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1.
J Assoc Physicians India ; 68(11): 70, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33187041

RESUMO

The family members of the patient play a significant role in the medical management. However, physician's primary responsibility is towards his patient and not to heed to the requests of the family members. All the medical professionals should be well equipped to face multiple dilemmas in their carrier.


Assuntos
Papel do Médico , Médicos , Humanos
2.
Bone Joint J ; 102-B(11): 1446-1456, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33135433

RESUMO

AIMS: Gender bias and sexual discrimination (GBSD) have been widely recognized across a range of fields and are now part of the wider social consciousness. Such conduct can occur in the medical workplace, with detrimental effects on recipients. The aim of this review was to identify the prevalence and impact of GBSD in orthopaedic surgery, and to investigate interventions countering such behaviours. METHODS: A systematic review was conducted by searching Medline, EMCARE, CINAHL, PsycINFO, and the Cochrane Library Database in April 2020, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to which we adhered. Original research papers pertaining to the prevalence and impact of GBSD, or mitigating strategies, within orthopaedics were included for review. RESULTS: Of 570 papers, 27 were eligible for inclusion. These were published between 1998 and 2020. A narrative review was performed in light of the significant heterogeneity displayed by the eligible studies. A total of 13 papers discussed the prevalence of GBSD, while 13 related to the impact of these behaviours, and six discussed mitigating strategies. GBSD was found to be common in the orthopaedic workplace, with all sources showing women to be the subjects. The impact of this includes poor workforce representation, lower salaries, and less career success, including in academia, for women in orthopaedics. Mitigating strategies in the literature are focused on providing female role models, mentors, and educational interventions. CONCLUSION: GBSD is common in orthopaedic surgery, with a substantial impact on sufferers. A small number of mitigating strategies have been tested but these are limited in their scope. As such, the orthopaedic community is obliged to participate in more thoughtful and proactive strategies that mitigate against GBSD, by improving female recruitment and retention within the specialty. Cite this article: Bone Joint J 2020;102-B(11):1446-1456.


Assuntos
Ortopedia/estatística & dados numéricos , Sexismo/prevenção & controle , Sexismo/estatística & dados numéricos , Sucesso Acadêmico , Emprego/economia , Emprego/normas , Emprego/estatística & dados numéricos , Feminino , Mão de Obra em Saúde/economia , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Masculino , Mentores , Ortopedia/economia , Ortopedia/educação , Ortopedia/normas , Papel do Médico , Prevalência , Sexismo/economia , Mudança Social , Fatores Socioeconômicos
3.
Prim Health Care Res Dev ; 21: e47, 2020 10 28.
Artigo em Inglês | MEDLINE | ID: mdl-33109285

RESUMO

AIM: Family physicians are role models for their societies in disaster management and have an important place in it. This study was carried out during the specialty training of the residents, who are currently family physicians fighting against COVID-19 in the field, and was aimed to identify the awareness levels of residents regarding the roles and duties of family physicians before, during, and after disasters and to increase their awareness of disaster medicine and management. BACKGROUND: The duties and responsibilities of a family physician in disasters should be a part of their specialty training. This study has contributed to the limited literature, increased awareness, and opened a new avenue of research for studies to be conducted with family physicians by demonstrating the current situation of family physicians in disaster management. METHODS: This is an observational and descriptive study. The knowledge, experience, opinions, willingness, attitudes of the residents, and the awareness levels of the residents regarding their roles and duties in a disaster were evaluated along with their sociodemographic information. The surveys were applied in the family medicine clinics of the all residents by the interview method (n = 233). FINDINGS: Only 9.2% of the residents stated that they had received training on disaster medicine where they currently work. The knowledge level of the residents on this subject was found as 'Unsure'. In total, 80% of the residents stated that family physicians should have a role in disasters. It was found that 83.3% of the residents had never joined a disaster drill, 94.3% had never participated in making or applying a disaster plan, and 97.7% had never worked in any disaster. CONCLUSION: The residents participating in the study lacked not only information on disaster management but also experience. The residents' willingness to receive training, work voluntarily, significantly question the curriculum, and specialize in disaster medicine were a positive outcome.


Assuntos
Competência Clínica/estatística & dados numéricos , Medicina de Desastres/métodos , Internato e Residência/estatística & dados numéricos , Papel do Médico , Médicos de Família/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Turquia , Adulto Jovem
6.
Rev Med Suisse ; 16(709): 1853-1859, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026727

RESUMO

A quarter of cutaneous melanomas occur on the head and neck. Despite close collaboration between the dermatology, oncology, pathology, nuclear medicine and otorhinolaryngology departments, the survival of patients presenting with this type of melanomas remains inferior to that of other parts of the body. The morbidity of head and neck surgery significantly alters the quality of life. Therefore, specific multidisciplinary expertise is required. We present here the specificities of ENT management.


Assuntos
Orelha , Neoplasias de Cabeça e Pescoço/terapia , Melanoma/terapia , Nariz , Faringe , Papel do Médico , Neoplasias Cutâneas/terapia , Humanos , Qualidade de Vida
7.
Rev Med Suisse ; 16(709): 1860-1864, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026728

RESUMO

Sjögren Syndrome is an autoimmune disorder presenting as Sicca syndrome (dry-eye, dry mouth) and most often multiorgan involvement with various clinical manifestations. The diagnostic criteria defined by the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) include biologic, histologic parameters and functional measurements. Part of this workup can be performed by the ENT specialist. It encompasses minor salivary gland biopsy, sialometry, Schirmer lacrymal test and major salivary gland ultrasound. These tests and their performances are described. The growing importance of major salivary gland ultrasound as a follow-up and diagnostic tool is also discussed in this article.


Assuntos
Orelha , Nariz , Faringe , Papel do Médico , Reumatologia , Síndrome de Sjogren/diagnóstico , Biópsia , Humanos , Glândulas Salivares/diagnóstico por imagem , Glândulas Salivares/patologia , Síndrome de Sjogren/diagnóstico por imagem , Síndrome de Sjogren/patologia , Ultrassonografia
8.
Rev Med Suisse ; 16(709): 1870-1875, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026730

RESUMO

IgG4-related disease is a rare multi-organic inflammatory disease that frequently involves the ENT and head and neck areas. In these cases, salivary gland and lacrimal gland involvement is very common and includes enlargement, infiltration, and formation of pseudotumours. Diagnosis of IgG4 related disease remains a challenge and relies on several clinical, serological, radiological and histopathological criteria to differentiate from other diseases with similar clinical presentation. Histology reveals IgG4 positive lymphoplasmocytic infiltrates, storiform fibrosis and obliterative phlebitis. Glucocorticoids are the first line of treatment and can be combined with other immunosuppressants. The prognosis is favorable if treatment is initiated early. Recurrences are common. Delay in diagnosis can have severe multi-organic consequences.


Assuntos
Orelha , Doença Relacionada a Imunoglobulina G4/diagnóstico , Nariz , Faringe , Papel do Médico , Glucocorticoides/uso terapêutico , Humanos , Doença Relacionada a Imunoglobulina G4/imunologia , Doença Relacionada a Imunoglobulina G4/patologia , Aparelho Lacrimal/patologia , Prognóstico , Glândulas Salivares/patologia
9.
Rev Med Suisse ; 16(709): 1877-1880, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026731

RESUMO

This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested.


Assuntos
Disforia de Gênero/diagnóstico , Disforia de Gênero/terapia , Papel do Médico , Psiquiatria , Psicoterapia , Disforia de Gênero/psicologia , Identidade de Gênero , Humanos , Cirurgia de Readequação Sexual
10.
Tex Med ; 116(9): 4-5, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33023283

RESUMO

Human health is inextricably connected with the health of the environment. Our actions to reduce the threats of climate change and global warming are key to our well-being and survival.


Assuntos
Mudança Climática , Exposição Ambiental/efeitos adversos , Aquecimento Global/prevenção & controle , Saúde , Temperatura Alta/efeitos adversos , Papel do Médico , Responsabilidade Social , Promoção da Saúde , Humanos , Texas
16.
G Ital Med Lav Ergon ; 42(3): 195-200, 2020 09.
Artigo em Italiano | MEDLINE | ID: mdl-33119980

RESUMO

SUMMARY: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and its associated disease (COVID-19) represent a global health emergency that requires integrated and multidisciplinary intervention by international medical and scientific communities, in support of the national governments. In Italy many public health measures have been adopted to contain the transmission of the disease, which also involved occupational physicians. The regulatory path has had a rapid evolution due to the trend of infections and progressive scientific evidence: the most recent Circular from the Ministry of Labor and Social Policies and the Ministry of Health provides for the termination of the "exceptional health surveillance" activity, the management and protection of fragile individuals by activating the medical examination on request of the employee and excludes the old age, without comorbidities, as a specific condition of risk of serious complication of SARS-CoV-2 infection. For preventive and insurance purposes, COVID-19 usually represents a generic biological risk, for which the same measures must be adopted for the entire population. In the Inail Circular no. 13 of April 3, 2020, however, it is stated that professional categories that perform front office duties are considered exposed to a higher risk, as well as, health professionals, can be considered exposed to a specific risk. From January 1st to July 31st 2020, 51,363 cases of infection from SARS-CoV-2 were reported to INAIL as an accident. In the same period INAIL noticed a decrease in reports of accidents and occupational disease overall, correlated to the effects of lockdown and smart working.


Assuntos
Acidentes de Trabalho , Betacoronavirus , Infecções por Coronavirus/transmissão , Notificação de Doenças/legislação & jurisprudência , Medicina do Trabalho , Papel do Médico , Pneumonia Viral/transmissão , Pessoal de Saúde , Humanos , Itália , Pandemias
20.
Transl Behav Med ; 10(4): 850-856, 2020 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-32910819

RESUMO

Conspiracy theories have been proliferating during the COVID-19 pandemic. Evidence suggests that belief in conspiracy theories undermines engagement in pro-health behaviors and support for public health policies. Moreover, previous work suggests that inoculating messages from opinion leaders that expose conspiracy theories as false before people are exposed to them can help to prevent belief in new conspiracies. Goals of this study were to: (a) explore associations between COVID-19 conspiracy beliefs with SARS-CoV-2 vaccine intentions, cooperation with public health recommendations, and support for public health policies among U.S. adults and (b) investigate trusted sources of COVID-19 information to inform strategies to address conspiracy beliefs. A cross-sectional, online survey was conducted with 845 U.S. adults in April 2020. Data were analyzed using analyses of variance and multivariable regressions. One-third (33%) of participants believed one or more conspiracies about COVID-19. Participants who believed conspiracies reported that their intentions to vaccinate were 3.9 times lower and indicated less support for COVID-19 public health policies than participants who disbelieved conspiracies. There were no differences in cooperation with public health recommendations by conspiracy belief endorsement in the multivariable regression analysis. Although there were some key differences in trusted sources of COVID-19 information, doctor(s) were the most trusted source of information about COVID-19 overall with 90% of participants trusting doctor(s). Doctor(s) may play a role in addressing COVID-19 conspiracy theories before people are exposed to them to promote COVID-19 prevention efforts.


Assuntos
Comportamento Cooperativo , Infecções por Coronavirus , Comportamentos Relacionados com a Saúde , Pandemias , Pneumonia Viral , Política Pública/tendências , Confiança/psicologia , Vacinação/psicologia , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Estudos Transversais , Cultura , Feminino , Humanos , Intenção , Masculino , Pandemias/prevenção & controle , Papel do Médico , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Psicologia , Prática de Saúde Pública , Estados Unidos/epidemiologia
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