Search results for "counsel"
showing 10 items of 1047 documents
Co-morbidity does not reflect complexity in internal medicine patients
2006
Internal medicine patients are mostly elderly; they have multiple co-morbidities, which are usually chronic, rather than self-limiting or acute diseases. Neither administrative indicators nor co-morbidity indexes, though validated in elderly patients, are able to completely define these "complex" patients or to allow physicians to correctly "cope" with them. For the complex patients found in internal medicine wards, internists need not only to find the best diagnosis and treatment, but also to apply a complex intervention (i.e., a comprehensive assessment and both continuous and multi-disciplinary care) in order to maintain their health and ability to function and to prevent or delay disabi…
0450 Preventing and promoting musculoskeletal health at the workplace through the design and evaluation of an innovative multicomponent intervention:…
2017
Objectives Musculoskeletal disorders (MSD) are main cause of work absence, reducing sustainability of working trajectories. The objective of INTEVAL_Spain project is to assess the effectiveness of a multifactorial intervention at the workplace to prevent MSD. Methods The intervention comprises evidence-based primary (participatory ergonomics-PE), secondary and tertiary prevention (case management-CM), and health promotion targeted to MSD. All components are integrated and require full coordination. A cluster randomized trial with a late intervention control group is being implemented to evaluate its effectiveness. Quantitative and qualitative information is being obtained from databases of …
Human behaviour, benign or malevolent: understanding the human psyche, performing therapy, based on affective mentalization and Matte-Blanco’s bi-log…
2016
International audience; The key concept of Ignacio Matte Blanco’s bi-logic is the unavoidable but variable presence of primary process (symmetric thought) in the secondary one (asymmetric thought) ruling consciousness, for every human being. This variable and dynamic presence allows us, by therapeutic intervention, to convert suitably the symmetric thought into the asymmetric one. The former erupts into the latter by means of affectivity which, accordingly, should be suitably treated to be rightly modulated, regulated and symbolically represented to accomplish the aims of secondary process. This transition has been termed affective mentalization by Peter Fonagy et al. Accordingly, any thera…
THE FAMILY DEBATE ON VALUES AND LIVING TOGETHER: A COMMUNITY-BASED APPROACH THROUGH PARTICIPATORY ACTION RESEARCH
2013
This article presents a participatory action research that began with collaboration between the community and the university. An intervention was carried out in the form of Family Debate about Values and Living Together. Its objectives were to promote reflection and dialogue about values and living together in families and capture those families’ views on values and living together in the main contexts of socialization–family, school, and peers–and to apply that vision in the process of analyzing and transforming their reality. Participants in this study were 2,321 families living in the County of Bages in Barcelona province (Spain) with at least one child between 8 and 12 years of age. The…
Parenting Stress in Families of Children with Autism Spectrum Disorder and ADHD
2015
The purpose of this study was to compare the parenting stress experienced by parents of 121 children from 5 to 9 years old with autism spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), comorbid ASD+ADHD, and typical development in different domains related to child and parent characteristics using the Parenting Stress Index. The three clinical groups presented greater perceived parenting stress than did the comparison group (CG). The ADHD group obtained higher levels of parenting stress related to attachment and depression than did the other groups. The ASD+ADHD group presented a unique profile of differences from the CG on Health and Spouse subscales. Results highl…
Goal-setting strategy and psychological differences in marathon runners compared by gender
2019
Prior to a marathon race, we conducted a cross sectional study with 122 male and 18 female recreational runners at the Expo. Demographic information, running experience, competition level, training details, goal and finishing times, and PODIUM questionnaire on psychological state variables were collected. Motivation, training volume, experience, and relative performance were comparable between male and female marathon runners. However, men were more ambitious and perceived higher self-confidence and fitness, although overestimated their goals ( M dif = -10.4, SD = 16.7] minutes, p < .001). Women perceived higher social support, reported higher anxiety levels, were more accurate in their est…
International consensus and practical guidelines on the gynecologic and obstetric management of female patients with hereditary angioedema caused by …
2012
Background There are a limited number of publications on the management of gynecologic/obstetric events in female patients with hereditary angioedema caused by C1 inhibitor deficiency (HAE-C1-INH). Objective We sought to elaborate guidelines for optimizing the management of gynecologic/obstetric events in female patients with HAE-C1-INH. Methods A roundtable discussion took place at the 6th C1 Inhibitor Deficiency Workshop (May 2009, Budapest, Hungary). A review of related literature in English was performed. Results Contraception : Estrogens should be avoided. Barrier methods, intrauterine devices, and progestins can be used. Pregnancy : Attenuated androgens are contraindicated and should …
Effects of a low-frequency sound wave therapy programme on functional capacity, blood circulation and bone metabolism in frail old men and women
2009
Objective: To evaluate the effects of a low-frequency sound wave therapy programme on functional capacity, blood circulation and bone metabolism of the frail elderly. Design: Single-blind, randomized, controlled trial. Setting: Two senior service centres. Subjects: Forty-nine volunteers (14 males and 35 females) aged 62—93 years with up to 12 diagnosed diseases were allocated in either the intervention group (n = 30) or control group (n = 19). Intervention: The intervention group underwent sound wave therapy, 3—5 times a week for 30 minutes per session over a period of 6 months. The control group received no intervention. Main measurements: Blood pressure, functional capacity, mobility, bo…
Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study.
2016
Abstract Objective Fibromyalgia is a pathological entity characterized by chronic widespread musculoskeletal pain and the presence of "tender points". It constitutes a significant health problem because of its prevalence and economic impact. The aim of the present study was to determine the therapeutic benefits of low impact aerobic exercise alone or in combination with music therapy in patients with fibromyalgia. Methods A single-blind randomized controlled pilot trial was performed. Thirty-five individuals with fibromyalgia were divided into three groups: (G1) therapeutic aerobic exercise with music therapy (n=13); (G2) therapeutic aerobic exercise at any rhythm (n=13) and (CG) control (n…
Peer Group Mentoring Programmes in Finnish Higher Education––Mentors’ Perspectives
2014
Peer mentoring is one of the most important guidance practices for first-year students entering higher education and academic life. We are interested in mentors’ roles and apply the ideas of group counseling in order to increase the understanding of peer mentoring. Other aspects of guidance––content, methods, and collaboration––are approached on the basis of the holistic career guidance model. The data were gathered via an online questionnaire (n = 784) from 20 Finnish HE institutions. The results show that peer mentoring is a positive experience. The main emphasis is on the personal, psychosocial aspects of the student’s life. We identified four mentor types based on used activities. The e…