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1.
Ann Fam Med ; 19(1): 66-69, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33431395

RESUMO

We are living in unprecedented times. While the world is grappling with COVID-19, we find the horrors of racism looming equally large as we, yet again, confront lurid deaths in the center of the news cycle of Black and brown people from police bias and brutality. Those of us who have been championing antiracism and justice work and bearing the burden of the "minority tax" have been overwhelmed by sudden asks from our well-intentioned White colleagues of how to best respond. In the tone of the Netflix series, "Dear White People," we further emphasize that we are not alone in trying to reach out to you, our White colleagues and leaders. Please hear our story and heed our call to action.


Assuntos
Afro-Americanos , Grupo com Ancestrais do Continente Europeu , Racismo , Humanos , Polícia , Justiça Social , Televisão
4.
Glob Public Health ; 16(1): 149-152, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33275870

RESUMO

We discuss the plight of urban poor African immigrants from the perspective of the right to food (food availability, accessibility and adequacy) for everyone during the COVID-19 in South Africa. Despite their disrupted sources of livelihood, the majority of the African immigrants are without a social welfare safety net and have little hope of benefiting from the Government relief packages. Consequently, it seems that the increase in the triple burden of food insecurity, poverty and malnutrition compounded with social injustice and income inequality is inevitable for the urban poor African immigrants in South Africa. Even though the Government may not have the capacity to address food insecurity by itself, the Government should endeavour to make the limited resources to access food equally available to all with no social injustice. By working hand in hand with foreign national associations, township councillors and other stakeholders, such as the food banks and faith-based organisations, that have stepped forward to try and bridge the widening incapacity of the Government to feed the food insecure, the nexus of food insecurity and social injustice of African immigrants will be alleviated.


Assuntos
/epidemiologia , Emigrantes e Imigrantes , Pobreza , Justiça Social , Humanos , Fatores Socioeconômicos , África do Sul/epidemiologia , População Urbana , Populações Vulneráveis
5.
Artigo em Inglês | MEDLINE | ID: mdl-33098908

RESUMO

Psychiatric and justice-involved populations are known to be stigmatized and particularly vulnerable to adverse outcomes during COVID-19. The increased attention toward vulnerable populations from healthcare authorities, the media, and the general public has made it critical to uncover any developing stigmatization toward these groups and the possible consequences. The prioritization of public safety and shift in the prioritization of resource allocation and service delivery could lead to a rise in negative perceptions toward these already stigmatized groups. Thus, it is imperative to consider how the unique characteristics of vulnerable groups may impact their physical and mental health as well as their care during this pandemic. In this paper, we describe the challenges that psychiatric, correctional, and forensic psychiatry populations have faced during COVID-19 and how a rise in stigmatization could lead to adverse outcomes. Specifically, we outline the influence of the media on public perceptions and how stigmatization may be reflected in the allocation of resources, policies, and related decision-making during COVID-19.


Assuntos
Criminosos/psicologia , Transtornos Mentais/psicologia , Pandemias , Estereotipagem , Psiquiatria Legal , Humanos , Transtornos Mentais/terapia , Justiça Social , Resultado do Tratamento
6.
Camb Q Healthc Ethics ; 30(1): 37-41, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32576319

RESUMO

The COVID-19 pandemic has necessitated a rapid escalation in the use of telepsychiatry. Herein we revisit some of the ethical issues regarding its use, including patient benefice, distributive justice, privacy, and autonomy. Based on these considerations we would hold that telepsychiatry is a vital aspect of providing psychiatric care, and ethically should be offered as a format for treatment, likely beyond the pandemic period. Investigative and advocacy efforts will need to continue to determine its exact role within psychiatric care, and expand its availability for those most in need.


Assuntos
Psiquiatria , Telemedicina/ética , Humanos , Autonomia Pessoal , Privacidade , Justiça Social
10.
Am J Obstet Gynecol ; 223(5): 619-620, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33131651
11.
Biomedica ; 40(Supl. 2): 180-187, 2020 10 30.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33152202

RESUMO

The pandemic caused by COVID19 is associated with an increase in the number of cases of cardiorespiratory arrest, which has resulted in ethical concerns regarding the enforceability of cardiopulmonary resuscitation, as well as the conditions to carry it out. The risk of aerosol transmission and the clinical uncertainties about the efficacy, the potential sequelae, and the circumstances that could justify limiting this procedure during the pandemic have multiplied the ethical doubts on how to proceed in these cases. Based on ethical and legal grounds, this paper offers a practical guide on how to proceed in the clinical setting in cases of cardiopulmonary arrest during the pandemic. The criteria of justice, benefit, no harm, respect for autonomy, precaution, integrity, and transparency are asserted in an organized and practical framework for decision-making regarding cardiopulmonary resuscitation.


Assuntos
Betacoronavirus , Reanimação Cardiopulmonar/ética , Infecções por Coronavirus/complicações , Parada Cardíaca/terapia , Pandemias , Pneumonia Viral/complicações , Guias de Prática Clínica como Assunto , Diretivas Antecipadas , Aerossóis , Microbiologia do Ar , Reanimação Cardiopulmonar/métodos , Tomada de Decisão Clínica , Colômbia/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Parada Cardíaca/etiologia , Humanos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Futilidade Médica , Exposição Ocupacional , Pandemias/prevenção & controle , Autonomia Pessoal , Equipamento de Proteção Individual , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Justiça Social
12.
Orv Hetil ; 161(45): 1899-1907, 2020 11 08.
Artigo em Húngaro | MEDLINE | ID: mdl-33161388

RESUMO

Összefoglaló. A 2020. év elején kirobbant COVID-19-világjárvány többek között ráirányította a figyelmet az életmento-életfenntartó kezelések igazságos elosztásának érzékeny kérdésére is. Európán belül elsoként Olaszországot sújtotta a katasztrófa, a válsághelyzetben pedig az érzéstelenítés, fájdalomcsillapítás, újraélesztés és intenzív ellátás területén tevékenykedo szakemberek olasz társasága, a SIAARTI 2020. március 6-án közzétett egy 15 pontos ajánlást. E szerint utilitarista megközelítéssel a rendelkezésre álló szukös eroforrásokat azon betegek kezelésére kellene fordítani, akik túlélési esélye nagyobb, valamint több életévre számíthatnak a jövoben, mert ez biztosíthatja a leheto legtöbb ember számára a leheto legnagyobb hasznot. A javaslat komoly szakmai vitát robbantott ki, amely egyértelmuvé tette, hogy az orvosi eszközök igazságos elosztására vonatkozó diskurzust feltétlenül folytatni kell, nemcsak Olaszországon belül, hanem a pandémiától sújtott többi államban is. Orv Hetil. 2020; 161(45): 1899-1907. Summary. Among other queries, the explosion of the COVID-19 pandemic at the beginning of 2020 has firmly put in focus the sensitive issue of how to allocate scarcely available life-saving treatments in a fair and just manner. The first European country to face an emergency caused by the pandemic was Italy. In a rapidly escalating crisis, on 6th March 2020, the Italian Society of Anaesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) issued a series of 15 recommendations, suggesting that a utilitarian approach should be adopted in Italian health care and the extremely scarce resources should be reserved for patients with a greater probability of survival and life expectancy, in order to maximize the benefits for the largest possible number of people. The recommendations generated a heated debate among health care professionals, thereby evidencing that similar discussions must be initiated and pursued in all countries affected by the pandemic. Orv Hetil. 2020; 161(45): 1899-1907.


Assuntos
Infecções por Coronavirus/terapia , Alocação de Recursos para a Atenção à Saúde/ética , Pneumonia Viral/terapia , Justiça Social , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Itália , Pandemias , Pneumonia Viral/epidemiologia
13.
Artigo em Inglês | MEDLINE | ID: mdl-33171618

RESUMO

Anesthetist-intensivists who treat patients with coronavirus disease 19 (COVID-19) are exposed to significant biological and psychosocial risks. Our study investigated the occupational and health conditions of anesthesiologists in a COVID-19 hub hospital in Latium, Italy. Ninety out of a total of 155 eligible workers (59%; male 48%) participated in the cross-sectional survey. Occupational stress was assessed with the Effort Reward Imbalance (ERI) questionnaire, organizational justice with the Colquitt Scale, insomnia with the Sleep Condition Indicator (SCI), and mental health with the Goldberg Anxiety and Depression Scale (GADS). A considerable percentage of workers (71.1%) reported high work-related stress, with an imbalance between high effort and low rewards. The level of perceived organizational justice was modest. Physical activity and meditation-the behaviors most commonly adopted to increase resilience-decreased. Workers also reported insomnia (36.7%), anxiety (27.8%), and depression (51.1%). The effort made for work was significantly correlated with the presence of depressive symptoms (r = 0.396). Anesthetists need to be in good health in order to ensure optimal care for COVID-19 patients. Their state of health can be improved by providing an increase in individual resources with interventions for better work organization.


Assuntos
Anestesistas , Infecções por Coronavirus , Coronavirus , Saúde Mental , Estresse Ocupacional , Pandemias , Pneumonia Viral , Anestesistas/psicologia , Ansiedade/epidemiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Estudos Transversais , Feminino , Pessoal de Saúde , Humanos , Masculino , Estresse Ocupacional/epidemiologia , Cultura Organizacional , Pneumonia Viral/psicologia , Justiça Social
16.
Artigo em Inglês | MEDLINE | ID: mdl-33137915

RESUMO

Prior research has consistently shown that perceptions of procedural justice promote individuals' compliance with the law. Several studies have also identified mechanisms that explain the association between perceptions of procedural justice and compliance (e.g., social identity). However, the potential role of risky behaviors as a mediator of the association between procedural justice and compliance remains unexplored. This study examined whether risky behaviors can mediate the relationship between procedural justice and violent inmate misconduct. Data for this study were derived from a sample of 986 incarcerated felons in South Korea. The present study employed structural equation modeling to test how risky lifestyles mediate the association between procedural justice and violent misconduct. The results showed that procedural justice reduced violent inmate misconduct. Additionally, the mediation hypothesis received partial support: the direct effect of procedural justice on violent misconduct was partially mediated by involvement in risky activities. Taken together, the results highlight the importance of the interrelationship between procedural justice, risky lifestyles, and violent misconduct in a prison setting.


Assuntos
Vítimas de Crime/estatística & dados numéricos , Prisioneiros/psicologia , Justiça Social , Violência/psicologia , Adulto , Vítimas de Crime/psicologia , Feminino , Humanos , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Prisioneiros/estatística & dados numéricos , Prisões , República da Coreia , Assunção de Riscos , Violência/estatística & dados numéricos
17.
Artigo em Inglês | MEDLINE | ID: mdl-33143172

RESUMO

Nurses are exposed to psychosocial risks that can affect both psychological and physical health through stress. Prolonged stress at work can lead to burnout syndrome. An essential protective factor against psychosocial risks is emotional intelligence, which has been related to physical and psychological health, job satisfaction, increased job commitment, and burnout reduction. The present study aimed to analyze the effect of psychosocial risks and emotional intelligence on nurses' health, well-being, burnout level, and job satisfaction during the rise and main peak of the COVID-19 pandemic in Spain. It is a cross-sectional study conducted on a convenience sample of 125 Spanish nurses. Multiple hierarchical linear regression models were calculated considering emotional intelligence levels, psychosocial demand factors (interpersonal conflict, lack of organizational justice, role conflict, and workload), social support and emotional work on burnout, job satisfaction, and nurses' health. Finally, the moderating effect of emotional intelligence levels, psychosocial factors, social support, and emotional work on burnout, job satisfaction, and nurses' health was calculated. Overall, this research data points to a protective effect of emotional intelligence against the adverse effects of psychosocial risks such as burnout, psychosomatic complaints, and a favorable effect on job satisfaction.


Assuntos
Esgotamento Profissional/psicologia , Esgotamento Psicológico/psicologia , Infecções por Coronavirus/psicologia , Inteligência Emocional/fisiologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/psicologia , Adulto , Betacoronavirus , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Justiça Social , Apoio Social , Espanha/epidemiologia , Inquéritos e Questionários , Carga de Trabalho
20.
Rev Med Suisse ; 16(715): 2235, 2020 11 18.
Artigo em Francês | MEDLINE | ID: mdl-33206485
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