RESUMO
Although frailty is an important, well-characterized concept in the provision of medical care to older adults, it has not been linked to the concept of vulnerability developed in the humanities and social sciences. Here, we distinguish between the two main dimensions of vulnerability: a fundamental, anthropological dimension in which people are exposed to a risk of injury, and a relational dimension in which people depend on each other and on their environment. The relational notion of vulnerability might provide healthcare professionals with a better understanding of frailty (and its potential interaction with precarity). Precarity situates people in their relationship with a social environment that might threaten their living conditions. Frailty corresponds to individual-level changes in adaptation to a living environment and the loss of ability to evolve or react in that environment. Therefore, we suggest that by considering the geriatric notion of frailty as a particular form of relational vulnerability, healthcare professionals could better understand the specific needs of frail, older people-and thus provide more appropriate care.
Assuntos
Fragilidade , Humanos , Idoso , Fragilidade/diagnóstico , Idoso Fragilizado , Ciências SociaisRESUMO
Faecal microbiota transplantation (FMT) is widely reported to be an effective treatment against recurrent Clostridioides difficile infections. Recent clinical studies support the therapeutic use of FMT for several other pathologies including inflammatory bowel disease, several types of cancer, and other functional or metabolic disorders. Initial guidelines are now available to overcome some of the technical and logistical issues for establishing a non-standardized treatment into clinical practice with proper safety and governance. To aid the improvement of guidance and standardization requirements for FMT, the International Alliance for Biological Standardization (IABS) and the BIOASTER Microbiology Technology Institute hosted a joint online workshop in May of 2021. The goal of the webinar was to provide a multi-disciplinary perspective of the ongoing efforts to develop FMT guidelines including technical, regulatory, and standardization requirements. Recognized experts gave insights into state-of-the art approaches and standards developed by international organizations and institutions.
Assuntos
Clostridioides difficile , Infecções por Clostridium , Doenças Inflamatórias Intestinais , Infecções por Clostridium/terapia , Transplante de Microbiota Fecal , Humanos , Resultado do TratamentoRESUMO
This International Alliance for Biological Standardization COVID-19 webinar was organized to provide an update on the virology, epidemiology and immunology of, and the vaccine development for SARS-CoV-2, none months after COVID-19 was declared a public health emergency of international concern. It brought together a broad range of international stakeholders, including academia, regulators, funders and industry, with a considerable delegation from low- and middle-income countries.
Assuntos
Vacinas contra COVID-19 , COVID-19 , Pandemias , SARS-CoV-2 , Anticorpos Neutralizantes/biossíntese , Anticorpos Antivirais/biossíntese , Produtos Biológicos/isolamento & purificação , COVID-19/epidemiologia , COVID-19/etiologia , COVID-19/terapia , Vacinas contra COVID-19/administração & dosagem , Vacinas contra COVID-19/efeitos adversos , Vacinas contra COVID-19/isolamento & purificação , Ensaios Clínicos como Assunto , Desenvolvimento de Medicamentos/tendências , Europa (Continente)/epidemiologia , Humanos , Imunidade Celular , SARS-CoV-2/genética , SARS-CoV-2/imunologia , SARS-CoV-2/patogenicidade , Segurança , Organização Mundial da SaúdeRESUMO
This first International Alliance for Biological Standardization Covid-19 webinar brought together a broad range of international stakeholders, including academia, regulators, funders and industry, with a considerable delegation from low- and middle-income countries, to discuss the virology, epidemiology and immunology of, and the vaccine development for SARS-CoV-2.
Assuntos
Betacoronavirus , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/imunologia , Pneumonia Viral/prevenção & controle , Vacinas Virais , Adulto , Idoso , Idoso de 80 Anos ou mais , Número Básico de Reprodução , COVID-19 , Vacinas contra COVID-19 , Congressos como Assunto , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Desenho de Fármacos , Feminino , Saúde Global , Humanos , Cooperação Internacional , Internet , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Padrões de Referência , SARS-CoV-2 , Estações do Ano , Telecomunicações , Virologia/tendências , Adulto JovemRESUMO
Dans larticle présent jessaie de mettre en perspective quelques-uns des enjeux saillants de la crise sanitaire de Covid-19, notamment sa dimension biopolitique en face des défis bioéthiques. En partant, donc, dune problématique singulière, celle de la priorisation des patients dans laccès aux soins, notamment aux soins intensifs, qui permettent dapprofondir la réflexion concernant le traitement des vies humaines à larticulation dune préoccupation pour la vie biologique à léchelle dune population (sauver des vies) et dune attention dordre éthique au vécu de la maladie, par les soignants, les patients ou par leurs proches, en particulier lorsque les ressources médicales manquent pour faire face aux demandes de soins