The free spirit: spiritualism meanings by a Nursing team on psychiatry.
The free spirit: spiritualism meanings by a Nursing team on psychiatry. Rev Bras Enferm. 2018 Mar-Apr;71(2):280-288 Authors: Lavorato-Neto G, Rodrigues L, Turato ER, Campos CJG Abstract OBJECTIVE: To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its relationship with care. METHOD: Clinical-qualitative, with appreciation of symbolic meanings. We interviewed 18 individuals for a semi-structured script of open questions and the data were analyzed in the light of psychoanalytic hermeneutics. The discussion was undertaken with the overlap of understanding of the sacred symbol, psychological and the meaning of life. RESULTS: Different spiritualities are interposed by personal restlessness and the experience of transience. Spirituality aids in social functions, personal balance and commitment to endure the anguish of transience. Among professionals, it has been shown as an ethical-combative attitude to evil forms, but there is a restriction in dealing with patients' spirituality. FINAL CONSIDERATIONS: The meanings pointed to the limits of human reason, resembling caregivers and patients in subjective conditions by which they avoid spirituality in psychiatry. It is suggested that spiritual attention be given to professionals. PMID: 29412284 [PubMed - in process]
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ConclusionsThe idea of using encounter decision aids was welcomed, but more by patients than by physicians. Adaptation was a complex process and required resources. Clinicians did not follow suggested strategies for using encounter decision aids. Our study indicates that production of encounter decision aids alone will not lead to successful implementation, and has to be accompanied by training of health care providers.
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Genetic component for 40 percent of phenotypes studied; 25 percent have environmental risk factors
Manual focuses on patient - physician relationship in different scenarios, including telemedicine
Condition: Rotavirus Vaccines Intervention: Other: Decision aids Sponsor: Taipei Medical University Shuang Ho Hospital Not yet recruiting
Conclusions: These findings highlight how future behavioral research and biomedical prevention efforts in YMSM will need to address PrEP disparities that may occur in young Black men who have sex with men, perception of risk, and lack of key supportive housing during this period that may be critical factors that contribute to HIV acquisition.
Background: HIV-infected persons with cryptococcal antigenemia (CrAg) are at high risk for meningitis or death. We evaluated the effect of CrAg screening and preemptive fluconazole therapy, adjunctive to antiretroviral therapy (ART), on 6-month survival among persons with advanced HIV/AIDS. Methods: We enrolled HIV-infected, ART-naive participants with
Background: Cryptococcal antigen (CrAg) screening in persons with advanced HIV/AIDS is recommended to prevent death. Implementing CrAg screening only in outpatients may underestimate the true CrAg prevalence and decrease its potential impact. Our previous 12-month survival/retention in CrAg-positive persons not treated with fluconazole was 0%. Methods: HIV testing was offered to all antiretroviral therapy–naive outpatients and hospitalized patients in Ifakara, Tanzania, followed by laboratory-reflex CrAg screening for CD4
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