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1.
BMC Palliat Care ; 21(1): 134, 2022 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-35869514

RESUMO

BACKGROUND: Among a growing population of older persons, many affected by multiple diseases and complex needs, are cared for in nursing homes. Previous studies of nursing homes have highlighted the importance of personalised palliative care. Nevertheless, we know little about whether everyday care practice involving assistant nurses and frail older persons accomplishes ethical encounters, especially in assisted bodily care. Therefore, the aim of this study was to understand and conceptualize the encounter between residents and assistant nurses in bodily care-situations at the end of life in a nursing home. METHODS: Focused ethnographic design was used. Residents and assistant nurses from one nursing home in an urban Swedish area participated in this study. Data were collected for 6 months and consisted of 170 h of fieldwork, including participant observation and interviews. Observations and digitally recorded interviews were analysed thematically. Five public community stakeholders contributed to the analysis by discussing preliminary results and clinical implications in a focus group. RESULTS: Four themes, each encompassing both barriers to and facilitators of ethical encounters in assisted bodily care, were identified: Coping with the impact of workplace demands; Interacting in dialogue and communication; Experiencing involvement in the provision of assisted bodily care; and Adapting to good care and comfort. CONCLUSIONS: The findings suggest that accomplishing ethical encounters in assisted bodily care practice in a nursing home context has many barriers that are related to communication, relationships, and quality of care. Barriers included lack of resources, ineffective communication, and work values, which hinder ethical encounters. Nevertheless, moral sensitivity, genuine interest in resident engagement, and collaborative practices facilitated ethical encounters and are thus central to person-centred care. Uniquely, assistant nurses must be aware of their responsibility for performing their tasks in response to residents' vulnerability. We therefore suggest that moral deliberation over issues of communication, compassion, decision-making, and behavior, with particular consideration for the care relationship. To further improve the quality of care, organisations must provide resources for the building of relationships, as well as time for assistant nurses to recover after long shifts. Additional research is warranted, including implementation of ethically grounded palliative care.


Assuntos
Antropologia Cultural/ética , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/ética , Assistentes de Enfermagem/ética , Casas de Saúde/ética , Cuidados Paliativos/ética , Idoso , Idoso de 80 Anos ou mais , Morte , Idoso Fragilizado , Humanos , Entrevistas como Assunto/métodos , Princípios Morais , Observação , Suécia , População Urbana
2.
Multimedia | Recursos Multimídia | ID: multimedia-9747

RESUMO

Live com o Dr. Rubens Dolce Filho que falará sobre o processo de amadurecimento pessoal, médico e homeopático.


Assuntos
Homeopatia/história , Pessoas Famosas , Entrevistas como Assunto
3.
Multimedia | Recursos Multimídia | ID: multimedia-9757

RESUMO

Entrevista com o Dr. Ariovaldo Ribeiro filho. Programa Salutis.


Assuntos
Entrevistas como Assunto , Pessoas Famosas , Homeopatia , Promoção da Saúde
4.
Multimedia | Recursos Multimídia | ID: multimedia-9758

RESUMO

Entrevista realizada com o Dr. Massimo Mangialavori, médico homeopata italiano, durante o 4º Congresso APH. Legendado em português.


Assuntos
Pessoas Famosas , Entrevistas como Assunto , Homeopatia
5.
Sci Data ; 9(1): 313, 2022 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-35710769

RESUMO

Artificial Intelligence (AI) is playing a major role in medical education, diagnosis, and outbreak detection through Natural Language Processing (NLP), machine learning models and deep learning tools. However, in order to train AI to facilitate these medical fields, well-documented and accurate medical conversations are needed. The dataset presented covers a series of medical conversations in the format of Objective Structured Clinical Examinations (OSCE), with a focus on respiratory cases in audio format and corresponding text documents. These cases were simulated, recorded, transcribed, and manually corrected with the underlying aim of providing a comprehensive set of medical conversation data to the academic and industry community. Potential applications include speech recognition detection for speech-to-text errors, training NLP models to extract symptoms, detecting diseases, or for educational purposes, including training an avatar to converse with healthcare professional students as a standardized patient during clinical examinations. The application opportunities for the presented dataset are vast, given that this calibre of data is difficult to access and costly to develop.


Assuntos
Aprendizado de Máquina , Relações Médico-Paciente , Inteligência Artificial , Humanos , Entrevistas como Assunto , Processamento de Linguagem Natural , Médicos , Transtornos Respiratórios
6.
J Foot Ankle Res ; 15(1): 37, 2022 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-35578297

RESUMO

BACKGROUND: Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was to explore adolescents' perspectives of participating in HAPPi Kneecaps!. METHODS: All 36 adolescents with PFP from the HAPPi Kneecaps! study were invited to participate in semi-structured interviews. We used a descriptive qualitative methodology underpinned by a relativist framework to investigate adolescents' perspectives on participating in the trial. Inductive thematic analysis was used to examine patterns regarding how each adolescent experienced the HAPPi Kneecaps! study within their social, cultural, and historical contexts. RESULTS: 14 out of 36 HAPPi Kneecaps! participants provided consent and participated in interviews (12 females; mean [SD] age 14.9 [2.4] years). Overall, most adolescents responded positively when discussing their experience, such as improvements in their knee pain and satisfaction with how the study was run. Major themes that were generated from the analysis and feedback were: (1) shoe inserts require little effort to use; (2) perceptions of the program were generally positive; (3) participation in the trial could be made easier; (4) warm weather matters; and (5) life happens. CONCLUSION: Adolescents with PFP who participated in the HAPPi Kneecaps! study found that shoe inserts were easy to wear. Most adolescents experienced an improvement in their symptoms and enhanced participation in sport and exercise. Adolescents with PFP prefer an option for warmer climates (e.g. flip flops or sandals), access to online logbooks, and clinicians who are easily accessible. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000957190 . Date registered: 8/07/2019.


Assuntos
Síndrome da Dor Patelofemoral/terapia , Sapatos/classificação , Adolescente , Austrália , Método Duplo-Cego , Exercício Físico , Estudos de Viabilidade , Feminino , Humanos , Entrevistas como Assunto , Masculino , Patela/fisiologia , Estações do Ano , Sapatos/normas , Esportes
7.
Artigo em Inglês | MEDLINE | ID: mdl-35564931

RESUMO

Few studies have examined mobility from a social exclusion perspective. Limited mobility can restrict opportunities to interact with others and therefore may lead to social exclusion. This pilot study was designed to test the feasibility of integrating Global Positioning System (GPS) trajectory data and interview data to understand the different mobility patterns between lower- and higher-income older adults in Hong Kong and the potential reasons for and impacts of these differences. Lower- (n = 21) and higher- (n = 24) income adults aged 60 years of age or older in Hong Kong were recruited based on purposive sampling. They were asked to wear a GPS device for 7 days. Seven measures of mobility (four dimensions) were created based on GPS data and compared between lower- and higher-income older adults, including extensity (standard deviation ellipse, standard distance between all locations), intensity (time spent out of home, doing activities), diversity (number of locations), and non-exclusivity (time spent in public open spaces and places with higher public service provisions). It then administered semi-structured interviews to understand the determined differences. The activity spaces for lower-income older adults were, on average, smaller than those for higher-income older adults, but lower-income older adults spent significantly more time participating in out-of-home activities. They were more likely to be exposed to environments with similar socioeconomic characteristics as their own. The interviews showed that limited social networks and expenditure on transport were the two main factors associated with lower-income older adults having relatively fewer activity spaces, which may lead to further social exclusion. We recommend using GPS in daily life as a feasible way to capture the mobility patterns and using interviews to deeply understand the different patterns between lower- and higher-income older adults. Policy strategies aiming to improve the mobility of older might be helpful for further improving the social inclusion of lower-income older adults.


Assuntos
Sistemas de Informação Geográfica , Renda , Desempenho Físico Funcional , Interação Social , Idoso , Estudos de Viabilidade , Hong Kong , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Projetos Piloto , Isolamento Social , Rede Social , Fatores Socioeconômicos
8.
BMJ Open ; 12(4): e059020, 2022 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-35387832

RESUMO

INTRODUCTION: The perception of mothers about causes of underweight and overweight among children or adolescents and associated cultural beliefs may influence nutritional status. However, data from qualitative studies on this subject and regarding age 6-19 are scarce in Nigeria. OBJECTIVE: This study aimed to explore mothers' perceptions and cultural beliefs about underweight and overweight children and adolescents in selected communities in a northern and a southern Nigerian state. DESIGN: This was a qualitative study using focus group discussions (FGD). Eight FGD sessions were held. The interviews were transcribed verbatim, and the transcripts were coded and analysed using NVivo V.11, and direct quotations representing the themes generated from the perspectives were cited as appropriate. SETTING: The study was carried out in eight randomly selected rural and urban communities in Gombe and Osun states of Nigeria. PARTICIPANTS: Seventy-six mothers of children and adolescents aged 6-19 years. RESULTS: The mothers identified concepts, causes and community experience of underweight and overweight children and adolescents, however, some gaps and misconceptions were observed. These included perspectives that suggest a limited understanding of the concepts of mild and moderate malnutrition and stunting and citing of 'witches and wizards' as causes of malnutrition. The mothers observed that being underweight was more prevalent in rural communities of Osun and Gombe states, while overweight was more prevalent in urban communities in Osun state. The majority of the women reported no known food taboo or restrictions, and no cultural beliefs relating to the nutrition of children and adolescents. CONCLUSION: Gaps and misconceptions exist in the perceptions of mothers on underweight and overweight children and adolescents. Food taboos, food restrictions and other cultural beliefs were not reported by majority of the mothers. Educational programmes for mothers on child/adolescent nutrition should target identified gaps and misconceptions.


Assuntos
Desnutrição , Mães , Adolescente , Adulto , Criança , Feminino , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Nigéria/epidemiologia , Sobrepeso/epidemiologia , Pesquisa Qualitativa , Magreza/epidemiologia , Adulto Jovem
9.
Enferm. intensiva (Ed. impr.) ; 33(2): 1-12, Abr-Jun 2022. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-203602

RESUMO

La pandemia por COVID-19ha supuesto una crisis sanitaria sin precedentes. La presión asistencial sobre el Sistema Nacional de Salud ha generado escenarios insólitos de demanda especialmente llamativos en algunos servicios o unidades asistenciales como las Unidades de Cuidados Críticos.Objetivo: Conocer la experiencia de los profesionales enfermeros referida a la atención de personas infectadas por coronavirus en las Unidades de Cuidados Críticos.Método: Estudio cualitativo de carácter fenomenológico que constituye la segunda fase de un proyecto de metodología mixta. Se realizaron entrevistas a 17 enfermeras que prestaron cuidados en Unidades de Cuidados Críticos a pacientes afectados de COVID-19. Las entrevistas fueron audiograbadas, transcritas y analizadas mediante análisis temático del discurso.Resultados: En este artículo se muestran los hallazgos en torno al tema «el valor del recurso humano» que matiza su significado a través de los subtemas «no son las camas, es el personal experto», «llevando la carga del paciente» y sufriendo por «no haber cuidado bien».Discusión: Los profesionales enfermeros expertos se erigen como profesionales líderes en el cuidado del paciente crítico durante la pandemia por COVID-19. Este liderazgo se ejerce desde un perfil enmarcado en una filosofía integradora donde sabiduría, agilidad e intuición son los elementos clave que dan soporte a la identificación y resolución de problemas de forma creativa adaptándose a las necesidades emergentes de los pacientes y equipo de cuidados.Conclusiones: Los profesionales enfermeros expertos han desempeñado un rol avanzado en la gestión de cuidados y de recursos humanos mediante el ejercicio de un liderazgo eficiente en el entorno clínico. Los cuidados se han visto mermados por la situación de crisis, circunstancia que les genera sufrimiento moral por no haber podido cumplir con los estándares de calidad y excelencia en el cuidado.


The COVID-19 pandemic has caused an unprecedented health crisis. Pressure on the National Health System has created unique demand particularly in certain services and care units like the critical care units.Objective: To learn about the experience of nurses in caring for people with coronavirus in critical care units.MethodA qualitative phenomenological study that constitutes the second phase of a mixed methodology project. We conducted interviews with 17 nurses caring for patients affected by COVID-19 in critical care units. The interviews were audio-recorded, transcribed, and analysed using thematic discourse analysis.Results: This article shows the findings around the theme “the value of human resources” which is nuanced through sub-themes “it's not the beds, it's the expert staff”, “shouldering the patient's burden”, and suffering because “they have not cared well”.Discussion: Expert nurses have emerged as leading professionals in the care of the critical patient during the COVID-19 pandemic. This leadership is executed from a profile framed in an inclusive philosophy where wisdom, agility and intuition are the key elements underpinning problem identification and solving in a creative way, while adapting to the needs of the patient and healthcare team as they emerge.Conclusions: Expert nurses have played an advanced role in the management of care and human resources by exercising effective leadership in the clinical setting. Care has been hampered due to the crisis, which causes nurses moral distress because they have been unable to meet standards of quality and excellence in care.


Assuntos
Humanos , Feminino , Pandemias , Cuidados Críticos , Pessoal de Saúde , Enfermeiras e Enfermeiros , Unidades de Terapia Intensiva , Betacoronavirus , Mulheres , Enfermagem , Entrevistas como Assunto , Mão de Obra em Saúde , Estresse Psicológico , Pesquisa Qualitativa
10.
Psicol. conduct ; 30(1): 19-49, abr. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-204150

RESUMO

En un trabajo anterior (Caballo et al., 2021) comprobamos la eficacia del programa de Intervención multidimensional para la ansiedad social (IMAS) en la reducción de los síntomas de ansiedad social. En este estudio cuasiexperimental, con medidas pre/postratamiento y seguimiento, hallamos el impacto del programa IMAS en otros problemas relacionados con la ansiedad social. 57 personas diagnosticadas con un trastorno de ansiedad social (TAS), según el DSM-5, contestaron a cuestionarios que medían habilidades sociales, depresión, síntomas del trastorno de la personalidad por evitación, alcoholismo, autoestima, sensibilidad personal, preocupaciones y calidad de vida. Diferentes terapeutas llevaron a cabo el tratamiento en Ecuador, España y Paraguay. Los resultados mostraron importantes mejoras en el postratamiento en prácticamente todos los aspectos evaluados, mejoras que se mantenían a los seis meses. Los tamaños del efecto sobre la eficacia del tratamiento iban de medianos a grandes. Se comparó también el programa IMAS con terapia cognitivo conductual individual y tratamiento farmacológico, con resultados favorables para el programa IMAS. Este nuevo programa para el tratamiento de la ansiedad social tiene un impacto importante en otros problemas relacionados habitualmente con el TAS.


In a previous work (Caballo et al., 2021) we tested the effectiveness of the Multidimensional Intervention for Social Anxiety (MISA) program in reducing social anxiety symptoms. In this quasi-experimental study, with pre/post-treatment and follow-up measures, we examined the impact of the MISA program on other problems related to social anxiety. 57 people diagnosed with social anxiety disorder (SAD), according to DSM-5, were assessed with a diagnostic interview and questionnaires measuring social skills, depression, avoidant personality disorder symptoms, alcoholism, self-esteem, personal sensitivity, worries, and quality of life. Different therapists carried out the treatment in Ecuador, Spain, and Paraguay. The results showed significant improvements at post-treatment in virtually all measures assessing the above variables, improvements that were maintained at six months. Effect sizes on treatment effectiveness ranged from medium to large. The MISA program was also compared with individual cognitive behavioral therapy and pharmacological treatment, with favorable results for the MISA program. In conclusion, this new program for the treatment of social anxiety has a significant impact on other problems usually related to SAD.


Assuntos
Adulto Jovem , Adulto , Pessoa de Meia-Idade , Ansiedade/terapia , Fobia Social/terapia , Qualidade de Vida , Habilidades Sociais , Autoimagem , Personalidade , Saúde Mental , Entrevistas como Assunto , Projetos de Pesquisa , Transtornos Fóbicos/terapia
11.
Sante Publique ; Vol. 33(5): 713-723, 2022 Mar 11.
Artigo em Francês | MEDLINE | ID: mdl-35485128

RESUMO

INTRODUCTION: Few studies have been conducted on the role and position of dental surgeons in prisons. Interestingly though, dental surgeons perform in a peculiar working environment, since the organizations are divided into two administrative structures: penitentiary and hospital administrations. Stakeholders’ perceptions of both the current oral healthcare organization in prisons and the interactions between prison and hospital administrations’ professionals will be at the core of this study. PURPOSE OF RESEARCH: This article aims at assessing hospital and penitentiary administration agents’ perceptions of oral healthcare practice in prison. This assessment is based on the analysis of 18 semi-structured interviews with prison directors, integration and probation officers, coordinating physicians and dentists. To do this, three analytical categories were established containing first contextual elements, second each professional culture and last actual and potential interactions. RESULTS: Dentists were identified as specific agents within prison’ sanitary units because of the separation between dentistry and other medical specialties. Indeed, the relation to the body, to self-image and self-esteem along with the specific positioning regarding medical secrecy and expertise required by prison staff make dentistry practice a separate field in prison. CONCLUSION: The results of this study highlight dentists’ specific positioning in prison sanitary units. They could be identified as helpful intermediaries in the building of interactions between penitentiary and hospital administrations thanks to the specificity of the dentistry practice which simultaneously provides health care and promotes the reconstruction of self-image and self-esteem, which are key factors of reintegration.


Assuntos
Atenção à Saúde/organização & administração , Assistência Odontológica/psicologia , Prisões , Assistência Odontológica/organização & administração , Humanos , Entrevistas como Assunto , Autoimagem
13.
BMC Psychol ; 10(1): 68, 2022 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-35296364

RESUMO

BACKGROUND: There is no valid and reliable tool to measure COVID-19 healthcare stress felt by healthcare students. A scale was developed to assess COVID-19 stress in healthcare students and its psychometrics was examined. METHODS: This is a two phases mixed-method study including a qualitative stage consisting of student interview and literature review to develop content of the tool. In the quantitative stage, the psychometrics of the scale was examined in 2020-2021. RESULTS: The COVID-19 related healthcare student stress scale (CHSSS) featured five factors including fear of catching coronavirus, social constraints, changes in education, non-compliance of health protocols and worrying news and overload information, which totally explained 51.75% of the total variance. CONCLUSION: Validity and reliability of CHSSS with 17 items were supported to measure COVID-19 stress in healthcare students as a self-assessment tool. Researchers can utilize this tool to assess COVID-19 stress in healthcare students and introduce policies and intervention especially designed for healthcare students.


Assuntos
COVID-19 , COVID-19/diagnóstico , Atenção à Saúde , Humanos , Entrevistas como Assunto , Psicometria , Pesquisa Qualitativa , Reprodutibilidade dos Testes , Estudantes , Inquéritos e Questionários
14.
Health Lit Res Pract ; 6(1): e37-e50, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35263234

RESUMO

BACKGROUND: Beyond sexual and reproductive health (SRH) knowledge, it is sexual and reproductive health literacy (SRHL) that reflects the capacity to deal with sexuality. Many interventions have been conducted to increase SRH knowledge in adolescents, but SRHL has rarely been measured, and a well-validated tool is needed to measure it. OBJECTIVE: This study aimed to validate a tool to measure adolescent SRHL. METHODS: Reliability, validity, and cultural equivalence were investigated using data from expert consultations, cognitive interviews, and two-pilot studies. Then adaptation was made to the SRHL questionnaire for correct use among Southeast Asian adolescents in Lao and in wider groups. KEY RESULTS: The SRHL tool was comprised of 39 question items focusing on teenage pregnancy, contraception, and abortion. Conceptual, item, and semantic equivalence were all met. Interviewer-administrated mode was found to be optimal. Each question offers the answer choices very difficult, difficult, easy, and very easy, with a good to excellent Cronbach's alpha (0.8-0.9); there were no missing items and no floor/ceiling effects. Construct validity was high as 6 of 7 hypotheses were confirmed. CONCLUSION: Validation was completed with good cross-cultural validity. The tool was shown to be effective in determining the level of SRHL in adolescents in Laos and potentially in other countries with similar cultures. [HLRP: Health Literacy Research and Practice. 2022;6(1):e37-e50.] Plain Language Summary: To find out how much adolescents know about sexual and reproductive health, an appropriate instrument of measurement is needed. Using different methods, we investigated the performance of a new tool, namely the SRHL questionnaire, which has 39 questions and should be used with an interviewer to assist in recording responses. This new tool could be used effectively to determine the level of literacy on sexual and reproductive health among adolescents.


Assuntos
Letramento em Saúde , Saúde Reprodutiva , Inquéritos e Questionários/normas , Adolescente , Comparação Transcultural , Feminino , Humanos , Entrevistas como Assunto/normas , Conhecimento , Laos , Gravidez , Reprodutibilidade dos Testes , Adulto Jovem
15.
Medicine (Baltimore) ; 101(9): e28999, 2022 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-35244075

RESUMO

ABSTRACT: The local economy is often supported by small and medium-sized enterprises. There is a need to consider effective promotion methods for mental health measures in these enterprises in depopulated mountainous areas. It is important to understand managers' awareness when considering effective mental health measures in these enterprises. The study's aim is to explore managers' awareness of mental health measures for employees in small and medium-sized enterprises in depopulated mountainous areas in Japan.Qualitative semi-structured interviews were conducted with 6 managers in 2019. The primary issues addressed by the interview were regarding the awareness among managers about mental health promotion measures for employees. These are the primary prevention measures. The interview also addressed issues related to the awareness of measures for mental health problems that are fundamental to the secondary and tertiary prevention measures. A qualitative descriptive analysis was conducted.Three categories and 8 subcategories emerged regarding the managers' awareness of mental health promotion measures for employees. The 3 categories were: "Individual support, including their life's aspect, while taking advantage of formal and informal relationships," "The difficulty of drawing out an employees' motivation to work, due to the changes over time in the work size or in their working relationships," and "Creating a comfortable working environment for employees, by complying with the labor standards and adjusting relationships." Regarding managers' awareness of the measures for mental health problems, four categories and 8 subcategories emerged. The 4 categories were: "Prevention and awareness of the incidence of mental health problems," "Individual support based on the enterprise's or employee's characteristics," "A lack of support for the manager to address employees' mental health problems," and "Employees quitting the job, due to the lack of appropriate support."Though managers in depopulated mountainous areas were well aware of the mental health activities offered, the categories showed the need to foster social capital. It also showed the need to collaborate with external support organizations, and the difficulties faced by small and medium-sized enterprises.


Assuntos
Pessoal Administrativo/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Saúde Mental , Local de Trabalho , Humanos , Entrevistas como Assunto , Japão , Setor Privado , Pesquisa Qualitativa , População Rural
16.
Psicooncología (Pozuelo de Alarcón) ; 19(1): 95-110, 28 mar. 2022. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-203940

RESUMO

Objective: Cancer is one of the most feared diseases, for being the second leading cause of death in Brazil and for presenting an extended and painful treatment. When the child is sick, the family experiences the getting ill, the losses that result from the treatment and the anticipatory grieving process by the possibility or certainty of close death. It is a difficult and little discussed theme, that requires more research investments. In face of this demand, the present study aimed to analyze the process of grief experienced by the caregiver relatives of children with cancer. Method: It was made an exploratory research, of qualitative approach. Because of overload standard, it counted with the participation of 10 caregiver relatives (father or mother) of children with cancer, that answered a semi-instructed interview script, understood by the textual analyzes in the IRaMuTeQ software (Interface de R pour les Analyses ultimensionnelles de Textes et de Questionnaires). Results: The results showed that the grieving process is present since the diagnosis and remains during the whole treatment. It is experienced due to the suffering, caused by all the losses that come from the treatment and by the possibility or certainty of the child’s death. Conclusion: There is the necessity of unveiling this theme, inviting parents to talk about the unspeakable – the grieves lived during the treatment -, and offer support to the family in all treatment’s phases, with special attention to the care of the caregiver (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Neoplasias/psicologia , Cuidadores/psicologia , Pais/psicologia , Entrevistas como Assunto , Estudos Transversais , Pesquisa Qualitativa
17.
Rev. esp. nutr. comunitaria ; 28(1): 1-12, 31/03/2022 Enero-Marzo. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-205802

RESUMO

Fundamentos: Colombia mantiene una reducida práctica de lactancia materna, lo que demuestra lanecesidad de fortalecer estrategias como la de los Bancos de Leche Humana (BLH). Esta investigación propusocomo objetivo identificar las representaciones sociales (RS) sobre donación de leche humana de madreslactantes residentes en cinco ciudades de Colombia donde funcionan BLH.Métodos: El estudio se abordó desde la teoría de las RS, se utilizaron métodos mixtos y diversas técnicas,como: la evocación jerarquizada, encuesta, entrevista semiestructurada y diario de campo.Resultados: se presentan los resultados de las 83 entrevistas realizadas a madres lactantes, clasificadas encuatro grupos según su experiencia y conocimiento del proceso de donación de leche humana.Conclusiones: la principal motivación para donar es la empatía y el deseo de ayudar a otros bebés, elprincipal factor favorecedor tiene relación con la gestión de los BLH, y la principal barrera para dejar de donarfue la falta de tiempo de las madres. (AU)


Background: Colombia has a low level of breastfeeding, which demonstrates the need to strengthenstrategies such as the Human Milk Banks (BLH). The objective of this research was to identify the socialrepresentations (SR) on human milk donation of breastfeeding mothers living in five cities in Colombia whereBLHs operate.Methods: The study was approached from the SR theory, using mixed methods and various techniques suchas: hierarchical recall, survey, semi-structured interview and field diary.Results: this article presents the results of the 83 interviews conducted with breastfeeding mothers, classifiedinto four groups according to their experience and knowledge of the process of human milk donation.Conclusions: the main motivation to donate is empathy and the desire to help other babies, the mainenabling factor is related to the management of BLHs, and the main barrier to stop donating was the mothers' lack of time. (AU)


Assuntos
Humanos , Feminino , Aleitamento Materno , Bancos de Leite Humano/tendências , Leite Humano , Doações , Inquéritos e Questionários , Entrevistas como Assunto/métodos , Colômbia
18.
Rev. esp. nutr. comunitaria ; 28(1): 1-8, 31/03/2022 Enero-Marzo.
Artigo em Espanhol | IBECS | ID: ibc-205803

RESUMO

Fundamentos: En la lactancia materna exclusiva (LME) durante los primeros seis meses de vida influyen losconocimientos, prácticas y la red de apoyo a las madres y a familias lactantes. El objetivo fue describir losconocimientos, las prácticas y la configuración de redes de apoyo para la promoción de lactancia materna demadres usuarias de una Institución Prestadora de Salud (IPS) del municipio de Santander de Quilichao.Métodos: Estudio cualitativo, de diseño hermenéutico, se utilizó un guion de entrevista semiestructurada. Lamuestra fue propositiva de casos homogéneos, hasta alcanzar saturación teórica de los datos. Se realizóanálisis de contenido cualitativo, a partir de un proceso de categorización y codificación.Resultados: Se entrevistaron 26 madres mostrando conocimientos acerca de la leche materna como el mejoralimento para un recién nacido, pero tenían poca definición del tiempo de exclusividad que deberíabrindarse.Conclusiones: Las madres conocen qué métodos existen para aumentar la producción de leche materna,sin embargo, son insuficientes, debido a que aún ignoran unos de los pilares más importantes que vanrelacionados a la producción de leche como la adecuada alimentación de la madre y succión frecuentedel bebé. La población demostró conocimientos sobre conceptos básicos acerca de la lactancia materna (LM),característica que se debe aprovechar para impulsarla y reforzarla aún más. (AU)


Background: Exclusive breastfeeding (EBF) during the first six months of life influences knowledge, practicesand the support network for breastfeeding mothers and families. The objective was to describe theknowledge, practices and the configuration of support networks for the promotion of breastfeeding bymothers who use an Health Provider Institution in the municipality of Santander de Quilichao.Methods: Qualitative study, hermeneutical design, a semi-structured interview script was used. The samplewas propositional of homogeneous cases, until reaching theoretical saturation of the data. Qualitativecontent analysis was carried out, based on a categorization and coding process.Results: 26 mothers were interviewed showing knowledge about breast milk as the best food for a newborn,but they have little definition of the time of exclusivity that should be provided.Conclusions: Mothers know what methods exist to increase breast milk production; however, they areinsufficient, because they still ignore one of the most important pillars that are related to milkproduction, such as adequate mother feeding and the frequent of baby sucking. The populationdemonstrated knowledge of basic concepts about breastfeeding (BF), a characteristic that should be used topromote and reinforce it even more. (AU)


Assuntos
Humanos , Feminino , Aleitamento Materno , Percepção Social , Conhecimentos, Atitudes e Prática em Saúde , Apoio Social , Entrevistas como Assunto/métodos , Colômbia
19.
J Diabetes Res ; 2022: 4913031, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35265718

RESUMO

Background: Confocal corneal microscopy is an excellent new noninvasive tool for assessing diabetic peripheral neuropathy. We aimed to investigate the clinical variables associated with corneal nerve parameters and establish reference values for clinical use in healthy Chinese adults. Methods: The study enlisted 257 healthy volunteers (137 females and 120 males) from two clinical academic centers in China. Two experts captured and selected images of the central corneal subbasal nerve plexus at each center using the same corneal confocal microscopy instrument according to a commonly adopted protocol. Corneal nerve fiber density (CNFD), corneal nerve branch density (CNBD), and corneal nerve fiber length (CNFL) were measured using fully automated software (ACCMetrics). The correlation between clinical indicators and confocal corneal microscopy measures was determined using partial correlation. Quantile regression was used to calculate reference values and estimate the effects of clinical factors on the normative values of confocal corneal microscopy measures. Results: Females had significantly higher CNFD, CNBD, and CNFL than males. There was no correlation between age, glycated hemoglobin (HbA1c), height, weight, body mass index (BMI), and any corneal nerve fiber parameter in both sexes. In either sex, age, weight, height, BMI, and HbA1c did not affect the 0.05th quantile values of any corneal nerve parameter. Conclusions: This study establishes sex-adjusted reference values for corneal confocal microscopy measures in Chinese adults and provides a reference for clinical practice and research with this technique.


Assuntos
Córnea/inervação , Nervo Oftálmico , Valores de Referência , Adulto , Estudos de Casos e Controles , China/epidemiologia , Córnea/fisiologia , Feminino , Humanos , Entrevistas como Assunto/métodos , Masculino , Microscopia Confocal/métodos , Microscopia Confocal/estatística & dados numéricos , Pessoa de Meia-Idade
20.
BMC Pregnancy Childbirth ; 22(1): 232, 2022 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-35317778

RESUMO

BACKGROUND: Epidemiological research of events related to labor and delivery frequently uses maternal interview or birth certificates as a primary method of data collection; however, the validity of these data are rarely confirmed. This study aimed to examine the validity of birth certificate data and maternal interview of maternal demographics and events related to labor and delivery with data abstracted from medical records in a US setting. METHODS: Birth certificate and maternal recall data from the Iowa Health in Pregnancy Study (IHIPS), a population-based case-control study of risk factors for preterm and small-for-gestational age births, were linked to medical record data to assess the validity of events that occurred during labor and delivery along with reported maternal demographics. Sensitivity, specificity, positive and negative predictive values, and kappa scores were calculated. RESULTS: Postpartum maternal recall and birth certificate data were excellent for infant characteristics (birth weight, gestational age, infant sex) and variables related to labor and delivery (mode of delivery) when compared with medical records. Birth certificate data for labor induction had low sensitivity (46.3%) and positive predictive value (18.3%) compared to medical records. Compared to maternal interview, birth certificate data also had poor agreement for smoking and alcohol use during pregnancy. Agreement between all three methods of data collection was very low for pregnancy weight gain (kappa = 0.07-0.08). CONCLUSIONS: Maternal interview and birth certificate data can be a valid source for collecting data on infant characteristics and events that occurred during labor and delivery. However, caution should be used if solely using birth certificate data to gather data on maternal demographic and/or lifestyle factors.


Assuntos
Declaração de Nascimento , Parto Obstétrico , Trabalho de Parto , Registros Médicos , Rememoração Mental , Mães/psicologia , Consumo de Bebidas Alcoólicas , Estudos de Casos e Controles , Feminino , Humanos , Entrevistas como Assunto , Iowa , Trabalho de Parto Induzido , Gravidez , Reprodutibilidade dos Testes , Fumar
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