Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.403
Surg Radiol Anat ; 43(4): 523-527, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33630106


PURPOSE: Due to COVID-19 pandemic, Thanks giving ceremony to cadaver was different this year in two ways: the students were partially exposed to cadaveric dissections (for 7 months) and later learned Anatomy via online classes due to lockdown (for 5 months) and secondly it was not feasible to gather for the ceremony so virtual platform was preferred. The purpose of this study was to discern the gratitude for cadaver and to recognize the importance of cadaveric dissection from the reflection of students who experienced hybrid anatomy learning amidst COVID-19. METHODS: The study was conducted on 48 first year medical students who were admitted to the college in August 2019 and were willing to participate. An online invitation was sent to students to participate in virtual thanks giving to cadaver ceremony on the last day of their anatomy class (August 2020). RESULTS: Though the students partially studied gross anatomy with the aid of dissections on the cadaver; however, they expressed respect and gratitude to the silent mentor in the form of a card, poem, drawing or paragraph and shared it via google classroom platform. The students wished if they could continue their anatomy course in dissection hall as paused due to COVID-19 pandemic. CONCLUSIONS: Reflection of these students may mark impact on future anatomy students who may or may not get the chance for dissections. The thanks-giving gesture will also help to bind medical science and humanity especially during the crisis of pandemic.

Anatomia/educação , Dissecação/ética , Educação de Graduação em Medicina/ética , Estudantes de Medicina/psicologia , Anatomia/ética , Temas Bioéticos , /transmissão , Cadáver , Controle de Doenças Transmissíveis/normas , Currículo , Educação a Distância/ética , Educação a Distância/métodos , Educação de Graduação em Medicina/métodos , Humanismo , Humanos , Aprendizagem , Pandemias/prevenção & controle , Respeito
Lancet Child Adolesc Health ; 5(3): 178-189, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33484658


BACKGROUND: About one in seven adolescents have a mental health disorder in England, UK. School counselling is one of the most common means of trying to address such a problem. We aimed to determine the effectiveness and cost-effectiveness of school-based humanistic counselling (SBHC) for the treatment of psychological distress in young people in England, UK. METHODS: We did a two-arm, individually randomised trial in 18 secondary state-funded schools across the Greater London area of the UK. Participants were randomly assigned (1:1) using a centrally secure randomisation procedure with random permuted blocks to either SBHC plus schools' pastoral care as usual (PCAU), or PCAU alone. Participants were pupils aged 13-16 years who had moderate-to-severe levels of emotional symptoms (measured by a score of ≥5 on the Strengths and Difficulties Questionnaire Emotional Symptoms scale) and were assessed as competent to consent to participate in the trial. Participants, providers, and assessors (who initially assessed and enrolled participants) were not masked but testers (who measured outcomes) were masked to treatment allocation. The primary outcome was psychological distress at 12 weeks (Young Person's Clinical Outcomes in Routine Evaluation measure [YP-CORE]; range 0-40), analysed on an intention-to-treat basis (with missing data imputed). Costs were assessed at 24 weeks (Client Service Receipt Inventory and service logs). The trial was registered with ISRCTN, number ISRCTN10460622. FINDINGS: 329 participants were recruited between Sept 29, 2016, and Feb 8, 2018, with 167 (51%) randomly assigned to SBHC plus PCAU and 162 (49%) to PCAU. 315 (96%) of 329 participants provided data at 12 weeks and scores were imputed for 14 participants (4%). At baseline, the mean YP-CORE scores were 20·86 (SD 6·38) for the SBHC plus PCAU group and 20·98 (6·41) for the PCAU group. Mean YP-CORE scores at 12 weeks were 16·41 (SD 7·59) for the SBHC plus PCAU group and 18·34 (7·84) for the PCAU group (difference 1·87, 95% CI 0·37-3·36; p=0·015), with a small effect size (0·25, 0·03-0·47). Overall costs at 24 weeks were £995·20 (SD 769·86) per pupil for the SBHC plus PCAU group and £612·89 (1224·56) for the PCAU group (unadjusted difference £382·31, 95% CI £148·18-616·44; p=0·0015). The probability of SBHC being more cost-effective reached 80% at a willingness to pay of £390 for a 1-point improvement on the YP-CORE. Five serious adverse events occurred for four participants in the SBHC plus PCAU group, all involving suicidal intent. Two serious adverse events occurred for two participants in the PCAU group, one involving suicidal intent. INTERPRETATION: The addition of SBHC to PCAU leads to small reductions in psychological distress, but at an additional economic cost. SBHC is a viable treatment option but there is a need for equally rigorous evaluation of alternative interventions. FUNDING: This work was supported by the Economic and Social Research Council (grant reference ES/M011933/1).

Aconselhamento , Humanismo , Assistência Religiosa , Angústia Psicológica , Adolescente , Terapia Combinada , Humanos , Instituições Acadêmicas , Reino Unido
Nurs Sci Q ; 34(1): 81-87, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33349187


The purpose of this article is to report the details of the humanbecoming hermeneutic sciencing of presence in In Harm's Way. Humanbecoming hermeneutic sciencing is dialoguing with an artform by discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging. The artform explored in this article is the comments and images of 60 nurses from around the world included in The New York Times story titled "In Harm's Way." The report is on the meaning of presence as lived and talked about by nurses on the front lines at the peak of the COVID-19 outbreak.

/enfermagem , Hermenêutica , Humanismo , /epidemiologia , Saúde Global , Humanos , Jornais como Assunto
Med Educ Online ; 26(1): 1844394, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33167822


Calls to reform medical education recommend explicit training in professional identity formation to promote the development of humanistic, compassionate physicians. The authors report their experience offering The Physician Healer Track, a 500-contact-hour curricula integrated over 4 years, focusing on self-awareness, reflection, being-with-suffering, communication and professional identity development. The voluntary scholarly-concentration program comprises 4 years of monthly dinner meetings with faculty mentors, a two-month preceptorship in the first year, a one-month immersion course in MS4 and one elective. Training in mindfulness, cognitive behavioral therapy, nonviolent communication, motivational interviewing, spirituality in healthcare, wellness, equanimity, and 'being with suffering' is reinforced across all 4 years. Community building and reflection are integral to the training both in the monthly sessions and the immersion courses. Enrollment has grown from 26 students in the first year (11% of class) to a total of 258 students across our first 6 years (average of 20-26% of each class). Graduates in our first two cohorts of PHT have exceeded the numbers in the eight other scholarly concentrations offered at UTMB. Among students participating in the summer preceptorship, there has been less than 1% attrition. In serial assessments, students report continued growth in personal development, professional development, and the ability to empathize. Offering PHT has resulted in the growth of training for our medical residents, faculty, physical therapy students and the creation of a student healer association. Despite the demands on student's time, they are voluntarily participating in a challenging program of integrated training with the intention of keeping them connected to their humanity during the rigors of medical school training.

Comunicação , Educação Médica , Empatia , Ciências Humanas , Atenção Plena , Estudantes de Medicina , Currículo , Educação Médica/métodos , Educação de Graduação em Medicina , Docentes , Humanismo , Ciências Humanas/educação , Humanos , Mentores , Médicos , Faculdades de Medicina , Estudantes de Medicina/psicologia
Acta bioeth ; 26(2): 165-177, oct. 2020.
Artigo em Inglês | LILACS | ID: biblio-1141922


Abstract Social implementation of post-humanism could affect the biological evolution of living beings and especially that of humans. This paper addresses the issue from the biological and anthropological-philosophical perspectives. From the biological perspective, reference is made first to the evolution of hominids until the emergence of Homo sapiens, and secondly, to the theories of evolution with special reference to their scientific foundation and the theory of extended heredity. In the anthropological-philosophical part, the paradigm is presented according to which human consciousness, in its emancipatory zeal against biological nature, must "appropriate" the roots of its physis to transcend the human and move towards a more "perfect" entity; we also assess the theory that refers this will to the awakening of the cosmic consciousness in our conscious matter. Finally, it assesses whether this post-humanist emancipatory paradigm implies true evolution or, instead, an involution to the primitive state of nature.

Resumen La implementación social del poshumanismo podría afectar la evolución biológica de los seres vivos y, especialmente, la de los humanos. Este artículo aborda el tema desde las perspectivas biológica y antropológico-filosófica. Desde la perspectiva biológica, se hace referencia, en primer lugar, a la evolución de los homínidos hasta la aparición del Homo sapiens, y en segundo lugar a las teorías de la evolución, con especial referencia a su fundamento científico y a la teoría de la herencia extendida. En la parte antropológico-filosófica se presenta el paradigma según el cual la conciencia humana, en su afán emancipador frente a la naturaleza biológica, debe "apropiarse" de las raíces de su physis para trascender lo humano y avanzar hacia una entidad más "perfecta"; evaluamos también la teoría que refiere esta voluntad al despertar de la conciencia cósmica en nuestra materia consciente. Finalmente, evalúa si este paradigma emancipatorio poshumanista implica una verdadera evolución o, en cambio, una involución al primitivo estado de naturaleza.

Resumo A implementação social do pós-humanismo pode afetar a evolução biológica dos seres vivos e especialmente dos humanos. Esse artigo aborda o problema de perspectivas biológicas e antropológico-filosófica. Desde uma perspectiva biológica, é feito referencia primeiro à evolução de hominídeos até a emergência do Homo sapiens e, em seguida, às teorias da evolução, com especial referencia ao seu fundamento científico e à teoria da hereditariedade estendida. Na parte antropológico-filosófica, o paradigma é apresentado de acordo com o qual a consciência humana, em seu zelo emancipatório da natureza biológica, deve "apropriar" as raízes da sua natureza para transcender o humano e se mover em direção a uma entidade mais "perfeita": nós também avaliamos a teoria que refere este desejo ao despertar da consciência cósmica em nossa matéria consciente. Finalmente, ele avalia se este paradigma emancipatório pós-humanista implica evolução verdadeira ou, contrariamente, uma involução para o estado primitivo da natureza.

Humanos , Consciência , Natureza , Evolução Biológica , Humanismo , Antropologia
Rev. Assoc. Med. Bras. (1992) ; 66(10): 1455-1460, Oct. 2020. tab
Artigo em Inglês | LILACS, Sec. Est. Saúde SP | ID: biblio-1136144


SUMMARY Communication is a facilitating tool in palliative care, enabling the development of a therapeutic process based on universal humanistic values, with benefits for the team, cancer patient, and family. This theme is of great importance and highlights the significant contributions to clinical practice in the context of palliative care in oncology with an emphasis on communication.

RESUMO A comunicação é uma ferramenta facilitadora nos cuidados paliativos, possibilitando o desenvolvimento de um processo terapêutico baseado em valores humanísticos universais, com benefícios para equipe, paciente oncológico e família. Essa temática é de grande importância e evidencia as contribuições significativas para a prática clínica no contexto dos cuidados paliativos em oncologia com ênfase na comunicação.

Humanos , Cuidados Paliativos , Neoplasias/terapia , Comunicação , Humanismo , Oncologia
Nurs Sci Q ; 33(4): 293-296, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32940153


Consideration of the impact of COVID-19 on conducting research studies is the subject of this column. First, it is argued that presence is critical to some qualitative methods and especially for those who use the Parse methods. Second, the use of e-mail, telephone, and videoconferencing is examined in terms of their advantages and disadvantages in relation to obtaining knowledge about a phenomenon of interest.

Telemedicina , Comunicação por Videoconferência , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Humanismo , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Pesquisa Qualitativa
Nurs Sci Q ; 33(4): 309-314, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32940157


This article describes some of the changes occurring with community in the advent of the COVID-19 pandemic. The humanbecoming community change model along with other views on community are presented to address some of the living quality questions and challenges of a community in flux.

Infecções por Coronavirus , Humanismo , Pandemias , Pneumonia Viral , Betacoronavirus/isolamento & purificação , Saúde Global , Humanos , Teoria de Enfermagem , Saúde Pública
Nurs Sci Q ; 33(4): 286-292, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32940161


In this article, the author examines fragility and vitality as it relates to the COVID-19 pandemic. Fear and courage are also explored from a humanbecoming paradigm perspective as well as from philosophical perspectives. Humanbecoming inquiries related to these topics are presented along with personal experiences of the author.

Infecções por Coronavirus/epidemiologia , Medo , Humanismo , Teoria de Enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus/isolamento & purificação , Humanos , Incerteza
Medicine (Baltimore) ; 99(33): e21484, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32871994


BACKGROUND: The objective of this study is to investigate the effects of humanistic care and psychological counseling (HCPC) on psychological disorders (PD) in medical students after coronavirus disease 2019 (COVID-19) outbreak. METHODS: We will search randomized controlled trials or case-controlled studies of HCPC on PD in medical students after COVID-19 outbreak in the following electronic databases: PUBMED/MEDLINE, EMBASE, Cochrane Library, CINAHL, AMED, WANGFANG, and CNKI. The time is restricted from the construction of each database to the present. All process of study selection, data collection, and study quality evaluation will be carried out by two independent authors. Any different opinions will be solved by a third author through discussion. We will employ RevMan 5.3 software to conduct statistical analysis. RESULTS: This study will provide a better understanding of HCPC on PD in medical students after COVID-19 outbreak. CONCLUSIONS: This study may offer strong evidence for clinical practice to treat PD in medical students after COVID-19 outbreak. STUDY REGISTRATION: CRD42020193199.

Infecções por Coronavirus/psicologia , Aconselhamento/métodos , Transtornos Mentais/terapia , Pneumonia Viral/psicologia , Psicoterapia/métodos , Estudantes de Medicina/psicologia , Adulto , Betacoronavirus , Estudos de Casos e Controles , Feminino , Humanismo , Humanos , Masculino , Transtornos Mentais/psicologia , Pandemias , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Adulto Jovem
PLoS One ; 15(7): e0236627, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32735591


According to Silvan Tomkins' polarity theory, ideological thought is universally structured by a clash between two opposing worldviews. On the left, a humanistic worldview seeks to uphold the intrinsic value of the person; on the right, a normative worldview holds that human worth is contingent upon conformity to rules. In this article, we situate humanism and normativism within the context of contemporary models of political ideology as a function of motivated social cognition, beliefs about the social world, and personality traits. In four studies conducted in the U.S. and Sweden, normativism was robustly associated with rightist (or conservative) self-placement; conservative issue preferences; resistance to change and acceptance of inequality; right-wing authoritarianism and social dominance orientation; system justification and its underlying epistemic and existential motives to reduce uncertainty and threat; and a lack of openness, emotionality, and honesty-humility. Humanism exhibited the opposite relations to most of these constructs, but it was largely unrelated to epistemic and existential needs. Humanism was strongly associated with preferences for equality, openness to change, and low levels of authoritarianism, social dominance, and general and economic system justification. We conclude that polarity theory possesses considerable potential to explain how conflicts between worldviews shape contemporary politics.

Humanismo , Política , Autoritarismo , Feminino , Humanos , Masculino , Modelos Psicológicos , Predomínio Social , Fatores Socioeconômicos , Suécia , Estados Unidos , Adulto Jovem
J Gen Intern Med ; 35(10): 3043-3044, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32779138


The COVID-19 pandemic has fundamentally transformed doctor-patient communication, stripping away moments of connection that define the humanism of medicine. The barrier of isolation has impacted patients and patient care, and has also affected the experience of the physician. Though in-person connection is impossible to replicate digitally, technology has restored some sense of togetherness.

Infecções por Coronavirus/terapia , Relações Médico-Paciente , Pneumonia Viral/terapia , Isolamento Social/psicologia , Betacoronavirus , Computadores de Mão , Infecções por Coronavirus/psicologia , Humanismo , Humanos , Medicina Interna , Pandemias , Pneumonia Viral/psicologia
Am J Orthod Dentofacial Orthop ; 158(2): 155, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32746972
J. negat. no posit. results ; 5(7): 674-682, jul. 2020.
Artigo em Espanhol | IBECS | ID: ibc-194129


Las tentadoras promesas del transhumanismo parecen estar cada vez más cerca, pero cabe preguntarse si no resultarán contraproducentes en algún sentido. El profesor Sandel expone los problemas sociales que conllevaría el desarrollo de seres humanos mejorados en nuestra concepción del mérito, la libertad y responsabilidad, el aprecio de la vida como un don, la inclinación a compartir nuestro destino con el de los demás y la concepción de los derechos individuales

The tempting promises of transhumanism seem to be getting closer and closer, but in some way counterproductive in some way. Professor Sandel presents the social problems that the development of improved human beings would entail in our understanding of merit, freedom and responsibility, the appreciation of life as a gift, the inclination to share our destiny with others and the conception of individual rights

Humanos , Humanismo , Ética Baseada em Princípios , Melhoramento Biomédico/ética , Melhoramento Genético/ética , Genética Humana/tendências , Biotecnologia/tendências , Responsabilidade Civil , Seleção Genética