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1.
Rev. SPAGESP ; 22(1): 114-127, ene.-jun. 2021. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1155518

RESUMEN

Esse estudo parte do pressuposto de que o mindfulness poderia estar relacionado com a intimidade conjugal. Investigou-se o papel discriminante da intimidade em dois grupos de indivíduos com maiores e menores níveis de mindfulness. Partiparam 281 sujeitos, maiores de 18 anos, em relacionamento estável e em coabitação. Os mesmos responderam à Escala Filadélfia de Mindfulness e à Escala de Avaliação Pessoal de Intimidade em Relacionamentos (PAIR). Os resultados indicaram que os fatores da intimidade avaliados (comunicação, validação pessoal e abertura ao exterior) discriminaram o grupo com maiores níveis de mindfulness. O estudo sugere que indivíduos com maiores níveis de mindfulness possuem maior facilidade de desenvolver intimidade em seus relacionamentos, contribuindo para o entendimento do papel considerável dessa habilidade na conjugalidade.


This study assumes that mindfulness could be related to conjugal intimacy. The discriminating role of intimacy was investigated in two groups of individuals with higher and lower levels of mindfulness. 281 subjects, over 18 years old, participated in a stable relationship and cohabitation. They responded to the Philadelphia Mindfulness Scale and the Personal Relationship Intimacy Scale in Relationships (PAIR). The results indicated that the factors of intimacy evaluated (communication, personal validation and openness to the outside) discriminated against the group with the highest levels of mindfulness. The study suggests that individuals with higher levels of mindfulness have an easier time developing intimacy in their relationships, contributing to the understanding of the considerable role of this ability in conjugality.


Este estudio asume que la atención plena podría estar relacionada con la intimidad conyugal. El papel discriminador de la intimidad se investigó en dos grupos de individuos con niveles más altos y más bajos de atención plena. 281 sujetos, mayores de 18 años, participaron en una relación estable y en convivencia. Respondieron a la Escala de atención plena de Filadelfia y la Escala de intimidad en las relaciones personales (PAIR). Los resultados indicaron que los factores de intimidad evaluados (comunicación, validación personal y apertura al exterior) discriminaban al grupo con mayores niveles de mindfulness. El estudio sugiere que las personas con niveles más altos de atención plena tienen más facilidad para desarrollar la intimidad en sus relaciones, lo que contribuye a comprender el papel considerable de esta capacidad en la conyugalidad.


Asunto(s)
Humanos , Masculino , Adulto , Rol , Autorrevelación , Comunicación , Terapia de Parejas , Relaciones Familiares , Atención Plena
2.
AMA J Ethics ; 23(3): E265-270, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33818379

RESUMEN

Increasing focus on health equity is placing a spotlight on health professionals' roles. Recent public health crises-the opioid epidemic, maternal mortality, and the COVID-19 pandemic-have renewed focus on racial and ethnic inequity and underscored that trust is foundational to public health and health professionalism. Organizational, system, and policy reform demand that professionalism be redefined in terms of its capacity to motivate equity in health professions education and clinical practice.


Asunto(s)
Equidad en Salud , Personal de Salud/normas , Profesionalismo/ética , Salud Pública/ética , Humanos , Rol , Responsabilidad Social
3.
J Pastoral Care Counsel ; 75(1_suppl): 30-36, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33730912

RESUMEN

Drawing from both the qualitative free-text responses and quantitative responses to an international survey of 1657 chaplains serving during the SARS-Cov-19 pandemic, we explore chaplains' emotional responses to the pandemic and how emotion connects to self-care. This paper reports on the modes of self-care practiced by chaplains, including modes reported as unavailable due to pandemic restrictions. Lastly, we explore how effective spiritual care leadership may mediate chaplain emotions and ultimately chaplain self-care.


Asunto(s)
/psicología , Clero/psicología , Emociones , Cuidado Pastoral , Autocuidado , Humanos , Liderazgo , Rol , Encuestas y Cuestionarios
4.
J Pastoral Care Counsel ; 75(1_suppl): 37-40, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33730914

RESUMEN

The responses of chaplains providing care in health services during the Covid-19 pandemic showed that they both learned new skills and taught these to others while working in environments made unfamiliar by personal protective equipment and social distancing. This paper discusses the responses of the participants as they relate to education and training as well as suggesting new content and styles of education to meet the needs of chaplains in future similar events.


Asunto(s)
Clero/educación , Pandemias , Cuidado Pastoral/métodos , Humanos , Grupo de Atención al Paciente , Rol , Encuestas y Cuestionarios
5.
Support Care Cancer ; 29(1): 239-246, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32346797

RESUMEN

PURPOSE: Breast cancer (BC) patients report complex negative emotions, including symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). What's more, being diagnosed with cancer also has a negative impact on the patient's family such as additional financial burden and care needs, leading to higher levels of caregiver burden. This study aimed to explore whether dispositional mindfulness could alleviate multiple negative emotions of BC patients and to investigate the mediating effect of caregiver burden on the relationship between the patients' dispositional mindfulness and negative emotions. METHODS: A sample of 230 Chinese BC patients receiving chemotherapy and their caregivers voluntarily participated in the study by completing a set of questionnaires including the Mindfulness Attention Awareness Scale, the Caregiver Self-assessment Questionnaires, the General Anxiety Symptoms Scale, the Patient Health Questionnaire, and the PTSD Symptom Scale. Structural equation modeling was used to test the relationship between dispositional mindfulness, negative emotions, and caregiver burden. RESULTS: Dispositional mindfulness was significantly and negatively correlated with negative emotions, including anxiety, depression, and PTSD among the BC patients. Structural equation modeling showed that caregiver burden mediated the relation between patients' dispositional mindfulness and negative emotions. CONCLUSION: BC patients with higher levels of dispositional mindfulness showed less negative emotions. The results of the mediation analysis suggested that higher levels of dispositional mindfulness of breast cancer patients could decrease the caregivers' perceived burden and, in turn, relieve patients' negative emotions. Dispositional mindfulness was beneficial to breast cancer patients as well as their caregivers, indicating that mindfulness-based interventions targeting distress in patient-caregiver dyads would be more effective than what interventions for patients alone.


Asunto(s)
Neoplasias de la Mama/psicología , Cuidadores/psicología , Atención Plena/métodos , Pacientes/psicología , Adulto , Anciano , Ansiedad/psicología , Atención , Neoplasias de la Mama/tratamiento farmacológico , China , Depresión/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personalidad , Psicometría/métodos , Rol , Trastornos por Estrés Postraumático/psicología , Encuestas y Cuestionarios
6.
Ecotoxicol Environ Saf ; 207: 111578, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33254423

RESUMEN

Cadmium (Cd), an environmental pollutant, is evidenced to cause hepatotoxicity. In this study, the potential protective effect of caffeic acid phenethyl ester (CAPE) on cadmium-induced liver damage was investigated. Forty male mice were treated daily with either CdCl2 (1.5 mg/kg body weight (b.w.), gavage) or CAPE (10 µmol/kg b.w., gavage) or both for 4 weeks. CAPE administration significantly reduced Cd level and liver and body weight, and increased AST, ALT and ALP level. Moreover, CAPE prevented CdCl2-induced oxidative stress via PI3K/Akt/mTOR pathway and inhibited apoptosis by regulating apoptosis markers. CAPE also suppressed the CdCl2-induced inflammation by reducing the inflammatory mediators, including TNF-α, IL-6 and IL-1ß. Furthermore, CAPE alleviated CdCl2-induced reduction of TLR4. It should be noted that this effect was achieved by targeting miR-182-5p, and CAPE improved miR-182-5p level. The improvement of the liver tissue histopathology by CAPE confirmed the biochemical data. These results show for the first time that miR-182-5p/TLR4 axis involved in CAPE's protection against CdCl2-induced hepatotoxicity, and may provide novel insights into the treatment of cadmium-related diseases.


Asunto(s)
Cadmio/toxicidad , Ácidos Cafeicos/farmacología , Contaminantes Ambientales/toxicidad , Alcohol Feniletílico/análogos & derivados , Sustancias Protectoras/farmacología , Animales , Apoptosis/efectos de los fármacos , Enfermedad Hepática Inducida por Sustancias y Drogas , Inflamación , Mediadores de Inflamación/metabolismo , Masculino , Ratones , MicroARNs/metabolismo , Estrés Oxidativo/efectos de los fármacos , Alcohol Feniletílico/farmacología , Fosfatidilinositol 3-Quinasas/metabolismo , Rol , Receptor Toll-Like 4/metabolismo
7.
Clin Imaging ; 69: 45-49, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32652457

RESUMEN

THE AIM OF THIS WORK: The aim of this work was to estimate the role of diffusion-weighted imaging (DWI) in predicting malignant invasion of the nipple-areolar complex (NAC) by underlying breast cancer. MATERIAL AND METHODS: This prospective study included 70 female patients with breast cancer with a mean age of 45.8 years (range: 28-68). DWI of the breast was done for all patients. Apparent diffusion coefficient (ADC) maps were automatically constructed. The mean ADC values of NAC were independently measured by two observers who are experts in breast imaging and correlated with the results of histopathological examinations. RESULTS: Both observers found a significantly lower ADC value of malignant NAC invasion (n = 18) when compared with free NAC (n = 52), with mean ADC value for malignant NAC invasion was 0.86 ± 0.35 × 10-3 mm2/s and 0.84 ± 0.08 × 10-3 mm2/s for observer one and two respectively versus mean ADC value of 1.34 ± 0.25 × 10-3 mm2/s and 1.4 ± 0.26 × 10-3 mm2/s for free NAC by observer one and two respectively (P-value =0.001). Observer one found that a cutoff ADC value of 1.05 × 0-3 mm2/s can predict malignant NAC invasion with 0.975 AUC, 92.8% accuracy, 94.4% sensitivity, and 92.3% specificity. Observer two found that a cutoff ADC value of 0.95 × 10-3 mm2/s can predict malignant NAC invasion with 0.992 AUC, 95.7% accuracy, 88.9% sensitivity, and 98.1% specificity. CONCLUSION: DWI can predict malignant NAC invasion in patients with breast cancer.


Asunto(s)
Neoplasias de la Mama , Pezones , Adulto , Anciano , Neoplasias de la Mama/diagnóstico por imagen , Difusión , Imagen de Difusión por Resonancia Magnética , Femenino , Humanos , Persona de Mediana Edad , Pezones/diagnóstico por imagen , Estudios Prospectivos , Reproducibilidad de los Resultados , Rol , Sensibilidad y Especificidad
8.
Chemosphere ; 263: 127965, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32814135

RESUMEN

Developing low-cost, high-efficiency catalysts for advanced oxidation processes remain a key issue for the degradation of organic pollutants. In this study, a novel FeCo2O4/rectorite composite was synthesized via a facile combustion process and employed to activate peroxymonosulfate (PMS) for dealing with atrazine (ATZ). The addition of rectorite could result in higher specific surface area, smaller pore size and more hydroxyl groups, which were beneficial to enrich pollutants to the adsorption sites and provide sufficient reactive sites. After meticulous evaluation, the degradation efficiency of FeCo2O4/rectorite composite towards ATZ exhibited improved PMS activation efficiency which was about 2.6 times than that of pure FeCo2O4. Based on the characterization results, the sulfate radicals and hydroxyl radicals were considered to be the main free radicals which were involved into the circulation of Co(II)-Co(III)-Co(II) as well as the oxidation of ≡Fe(II), which was responsible for the remarkable catalytic efficiency. In addition, the chemical stability and superior catalytic performance of FeCo2O4/rectorite should also be attributed to the chemical combination between metal ions and the surface hydroxyl groups of rectorite. Overall, these findings are beneficial for understanding the mechanism of PMS activation by natural mineral-based catalysts and contributing to the practical application of sulfate-based technology for organic wastewater treatment.


Asunto(s)
Metales/química , Peróxidos/química , Contaminantes Químicos del Agua/química , Silicatos de Aluminio , Atrazina/química , Catálisis , Radical Hidroxilo/química , Minerales , Modelos Químicos , Nanopartículas , Oxidación-Reducción , Rol , Sulfatos
9.
Clin Imaging ; 69: 289-292, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33038619

RESUMEN

BACKGROUND: In March 2020, the UK Intercollegiate General Surgery Guidance on COVID-19 recommended that patients undergoing emergency abdominal CT should have a complementary CT chest for COVID-19 screening. PURPOSE: To establish if complementary CT chest was performed as recommended, and if CT chest influenced surgical intervention decision. To assess detection rate of COVID-19 on CT and its correlation with RT-PCR swab results. To determine if COVID-19 changes is reliably detected within the lung bases which are usually imaged in standard abdominal CT. METHODS: Patients with acute abdominal symptoms presenting to a single institution between 1st and 30th April 2020 who had abdominal CT and complementary CT chest were retrospectively extracted from Computerised Radiology Information System. CT COVID-19 changes were categorised according to British Society of Thoracic Radiology reporting guidance. Patient demographics (age and gender), RT-PCR swab results and management pathway (conservative or intervention) were recorded from electronic patient records. Statistical analyses were performed to evaluate any significant association between variables. p values ≤0.05 were regarded as statistically significant. RESULTS: Compliancy rate in performing complementary CT chest was 92.5% (148/160). Thirty-five patients (35/148,23.6%) underwent intervention during admission. There was no significant association (p = 0.9085) between acquisition of CT chest and management pathway (conservative vs intervention). CT chest had 57% sensitivity (CI 18.41% to 90.1%) and 100% specificity (CI 92% to 100%) in COVID-19 diagnosis. Three of ten patients who had classic COVID-19 changes on CT chest did not have corresponding changes in lung bases. CONCLUSION: Compliance with performing complementary CT chest in acute abdomen patients for COVID-19 screening was high and it did not influence subsequent surgical or interventional management.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Neumonía Viral , Infecciones por Coronavirus/epidemiología , Humanos , Pandemias , Neumonía Viral/epidemiología , Estudios Retrospectivos , Rol , Tórax/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Reino Unido/epidemiología
10.
Water Res ; 188: 116470, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33045638

RESUMEN

Intense storms pose a serious threat to ecosystem functioning and services. However, the effects of typhoons (tropical cyclones) on the biogeochemical processes mediating risk of eutrophication in deep freshwater ecosystems remain unclear. Here, we conducted a three-year study to elucidate linkages between environmental change, stable isotopes and the stoichiometry of particulate organic matter (POM), and nutrient cycling (i.e., carbon, nitrogen and phosphorus) in a subtropical deep reservoir subjected to typhoon events. The typhoons significantly changed the nutrient levels in the deep waters as well as the thermocline position. Increased typhoon-driven organic matter input, algae sinking and heterotrophic decomposition interacted with each other to cause steep and prolonged increases of total nitrogen, ammonium nitrogen and total phosphorus in the bottom waters of the reservoir. Small-sized or pico-sized POM (i.e., 0.2-3 µm) showed a substantial increase in bottom waters, and it exhibited stronger response than large-sized POM (i.e., 3-20, 20-64, 64-200 µm) to the typhoons. Our results also indicated that typhoons boost the nutrient cycling in deep waters mainly through pico-sized POM.


Asunto(s)
Tormentas Ciclónicas , Ecosistema , Eutrofización , Agua Dulce , Nitrógeno/análisis , Nutrientes , Material Particulado , Rol
11.
Water Res ; 188: 116574, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33137530

RESUMEN

Microplastics have been detected in various environments, yet the differences between microplastics in different environments are still largely unknown. Scientists have proposed the concept of the "microplastic cycle," but the evidence for the movement of microplastics between different environments is still scarce. By screening the literature and extracting information, we obtained microplastic data from 709 sampling sites in freshwater, seawater, freshwater sediment, sea sediment, and soil in China. Based on the similarity between microplastics and biological communities, here we propose the concept of a "microplastic community" and examine the differences, links, and diversity of microplastic communities in different environments. Wilcoxon sign-ranks test, Kruskal-Wallis test, and analysis of similarities (ANOSIM) showed that there were significant differences in abundance, proportion of small microplastics, and community composition (shape, color, and polymer types) of microplastics in different environments. The Mantel test showed that there were significant correlations between microplastic community composition in different environments. Network analysis based on community similarity further confirmed the links between microplastic communities. The distance decay models revealed that the links weakened with the increase of geographic distance, suggesting that sampling sites with closed geographical locations had similar pollution sources and more easily to migrate or exchange microplastics. The microplastic diversity integrated index (MDII) was established based on the diversity of microplastic shape, color, and polymer types, and its indication of the number of microplastic pollution sources was verified by the statistical fitting relationship between the number of industrial pollution sources and MDII. Our study provides new insight into the differences and links between microplastics in different environments, which contributes to the microplastic risk assessment and demonstrates the "microplastic cycle." The establishment of the microplastic diversity integrated index could be used in source analysis of microplastics.


Asunto(s)
Plásticos , Contaminantes Químicos del Agua , China , Monitoreo del Ambiente , Microplásticos , Características de la Residencia , Rol , Contaminantes Químicos del Agua/análisis
12.
Rev. SPAGESP ; 21(2): 66-82, jul.-dez. 2020.
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1125732

RESUMEN

Este artigo se propõe a discutir os desafios na formação para o trabalho com grupos e o papel dos coordenadores, com base na experiência de coordenação de grupos de sala de espera realizado em uma Unidade Básica de Saúde, a partir de um estágio de graduação em Psicologia. Através de recortes do diário de campo, buscamos discutir a mediação grupal nesse contexto de intervenção, ressaltando possibilidades, expectativas e dificuldades vivenciadas. Considerando a escassez de trabalhos publicados com relação à temática de grupos em sala de espera e ênfase em grupos informativos, o presente trabalho buscou ampliar a discussão para grupo enquanto processo, expondo reflexões sobre nossa postura e intervenções, discussões ampliadas para pensar coordenação de grupos e formação profissional.


This article proposes to discuss the challenges in training for group work and the role of coordinators, based on the experience of coordinating groups in a waiting room held in a Basic Health Unit, from a graduation internship in Psychology. Through field diary clippings, we sought to discuss group mediation in this context of intervention, highlighting possibilities, expectations, and difficulties experienced. Considering the scarcity of studies regarding the theme of groups in the waiting room, besides an emphasis on informative groups, this study aimed to expand the discussion to the group as a process, exposing reflections on our posture and interventions, extended discussions to think coordinating groups and professional qualification.


Este artículo se propone discutir los desafíos en la formación para el trabajo con grupos y el papel de los coordinadores, con base en la experiencia de coordinación de grupos de sala de espera realizado en una Unidad Básica de Salud, a partir de una etapa de graduación en Psicología. A través de recortes del diario de campo, buscamos discutir la mediación grupal en ese contexto de intervención, resaltando posibilidades, expectativas y dificultades vivenciadas. Considerando la escasez de trabajos publicados con relación a la temática de grupos en sala de espera y énfasis en grupos informativos, el presente trabajo buscó ampliar la discusión para grupo en cuanto proceso, exponiendo reflexiones sobre nuestra postura e intervenciones, discusiones ampliadas para pensar coordinación de grupos y formación profesional.


Asunto(s)
Humanos , Citas y Horarios , Postura , Rol , Apoyo a la Formación Profesional , Centros de Salud , Negociación , Atención Médica , Capacitación Profesional , Internado y Residencia
13.
Artículo en Inglés | MEDLINE | ID: mdl-33322436

RESUMEN

This study aimed to examine the validity and reliability of the Korean version of the Work-Family Behavioral Role Conflict Scale (WFBRC-S), which was originally developed to measure work-family behavioral role conflict in American adults with a wide variety of occupations such as nurses and chief executive officers. This study used a methodological research design. The study population consisted of 235 married men and women aged 20 years or older who were living in various cities, who had been employed for three years or more. The validity of the content, construct, convergent, discriminant, and criterion related, as well as the reliability of the WFBRC-S-K, was assessed. The WFBRC-S Korean version consists of 25 items. It was found that through the validity of the composition and standards of WFBRC-S-K, it was possible to measure the conflict by focusing on behavior so that a comprehensive evaluation of the role conflict between family and work, and work and family, can be performed. Five items in the WFBRC-S-K were excluded with a standardized factor loading of less than 0.50. We applied the modified index to improve the model fit to build a model, it supports a good fit and reliable score for the Korean version of the WFBRC-S model. Analysis of the fit of the revised model Nomed χ2 (CIMIN/df) value of less was: fit indices to 2.05 RMSEA = 0.07, RMR = 0.04, SRMR = 0.06, GFI = 0.85, IFI = 0.91, TLI = 0.90, CFI = 0.91. Criterion validity compared to the WLBOC-S showed significant correlation, and Cronbach's alpha was 0.94. Factor loadings of the 25 questions ranged from 0.49 to 0.81. The study findings confirmed the applicability of this scale for measuring the work-family behavioral role conflict in Korean adults with a wide variety of occupations. The WFBRC-S-K can be applied on the measurement of work-family conflict in nursing and other industrial sites. These results provide a foundation for future studies on work-family behavioral role conflict in Korean adult.


Asunto(s)
Conflicto Familiar , Relaciones Familiares , Rol , Equilibrio entre Vida Personal y Laboral , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ocupaciones , Psicometría , Reproducibilidad de los Resultados , República de Corea , Encuestas y Cuestionarios , Estados Unidos , Adulto Joven
15.
Rev. int. med. cienc. act. fis. deporte ; 20(80): 487-503, dic. 2020. tab
Artículo en Español | IBECS | ID: ibc-198567

RESUMEN

El presente estudio examinó los efectos de dos dinámicas de roles (fija y rotativa) sobre los niveles de responsabilidad y competencia intercultural en adolescentes españoles de un contexto socialmente vulnerable. Formaron parte del estudio 96 estudiantes de primer curso de educación secundaria (Medad = 12.2) de un centro ubicado en Andalucía (España). Siguiendo un diseño cruzado simple, cuasi-experimental y con medidas repetidas (pretest-post1-post2), los participantes asistieron a dos unidades didácticas consecutivas con Educación Deportiva sobre baloncesto y floorball, respectivamente. Se recabó información mediante entrevistas semi-estructuradas y cuestionarios. Se evidenció un mayor impacto de los roles fijos en la responsabilidad social y en las variables interculturales (sensibilidad y comportamiento), con especial incidencia en varones. Ligeras consecuencias negativas fueron halladas en los niveles de responsabilidad de estudiantes de sexo femenino. Se desvela la importancia de asumir roles fijos en contextos socialmente vulnerables, así como en experiencias iniciales con Educación Deportiva


This paper examines the effect of two different roles' strategies (permanent and rotating) on Spanish adolescents' responsibility and intercultural competence levels. Following a quasi-experimental, simple crossover design with repeated measures (pretest-post1-post2), 96 high school students (Mage = 12.2) and one teacher participated part in two consecutive Sport Education-based teaching units of basketball and floorball, respectively. Data was collected through semi-structured interviews and questionnaires. Permanent roles were associated with improvements on social responsibility and intercultural variables (sensibility and behavior), especially in males. There are slightly negative consequences on female' responsibility levels. Findings reveal and emphasize the importance of using permanent roles when dealing with socially vulnerable contexts, as well as first experiences with Sport Education


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Deportes/educación , Deportes/normas , Competencia Cultural , Rol , Modelos Educacionales , Educación y Entrenamiento Físico/normas , Encuestas y Cuestionarios , Responsabilidad Social
16.
Saudi Med J ; 41(11): 1263-1269, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33130849

RESUMEN

OBJECTIVES: To assess the role of the Coronavirus Disease 2019 (COVID-19)  pandemic in improving personal hygiene in Saudi Arabia. Methods: We administered a questionnaire distributed online between 19 and 28 May 2020 to determine alterations in personal hygiene practices during this pandemic compared to the pre-pandemic phase. Results: We included 211 respondents from the Kingdom of Saudi Arabia (KSA) in this study.  Improvement at different levels was detected in all examined personal hygiene items compared to the pre-pandemic stage. The percentages of respondents who always washed their hands after coming back home (34.1%), used soap to wash their hands (58.8%), used a hand sanitizer outside (5.2%), wore a face masks while outside (1.4%) and washed their hands before preparing and/or eating food (74.9%) was increased before the pandemic to 89.6%, 90%, 63.5%, 59.2% and 89.1% during the pandemic, respectively. The percentage of respondents who never shake hands with people they know increased from 0% before the pandemic to 62.6% during the pandemic. The mean duration of washing hands with soap significantly increased from 13.31 seconds before the pandemic to 28.01 seconds during the pandemic (p less than 0.0001). CONCLUSION: The COVID-19 pandemic resulted in a noticeable improvement in the personal hygiene habits in Saudi Arabia mainly those related to COVID-19 prevention.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Desinfección de las Manos/métodos , Higiene/normas , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Adulto , Control de Enfermedades Transmisibles/métodos , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología , Rol , Arabia Saudita , Encuestas y Cuestionarios
17.
Urol Clin North Am ; 47(4): 457-467, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33008496

RESUMEN

Biochemically recurrent prostate cancer represents a stage of prostate cancer where conventional (continued on next page) computed tomography and technetium Tc 99m bone scan imaging are unable to detect disease after curative intervention despite rising prostate-specific antigen. There is no clear standard of care and no systemic therapy has been shown to improve survival. Immunotherapy-based treatments potentially are attractive options relative to androgen deprivation therapy due to the generally more favorable side-effect profile. Biochemically recurrent prostate cancer patients have a low tumor burden and likely lymph node-based disease, which may make them more likely to respond to immunotherapy.


Asunto(s)
Antagonistas de Andrógenos/uso terapéutico , Inmunoterapia/métodos , Recurrencia Local de Neoplasia/terapia , Neoplasias de la Próstata/patología , Anciano , Terapia Combinada , Supervivencia sin Enfermedad , Humanos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/diagnóstico por imagen , Recurrencia Local de Neoplasia/mortalidad , Recurrencia Local de Neoplasia/patología , Selección de Paciente , Pronóstico , Antígeno Prostático Específico/sangre , Neoplasias de la Próstata/mortalidad , Neoplasias de la Próstata/terapia , Medición de Riesgo , Rol , Análisis de Supervivencia , Tomografía Computarizada por Rayos X/métodos , Resultado del Tratamiento
18.
Ann Pharm Fr ; 78(6): 464-468, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33038310

RESUMEN

On January 4 2020, the World Health Organization (WHO) reported the emergence of a cluster of pneumonia cases in Wuhan, China due to a new coronavirus, the SARS-CoV-2. A few weeks later, hospitals had to put in place a series of drastic measures to deal with the massive influx of suspected COVID-19 (COronaroVIrus Disease) patients while securing regular patient care, in particular in the intensive care units (ICU). Since March 12th, 77 of the 685 COVID-19 patients admitted to our hospital required hospitalization in the ICU. What are the roles and the added-value of the critical care pharmacist during this period? His missions have evolved although they have remained focused on providing health services for the patients. Indeed, integrated into a steering committee created to organize the crisis in the intensive care units, the role of the clinical pharmacist was focused on the organization and coordination between ICU and the pharmacy, the implementation of actions to secure practices, to train new professionals and the adaptation of therapeutic strategies. He participated to literature monitoring and increased his involvement in the clinical research team. He provided a link between the ICU and the pharmacy thanks to his knowledges of practices and needs.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Cuidados Críticos , Pandemias , Farmacéuticos , Neumonía Viral/epidemiología , Ensayos Clínicos como Asunto/organización & administración , Miembro de Comité , Equipos y Suministros de Hospitales/provisión & distribución , Francia , Humanos , Servicios de Información , Almacenamiento y Recuperación de la Información , Comunicación Interdisciplinaria , Perfil Laboral , Administración de Materiales de Hospital , Seguridad del Paciente , Preparaciones Farmacéuticas/provisión & distribución , Servicio de Farmacia en Hospital/organización & administración , Rol
19.
Int J Equity Health ; 19(1): 154, 2020 09 09.
Artículo en Inglés | MEDLINE | ID: mdl-32907581

RESUMEN

BACKGROUND: The Arab ethnic minority makes up 21% of Israel's population, yet comprised just 8.8% of confirmed cases and 3.6% of deaths from COVID-19, despite their higher risk profile and greater burden of underlying illness. This paper presents differences in patterns of morbidity and mortality from COVID-19 in the Arab, ultra-Orthodox and overall populations in Israel, and suggests possible reasons for the low rates of infection in the Arab population. METHODS: Data were obtained from the Israeli Ministry of Health's (MOH) open COVID-19 database, which includes information on 1270 localities and is updated daily. The database contains the number of COVID-19 diagnostic tests performed, the number of confirmed cases and deaths in Israel. RESULTS: In the first 4 months of Israel's COVID-19 outbreak, just 2060 cases were confirmed in the Arab population, comprising 8.8% of the 23,345 confirmed cases, or 2.38 times less than would be expected relative to the population size. In contrast, the ultra-Orthodox made up 30.1% of confirmed cases yet just 10.1% of the population. Confirmed case rate per 100,000 was twice as high in the general Jewish population compared to the Arab population. The Arab mortality rate was 0.57 per 100,000, compared to 3.37 in the overall population, and to 7.26 in the ultra-Orthodox community. We discuss possible reasons for this low morbidity and mortality including less use of nursing homes, and effective leadership which led to early closure of mosques and high adherence to social distancing measures, even during the month of Ramadan. CONCLUSIONS: Despite a disproportionate burden of underlying illness, the Arab population did not fulfil initial predictions during the first wave of the COVID-19 outbreak and maintained low numbers of infections and deaths. This contrasts with reports of increased mortality in ethnic minorities and economically disadvantaged populations in other countries, and with high rates of infection in the ultra-Orthodox sector in Israel. Effective leadership and cooperation between individuals and institutions, particularly engagement of community and religious leaders, can reduce a group's vulnerability and build resilience in an emergency situation such as the current pandemic.


Asunto(s)
Adaptación Psicológica , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Disparidades en el Estado de Salud , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Adulto , Anciano , Árabes/psicología , Árabes/estadística & datos numéricos , Femenino , Humanos , Israel/epidemiología , Liderazgo , Masculino , Grupos Minoritarios/psicología , Grupos Minoritarios/estadística & datos numéricos , Rol
20.
Cuad Bioet ; 31(102): 151-165, 2020.
Artículo en Español | MEDLINE | ID: mdl-32910669

RESUMEN

The public health crisis caused by COVID-19 disease has bring again to the public arena the old debate of the role in decision-making process of politics and science. In this paper we analyze, in the context of the current pandemics, how politics has left a stellar role for science, either because science has anticipated in its proposals to politics, or because politics has opted for it as a premeditated strategy. The references to the opinion of scientists as a decision-making criterion or, furthermore, their presence as true spokesmen for authority have been so frequent. This means rediscovering science and health as instruments of power, in terms that remind us of what Foucault denounced almost fifty years ago with his Biopolitics.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Pandemias , Neumonía Viral , Política , Ciencia , Infecciones por Coronavirus/prevención & control , Toma de Decisiones , Democracia , Teoría Ética , Política de Salud , Prioridades en Salud , Recursos en Salud/provisión & distribución , Humanos , Pandemias/ética , Pandemias/legislación & jurisprudencia , Pandemias/prevención & control , Neumonía Viral/prevención & control , Poder Psicológico , Salud Pública , Años de Vida Ajustados por Calidad de Vida , Asignación de Recursos/ética , Rol , Valores Sociales , Sociedades Científicas , España , Vacunas Virales
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