Taller de radio: una experiencia a viva voz

El presente trabajo tiene como objetivo realizar un análisis y dar cuenta de las distintas actividades e intervenciones desplegadas en el taller de radio perteneciente al dispositivo de hospital de día. Para tal fin se utilizan fragmentos de la obra de Freud y Lacan, así como aportes de autores contemporáneos para llevar adelante una articulación teórico-clínica. La elección del taller como eje del trabajo se debe a la idea de repensar la práctica cotidiana y la posición de los profesionales dentro del dispositivo. (AU)

Keeping Communications Flowing During Large-scale Disasters: Leveraging Amateur Radio Innovations for Disaster Medicine.

Medical facilities may struggle to maintain effective communications during a major disaster. Natural and man-made disasters threaten connectivity by degrading or crippling Internet, cellular/mobile, and landline telephone services across wide areas. Communications among staff, between facilities, and to resources outside the disaster area may be lost for an extended time. A prototype communications system created by the National Library of Medicine (NLM) provides basic communication services that ensure essential connectivity in the face of widespread infrastructure loss. It leverages amateur radio to provide resilient email service to local users, enabling them to reach intact communications networks outside the disaster zone. Because amateur radio is inexpensive, always available, and sufficiently independent of terrestrial telecommunications infrastructure, it has often augmented telecommunications capabilities of medical facilities. NLM's solution is unique in that it provides end-user to end-user direct email communications, without requiring the intervention of a radio operator in the handling of the messages. Medical staff can exchange email among themselves and with others outside the communications blackout zone. The technology is portable, is deployable on short notice, and can be powered in a variety of ways to adapt to the circumstances of each crisis. (Disaster Med Public Health Preparedness. 2018;12:257-264).

Disaster Radio for Communication of Vital Messages and Health-Related Information: Experiences From the Haiyan Typhoon, the Philippines.

OBJECTIVE: Crisis communication is seen as an integrated and essential part of disaster management measures. After Typhoon Haiyan (Yolanda) in the Philippines 2013, radio was used to broadcast information to the affected community. The aim of this study was to describe how disaster radio was used to communicate vital messages and health-related information to the public in one affected region after Typhoon Haiyan. METHODS: Mixed-methods analysis using qualitative content analysis and descriptive statistics was used to analyze 2587 logged radio log files. RESULTS: Radio was used to give general information and to demonstrate the capability of officials to manage the situation, to encourage, to promote recovery and foster a sense of hope, and to give practical advice and encourage self-activity. The content and focus of the messages changed over time. Encouraging messages were the most frequently broadcast messages. Health-related messages were a minor part of all information broadcast and gaps in the broadcast over time were found. CONCLUSION: Disaster radio can serve as a transmitter of vital messages including health-related information and psychological support in disaster areas. The present study indicated the potential for increased use. The perception, impact, and use of disaster radio need to be further evaluated. (Disaster Med Public Health Preparedness. 2016;10:591-597).

Sistema de información web para agilizar la gestión y mejorar los servicios especiales de atención a las personas dependientes / A web information system for enhancing management and improving special care services provided to dependent persons

Objetivo: Garantizar la calidad del servicio en centros donde se presta atención especializada a personas dependientes. Un sistema de información web que integra un sistema de control por radio frecuencia asegura que los usuarios reciban la atención adecuada de forma permanente mientras permanecen en el centro. Material y métodos: El acierto del sistema en cumplir el objetivo se ha evaluado a través del nivel de confianza de los trabajadores de la Asociación de Personas con Discapacidad "El Saliente", donde se atiende a personas mayores de 65 años, afectadas por diferentes grados de dependencia. El sistema se implantó experimentalmente en enero de 2009. Resultados: Según encuestas realizadas, el sistema ha favorecido el trabajo diario -gestión- (el 84% de encuestados). Un 92,4% indica que la atención al usuario se ha visto mejorada al centralizar toda la información de los usuarios y al alertar sobre las situaciones de riesgo -tomas tardías de medicación, salidas del centro, etc.-. (El resto son reticentes al sistema). Los datos experimentales recogen mejoras en las incidencias (reducidas en un 30% aproximadamente) y, por tanto, en la calidad del tratamiento proporcionado a los usuarios de los centros de día. Conclusiones: Las proyecciones de población auguran un incremento en la dotación de centros de día. La naturaleza de las personas que se atienden en estos centros y los datos que se gestionan a diario hacen necesario implantar infraestructuras de gestión que, como la presentada en este trabajo, aseguren y controlen la calidad de los servicios prestados (AU)

Objective: Ensuring the quality of services provided in centres where dependent persons are seen by specialist services, by improving and enhancing how information -salary, control of tasks, patients’ records, etc.- is shared between staff and carers. A web information system has been developed and experimentally deployed to accomplish this. Material and methods: The accuracy of the system was evaluated by assessing how confident the employees were with it rather than relying on statistical data. It was experimentally deployed since January 2009 in Asociación de Personas con Discapacidad "El Saliente" that manages several day centres in Almeria, for dependent persons over 65 years old, particularly those affected by Alzheimer’ disease. Incidence data was collected during the experimental period. Results: A total of 84% of the employees thought that the system helped to manage documents, administrative duties, etc., and 92.4% said they could attend to really important tasks because the system was responsible for alerting them of every task, such as medication timetables, checking all patients were present (to prevent an Alzheimer affected person leaving the centre) etc. During this period the incidences reported were reduced by about a 30%, although data is still partially representative. Conclusions: As the life expectancy of the population gets longer, these centres will increase. Providing systems such as the one presented here would be of great help for administrative duties (sensitive data protection…) as well as ensuring high quality care and attention (AU)

A scoping review of research on complementary and alternative medicine (CAM) and the mass media: looking back, moving forward.

BACKGROUND: The use of complementary and alternative medicine (CAM) has become more common in Western developed countries in recent years, as has media reporting on CAM and related issues. Correspondingly, media reports are a primary information source regarding decisions to use CAM. Research on CAM related media reports is becoming increasingly relevant and important; however, identifying key concepts to guide future research is problematic due to the dispersed nature of completed research in this field. A scoping review was conducted to: 1) determine the amount, focus and nature of research on CAM and the mass media; and 2) summarize and disseminate related research results. METHODS: The main phases were: 1) searching for relevant studies; 2) selecting studies based on pre-defined inclusion criteria; 3) extracting data; and 4) collating, summarizing and reporting the results. RESULTS: Of 4,454 studies identified through various search strategies, 16 were relevant to our objectives and included in a final sample. CAM and media research has focused primarily on print media coverage of a range of CAM therapies, although only a few studies articulated differences within the range of therapies surveyed. Research has been developed through a variety of disciplinary perspectives, with a focus on representation research. The research reviewed suggests that journalists draw on a range of sources to prepare media reports, although most commonly they cite conventional (versus CAM) sources and personal anecdotes. The tone of media reports appears generally positive, which may be related to a lack of reporting on issues related to risk and safety. Finally, a variety of discourses within media representations of CAM are apparent that each appeal to a specific audience through resonance with their specific concerns. CONCLUSION: Research on CAM and the mass media spans multiple disciplines and strategies of inquiry; however, despite the diversity in approach, it is clear that issues related to production and reception of media content are in need of research attention. To address the varied issues in a comprehensive manner, future research needs to be collaborative, involving researchers across disciplines, journalists and CAM users.

Psychopathology of schizophrenia in Ljubljana (Slovenia) from 1881 to 2000: changes in the content of delusions in schizophrenia patients related to various sociopolitical, technical and scientific changes.

BACKGROUND: Clinical observations and research have found the content of delusions in schizophrenia to be sensitive to sociopolitical and cultural factors. AIMS: The aim of this retrospective case-note study was to determine changes in the frequencies of various contents of delusions in schizophrenia patients over time. METHODS: A total of 120 records of first-time admission schizophrenia patient at Ljubljana's psychiatric hospital in the period from 1881 to 2000 were randomly selected. Information was taken from each record to fill out a form specially created for this study. The frequencies of delusions with regard to their content in various time spans were compared. RESULTS: A marked increase in two delusional themes--persecution and self-reference--was found after the change of political regime (1941-2000) in Slovenia. After the spread of radio in the 1920s and television in the 1950s in Slovenia, there was an obvious increase in delusions of outside influence and control as well as delusions with technical themes. A striking increase in the percentage of Schneiderian first-rank symptoms was found after the spread of Schneider's ideas in the 1950s. CONCLUSIONS: Sociopolitical changes and scientific and technical developments have a marked influence on the delusional content in schizophrenia.

A contribuição da comunicação para a saúde: estudo de comunicação de risco via rádio na Grande São Paulo / The contribution of communication for health: study of the communication of risk through broadcast in São Paulo City

O presente trabalho tem o objetivo de analisar a partir da programação das rádios comunitárias: "8 de Dezembro" situada na Cidade de Vargem Grande Paulista e "Cantareira", situada na Vila Brasilândia, município de São Paulo e dos discursos de seus ouvintes, como ocorre a comunicação de riscos sanitários inerentes ao campo da vigilância sanitária e qual é a influência destas mensagens nos hábitos cotidianos desses ouvintes. Utilizou-se como instrumento da metodologia a análise dos documentos produzidos pela programação das rádios, levantando o conteúdo abordado sobre saúde e mais especificamente sobre vigilância sanitária, e entrevistas qualiquantitativas junto a 106 ouvintes dessas rádios. Utilizou-se a metodologia do Discurso do Sujeito Coletivo (DSC), metodologia esta que une o aspecto qualitativo ao quantitativo da pesquisa. Posteriormente os dados foram tabulados com a ajuda do Software Qualiquantsoft. Dentro desse quadro, concluiu-se que as rádios comunitárias podem ser um espaço de comunicação em saúde pública através de processos educomunicativos, ou seja, processos onde a comunicação tem papel educativo sobre a população, estimulando uma comunicação de riscos sanitários mais eficiente e democrática, enquanto formadora de cidadania. Na educomunicação, a recepção é crítica e interage com a emissão, resignificando a mensagem, a partir de sua experiência de vida local, social, cultural, educacional, religiosa, etc.

Introducing a two-way wireless communication system.

Three medical/surgical units in a Midwestern medical center introduced a two-way wireless communication system to test its effect on environmental noise, staff communication, timeliness of response to patient requests, nurse fatigue and job satisfaction. Data were collected through focus groups, surveys, pedometer studies and work sampling. Results provide for nurse managers the first objective evaluation of the potential of this new device and a framework for designing other nursing evaluations of the effects of a new technology.