved their dietary behavior and nutrition knowledge.


Subject(s)
Adult , Eating , Education , Humans , Male , Research Subjects , Sodium
19.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-164199

ABSTRACT

PURPOSE: The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. METHODS: The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. RESULTS: After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001. CONCLUSION: The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.


Subject(s)
Depression , Humans , Motion Pictures , Motivation , Nursing , Patient Education as Topic , Program Development , Rehabilitation , Research Subjects , Stroke
20.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-139277

ABSTRACT

PURPOSE: The purpose of this study was to identify factors affecting the parenting stress, coping and the quality of life for the mother of children suffering from epilepsy. METHODS: Research subjects were 176 mothers of a child between 0 to 12 years old, who visited pediatric neurology department at a general hospital in Seoul. The data were collected between October 1, 2015 and October 20, 2015. The questionnaire was composed of a total of 75 questions: 36 questions on parenting stress, 13 questions on coping ability, and 26 questions on quality of life. The collected data were analyzed by Cronbach's α, percentage, mean, frequency, standard deviation, ANOVA, Pearson's correlations, t-test, Scheffe post hoc test, and Hierarchical regression analysis using SPSS WIN 22.0 program. RESULTS: 1) The mean scores of the parenting stress, coping ability and quality of life were 2.47±0.68, 3.83±1.29, 3.23±0.60. 2) The subjects showed significant differences in parenting stress depending on their occupation, monthly income, age of the child, the child's age at the time of epilepsy diagnosis, frequency of the child's seizure, the child's developmental delay, and the child's exposure to other disease and brain damage among general characteristics of the subjects. 3) Correlation analysis resulted in negative correlation between the parenting stress and quality of life, and positive correlation between coping ability and quality of life. 4) Regression analysis found that parenting stress and coping are the factors affecting quality of life. Finally, the model containing both parenting stress and coping explained 52.41% of variation in quality of life, and parenting stress had the highest influence. CONCLUSION: nursing intervention and educational program should be developed to improve the quality of life in the mother of children with epilepsy. Furthermore, governmental support is required to help with reducing parenting stress to better the quality of life for the mother.


Subject(s)
Adaptation, Psychological , Brain , Child , Diagnosis , Epilepsy , Hospitals, General , Humans , Mothers , Neurology , Nursing , Occupations , Parenting , Parents , Quality of Life , Research Subjects , Seizures , Seoul
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