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NeuroRehabilitation ; 48(2): 231-242, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33664160


BACKGROUND: Following mild-moderate traumatic brain injury (TBI), an individual experiences a range of emotional changes. It is often difficult for the patient to reconcile with their post-injury persona, and the memory of pre-injury personhood is particularly painful. Insight into one's cognitive deficits subsequent to injury can lead to an existential crisis and a sense of loss, including loss of self. OBJECTIVE: Restoration of cognitive functions and reconciliation with loss of pre-traumatic personhood employing a holistic method of neuropsychological rehabilitation in a patient suffering from TBI. METHODS: Ms. K.S, a 25-year-old female, presented with emotional disturbances following TBI. She reported both retrograde and anterograde amnesia. A multidimensional holistic rehabilitation was planned. Treatment addressed cognitive deficits through the basic functions approach. Cognitive behavioural methods for emotional regulation like diary writing helped reduce irritability and anger outbursts. Use of social media created new modes of memory activation and interactions. Compensatory strategies were used to recover lost skills, music-based attention training helped foster an individualised approach to the sense of one's body and self. RESULTS: As a result of these differing strategies, changes were reflected in neuro-psychological tests, depression score and the patient's self-evaluation. This helped generate a coherent self-narrative. CONCLUSION: Treatment challenges in such cases are increased due to patient's actual deficits caused by neuronal/biochemical changes. Innovative and multi-pronged rehabilitation strategies which involve everyday activities provided an answer to some of these problems. This method of rehabilitation may provide an optimistic context for future research.

Lesiones Traumáticas del Encéfalo/rehabilitación , Trastornos del Conocimiento/rehabilitación , Cognición/fisiología , Salud Holística/tendencias , Musicoterapia/tendencias , Recuperación de la Función/fisiología , Adulto , Lesiones Traumáticas del Encéfalo/psicología , Trastornos del Conocimiento/psicología , Femenino , Humanos , Memoria/fisiología , Musicoterapia/métodos , Autoimagen
Psychiatriki ; 32(1): 15-18, 2021 Apr 19.
Artículo en Inglés, Griego moderno | MEDLINE | ID: mdl-33759804


As of the end of 2020, the COVID-19 pandemic has led to over 82 million verified infections and almost 1.8 million COVID-19-related deaths worldwide,1 resulting to an unprecedented public health response around the globe. The COVID-19 pandemic, together with the applied multi-level restrictive measures, has generated a unique combination of an unpredictable and stressful biomedical and socioeconomic environment (i.e., syndemic),2 introducing real-life threat, involuntary and drastic every-day life-style changes with uncertain financial and future prospects, alongside with minimized coping and stress management possibilities.3 This combination of so many different and vital stressors may lead to acute as well as long-term, direct, indirect and even transgenerational unfavourable effects on physical and mental health and functioning, which might even represent the most precarious and still unpredictable public-health-related part of the pandemic.4 Thereby, specific population groups could be at particular risk of poor health outcomes in relation to applied public health measures.4, 5 However, not every individual will experience the same level of negative impact on health and well-being during the pandemic, as several additional national, socioeconomic, environmental, behavioural, emotional and cognitive factors can moderate individual resilience and coping.6 Pandemic-related research should, thus, assess as many multidimensional risk and protective factors as possible in a longitudinal, large-scale and multi-national manner, enabling a profound and comprehensive understanding of the complex health and societal impact of the pandemic worldwide.7 Nevertheless, to date, most research findings are cross-sectional, report on small and non- representative samples from individual countries, or on specific population groups (e.g., health care workers, students, clinical populations) and usually assess only a very restricted set of outcomes and time-points. Thereby, only few studies assess coping strategies, medical history or detailed socioeconomic, demographic and environmental data. In addition, most studies leave behind linguistic differences, being available in one or at best two different languages. Such investigations of small outcome subsets within a narrow framework preclude a broader and clear understanding of the multifaceted pandemic impact on the general population and specific subgroups. Acknowledging these gaps in the existing literature, large- scale, collaborative research prospectively collecting and monitoring a broad range of real- time, multi-dimensional health-related, societal and behavioural outcome data from countries across the globe is currently explicitly needed. The Collaborative Outcomes study on Health and Functioning during Infection Times (COH- FIT) envisions to fill this gap. Based on an easy-to-access webpage (, COH- FIT is the currently largest-scale known international collaborative study of over 200 researchers around the globe, prospectively collecting the biggest set of multi-dimensional and multi-disciplinary data from 150 high, middle, and low-income countries in over 30 languages and in three different age groups (adults, adolescents, children) of the general population, focusing also on relevant at-risk subgroups. Albeit being a cross-sectional anonymous survey on an individual level, it is a longitudinal study on a population level, as data are collected continuously since April 2020 and until the WHO declares the end of the pandemic. In addition to snowball recruitment, this project also collects information from nationally representative samples. Furthermore, COH-FIT is the first study of this scale investigating pandemic effects on health and functioning measures between family members, while it also specifically assesses a large list of behavioral and coping factors (e.g., screen time, social media usage, physical activity, social interaction, religious practices, etc.) on outcomes of interest. COH-FIT also monitors changes in public health restrictive measures to enhance data harmonization across nations and time, and to better investigate their impact on physical and mental health, while it also collects information on changes in healthcare systems functioning. The COH-FIT project was worldwide first initiated in Greece after the ethics committee approval of the School of Medicine of the Aristotle University of Thessaloniki and is officially supported by the Hellenic Psychiatric Association, European Psychiatric Association, World Association of Social Psychiatry, ECNP Network on the Prevention of Mental Disorders and Mental Health Promotion, among many other national and international scientific associations. To date, COH-FIT has already collected >115,000 participations worldwide (>8,000 in Greece), but more participants are still needed, both during the second and third wave of the pandemic, as in the future, after the pandemic has ended. Currently, the COH-FIT survey actively collects the largest sample on multifactorial data on the impact of the COVD-19 pandemic on health and functioning not only in Greece, but around the globe. The elaborated design of COH-FIT and similar studies may allow a better identification of key parameters and population groups at increased risk during the pandemic, as well as potential targets for acute and long-term prevention or intervention strategies in the current as in possible future pandemics. A profound understanding of the health and societal impact of the pandemic could facilitate an optimized governmental, social and individual health preparedness during infection times8 and the bridging of individuals', societal and systemic needs and actions through multi-level guideline development with the aim to improve mental health outcomes globally.

/psicología , Emociones , Salud Holística , Pandemias , Condiciones Sociales , Adaptación Psicológica , Humanos , Estudios Longitudinales , Encuestas y Cuestionarios
Adv Mind Body Med ; 35(1): 9-15, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33513581


Holistic medicine is the art and science of healing that addresses the whole person-body, mind and spirit. It is a broad discipline comprising a wide range of practices aimed at the overall health of the patient. More often than not, holistic medicine takes spirituality into account and incorporates practices like group therapy led by trained therapists. One problem, however, is that the words 'holistic' and 'medicine' are not specific, adding to the general confusion on what holistic medicine is. The aim of this review is to describe holistic medicine as a form of integrative medicine, combining both conventional and alternative medical practices. Furthermore, in light of the heterogeneous definitions and practices found in existing literature, we present arguments on the need for a proper terminology in order to create a system for fully evaluating the patient as a whole, which we call 'holology'.

Salud Holística , Medicina Integral , Terapias Espirituales , Espiritualidad , Humanos
J Fam Pract ; 69(10): 493-498, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33348344


Family medicine's leadership in primary care is slipping as it loses its vision of whole-person care. This model of care can help us better manage and combat chronic disease.

Enfermedad Crónica/terapia , Medicina Familiar y Comunitaria/normas , Salud Holística/normas , Guías de Práctica Clínica como Asunto , Atención Primaria de Salud/normas , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad
An Real Acad Farm ; 86(4): 257-268, oct.-dic. 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-199660


La desnutrición relacionada con la enfermedad es una patología frecuente en el mundo desarrollado. Afecta a 30 millones de personas en Europa y tiene un coste asociado de ciento setenta mil millones de euros anuales. En España atañe en torno a 1,7 millones de adultos, lo que supone el 4,4% de la población. La desnutrición aqueja a uno de cada cuatro pacientes en el ingreso hospitalario. Se estima que los pacientes hospitalizados que se encuentran en estado de desnutrición a lo largo de su estancia oscilan entre un 23,7% y un 37%; agudizándose estas cifras en el caso de pacientes pluripatológicos mayores de 70 años, y casi un 10% se desnutre durante su estancia hospitalaria. Todo ello supone un aumento de las estancias hospitalarias y de los costes asociados; en concreto, los costes directos de la desnutrición hospitalaria se estimaron en 1,143 millones anuales en 2009, lo que supone el 1,8% del gasto sanitario del sistema nacional de salud. Los avances en tecnología e infraestructuras han facilitado la transferencia de servicios complejos de hospitales al hogar. Actualmente, la tendencia internacional apunta a un desarrollo cada vez mayor del domicilio como centro de cuidados. Un meta-análisis de 61 ensayos de asignación aleatoria y controlados, publicado en 2012, evidenció que los pacientes atendidos en el domicilio tenían una tasa de mortalidad a los seis meses entre un 19% y un 38% menor que los hospitalizados. La nutrición artificial domiciliaria (NAD) es la administración a domicilio de los nutrientes y demás agentes terapéuticos adjuntos a través de la vía digestiva -nutrición enteral domiciliaria (NED)- o intravenosa -nutrición parenteral domiciliaria (NPD)-, con la finalidad de mejorar o mantener, en el ámbito domiciliario, el estado de nutrición de un paciente. Esta modalidad de prestación facilita al paciente poder seguir con los compromisos familiares, sociales y laborales. El entorno en el que trabajan los profesionales sanitaros del siglo XXI está cambiando de manera significativa. Son múltiples las innovaciones en gestión por procesos, facilitadas por el creciente potencial que ofrecen las nuevas tecnologías en los cuidados a distancia. Todo ello favorece la permanencia del paciente en su casa, en su comunidad o en un entorno más familiar, es decir, en un ambiente más humanizado. Por último, se demuestra que la NPD es una alternativa coste-efectiva en relación con la atención hospitalaria clásica, lo que redunda en la adopción del criterio de eficiencia como elemento de priorización en sanidad

Disease-related malnutrition is a common pathology in the developed world. It affects 30 million people in Europe and it has an associated cost of one hundred and seventy billion euros per year. In Spain, around 1.7 million adults, 4.4% of total population, are negatively affected. Malnutrition affects one out of four patients on hospital admissions. It is estimated that hospitalized patients who are malnourished throughout their stay range from 23.7% to 37%; sharpening these figures for multi-patients over 70 years old, and almost 10% are disensuaded during their hospital stay. All this implies an increase in hospital stays and associated costs; in particular, the direct costs of hospital malnutrition were estimated at 1.143 million annually in 2009, representing 1.8% of health expenses within the national health system. Advances in technology and infrastructure have facilitated the transfer of complex hospital-to-home services. Nowadays, the international trend points to the increasing development of the domicile as a care center. A meta-analysis of 61 randomized and controlled trials, published in 2012, showed that patients treated at home had a six-month mortality rate between 19% and 38% lower than those who were hospitalized. Home artificial nutrition (HAN) is the nutrients home-administration, among other therapeutic agents, administered through the digestive tract -home enteral nutrition (HEN)- or intravenously -home parenteral nutrition (NPD-), with the objective of improving or maintaining, at home, the patient's nutritional status. That reports into a benefit for the patient as being able to continue the family, social and work commitments. The environment, in which 21st century health professionals work, is changing significantly. There are multiple innovations in process management, given by the growing potential offered by new technologies in remote care. It supports the patient's home stay, either in the community or in a more familiar environment, that is, in a more humanized environment. Finally, HAN is shown to be an effective-cost alternative in relation to classical hospital care, resulting in the adoption of the efficiency criterion as an element of prioritization in healthcare

Humanos , Masculino , Femenino , Niño , Adulto , Métodos de Alimentación , Práctica Integral de Atención/organización & administración , Servicios de Atención de Salud a Domicilio/organización & administración , Humanización de la Atención , Nutrición Parenteral , Salud Holística , Apoyo Nutricional , Nutrientes/administración & dosificación , Sociedades Farmacéuticas/organización & administración , Sociedades Farmacéuticas/normas
Rev. enferm. UERJ ; 28: e50353, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1122745


Objetivo: estabelecer relações entre os fundamentos Nightingaleanos na sustentabilidade de uma clínica de cuidado humano em diálogo com conceitos que sustentam duas atuais políticas de saúde brasileiras. Conteúdo: a ciência da enfermagem se afirma em uma abordagem holística do ser humano, com vistas à saúde integral, ressaltando a pessoa na sua dimensão física, mental, emocional e espiritual. Este princípio sustenta práticas humanizadas de cuidado e também integrativas, na proposição de cuidados integrais centrados na pessoa e relacionamento terapêutico para promover a saúde e o bem-estar. As fontes principais foram a obra seminal de Nigthingale, teorias de enfermagem, textos aplicados da Política Nacional de Humanização e de Práticas Integrativas e Complementares de Saúde. Conclusão: os princípios básicos do cuidado propostos por Nightingale refletem-se em atuais políticas de saúde, contribuindo para ampliar a autonomia dos profissionais de enfermagem, na oferta de cuidados baseados em conceitos próprios, em favor de uma Enfermagem Integrativa e Humana.

Objective: to establish relations between Nightingale fundamentals on the sustainability of human clinical care in dialogue with concepts underpinning two of Brazil's current health policies. Content: nursing science is grounded on a holistic approach of the human being, with a view to comprehensive health, emphasizing subjects in their physical, mental, emotional and spiritual dimensions. This principle underpins integrative, humanized care practices in proposing comprehensive care centered on the human person and a therapeutic relationship designed to promote health and wellbeing. The main sources were Nightingale's seminal work, nursing theories, and applied texts from Brazil's National Policy of Humanization and Integrative, Complementary Healthcare Practices. Conclusion: The basic health care principles proposed by Nightingale, reflected in current health policies, contribute to expanding the autonomy of nursing personnel in the providing care based on concepts specific to nursing, in favor of Integrative, Human Nursing.

Objetivo: establecer relaciones entre los fundamentos de Nightingale sobre la sostenibilidad de la atención clínica humana en diálogo con los conceptos que sustentan dos de las políticas de salud actuales de Brasil. Contenido: la ciencia de la enfermería se fundamenta en un enfoque holístico del ser humano, con miras a la salud integral, enfatizando los sujetos en sus dimensiones física, mental, emocional y espiritual. Este principio sustenta las prácticas de atención integral y humanizada al proponer una atención integral centrada en la persona humana y una relación terapéutica orientada a promover la salud y el bienestar. Las fuentes principales fueron el trabajo fundamental de Nightingale, las teorías de enfermería y los textos aplicados de la Política Nacional de Humanización y Prácticas de Atención Integrativa y Complementaria de Salud de Brasil. Conclusión: Los principios básicos del cuidado de la salud propuestos por Nightingale, reflejados en las políticas de salud vigentes, contribuyen a ampliar la autonomía del personal de enfermería en la prestación de cuidados basados en conceptos propios de la enfermería, a favor de la Enfermería Integrativa, Humana.

Humanos , Teoría de Enfermería , Humanización de la Atención , Política de Salud , Terapias Complementarias , Brasil , Pautas de la Práctica en Enfermería , Salud Holística , Atención de Enfermería
PLoS One ; 15(10): e0238605, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33064723


To "put oneself in the place of other road users" may improve understanding of the global traffic situation. It should be useful enabling drivers to anticipate and detect obstacles in time to prevent accidents to other road users, especially those most vulnerable. We created a pioneering Hazard Perception and Prediction test to explore this skill in different road users (pedestrians, cyclists and drivers), with videos recorded in naturalistic scenarios: walking, riding a bicycle and driving a car. There were 79 participants (30 pedestrians, 14 cyclists, 13 novice drivers and 22 experienced drivers). Sixty videos of hazardous traffic situations were presented, divided into 2 blocks of 30 videos each: 10 walking, 10 riding a bicycle, 10 driving a car. In each situation presented, we evaluated the performance of the participants carrying out the task of predicting the hazard and estimating the risk. In the second block, after they had carried out the task, we gave them feedback on their performance and let them see the whole video (i.e., checking what happened next). The results showed that the holistic test had acceptable psychometric properties (Cronbach's alpha = .846). The test was able to discriminate between the different conditions manipulated: a) between traffic hazards recorded from different perspectives: walking, riding a bicycle and driving a car; b) between participants with different user profiles: pedestrians, cyclists and drivers; c) between the two test blocks: the first evaluation only and the second combining evaluation with this complex intervention. We found modal bias effects in both Hazard Perception and Prediction; and in Risk Estimation.

Accidentes de Tránsito/prevención & control , Accidentes de Tránsito/psicología , Conducción de Automóvil/psicología , Ciclismo/psicología , Caminata/psicología , Prevención de Accidentes/métodos , Adolescente , Adulto , Concienciación , Conducta Peligrosa , Femenino , Salud Holística , Humanos , Masculino , Persona de Mediana Edad , Peatones/psicología , Adulto Joven
Zhonghua Wei Chang Wai Ke Za Zhi ; 23(9): 852-857, 2020 Sep 25.
Artículo en Chino | MEDLINE | ID: mdl-32927508


Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor of the digestive tract. Although GIST has only been recognized as a separate entity for several decades, management strategies for GIST have changed dramatically over time. Advances in treatment have yielded dramatic successes in improving prognosis of patients with GIST. However, the meaningful progress also brings escalating social and economic burdens. There is a long distance between technological breakthroughs and its real benefits of society. Due to the rapid development in a short period, successful experience in disease diagnosis and treatment and the accompanying problems have appeared in a more concentrated and obvious manner. Any medical science exploration and practice initially aim to have the essence of humanism. As practitioners of medical technology, doctors should treat patients as a whole "human" in the process of diagnosis and treatment instead of just focusing on the technology itself. Moreover, doctors should comprehensively consider patients' physical, psychological and social attributes, pay attention to their physical, mental and social needs, find and try to solve problems, so as to promote the developement of medical science in the correct direction.

Neoplasias Gastrointestinales/diagnóstico , Neoplasias Gastrointestinales/terapia , Tumores del Estroma Gastrointestinal/diagnóstico , Tumores del Estroma Gastrointestinal/terapia , Salud Holística , Humanos , Invenciones , Atención al Paciente/métodos , Pronóstico
Rev. bras. ativ. fís. saúde ; 25: 1-9, set. 2020. fig
Artículo en Inglés | LILACS | ID: biblio-1129587


The Academia da Saúde programme has been considered an important health promotion strategy in the scope of primary health care in Brazil. However, there is little evidence on what and how professional practices have been developed as a means to enact health promotion processes in the programme. The study ́s purpose was to analyse the health promotion work in a Academia da Saúde programme ́s unit from Lajeado city, Brazil. The study employed a qualitative approach and grounded theory research method. Participants included a female Health and Physical Education professional (aged 32y), a female health centre coordinator (aged 41y) and eight users (2 men, 6 women, aged 30-69y). Data were collected through condensed fieldwork, involving interviews and non-participant observation of group sessions. Using salutonegesis theory, qualitative analysis generated key findings on the elements of the health promotion work, namely: holistic care, use of diversification into cognitive, psychosocial and physical activities, development of skills and capacities that served as health resources, and the occurrence of resistance and challenges in the programme. Furthermore, the findings offered practical examples of possibilities to enact health promotion process, which represents a significant contribution to knowledge on health work. The study may support both future interventions and professional education, indicating alternative pathways for practitioners and undergraduate students to widen the scope of health promotion actions beyond the biophysical dimension

O programa Academia da Saúde tem sido considerado uma importante estratégia de promoção da saúde no âmbito da atenção primária à saúde no Brasil. Entretanto, existem poucas evidências sobre quais e como práticas profissionais têm sido desenvolvidas como forma de operacionalizar processos de promoção da saúde no programa. O objetivo do estudo foi analisar o trabalho de promoção da saúde em uma unidade do programa Academia da Saúde de Lajeado, Brasil. O estudo empregou uma abordagem qualitativa e o método de pesquisa da teoria fundamentada nos dados. Os participantes incluíram uma profissional de Educação Física (32 anos), uma coordenadora de centro de saúde (41 anos) e oito usuários (2 homens, 6 mulheres, 30-69 anos). Os dados foram coletados por meio do trabalho de campo condensado, envolvendo entrevistas e observação não-participante das atividades coletivas. Utilizando a teoria da salutogênese, a análise qualitativa gerou os resultados sobre os elementos do trabalho de promoção da saúde, a saber: cuidado holístico, uso da diversificação em atividades cognitivas, psicossociais e físicas, desenvolvimento de habilidades e capacidades que serviram como recursos de saúde, e a ocorrência de resistências e desafios no programa. Além disso, os resultados ofereceram exemplos práticos de possibilidades para mobilizar o processo de promoção da saúde, o que representa uma contribuição significativa para o conhecimento sobre o trabalho em saúde. O estudo pode subsidiar intervenções futuras e a formação profissional, indicando caminhos alternativos para profissionais e estudantes de graduação ampliarem o escopo das ações de promoção da saúde para além da dimensão biofísica

Práctica Profesional , Servicios Comunitarios de Salud Mental , Instituciones Asociadas de Salud , Salud Holística , Programas Nacionales de Salud
J Alzheimers Dis ; 76(1): 33-40, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32538856


BACKGROUND: Fundació ACE is a non-profit organization providing care based on a holistic model to persons with cognitive disorders and their families for 25 years in Barcelona, Spain. Delivering care to this vulnerable population amidst the COVID-19 pandemic has represented a major challenge to our institution. OBJECTIVE: To share our experience in adapting our model of care to the new situation to ensure continuity of care. METHODS: We detail the sequence of events and the actions taken within Fundació ACE to swiftly adapt our face-to-face model of care to one based on telemedicine consultations. We characterize individuals under follow-up by the Memory Unit from 2017 to 2019 and compare the number of weekly visits in 2020 performed before and after the lockdown was imposed. RESULTS: The total number of individuals being actively followed by Fundació ACE Memory Unit grew from 6,928 in 2017 to 8,147 in 2019. Among those newly diagnosed in 2019, most patients had mild cognitive impairment or mild dementia (42% and 25%, respectively). Weekly visits dropped by 60% following the suspension of face-to-face activity. However, by April 24 we were able to perform 78% of the visits we averaged in the weeks before confinement began. DISCUSSION: We have shown that Fundació ACE model of care has been able to successfully adapt to a health and social critical situation as COVID-19 pandemic. Overall, we were able to guarantee the continuity of care while preserving the safety of patients, families, and professionals. We also seized the opportunity to improve our model of care.

Betacoronavirus , Infecciones por Coronavirus/terapia , Demencia/terapia , Salud Holística , Atención Dirigida al Paciente/métodos , Neumonía Viral/terapia , Telemedicina/métodos , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Demencia/epidemiología , Demencia/psicología , Femenino , Estudios de Seguimiento , Salud Holística/tendencias , Humanos , Masculino , Pandemias , Atención Dirigida al Paciente/tendencias , Neumonía Viral/epidemiología , Neumonía Viral/psicología , España/epidemiología , Telemedicina/tendencias
Gan To Kagaku Ryoho ; 47(3): 409-412, 2020 Mar.
Artículo en Japonés | MEDLINE | ID: mdl-32381904


The incidence of breast cancer peaks in women in their 40's and 50's. These women may play an important role in their careers, at home, and as a parent, and therefore need a multifaceted support while undergoing treatment. The concept of survivorship, which is focused on the cancer survivors' and their family's quality of life, is important in providing such support. There are many aspects for which support may be necessary, such as treatment decision-making, fertility preservation, child support, management of genetic conditions, and issues of employment. For providing home care services, the necessary care should be given without compromising their daily lives. For example, consideration should be given as to how to spend their last moments in the presence of their children. It is necessary to understand the patient's course of treatment from the beginning, which includes both hospital and home care services, in making the treatment plan together.

Neoplasias de la Mama , Supervivientes de Cáncer , Femenino , Salud Holística , Humanos , Calidad de Vida , Supervivencia
Tog (A Coruña) ; 17(1): 85-86, mayo 2020. ilus
Artículo en Español | IBECS | ID: ibc-196310


Este documento pretende hacer reflexionar sobre la importancia de todas las capacidades presentes en las personas. A menudo tendemos a poner el foco en las carencias, pero la Terapia Ocupacional trabaja para identificar las potencialidades de cada individuo, lo cual es un arte y un trabajo que implica poner atención a absolutamente todos los pequeños detalles

This document pretends to reflect on the importance of all the capacities that people have. We often tend to focus on deficiencies, but Occupational Therapy works to identify the potential of each person, which is an art and a job that involves paying attention to absolutely every little detail

Humanos , Terapia Ocupacional/métodos , Aptitud , Destreza Motora , Salud Holística , Práctica Profesional
Infez Med ; 28(1): 17-28, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-32172257


The HIV epidemic has not yet ended, and there are ever more challenges: the recent Italian National Plan of Interventions against HIV and AIDS (Piano Nazionale di Interventi Contro HIV e AIDS (PNAIDS) 2017-2019) was hailed for its comprehensiveness. Its likelihood of success across the HIV care continuum was therefore assessed. Awareness interventions are sporadic and continue to miss high risk populations; if effectively implemented, the prescriptive detail in PNAIDS may help address this. Combined prevention needs greater focus and investment. However, there has been recent progress: free anonymous testing is available at multiple settings although improvements to provide access to key vulnerable populations are needed. Clinical management is available to a high standard across the country, with some areas for improvement in ensuring equality of access. Long-term management of people living with HIV is often effective, but discrepancies exist across regions and settings of care. It is recommended to enable implementation of PNAIDS as a matter of urgency, develop integrated awareness and testing interventions for STIs and HIV, make condoms free for high-risk populations, and develop a network of multidisciplinary services for long-term holistic care of people living with HIV.

Infecciones por VIH/epidemiología , Política de Salud , Programas Nacionales de Salud , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Pruebas Anónimas/legislación & jurisprudencia , Antirretrovirales/uso terapéutico , Condones/provisión & distribución , Diagnóstico Tardío/estadística & datos numéricos , Consumidores de Drogas/legislación & jurisprudencia , Infecciones por VIH/diagnóstico , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/prevención & control , Sobrevivientes de VIH a Largo Plazo , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Transición de la Salud , Salud Holística , Hospitales Especializados , Humanos , Italia/epidemiología , Cuidados a Largo Plazo/métodos , Programas Nacionales de Salud/legislación & jurisprudencia , Prejuicio/legislación & jurisprudencia , Trabajo Sexual/legislación & jurisprudencia , Enfermedades de Transmisión Sexual/diagnóstico , Estereotipo , Poblaciones Vulnerables
Pediatr Clin North Am ; 67(2): 293-308, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32122561


This article focuses on the health and health care challenges experienced by young and emerging adult gay men. Evidence is provided on the extent to which young and emerging adult gay men are disproportionally burdened by multidimensional health disparities, barriers to health care access, and inadequate provider-patient interactions. Recommendations are provided for health care providers and public health officials working with populations of emerging adult gay men that might have the greatest overall impact on improving this population's well-being and access to competent health care by increasing providers' awareness of the unique needs of young and emerging adult gay men.

Accesibilidad a los Servicios de Salud , Necesidades y Demandas de Servicios de Salud , Salud Holística , Homosexualidad Masculina , Adolescente , Disparidades en el Estado de Salud , Disparidades en Atención de Salud , Humanos , Masculino , Adulto Joven
PLoS One ; 15(3): e0227944, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32196492


BACKGROUND: Pregnancy involves physiological changes in reproductive and endocrine systems, and social role changes that can increase the risk of mental health problems. In China, greater emphasis has been given to postpartum depression and its negative impact on infant development. This study examined depression in pregnant women in Inner Mongolia, who are under the influence of cultural values of collectivism and social factors specific to China. Chinese society adheres firmly to traditional values, while market reform, birth-control policy, together with high parental investment in childcare and rearing construct a unique and sometimes unfavorable environment for Chinese women that may influence their depression expression. THE AIMS OF THIS STUDY ARE TWOFOLD: First, it validated the Chinese Multidimensional Depression Assessment Scale (MDAS), a holistic self-report questionnaire measuring depression severity in four domains of depression-emotional, somatic, cognitive and interpersonal in pregnant women in Inner Mongolia; second, it examined the influences of demographic characteristics (including age, education and employment), pregnancy characteristics (week of gestation, first pregnancy), self-esteem, social support, social activity, work stress, and work-family balance on depression. METHODS: A total of 234 pregnant women, mostly in their third trimester, were recruited in an antenatal hospital in Inner Mongolia and self-reported questionnaires were completed. RESULTS: Using Confirmatory factor analysis (CFA), MDAS gave rise to a best-fit four-factor model corresponding to each subscale when it was first developed. MDAS also reported high Cronbach's alpha (0.96) and good convergent validity. Using hierarchical multiple linear regressions with significant demographic variables controlled for, self-esteem, work-family conflict, and social support were found to be significant predictors for depression. CONCLUSIONS: MDAS is a valid scale to be used with Chinese pregnant women, especially in more collectivistic geographical areas. Risk factors specific to the Chinese context add insights to the experience of antenatal depression in China and contribute to understanding depression in from a global mental health perspective.

Depresión/diagnóstico , Política de Planificación Familiar , Complicaciones del Embarazo/diagnóstico , Mujeres Embarazadas/psicología , Escalas de Valoración Psiquiátrica , Adulto , China , Depresión/epidemiología , Depresión/psicología , Femenino , Salud Holística , Humanos , Embarazo , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/psicología , Tercer Trimestre del Embarazo/psicología , Factores de Riesgo , Autoinforme/estadística & datos numéricos , Apoyo Social