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Espiritualidad en atención paliativa: Evidencias sobre la intervención con counselling
2015
ResumenLas necesidades espirituales, cuando son elaboradas de forma efectiva, ayudarán a la persona al final de la vida a encontrar significado, mantener la esperanza y aceptar la muerte. El counselling es una de las terapias más utilizadas para mejorar estas necesidades. El objetivo del presente trabajo es ofrecer evidencia sobre la eficacia de esta terapia para la mejora de la espiritualidad de los pacientes atendidos en diversos dispositivos de salud. Para conseguirlo, se llevó a cabo una intervención de tres semanas en 131 pacientes de atención domiciliaria y hospitalizados. Tenían una edad media de 70.61 años (DT = 11.17). El 51.1% eran hombres. Se evaluó la espiritualidad de los pacie…
Wichtige epidemiologische Studientypen
2007
Síndrome de desmoralización como alternativa diagnóstica al estado de ánimo deprimido en pacientes paliativos
2016
The emotional state of palliative patients is one of the main aims in their professional attention. Several authors have approach this matter using depression definitions as defined for the general population. There are also many expert professional opinions and research data pointing to the need for adequate research at the patient’s end of life situation. Perhaps one of the most interesting ideas is that one initially expressed by Frank and developed by Kissanne et al., suggesting differentiation between depression and demoralization. Following this line of thought, demoralization would more accurately reflect the situation observed in these patients, allows a better differential diagno…
2017
Summary Background National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. Methods…
Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a prim…
2020
Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the i…
A comparative epizootiologic study of the two fish-pathogenic serovars ofVibrio vulnificusbiotype 2
2010
Vibrio vulnificus biotype 2 is subdivided into two main serovars, serovar E, able to infect fish and humans, and serovar A, only virulent for fish. Serovar E emerged in 1976 as the causative agent of a haemorrhagic septicaemia (warm-water vibriosis) affecting eels cultured in brackish water. Serovar A emerged in 2000 in freshwater-cultured eels vaccinated against serovar E, causing warm-water vibriosis with fish showing a haemorrhagic intestine as the main differential sign. The aim of the present work was to compare the disease caused by both serovars in terms of transmission routes, portals of entry and host range. Results of bath, patch-contact and oral-anal challenges demonstrated that …
Gilles Deleuze. La fragmentación del individuo en la "sociedad de control"
2009
La sociedad en la cual vivimos hoy día es una sociedad de control. La crisis generalizada de los “centros de encierro” (familia, escuela, ejército, fábrica, hospital, cárcel, etc.) apunta, de hecho, a la emergencia de nuevas fuerzas que conllevan el que “las sociedades disciplinarias [sean] nuestro pasado inmediato, lo que estamos dejando de ser” . Tal es el diagnóstico que establece Deleuze, siguiendo a Foucault. Sin embargo, hemos de reconocer que la sociedad de control, en tanto que objeto de reflexión propiamente filosófica, no encuentra en aquél un tratamiento conceptual al que suele estar acostumbrado su lector. Pues el tránsito reciente de las sociedades disciplinarias a la sociedad …
The effects of treated effluents on the intensity of papillomatosis and HSP70 expression in roach.
2008
Epidermal papillomatosis in fish has been proposed as an indicator of environmental stress but experimental evidence of connection between contaminants and papillomatosis in fish is scarce. We studied changes in the intensity of epidermal papillomatosis and the expression of heat shock protein 70 (HSP70) in roach, Rutilus rutilus, exposed to treated pulp mill and municipal effluents. In male roach, the increase in papillomatosis intensity was higher in fish exposed to 15% than in fish exposed to 1.5% concentration of municipal effluent. No differences were observed in papillomatosis development in females, or in HSP70 expression. In all the experiments conducted, the increasing effect of ef…
Effects of mechanical stimulation on cell cycle duration in rat gingival fibroblast progenitor cells
2001
The aim of this investigation was to estimate cell cycle duration in rat gingival fibroblast progenitor cells in steady-state control and during sustained mechanical stimulation. Elastics (0.15 mm thick) were inserted between maxillary M1 and M2 of 8 wk-old male rats which were labelled with H3-TdR and killed in groups of 6-7 animals together with equal-sized groups of labelled control animals at intervals between 1-168 h. Autoradiographs of consecutive mesio-distal sections were used to determine grain counts for H3-TdR-labelled cells in the connective tissue of the gingival papilla between M2 and M3. Median cell cycle times (MCC) were estimated from plots of mean and median grain counts a…
Glasgow ou l’Écosse urbaine dans les poèmes de Hugh MacDiarmid
2012
Hugh MacDiarmid is sometimes still thought a parochial poet, mostly interested in the depiction of rural Scotland. However, in the 1930s, he wrote several poems about the city of Glasgow but his work on urban predicaments has been largely forgotten. In his Glasgow sequence, MacDiarmid, along with many other writers in the 30s, redefines Scotland as an urban nation. Post-industrial Glasgow urges the whole country to ‘re-write’ itself and the canonical representation of rural Scotland to fade away. Scotland is mercilessly deconstructed in Glasgow 1938: Glasgow is no longer ‘a dear green place’, Scotland no longer a land of peasants but urban hell where filthy disease and dirty capitalism spre…