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1.
Br J Psychiatry ; 223(4): 453-455, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37846961

RESUMO

After thanking his predecessors, the newly appointed College Editor and Editor-in-Chief of The British Journal of Psychiatry, Professor Gin Malhi, outlines both the historical and personal significance of the journal in this proemial editorial.


Assuntos
Psiquiatria , Hospitais Psiquiátricos/história , Psiquiatria/história , Publicações/história , Reino Unido
2.
Technol Cult ; 64(4): 1274-1291, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38588191

RESUMO

This review essay examines the ambitious thirty-volume series Science and Civilization in Korea (SCK), published between 2010 and 2022. Input from over sixty Korean scholars traces the evolution of Korean science and technology, from elementary tools to advanced semiconductor technology. Inspired by Joseph Needham's series Science and Civilization in China, SCK seeks to reveal the "universal value" embedded in Korean civilization, extending to the tumultuous eras of the nineteenth and early twentieth centuries. This review essay probes SCK's implications and boundaries, elucidating the influences molding its narrative and identifying omissions. It also considers alternative narratives. Albeit rooted in use-centered historiography, such narratives would not be restricted to the local but underscore an array of practices striving for compatibility with global resources. Moreover, they could bridge the "imagined discontinuity"-the notion of rupture around 1900-between "tradition" and "modern" and thus cultivate a more seamless chronicle of Korea's history of technology.


Assuntos
Livros , Civilização , Humanos , Coreia (Geográfico) , Publicações/história , República da Coreia
3.
Tog (A Coruña) ; 19(nro esp. 1): S9-S15, feb. 2022. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-207081

RESUMO

La AOTA ha publicado la Cuarta Edición del Marco de Trabajo para la Práctica de la terapia ocupacional: Dominio y Proceso. En este artículo vamos a hacer un recorrido por su historia desde el primer Marco de Trabajo publicado en el año 2002 pasando por cada una de sus revisiones realizadas cada 5 años hasta llegar a este cuarto Marco de Trabajo publicado el pasado año 2020. El objetivo es poder conocer tanto sus inicios como la evolución del mismo para lo que nos remontaremos a sus antecedentes: la Terminología Uniforme. (AU)


The objective is to be able to know both its beginnings and its evolution for which we will go back to its antecedents: the Uniform Terminology. The AOTA has published the Fourth Edition of the Framework for the Practice of Occupational Therapy: Domain and Process. In this article we are going to go through its history from the first Framework published in 2002, focusing on each review carried out every 5 years, ending with this fourth Framework published in 2020. The objective is to know both its beginnings and its evolution, and we go back to its antecedents: the Uniform Terminology. (AU)


Assuntos
História do Século XXI , Terapia Ocupacional/história , Terapia Ocupacional/tendências , Conselhos de Especialidade Profissional , Publicações/história , Publicações/tendências
4.
Tog (A Coruña) ; 19(nro esp. 1): S16-S25, feb. 2022. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-207082

RESUMO

En el año 2020 se publica el nuevo Marco de Trabajo para la Práctica de la Terapia Ocupacional: Dominio y Proceso, 4ª edición,tras revisar las bases y procesos de la terapia ocupacional. En este documento queremos sintetizar y hacer más comprensiblestodos los cambios y avances técnicos que se han ido mostrando ennuestra profesión a lo largo de los diferentes documentos realizados por la Asociación Americana de Terapia Ocupacional. (AU)


In 2020 the new Occupational Therapy Practice Framework: Domain and Process, 4th edition was published after reviewing the bases and processes of occupational therapy. In this document we want to synthesize and make more understandable all the changes and technical advances that have been shown in our profession throughout the different documents produced by the American Occupational Therapy Association (AU)


Assuntos
História do Século XX , História do Século XXI , Terapia Ocupacional/história , Terapia Ocupacional/tendências , Conselhos de Especialidade Profissional , Publicações/história , Publicações/tendências
5.
Clin Anat ; 35(3): 316-322, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34967051

RESUMO

This publication by Dr Ferdinand Runge is ubiquitously credited as first to describe the symptoms, pathology, and treatment of patients with lateral epicondylosis (tennis elbow). However, the main focus of his work was to provide insight into causes of writer's cramp and treatments for the condition, elegantly illustrated in four case reports. This work, recently cited as unavailable, is written in German. Given the high frequency of citations in the English literature, it was considered useful to translate it into English to widen access to a broader readership. The purpose of this project was briefly to introduce the life and clinical expertise of Dr. Ferdinand Runge and the content of his work, followed by a translation of the entire manuscript into English. The paper was translated by the three authors using a process of sequential consensus. All are proficient in German and English, with clinical expertise in both topics. A brief reflection is provided to place Dr Runge's observations, clinical reasoning, and contemporaneously available treatments in the context of current thinking about lateral epicondylalgia. Dr. Runge shares his expertise, carefully reporting pertinent examination findings for each case, sharing hypotheses about the etiology of writer's cramp, and using the effectiveness of his applied treatment as confirmation. He concludes that careful evaluation of the patient's activities that hindered writing prior to the onset of the writer's cramp is key to managing this ailment. The topics addressed in this classic work are still thought-provoking.


Assuntos
Distúrbios Distônicos , Cotovelo de Tenista , Distúrbios Distônicos/etiologia , Distúrbios Distônicos/terapia , História do Século XIX , Humanos , Publicações/história , Cotovelo de Tenista/diagnóstico , Tradução
6.
Nat Microbiol ; 6(12): 1467-1468, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34819639
7.
Drug Des Devel Ther ; 15: 2495-2505, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34149285

RESUMO

The aim of this work is to identify the most influential initial clinical studies that fomented important developments in anesthesiology over the past 50 years. Studies fomenting new development can be selected using vastly different approaches and, therefore, might provide diverse outcomes. In the present work, two basic aspects of study assessments - the stage of development (eg, generation of idea, preclinical studies, clinical trials) and the method of selection (eg, committee vote, various types of citation analysis, method of finding the invention disclosure) - were chosen according to the following model. The stage of development: the initial clinical studies demonstrating the basic advantage of an innovation for providing anesthesia. The method: a combination of two factors - the study priority in terms of the time of its publication and the degree of its acknowledgement in the form of citation impact; the time of study publication was regarded as a primary factor, but only if the study's citation count was =/>20. The initial high-impact studies were selected for 16 drug-related topics (ketamine, isoflurane, etomidate, propofol, midazolam in anesthesia, vecuronium, alfentanil, atracurium, sevoflurane, sufentanil, rocuronium, desflurane, ropivacaine, remifentanil, dexmedetomidine in anesthesia, and sugammadex), and 9 technique-related topics (ultrasound-guided peripheral nerve block, capnography in anesthesia, target-controlled intravenous anesthesia, pulse oximetry in anesthesia, total intravenous anesthesia, transesophageal echocardiography in anesthesia, combined spinal-epidural anesthesia, and bispectral index). Twenty-five studies were designated the first high-impact studies (one for each topic); 16 are drug-related and 9 are technique-related. Half of the first high-impact studies had a citation count of =/>100, (range: 100 to 555). The citation count of the other half of high-impact studies did not reach the 100-citation threshold (range: 41 to 97). If a selected first high-impact study had a citation count <100, a next-on-timeline, additional study with citation count =/>100 was also selected; (range: 100 to 344). The present results show that an initial high-impact clinical study on a new development in anesthesiology can be determined and that related citations usually vary from one hundred to five hundred.


Assuntos
Anestesia/história , Anestesiologia/história , Ensaios Clínicos como Assunto/história , Anestesia/métodos , Anestésicos/administração & dosagem , Anestésicos/história , Animais , Desenvolvimento de Medicamentos/história , História do Século XX , História do Século XXI , Humanos , Publicações/história , Publicações/estatística & dados numéricos
8.
PLoS Biol ; 19(4): e3001162, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33872298

RESUMO

Many randomized controlled trials (RCTs) are biased and difficult to reproduce due to methodological flaws and poor reporting. There is increasing attention for responsible research practices and implementation of reporting guidelines, but whether these efforts have improved the methodological quality of RCTs (e.g., lower risk of bias) is unknown. We, therefore, mapped risk-of-bias trends over time in RCT publications in relation to journal and author characteristics. Meta-information of 176,620 RCTs published between 1966 and 2018 was extracted. The risk-of-bias probability (random sequence generation, allocation concealment, blinding of patients/personnel, and blinding of outcome assessment) was assessed using a risk-of-bias machine learning tool. This tool was simultaneously validated using 63,327 human risk-of-bias assessments obtained from 17,394 RCTs evaluated in the Cochrane Database of Systematic Reviews (CDSR). Moreover, RCT registration and CONSORT Statement reporting were assessed using automated searches. Publication characteristics included the number of authors, journal impact factor (JIF), and medical discipline. The annual number of published RCTs substantially increased over 4 decades, accompanied by increases in authors (5.2 to 7.8) and institutions (2.9 to 4.8). The risk of bias remained present in most RCTs but decreased over time for allocation concealment (63% to 51%), random sequence generation (57% to 36%), and blinding of outcome assessment (58% to 52%). Trial registration (37% to 47%) and the use of the CONSORT Statement (1% to 20%) also rapidly increased. In journals with a higher impact factor (>10), the risk of bias was consistently lower with higher levels of RCT registration and the use of the CONSORT Statement. Automated risk-of-bias predictions had accuracies above 70% for allocation concealment (70.7%), random sequence generation (72.1%), and blinding of patients/personnel (79.8%), but not for blinding of outcome assessment (62.7%). In conclusion, the likelihood of bias in RCTs has generally decreased over the last decades. This optimistic trend may be driven by increased knowledge augmented by mandatory trial registration and more stringent reporting guidelines and journal requirements. Nevertheless, relatively high probabilities of bias remain, particularly in journals with lower impact factors. This emphasizes that further improvement of RCT registration, conduct, and reporting is still urgently needed.


Assuntos
Publicações , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/estatística & dados numéricos , Viés , Bibliometria , Confiabilidade dos Dados , Gerenciamento de Dados/história , Gerenciamento de Dados/métodos , Gerenciamento de Dados/normas , Gerenciamento de Dados/tendências , Bases de Dados Bibliográficas/história , Bases de Dados Bibliográficas/normas , Bases de Dados Bibliográficas/tendências , História do Século XX , História do Século XXI , Humanos , Avaliação de Resultados em Cuidados de Saúde , Registros Públicos de Dados de Cuidados de Saúde , Publicações/história , Publicações/normas , Publicações/estatística & dados numéricos , Publicações/tendências , Melhoria de Qualidade/história , Melhoria de Qualidade/tendências , Ensaios Clínicos Controlados Aleatórios como Assunto/história , Revisões Sistemáticas como Assunto
9.
Med Sci (Paris) ; 37(4): 315-316, 2021 04.
Artigo em Francês | MEDLINE | ID: mdl-33908844
10.
Nurs Outlook ; 69(3): 257-264, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33526252

RESUMO

BACKGROUND: During COVID-19, a Kaggle challenge was issued to data scientists to leverage text mining to provide high-level summaries of full-text articles in the COVID-19 Open Research Dataset (CORD-19) data set, a data set containing articles around COVID-19 and other epidemics. A question was asked: "What if nursing had something similar?" PURPOSE: Describe the development and function of the Nursing COVID and Historical Epidemic Literature and describe high-level summaries of abstracts within the repository. METHOD: Nurse-specific literature was abstracted from two data sets: CORD-19 and LitCOVID. LitCOVID is a data set containing the most up-to-date literature around COVID-19. Multiple text mining algorithms were utilized to provide summaries of the articles. DISCUSSION: As of July 2020, the repository contains 760 articles. Summaries indicate the importance of psychological support for nurses and of high-impact rapid education. CONCLUSION: To our knowledge, this repository is the only repository specific for nursing that utilizes text mining to provide summaries.


Assuntos
COVID-19 , Mineração de Dados , Conjuntos de Dados como Assunto , Pesquisa em Enfermagem , Desenvolvimento de Programas , Publicações/história , COVID-19/diagnóstico , COVID-19/terapia , Epidemias/história , Enfermagem Baseada em Evidências , História do Século XX , História do Século XXI , Humanos
11.
Support Care Cancer ; 29(4): 1713-1718, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33484357

RESUMO

This paper chronicles the third decade of MASCC from 2010. There was a generational change in this decade, building on the solid foundation of the founders. It included the first female President, and a new Executive Director with a background in strategy and business development and operations as applied to healthcare. The headquarters moved from Copenhagen to Toronto. The first meeting to be held outside of Europe or North America was held in Adelaide, Australia, and the membership in the Asia Pacific region expanded. A program of international affiliates saw national supportive care organisations formally link with MASCC. In cancer supportive care, there was a raft of new toxicities to manage as immunotherapies were added to conventional cytotoxic treatment. There was also a greater emphasis on the psychosocial needs of patients and families. New MASCC groups were formed to respond to this evolution in cancer management. The MASCC journal, Supportive Care in Cancer, continued to grow in impact, and MASCC published two editions of a textbook of supportive care and survivorship. The decade ended with the challenge of the COVID-19 pandemic, but that served to highlight the importance of good supportive care to patients with cancer.


Assuntos
Neoplasias/terapia , Cuidados Paliativos/história , Cuidados Paliativos/tendências , Sociedades Médicas/história , COVID-19/epidemiologia , Congressos como Assunto/história , Congressos como Assunto/tendências , Conselho Diretor/história , Conselho Diretor/tendências , História do Século XX , História do Século XXI , Humanos , Agências Internacionais/história , Agências Internacionais/organização & administração , Agências Internacionais/normas , Agências Internacionais/tendências , Cooperação Internacional/história , Neoplasias/história , Cuidados Paliativos/organização & administração , Pandemias , Publicações/história , Publicações/tendências , SARS-CoV-2/fisiologia , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Sociedades Médicas/tendências
12.
Fertil Steril ; 115(1): 102-103, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33267961

RESUMO

One day later, there was a marked increase in the vascular supply of the testis, and numerous vessels appeared to have breached the membrana propria of the tubules. Kochar NK, Harrison RG. The effects of x-rays on the vascularization of the mouse testis. Fertil Steril 1971;22:53-57. The impact of temperature shock upon mammalian sperm is severe, and produces physical as well as biochemical alterations in the cells. Ackerman DR. Variation due to freezing in the citrate acid content of human semen. Fertil Steril 1971;22:58-60.


Assuntos
Pesquisa Biomédica/história , Fertilidade/fisiologia , Medicina Reprodutiva/história , Animais , Pesquisa Biomédica/tendências , Feminino , História do Século XX , História do Século XXI , Humanos , Masculino , Camundongos , Gravidez , Publicações/história , Publicações/tendências , Medicina Reprodutiva/tendências
13.
Z Gastroenterol ; 58(12): 1186-1190, 2020 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-33147636

RESUMO

The name Abraham Vater is internationally associated with the confluence of the common bile duct and the pancreatic duct. Vater's writings were published 300 years ago along with the most important anatomical publications of that time. In his experiments, he examined in particular the merging of both ducts and their physiological significance. The major duodenal papilla is neither part of the experiments in this publication, nor does Vater describe it in detail. Rather, Abraham Vater collects and discusses the knowledge of this anatomical region in his writing.


Assuntos
Ampola Hepatopancreática , Doenças do Ducto Colédoco , Ducto Colédoco , Publicações/história , História do Século XIX , História do Século XX , Humanos , Masculino , Ductos Pancreáticos
15.
ChemMedChem ; 15(24): 2363-2387, 2020 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-33063943

RESUMO

These memoirs span the first fifty years of the European Federation for Medicinal Chemistry (EFMC). They are the personal observations and remembrance of Prof. Henk Timmerman, who witnessed how the EFMC developed since its inception in December 1969, and are published at the occasion of the 50th anniversary of the EFMC. They include, with permission from the EFMC, material that was previously published in EFMC newsletters. These texts are for the first time united and completed, to tell the history of an organization that has accompanied and shaped the development of medicinal chemistry in Europe. They also highlight, through facts and anecdotes, the role of the men and women who are the scientific leaders and drivers of this extended scientific community.


Assuntos
Química Farmacêutica/história , Agências Internacionais/história , Sociedades Científicas/história , Distinções e Prêmios , Química Farmacêutica/educação , Química Farmacêutica/organização & administração , Congressos como Assunto/história , Desenvolvimento de Medicamentos , Descoberta de Drogas , Europa (Continente) , História do Século XX , História do Século XXI , Humanos , Agências Internacionais/organização & administração , Cooperação Internacional , Publicações/história , Rede Social , Sociedades Científicas/organização & administração
16.
Tunis Med ; 98(3): 211-218, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32395814

RESUMO

BACKGROUND: Over the past few years, efforts have been made to ensure that the teachers of the Faculty of Medicine of Tunis (FMT) cite their affiliation to the FMT and the University of Tunis El Manar in addition to their hospital institutions and their research structure in their publications. AIMS: In this study, we proposed to evaluate the FMT's membership in the publications of its teachers, to identify the different types of publications and to estimate the real number. METHODS: In this bibliometric cross-sectional study, we retrieved the FMT publications indexed in medline/pubmed database (1964-June2019). We have chosen the keywords corresponding to the publications of group1 (referenced FMT) and group2 (referenced FMT or annexed hospital-university institutions). Next, we calculated the rate of group1 on group2 and sorted the different types of items in group2. Finally, We estimated, after randomization, the actual number of FMT publications for a 99% confidence interval (99% CI). RESULTS: For groups 1 and 2, 1477 and 5194 publications were retrieved, respectively. The FMT membership rate averaged 28% ranging from 4% (1990-2010) to 44% (2011-2019). Of the FMT publications, 30% were free of charge and 55% were original articles. After a draw for 300 group2 publications, the estimated number of total FMT publications was between 4519 and 4934 for a 99% CI. CONCLUSIONS: It is essential to mention its affiliation to «the Faculty of Medicine of Tunis¼ and to «the University of Tunis El Manar¼ in order to improve the visibility and ranking of our two academic institutions.


Assuntos
Bibliometria , Docentes de Medicina/estatística & dados numéricos , Publicações/estatística & dados numéricos , Publicações/tendências , Editoração , Adulto , Bibliometria/história , Pesquisa Biomédica/história , Pesquisa Biomédica/organização & administração , Pesquisa Biomédica/estatística & dados numéricos , Pesquisa Biomédica/tendências , Estudos Transversais , Educação Médica/história , Educação Médica/estatística & dados numéricos , Educação Médica/tendências , Docentes de Medicina/história , Docentes de Medicina/tendências , Feminino , História do Século XX , História do Século XXI , Humanos , Masculino , Pessoa de Meia-Idade , Publicações/história , Publicações/provisão & distribuição , Editoração/história , Editoração/estatística & dados numéricos , Editoração/provisão & distribuição , Editoração/tendências
17.
Pan Afr Med J ; 35(Suppl 1): 14, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32373265

RESUMO

INTRODUCTION: Beginning with the 1960s, this review analyzes trends in publications on measles indexed by the National Library of Medicine from January 1960 to mid-2018. It notes both the growth in numbers of published papers, and the increasing number and proportion of publications, in the current century, of articles on such items as costing, measles elimination, and determinants of coverage. METHODS: A two-person team extracted from the National Library of Medicine (NLM) homepage all citations on measles beginning in 1960 and continuing through mid-2018. These were then classified both by overall number and by subject matter, with tabular summaries of both by decade and by subject matter. The tabular presentation forms the basis for a discussion of the ten most frequently cited subjects, and publication trends, with a special emphasis on the current century. RESULTS: As in the past, the most often currently published items have been on coverage and its determinants, measles elimination, outbreak reports, SSPE, and SIAs. The putative relationship between vaccination and autism saw a spurt of articles in the 1990s, rapidly declining after the IOM report rejecting the causative hypothesis. CONCLUSION: There is a discussion on the sequencing of polio and measles eradication, the former unlikely before 2022, and an examination of likely research priorities as the world moves from measles control to measles eradication. There is a key role for social science in combatting vaccination reticence. The role of technical innovations, such as micropatch vaccination, is discussed.


Assuntos
Sarampo , Publicações/estatística & dados numéricos , Publicações/tendências , Erradicação de Doenças/métodos , Erradicação de Doenças/organização & administração , Erradicação de Doenças/estatística & dados numéricos , Erradicação de Doenças/tendências , Geografia , Saúde Global/história , Saúde Global/estatística & dados numéricos , Saúde Global/tendências , História do Século XX , História do Século XXI , Humanos , Programas de Imunização/história , Programas de Imunização/organização & administração , Programas de Imunização/estatística & dados numéricos , Programas de Imunização/tendências , Sarampo/epidemiologia , Sarampo/história , Sarampo/prevenção & controle , Vacina contra Sarampo/uso terapêutico , Poliomielite/epidemiologia , Poliomielite/prevenção & controle , Publicações/história
18.
Hist Sci ; 58(4): 458-484, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32418464

RESUMO

This essay uses the case of the fin-de-siècle Vienna embryologist Samuel Leopold Schenk to analyze the factors at play in allegations of misconduct. In 1898, Schenk published a book titled Theorie Schenk. Einfluss auf das Geschlechtsverhältnis (Schenk's theory. Influence on the sex ratio). The book argued that, by changing their diet, women trying to conceive could influence egg maturation and consequently select the sex of their offspring. This cross between a scientific monograph and a popular advice book received enormous publicity but also spurred first the Vienna Medical Association and then the Senate of the University of Vienna to accuse Schenk of poor science, self-advertisement, quack medical practice, and wrong publisher choice. Formal proceedings against Schenk ended in 1900 with the unusually harsh punishment of early retirement. Schenk died two years later. I examine the elements of the case, from the science of sex determination and selection, to the growth of print media and advertising within the changing demographic and political landscape of Vienna. I argue that the influence of the public, via the growing media, upon science was the main driver of the case against Schenk, but also that the case would have had a more limited impact were it not for the volatile political moment rife with anti-Semitism, nationalism, and xenophobia. I draw the attention to the importance of setting cases of misconduct in the broader political history and against the key social concerns of the moment.


Assuntos
Embriologia/história , Pré-Seleção do Sexo/história , Áustria-Hungria , Embriologia/ética , Embriologia/legislação & jurisprudência , Feminino , História do Século XIX , Humanos , Judeus/história , Jornalismo Médico/história , Masculino , Política , Preconceito/história , Publicações/ética , Publicações/história , Charlatanismo/história , Charlatanismo/legislação & jurisprudência , Faculdades de Medicina/história , Processos de Determinação Sexual , Pré-Seleção do Sexo/métodos
19.
Rev Colomb Psiquiatr (Engl Ed) ; 49(2): 121-126, 2020.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32446419

RESUMO

In 2018 the academy will celebrate the 200th anniversary of the publication of the seminal work of Arthur Schopenhauer (1788-1860): The World as Will and Representation (Idea). Schopenhauer is known as the "philosopher of pessimism" and as the "psychologist of the will". His thinking is formally absent in the psychiatric education curricula, which could be enriched by the philosopher's work. Regarding psychiatry's theoretical foundations, Schopenhauer: a) anticipated several issues of species' origin and evolution, which are used in the contemporary understanding of disease development; b) anticipated some attributes of the psychodynamic and cognitive unconscious when referring to the irrational features of the will; c) foresaw the current concept of the embodied mind, which emphasizes the role of the body's structure and dynamics in cognition instead of that of a transcendental reason; d) proposed a simplified and heuristic model of mind, comprising the senses, understanding and reason; at a pragmatic level, particularly concerning psychotherapy, the philosopher e) stated that all human actions spring from three fundamental sources: egoism, malice and compassion; he also speculated about the role of unconscious repression in the genesis of mental illnesses; and finally, f) emphasized the ubiquity of suffering and the insatiability of desire, which unavoidably leads to egocentrism. In this regard he highly valued contemplation of art and nature as a way of dissociating knowledge from desire, and thus allowing the development of compassion and asceticism. This was considered by the philosopher to be "denial of the will", and a path for individual salvation and well-being. In contemporary psychiatry, this metaphysical proposal may be reformulated in terms of promoting cooperation and healthy austerity as a non-specific component of most psychotherapies and educational models. Schopenhauer's thinking may enrich psychiatric training and personal well-being.


Assuntos
Filosofia/história , Psiquiatria/história , Psicoterapia/história , História do Século XVIII , História do Século XIX , Humanos , Transtornos Mentais/história , Transtornos Mentais/psicologia , Publicações/história
20.
Artigo em Inglês | MEDLINE | ID: mdl-32318026

RESUMO

Background: The American Thyroid Association Guidelines on Thyroid Disease During Pregnancy and the Postpartum (ATA Guidelines) were published in 2017, with an update not expected for another 5 years. Since release of the 2017 ATA Guidelines, greater than 500 articles have been published in the field. Furthermore, there are presently 14 prospective, interventional trials in progress registered at Clinicaltrials.gov Static guidelines updated every 5-7 years fail to provide timely evidence-based guidance to practicing clinicians. Consequently, guideline development should move toward the creation of dynamic documents. The present article reviews the literature published since the 2017 ATA Guidelines, both to benefit clinicians in practice and to make the case for Dynamic ATA Guidelines. Methods: Using the search terms "thyroid" and "pregnancy," a systematic review of literature published in Pubmed from 3/1/2017 to 12/31/2018 was conducted. The titles and/or abstracts of all articles were reviewed. All articles were classified by subject headings used in the 2017 ATA Guidelines. English-text articles classified under "hypothyroidism" or "thyroid autoimmunity" were examined in full-text. Using the questions and recommendations put forth by the previous ATA Guidelines, relevant articles were selected for discussion in this review. Results: At the time of the search, 659 unique articles on "thyroid and pregnancy" were identified, including 66 original studies on hypothyroidism and 26 on thyroid autoimmunity. Of these, 26 studies on hypothyroidism and 18 studies on thyroid autoimmunity were selected for inclusion in this review based on specific questions in the 2017 ATA Guidelines. Based on these 44 articles, we propose two specific changes to the 2017 ATA Guidelines. Conclusion: Based on new research, we recommend the 2017 ATA Guidelines be updated to recommend against treating thyroid antibody-negative women diagnosed with subclinical hypothyroidism in the second trimester or later; to reflect new, moderate-quality evidence supporting the treatment of thyroid peroxidase antibody-negative women with elevated thyroid stimulating hormone levels in the first trimester or earlier; and to recommend against treatment of euthyroid, thyroid peroxidase antibody-positive women undergoing assisted reproductive technology. Transitioning to a Dynamic ATA Guidelines would allow for these and future recommendations to be implemented in real time.


Assuntos
Determinação de Necessidades de Cuidados de Saúde , Guias de Prática Clínica como Assunto , Complicações na Gravidez/terapia , Transtornos Puerperais/terapia , Doenças da Glândula Tireoide/terapia , Feminino , História do Século XXI , Humanos , Período Pós-Parto/fisiologia , Guias de Prática Clínica como Assunto/normas , Padrões de Prática Médica/normas , Padrões de Prática Médica/estatística & dados numéricos , Gravidez , Complicações na Gravidez/epidemiologia , Publicações/história , Publicações/estatística & dados numéricos , Transtornos Puerperais/epidemiologia , Sociedades Médicas/normas , Doenças da Glândula Tireoide/epidemiologia , Estados Unidos/epidemiologia
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