A cross-disciplinary approach to learning medical physiology and behavioral skills involving drama students performing as simulated patients.

The early years of physiology education in medical curricula provide unique challenges. As well as inculcating concepts that are seen as difficult, modern curricula require that students learn in context in case-based learning courses. Additionally, regulating bodies stress that the soft skills of compassion, communication, and empathy are embedded throughout curricula. This has driven work in our organization involving drama and final-year medicine students during which they collaborate in realistic simulations of doctor/patient interactions. We adapted this transdisciplinary approach to second-year physiology tutorials. This emphasized the holistic importance of physiology to patient care, while also embedding "human factors" skills from the very earliest stages of the curriculum. After preparing by attending acting classes based on aspects of Konstantin Stanislavski's "System," the authors supervised tutorials in which drama students participated in a "physiology of hypofertility" session for second-year medical students, playing a 34-year-old woman with premature menopause (or their partner). Opinion (from all students) was evaluated by Likert questionnaires (which included open questions). A focus group of drama students was also interviewed, and the conversation was recorded for thematic analysis. Positive Likert scores were recorded for the authenticity of the tutorials, skills development, fostering empathy, and motivating students to improve. All participants evaluated the tutorial as highly enjoyable. These scores are reflected in positive open commentary on the questionnaires and in the focus group interviews. The results suggest that even basic science tutorials give opportunities for interdisciplinary study and enhancement of behavioral skills while gaining enthusiastic student acceptance.NEW & NOTEWORTHY This work details how physiology tutorials for early years medical students are transformed by taking the clinical case off the two-dimensional page and instead having the case scenario acted by drama students. This adds context and authenticity. The benefits are twofold: emphasizing the importance of physiology to the budding clinician and embedding empathy and compassion from the earliest points in a clinician's career.

A poetic inquiry: the role of the social sciences and humanities in revitalising AIDS.

For the past four decades, biomedical science has transformed clinical outcomes for HIV and AIDS. However, the social, economic and gendered determinants of HIV remain largely intact. The social science and humanities offer concepts and methods for articulating why these remain intractable. I used poetic inquiry - an arts-based, qualitative approach - as I reviewed literature on the "end of AIDS, and post-AIDS". As I did so, I considered what contribution the social sciences and humanities could make in moving us closer to these ideals. Several themes and found poems emerged in this reading: (1) how language oversimplifies complex social realities; (2) the voices of people living with HIV and AIDS must be included; (3) HIV and AIDS intersects with social inequalities; (4) social and structural issues are no barrier to HIV prevention and (5) the need for radical interdisciplinarity. The paper concludes that the end of AIDS requires responses that are integrated, holistic and that radically challenge our silo'd disciplinary boundaries and frames. The social sciences and humanities are key to this charge.

[Transdisciplinary treatment of functional movement disorders: integration instead of dissociation]. / Die transdisziplinäre Behandlung funktioneller Bewegungsstörungen: Integration statt Dissoziation.

Successful treatment of patients with functional motor disorders is integrative in several ways: the primary treatment goal is the (re)integration of sensorimotor, cognitive and social functioning. The prerequisites for this are an integrated biopsychosocial model of everyone involved as well as close transdisciplinary cooperation. Instead of a simple addition of treatment components, all care providers and patients act in concert.

Child oral health: A plea for interdisciplinarity / La santé orale de l'enfant : un plaidoyer pour l'interdisciplinarité

A child's oral health has major implications both for their general health and for their quality of life. Even before birth, the mother's oral health can affect the development of the baby and pregnancy outcomes. From the very first months of life, feeding habits together with non-nutritive sucking ones, early transmission of pathogenic bacteria, and oral hygiene practices prefigure the child's future health. The aim of this article is to provide a comprehensive overview of our current knowledge regarding the main oral health issues affecting children, namely dental caries, erosive tooth wear, developmental defects of enamel, maxillofacial growth anomalies, and traumatic dental injuries. Additionally, it aims to examine the oral health prevention and promotion programs that have been implemented in France over several decades. These prevention and promotion initiatives are not only part of a national program but are also being organized at a territorial level, although, unfortunately, they often remain limited to regional, departmental, or municipal scopes. It is essential for all those involved with children, whether they are health care professionals or not, to collaborate effectively to enhance both oral health and overall well-being. This requires fostering an interdisciplinary approach that involves various contributors working together in a complementary way.

La santé orale de l'enfant est d'un enjeu majeur, tant pour sa santé en général que pour sa qualité de vie. Avant même sa naissance, la santé orale de la mère impacte le développement du bébé et l'issue de la grossesse. Dès les tout premiers mois de vie, le mode d'alimentation, les habitudes de succion non nutritives, la transmission précoce de bactéries pathogènes et les pratiques d'hygiène orale préfigurent la future santé de l'enfant. L'objectif de cet article est de faire une synthèse des connaissances sur les principales affections bucco-dentaires chez l'enfant que sont la maladie carieuse, l'usure érosive, les défauts de minéralisation, les anomalies de croissance maxillo-faciale et les traumatismes dentaires et de s'interroger sur les programmes de prévention et de promotion de la santé en santé orale en France depuis plusieurs décennies. Des initiatives de prévention et de promotion de la santé orale s'organisent (en complément du programme national), dans une déclinaison territoriale, encore trop souvent seulement régionale, départementale ou municipale. Ainsi, ce sont tous les acteurs autour de l'enfant, professionnels de la santé ou non, qui doivent s'engager, ensemble, pour améliorer sa santé orale et sa santé en général et c'est tout une culture interdisciplinaire qui doit se développer autour d'une pluralité d'acteurs qui pourraient agir et collaborer, en toute complémentarité.

A Rapid Review of Sociocultural Dimensions in Nigeria's Solid Waste Management Approach.

Against the background of an arguable dearth of scholarship on the sociocultural dimensions of Nigeria's solid waste management strategies and practices, this rapid review searched for evidence in the literature. A rapid evidence review and qualitative meta-summary procedure were implemented to utilize the rigor of systematic literature review that met the timelines and limited funding available for this study. It is more appropriate to identify, extract, and synthesize a mixture of qualitative and/or quantitative empirical evidence in the literature. This rapid review found little substantive evidence of scholarly sociocultural approaches in Nigeria's solid waste management. It also discovered constant factors of inadequate and weak multidisciplinary or non-holistic approaches to driving innovation and effective social impact in Nigeria's solid waste management practices. The results were interpreted vis-à-vis the need to leverage the social sciences, particularly the range and scope of social work practice configurations and possibilities, to scientifically advance and substantially accelerate the implementation of evidence-based policy and practice in Nigeria's solid waste management system. This rapid review concluded that the negative results are due to the insufficient conceptual and theoretical bases for Nigeria's solid waste management strategies and/or practices.

Circular Health: exploiting the SDG roadmap to fight AMR.

Circular Health is a novel approach to address complex health issues that is based on the expansion of the One Health Paradigm. Circular health recognizes the need for a multidisciplinary convergence effort to complement the biomedical dimension of health. Antimicrobial resistance (AMR) is one of the greatest global concerns for public health that is likely on the rise, given the extensive use of antibiotics during the early Covid-19 years. Prior to the Covid-19 pandemic, an expert group chaired by Jim O'Neill published "The Review on Antimicrobial Resistance", which contains a final report and recommendations on how to tackle AMR. The report, for the first time, considers AMR from a multi-perspective viewpoint highlighting how it cannot be successfully addressed unless there is a converging approach encompassing many dimensions of the problem. In this perspective, we propose to include the recommendations from that seminal report and other more recent reviews which include the lessons learnt from the Covid-19 pandemic, into the operational framework of the sustainable development goals (SDGs). AMR represents a perfect case study to explore how the SDG roadmap has the potential of becoming the driving force and implementation tool to address complex health issues by pursuing the optimization of resources and actions via a convergent and multi-stakeholder approach. The implementation of health-related policies through the whole spectrum of the SDGs could be both a novel and a well-established framework to inform multi-dimensional policies for more sustainable health in the future.

[One Health: a perspective of the informal ministerial network : "What if the One Health approach became the guiding theme of cooperation at the national, European and global level?"] / One Health: Eine Sichtweise des informellen ministeriellen Netzwerkes : "Was wäre, wenn der One-Health-Ansatz zum Leitmotiv von Kooperation auf nationaler, europäischer und globaler Ebene würde?".

In the view of the German government, the One Health approach is a pioneering compass for inter- and transdisciplinary thinking, networking, and action. To protect the health of humans, animals, plants, and ecosystems, it should always receive attention at all its interfaces and activities. The One Health approach has gained political importance in recent years and is being taken into account in several strategies.This article reports on the current strategies using a One Health approach. These include the German Antibiotic Resistance Strategy, the German Strategy for Adaptation to Climate Change, the global initiative Nature for Health, and the international pandemic agreement, which is currently being drafted and in which prevention also plays an important role. The issues of biodiversity loss and climate protection must be placed in a common context that takes into account the interdependencies of the health status of humans, animals, plants, and ecosystems. By involving relevant disciplines at different levels as a matter of course, we can succeed in making a joint contribution to sustainable development, as required by the United Nations' Agenda 2030. This perspective guides Germany's global engagement in global health policy toward greater stability, freedom, diversity, solidarity, and respect for human rights. Thus, a holistic approach such as One Health can contribute to achieving sustainability and strengthening democratic principles.

Neutron activation analysis in Mediterranean Archaeology: current applications and future perspectives.

This paper, jointly written by participants of a workshop held in 2021, argues for an increased recognition and application of neutron activation analysis (NAA) in the archaeology of the ancient Mediterranean. Discussing the methodological strengths and challenges, it highlights the great potential NAA has for collecting proxy data from ceramics in order to develop progressive concepts of archaeological research within and beyond the Mediterranean Bronze and Iron Age, pointing out opportunities to revisit long-held assumptions of scholarship and to refine visual/macroscopic provenance determinations of pottery. To take full advantage of NAA's strengths toward a better understanding of the socioeconomic background of ceramics production, distribution, and consumption, the paper emphasises the need for both interdisciplinary collaboration and basic data publication requirements. Supplementary Information: The online version contains supplementary material available at 10.1007/s12520-023-01728-1.

Multimodal protocol for the treatment of chronic headache. Case report / Protocolo multimodal para tratamento da cefaleia crônica. Relato de caso

ABSTRACT BACKGROUND AND OBJECTIVES: Chronic headache can be defined as a primary disorder that falls into four categories: migraine, tension-type headache, autonomic headache, and trigeminal headache. In rare cases, headaches can develop acute damage to both the micro-vessels and the white matter, which can shape foci of gliosis. In this case, the patient was diagnosed with chronic headache and had severe physical disability. Many treatments have been performed without achieving satisfactory control of the clinical condition. The objective of this study was to demonstrate the resolution potential of an interprofessional therapeutic proposal based on an interdisciplinary approach, which united Physical Therapy, Psychology, Physical Education, and Nutrition in the treatment of chronic headache. CASE REPORT: Female caucasian patient, with chronic headache for 14 years, with early progressive gliosis and rare T2 lesions with hypersignal in the supratentorial white matter. The protocol, planned in an articulated manner between the professionals, included dry needling and laser on the frontal, temporal, and masseter muscles during the physical therapy sessions, psychological care with relaxation techniques, guided imagery, meditation, and biofeedback, nutritional counseling based on the anamnesis with a 24-hour recall that guided the correct distribution of macro and micronutrients, as well as a resistance training for 12 weeks (three times a week) of resistance and aerobic exercises, and a 12-week follow-up after the intervention. CONCLUSION: The program of the proposed protocol proved to be safe and effective in the treatment of chronic headache, with results that were maintained after the intervention.

RESUMO JUSTIFICATIVA E OBJETIVOS: A cefaleia crônica pode ser definida como um distúrbio primário, que se enquadra em quatro categorias: enxaqueca, cefaleia do tipo tensional, cefaleia autonômica e cefaleia trigeminal. Em casos raros, as cefaleias podem desenvolver lesões agudas nos microvasos e na substância branca, que podem formar focos de gliose. No caso aqui relatado, a paciente foi diagnosticada com cefaleia crônica e apresentava incapacidade física grave. Muitos foram os tratamentos realizados sem se obter um controle satisfatório da sua condição clínica. O objetivo deste estudo foi demonstrar o potencial resolutivo de uma proposta terapêutica interprofissional fundamentada em uma abordagem interdisciplinar, que uniu Fisioterapia, Psicologia, Educação Física e Nutrição no tratamento da cefaleia crônica. RELATO DO CASO: Paciente do sexo feminino, caucasiana, com cefaleia crônica há 14 anos, com gliose progressiva precoce e que apresentou lesões raras com hipersinal em T2 na substância branca supratentorial. O protocolo, planejado de maneira articulada entre os profissionais, incluiu agulhamento a seco e 'laser' nos músculos frontal, temporal e masseter durante atendimentos com a fisioterapia, atendimento psicológico com técnicas de relaxamento, imagens guiadas, meditação e biofeedback, uma orientação nutricional que partiu da anamnese com recordatório de 24 horas, que orientou sobre a correta distribuição de macro e micronutrientes, além de um treinamento resistido por 12 semanas (três vezes por semana), com exercícios resistidos e aeróbicos e um acompanhamento de 12 semanas após a intervenção. CONCLUSÃO: A aplicação do protocolo proposto mostrou-se segura e eficaz no tratamento da cefaleia crônica e com resultados que se mantiveram após a intervenção.

[A partnership between midwives and RPNs for the benefit of perinatal mental health]. / Un partenariat entre sage-femme et IPA au bénéfice de la santé mentale périnatale.

Advanced practice nurses in psychiatry and mental health have the opportunity to become involved in perinatal health networks. By building a new form of partnership with maternal and child protection midwives, they can provide second-line skills for the mental health of vulnerable patients and participate in the quality and safety of care.

Understanding interdisciplinary perspectives of plant intelligence: Is it a matter of science, language, or subjectivity?

BACKGROUND: Evidence suggests that plants can behave intelligently by exhibiting the ability to learn, make associations between environmental cues, engage in complex decisions about resource acquisition, memorize, and adapt in flexible ways. However, plant intelligence is a disputed concept in the scientific community. Reasons for lack of consensus can be traced back to the history of Western philosophy, interpretation of terminology, and due to plants lacking neurons and a central nervous system. Plant intelligence thus constitutes a novel paradigm in the plant sciences. Therefore, the perspectives of scientists in plant-related disciplines need to be investigated in order to gain insight into the current state and future development of this concept. METHODS: This study analyzed opinions of plant intelligence held by scientists from different plant-related disciplines, including ethnobiology and other biological sciences, through an online questionnaire. RESULTS: Our findings show that respondents' personal belief systems and the frequency of taking into account other types of knowledge, such as traditional knowledge, in their own field(s) of study, were associated with their opinions of plant intelligence. Meanwhile, respondents' professional expertise, background (discipline), or familiarity with evidence provided on plant intelligence did not affect their opinions. CONCLUSIONS: This study emphasizes the influential role of scientists' own subjective beliefs. In response, two approaches could facilitate transdisciplinary understanding among scientists: (1) effective communication designed to foster change in agreement based on presented information; and (2) holding space for an interdisciplinary dialogue where scientists can express their own subjectivities and open new opportunities for collaboration.

The transnational move of interdisciplinarity: Ginseng and the beginning of neuroscience in South Korea, 1970-1990s.

Neuroscience did not suddenly become a global endeavor. This article examines the way neuroscience took shape in South Korea focusing on Chan-Woong Park, who launched the Korean Society for Neuroscience in 1992. Park was a pharmacologist who studied ginseng and the brain from the 1970s. By revealing the way Park noted both opportunity and difficulty in the interdisciplinarity of neuroscience, this article reveals the context in which interdisciplinarity shaped studies of the brain in South Korea. To date, historians have followed the flow of knowledge, embedded in materials or instruments, to understand the transnational development of science and technology. This article focuses on the flow of value-interdisciplinarity, per se-which mediated uncertainties in studying the brain and galvanized ignorance in the name of neuroscience. By revealing the materiality and locality of interdisciplinarity and its role in facilitating ignorance, the article sheds new light on the transnational development of neuroscience.

Towards a more active dialogue between hydrologists and ecophysiologists for interdisciplinary studies in forest ecosystems.

Understanding the internal functioning of natural systems often requires interdisciplinary approaches and competences that allow encompassing and disentangling different and strictly intertwined physical and biological processes. Hydrology and ecophysiology are examples of complementary and highly interconnected disciplines that share water as a common analysis element when investigating the functioning of vegetated ecosystems. In this discussion paper, we call for more frequent and active dialogue and collaboration between (field) hydrologists and ecophysiologists to study natural processes at the boundary between the two disciplines. We report some examples of the specific approaches of hydrologists and ecophysiologists to analyse water movement in the soil-vegetation-atmosphere continuum at increasing spatial scales, highlighting how the same mechanisms can be seen from different, but largely complementary, points of view. We argue that these different perspectives can and should be merged in order to overcome possibly fragmented vision of complex processes and provide a more holistic comprehension of ecohydrological mechanisms in forest ecosystems.

Pesquisa-ação enquanto estratégia para implantar grupo de gestantes: uma análise sobre a percepção das participantes / Action research as a strategy to implementing a group of pregnantwomen: an analysis according to the participants' standpoint / Investigación-acción entre estrategia para implantar grupo de gestantes: un análisis sobre la percepción de las participantes

Objetivo: Verificar a percepção das mulheres relativa ao emprego da metodologia de pesquisa-ação no desenvolvimento de um grupo de gestantes. Método: Pesquisa de abordagem qualitativa e tem como cenário a clínica integrada de saúde da Universidade Potiguar, na cidade de Mossoró-RN. Participaram do estudo cinco gestantes que realizaram o pré-natal nesta unidade. Para a coleta de dados foi utilizada a metodologia da entrevista semiestruturada e a análise realizada através do Discurso do Sujeito Coletivo. Resultados: Evidenciou-se que o grupo auxiliou as gestantes na quebra de tabus e fortalecimento do vínculo materno infantil, oferecendo maior tranquilidade nessa fase importante da vida familiar, permitindo a ela expressar os seus medos, anseios e expectativas, além de proporcionar troca de experiências. Conclusão: Considera-se que o grupo é um espaço de aprendizagem para as gestantes e profissionais de saúde e que trazem melhorias consubstanciais no desenvolvimento da gravidez

Objective:The study's main purpose has been to verify women's viewpoint vis-à-vis the use of action research methodology towards the development of a group of pregnant women. Methods: It is a descriptive study with a qualitative approach, which was performed at the Integrated Health Clinic from the Universidade Potiguar (UnP), Campus in Mossoró city, Rio Grande do Norte State, Brazil. This research counted with participation of five pregnant women who underwent prenatal care in aforesaid unit. Data collection took place through semi-structured interviews, and their analysis performed via the Collective Subject Discourse. Results: It was evidenced that the group supported pregnant women in breaking taboos and strengthening the mother-child bonding, therefore, offering peacefulness in such important phase of their lives. This allowed the mother to express her fears, longings and expectations, as well as to experience a life sharing moment. Conclusion: It was found that the group is a learning space for pregnant women and health professionals, bringing robust improvements towards the development of pregnancy

Objetivo: Verificar la percepción de las mujeres relativa del empleo de la metodología investigación-acción en el desarrollo de un grupo de gestantes. Método: Investigación de abordaje cualitativo y tiene como escenario la clínica integrada de salud de la Universidad Potiguar, en la ciudad de Mossoró-RN. Participaron del estudio cinco gestantes que realizaron el prenatal en esta unidad. Para la recolección de datos se utilizó la metodología de la entrevista semiestructurada y el análisis realizado a través del Discurso del Sujeto Colectivo. Resultados: Se evidenció que el grupo ayudó a las gestantes en la quiebra de tabúes y fortalecimiento del vínculo materno infantil, ofreciendo mayor tranquilidad en esta fase importante de la vida familiar, permitiendo a ella expresar sus miedos, anhelos y expectativas, además de proporcionar intercambio de experiencias. Conclusión: Se considera que el grupo es un espacio de aprendizaje para las gestantes y profesionales de la salud y que traen mejoras consustanciales en el desarrollo del embarazo

Bioética e sociedade: transtorno factício autoimposto e imposto a outro / Bioethics and society: factitious disorder imposed on oneself and imposed on another / Bioética y sociedad: trastorno facticio impuesto a uno mismo e impuesto a otro

Resumo: Objetiva-se compreender a síndrome de Münchhausen a partir da descrição das suas causas, dos critérios de identificação, dos sinais clínicos, do diagnóstico e do tratamento, bem como das assistências realizadas pela Enfermagem e pela equipe interdisciplinar com interface da Bioética. Trata-se de uma revisão narrativa de literatura de caráter exploratório reflexivo, com abordagem qualitativa. Realizaram-se buscas de estudos em periódicos publicados entre 2009 e 2019; a amostra final constituiu-se por 30 artigos, além de livros, manuais e normativas. Os resultados apresentados evidenciam o conhecimento da quinta edição do Manual Diagnóstico e Estatístico de Transtornos Mentais, no qual a expressão "síndrome de Münchhausen imposto a si próprio" foi substituída por "transtorno factício autoimposto", e a "síndrome de Münchhausen por procuração" foi alterada para "transtorno factício imposto a outro", quanto à bioética. Indivíduos com o distúrbio factício tendem a buscar tratamento para si mesmo ou para outro. O comportamento desses pacientes aumenta a probabilidade de terem realmente uma doença física e até mesmo ir a óbito, causado pelo excesso de uso de medicações e pelos diversos procedimentos invasivos. Portanto, conclui-se que identificar o quadro clínico pode ser uma das primeiras iniciativas para a detecção e a prevenção. O tratamento deve se concentrar no manejo, com a possibilidade do uso da psicoterapia e de antidepressivos, antipsicóticos e ansiolíticos. A equipe de enfermagem e a multiprofissional devem estar atentas a sinais e sintomas para uma intervenção precisa e precoce, pois desempenham importante papel na identificação adequada do diagnóstico.

Summary: The objective is to understand Münchhausen syndrome, with the description of its causes, identification criteria, clinical signs, diagnosis and treatment, as well as the assistance provided in nursing and the interdisciplinary team regarding bioethics. This paper is a narrative review of literature with a reflective exploratory nature, and a qualitative approach. We searched for studies in journals published between 2009 and 2019, and a final sample consisting of 30 articles, in addition to books, manuals and regulations. The results presented corroborate the claims in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, in which the term "Münchhausen syndrome imposed on self" was replaced by "factitious disorder imposed on self", and the "Münchhausen syndrome by proxy" was changed to "factitious disorder imposed on another", in Bioethics. People with factitious disorder tend to seek treatment for themselves or for others. The behavior of these patients increases the likelihood of physical illness and even death, caused by overuse of medications and as a result of various invasive procedures. Therefore, it is concluded that identifying the clinical picture may be one of the first initiatives for detection and prevention. Treatment should focus on management, being able to use psychotherapy, antidepressants, antipsychotics, and anxiolytics. The nursing team and the multidisciplinary team must be alert to the signs and symptoms for accurate and early intervention since they play an important role in the proper identification of the diagnosis.

Resumen: El objetivo es comprender el síndrome de Münchhausen, con la descripción de sus causas, criterios de identificación, signos clínicos, diagnóstico y tratamiento, así como la asistencia brindada en enfermería y el equipo interdisciplinario en cuanto a la bioética. Es una revisión narrativa de la literatura con un carácter exploratorio reflexivo, con un enfoque cualitativo. Se realizaron búsquedas de estudios en revistas publicadas entre 2009 y 2019, y una muestra final que consta de 30 artículos, además de libros, manuales y reglamentos. Los resultados presentados corroboran el conocimiento de la quinta edición del Manual Diagnóstico y Estadístico de los Trastornos Mentales, en el que el término "síndrome de Münchhausen impuesto a uno mismo" fue reemplazado por "trastorno facticio autoimpuesto", y el "síndrome de Münchhausen por proxy" se alteró a "trastorno facticio impuesto a otro", ante la Bioética. Las personas con trastorno facticio tienden a buscar tratamiento para sí mismas o para otros. El comportamiento de estos pacientes aumenta la probabilidad de tener una enfermedad física e incluso la muerte, causada por el uso excesivo de medicamentos y como resultado de varios procedimientos invasivos. Por lo tanto, se concluye que identificar el cuadro clínico puede ser una de las primeras iniciativas para la detección y la prevención. El tratamiento debe centrarse en el manejo, poder usar psicoterapia, antidepresivos, antipsicóticos y ansiolíticos. El equipo de enfermería y el equipo multidisciplinario deben estar atentos a los signos y síntomas para una intervención precisa y temprana, pues desempeñan un papel importante en la identificación adecuada del diagnóstico.

The urgent need for integrated science to fight COVID-19 pandemic and beyond.

The COVID-19 pandemic has become the leading societal concern. The pandemic has shown that the public health concern is not only a medical problem, but also affects society as a whole; so, it has also become the leading scientific concern. We discuss in this treatise the importance of bringing the world's scientists together to find effective solutions for controlling the pandemic. By applying novel research frameworks, interdisciplinary collaboration promises to manage the pandemic's consequences and prevent recurrences of similar pandemics.

A equoterapia como recurso fisioterapêutico junto a indivíduos com diagnóstico de paralisia cerebral / Equine-assisted therapy as a physiotherapy research next to individuals with diagnosis of cerebral paralysis

Introdução: A equoterapia é um método terapêutico utilizado na reabilitação e educação de pessoas com necessidades especiais e/ou portadoras de deficiência, caracterizado pelo uso do cavalo e por uma abordagem multidisciplinar, voltada ao desenvolvimento biopsicossocial do indivíduo. Objetivo: Compreender as repercussões biopsicossociais da equoterapia na reabilitação de indivíduos diagnosticados com paralisia cerebral, tomando como eixo de análise os ganhos físicos, sociais e psicológicos. Métodos: Estudo exploratório, observacional e descritivo, com delineamento quanti-qualitativo, realizado no Centro Interdisciplinar de Equoterapia (CIEQ-PA), em Belém/PA, mediante a aplicação de questionários com 10 responsáveis/acompanhantes, 6 profissionais da equipe multiprofissional e 1 fisioterapeuta. Os dados foram analisados com estatística descritiva simples e através da organização das respostas por categorias empíricas. Resultados: A pesquisa revelou que a equoterapia trouxe benefícios físicos, psicológicos e sociais às pessoas com diagnóstico de PC, com destaque para a melhora da postura e equilíbrio, bem como das interações sociais, o que reflete sua importância como uma estratégia para potencializar a inclusão social desses indivíduos. Conclusão: Os achados demonstram que se trata de uma modalidade terapêutica transversal e um campo de atuação da fisioterapia com impactos positivos na reabilitação biopsicossocial e no desenvolvimento global dos indivíduos. (AU)

Introduction: Equine therapy is a therapeutic method for the rehabilitation and education of people with special needs and/or disabled, using the horse in a multidisciplinary approach, focused on the biopsychosocial development of the individual. Aim: To understand the biopsychosocial repercussions of equine therapy in the rehabilitation of individuals diagnosed with cerebral palsy, taking physical, social and psychological gains as their axis of analysis. Methods: An exploratory, observational and descriptive study was carried out with a quantitative-qualitative design, held at the Interdisciplinary Center for Equine Therapy (CIEQ-PA), in Belém/Pará, through the application of questionnaires with 10 responsible/accompanying persons, 6 professionals from the multiprofessional team and 1 physiotherapist. The data were analyzed using simple descriptive statistics and by organizing the answers by empirical categories. Results: The research revealed that equine therapy is an important therapeutic strategy that brings physical, psychological and social benefits to PC patients, with emphasis on improved posture and balance, as well as social interactions, which reflects its importance as a strategy for enhancing social inclusion of these individuals. Conclusion: The findings demonstrate that this is a cross-sectional therapeutic modality and a field of physical therapy with positive impacts on biopsychosocial rehabilitation and overall development of individuals. (AU)

Speech-Language Pathology and Occupational Therapy interface: an integration of scientific knowledge / Interface Fonoaudiologia e Terapia Ocupacional: integração de saberes científicos de campos de conhecimento

ABSTRACT Objective: to analyze the national scientific production of Speech-Language Therapy in the interface with Occupational Therapy (OT) based on an integrative literature review. Methods: a selection of articles published in Brazilian journals in the field of Occupational Therapy: Cadernos Brasileiros de Terapia Ocupacional of UFSCar, Revista de Terapia Ocupacional of USP, Revista Baiana da Terapia Ocupacional and Revista Interinstitucional Brasileira de Terapia Ocupacional with the descriptors "speech therapy, speech therapist and speech-language therapy". The sample, consisting of 10 articles, was analyzed with quantitative and qualitative procedures. Results: the search showed publications from 2000 to 2017, with the largest number of articles in 2015. The main findings point to the language area as the most prevalent, revealing a connection between speech therapy and OT. Assistive Technology, particularly adopted with children, is a common field among the professional areas studied, with the highest incidence in the articles. Conclusion: the analysis of the scientific production showed that the partnership between Speech-Language Therapy and OT appeared under different objectives and the public, as early intervention, actions in multiple disabilities, with the disabled child and their family, with autists in hippotherapy, in school inclusion and in assistive technology, the latter more frequently. These findings allowed reflections on the interdisciplinarity of both professions and fields of knowledge.

RESUMO Objetivo: analisar a produção científica nacional brasileira da Fonoaudiologia na interface com a Terapia Ocupacional (TO), a partir de revisão integrativa da literatura. Métodos: foi realizada seleção dos artigos publicados nos periódicos nacionais do campo da TO: Cadernos Brasileiros de Terapia Ocupacional da UFSCar, Revista de Terapia Ocupacional da USP, Revista Baiana da Terapia Ocupacional e Revista Interinstitucional Brasileira de Terapia Ocupacional, com emprego dos descritores "fonoaudiologia, fonoaudiólogo e terapia fonoaudiológica". Os artigos foram analisados quantitativa e qualitativamente. Resultados: foram selecionadas 10 publicações entre 2000 e 2017, com maior quantidade no ano de 2015. Os principais achados apontam para a área da linguagem como a mais prevalente, revelando conexão entre Fonoaudiologia e TO. A Tecnologia Assistiva, particularmente com as crianças, constitui-se em um campo comum entre as profissões, com a maior frequência de aparição. Conclusão: a análise da produção científica demonstrou que a parceria entre a Fonoaudiologia e a TO apareceu sob diferentes objetivos e públicos como intervenção precoce, ações na múltipla deficiência, com a criança deficiente e família, com autistas em equoterapia, na inclusão escolar e em tecnologia assistiva, este último com maior frequência. Tais achados possibilitaram reflexões sobre a interdisciplinaridade das duas profissões e campos de saberes.

Envelhecimento e espiritualidade: O papel do coping espiritual/religioso em pessoas idosas hospitalizadas

Embora o índice de envelhecimento da população mundial venha crescendo, isso não implica, necessariamente, longevidade saudável. Estudos que apontem as variáveis que interferem nos resultados em saúde de pessoas idosas são relevantes nesse contexto. Com base nos referenciais da Psicologia da Religião sobre envelhecimento e sobre coping espiritual/religioso, foi empreendido um estudo junto a essa população com o objetivo de evidenciar o funcionamento da espiritualidade/religiosidade (E/R) nesse contexto de saúde ameaçada. A metodologia utilizada foi de abordagem quantitativa, descritiva, de corte transversal. Os instrumentos utilizados foram: escala breve de coping espiritual/religioso (CER), escala da centralidade da religiosidade e um questionário para levantamento dos dados sociodemográficos. Participaram do estudo 51 pessoas, com média de idade de 71,76 anos, baixa renda econômica (86,3%), predominantemente católicos (68,6%); seguidos dos evangélicos (23,5%). Os idosos são altamente religiosos (M = 4,3) e 80,4% fazem utilização alta/altíssima de CER Positivo. A despeito da relevância da E/R, 87,3% deles nunca foram abordados sobre questões ligadas à E/R e 41,2% afirmam que gostariam de ter sido. Os resultados confirmam as teorias sobre o papel da E/R nessa fase da vida e indica ser essa uma dimensão relevante a ser integrada na terapêutica por toda a equipe de saúde.

Although the rate of the world population aging is increasing, it does not imply healthy longevity. Studies that point out the variables that interfere in the health outcomes of the elderly are relevant in this context. Based on the framework of Psychology of Religion on aging and spiritual/religious coping, a study among elderly inpatients was carried out with the objective of showing the functioning of spirituality/religiosity (S/R) in the context of threatened health. The methodology used was quantitative in nature, descriptive and cross-sectional. The instruments used were: Brief Spiritual/Religious Coping Scale, Centrality of Religiosity Scale, and the Sociodemographic Questionnaire. Fifty-one elderly inpatients participated in the study, at an average age of 71,76 years old, low economic income (86.3%), predominantly Catholics (68.6%), followed by Evangelicals (23.5%). The elderly is highly religious (M = 4.3) and 80.4% make high/ higher use of Positive Spiritual Religious Coping. Despite the relevance of S/R, 87.3% of them were never asked about S/R issues and 41.2% said they would like to be approached with these issues. The results confirm the theories about the role of S/R in this phase of late life and indicate that this is a relevant dimension to be integrated in the practice of care by the multidisciplinary healthcare team.

Corrective biology: psychosomatics in and as neuropsychoanalysis.

This article analyses how and with what consequences body-mind relations (the sphere of the psychosomatic) are being modelled in the 21st century through considering the interdiscipline of neuropsychoanalysis. The promise of the term psychosomatic lies in its efforts to rework standard, bifurcated models of mind and body: somatic acts are simultaneously psychic acts. But neuropsychoanalysis, as it brings the neurosciences and psychoanalysis together to model an embodied 'MindBrain', ends up evacuating another potent characteristic found in much of the psychosomatic tradition-its refusal to adjudicate, a priori, what counts as the adaptive or well-regulated subject. The psychosomatic problem in psychoanalysis profoundly disturbs everyday models of functionality, adaptation and agency, by positing the psyche as an 'other' of the physiological within the physiological. By contrast, neuropsychoanalysis ends up parsing too easily the healthy from the pathological body, such that it is only the latter that is subject to forces that work against self-preservation and self-regulation. In so doing, neuropsychoanalysis recasts the radical problematic that the psychosomatic installed for psychoanalysis in the direction of a corrective biology. This corrective biology is given form in two ways: (1) through translating the Freudian drive-that unruly and foundational concept which addresses the difficult articulation of soma and psyche-into a series of Basic Emotion Systems modelled by the affective neuroscientist Jaak Panksepp and (2) through resituating and quarantining the troubling, non-adaptive aspects of the Freudian psyche within the domain of addiction. That easy separation between the healthy and the pathological is all too often found in current descriptions of healthcare and patient encounters. The article refuses it and calls for the revivification of other ways of thinking about how human subjects-psychosomatic organisms-find ways to live, and to die.