Готові списки джерел за темами / Narrative based medicine

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Добірка наукової літератури з теми "Narrative based medicine"

Автор: Grafiati

Опубліковано: 10 березня 2023

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Статті в журналах з теми "Narrative based medicine"

SATO, KIYOSHI. "Evidence-Based Medicine and Narrative-Based Medicine." Juntendo Medical Journal 49, no. 2 (2003): 134–44. http://dx.doi.org/10.14789/pjmj.49.134.

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Greenhalgh, T. "Narrative based medicine: Narrative based medicine in an evidence based world." BMJ 318, no. 7179 (January 30, 1999): 323–25. http://dx.doi.org/10.1136/bmj.318.7179.323.

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Dieppe, Paul. "Narrative Based Medicine." Journal of the Royal Society of Medicine 92, no. 7 (July 1999): 380–81. http://dx.doi.org/10.1177/014107689909200717.

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Richardson, Ruth. "Narrative-based medicine." Lancet 354, no. 9195 (December 1999): 2088. http://dx.doi.org/10.1016/s0140-6736(05)76835-5.

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Taylor, David C. "Narrative based medicine." Developmental Medicine & Child Neurology 45, no. 3 (February 13, 2007): 147. http://dx.doi.org/10.1111/j.1469-8749.2003.tb00921.x.

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COOK, G. C. "Narrative Based Medicine." Postgraduate Medical Journal 77, no. 908 (June 1, 2001): 423c—423. http://dx.doi.org/10.1136/pmj.77.908.423c.

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Greenhalgh, T., A. Collard, and N. Begum. "Narrative based medicine." Practical Diabetes International 22, no. 4 (2005): 125–29. http://dx.doi.org/10.1002/pdi.781.

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Greenhalgh, T., and B. Hurwitz. "Narrative based medicine: Why study narrative?" BMJ 318, no. 7175 (January 2, 1999): 48–50. http://dx.doi.org/10.1136/bmj.318.7175.48.

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Joshi, Ankur, J. S. Meena J. S. Meena, Saket Kale, Sanjay Agarawal, and Dr M. Mishra Dr M Mishra. "Empirical Learning in Community Medicine through Narrative Based Reasoning." International Journal of Scientific Research 2, no. 10 (June 1, 2012): 1–4. http://dx.doi.org/10.15373/22778179/oct2013/83.

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Jones, A. H. "Narrative based medicine: Narrative in medical ethics." BMJ 318, no. 7178 (January 23, 1999): 253–56. http://dx.doi.org/10.1136/bmj.318.7178.253.

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Дисертації з теми "Narrative based medicine"

Chizick, Jarett. "Ankylosing Spondylitis & Chronic Pain Syndrome: Bridging the Gap Between Perpetuated Medicine & Holistic Therapies." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/329.

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Ankylosing Spondylitis (AS) and Chronic Pain Syndrome (CPS) can be treated in many different ways. I found a problem in the balance of healing modalities surrounding diagnosis and care of illness and disease. This struggle is not singular to AS and CPS, but universal to physical and mental concerns. Some effective treatments and therapies are not recognized as such or are just beginning to become so. The scope of my work reflects on the course of my life. It was heavily influenced by the way my medical care was managed from an early age and how it evolved over the years. Through my educational program, I examined the necessity to bridge the gap between treatment paradigms and to expand on a broader, more inclusive, healing rubric. This rubric includes a broader emphasis on skill-based and complementary and alternative medicines. The viability to incorporate holistic health therapies earlier in life is explored through my use of the Scholarly Personal Narrative (SPN) qualitative research method. I chose this methodology because scientific fact could be argued either way for one therapeutic approach over another. By incorporating lived experience through SPN the union and cohesion necessary in all healing modalities, and their positive aspects, can be seen. The truth becomes self-evident. The results of this examination showed awareness earlier in life toward alternative and holistic treatments being paramount. Parents and educators lack information concerning modern therapeutic approaches. It also showed each situation will vary, but choice in treatment for ailments and illness of all kinds is not only viable, but highly recommended and researched. Access issues such as health insurance remain obstacles with some treatments and therapies, while others are a matter of cost prohibition, such as nutrition therapies. The implications of my work indicate a need for earlier incorporation of holistic healing programs and skill based therapies alongside perpetuated medical models in early childhood development and education. In conclusion, awareness towards medical concerns and how we as a society treat them can be improved upon by systemically incorporating less harmful therapies earlier in life. Fostering relations between medical providers, care providers and educators for students' wellbeing should be the foreground of any educational policy. Educators and parents alike should be made aware of and take advantage of effective skill-based treatments before a physical or mental condition surfaces or medication only approaches are authoritatively recommended. Integrating programs that build strong mental resilience and focus on youth development and education can reduce the necessity for more invasive treatments or medications should an ailment or illness develop.

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Spear, Jennifer Akeley. "Narrative based fear appeals manipulating grammatical person and message frame to promote HPV awareness and responsible sexual conduct." Master's thesis, University of Central Florida, 2011. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5045.

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The utility of narrative as a persuasive mechanism has been increasingly investigated in recent years especially within the context of health behaviors. Although many studies have noted the effectiveness of narrative-based persuasive appeals, conceptual inconsistencies have made it difficult to determine what specific aspects of narrative messages lead to the most effective persuasive outcomes. In the present study, 145 female college students were randomly assigned to read one of four narrative health messages about a female freshman college students experiences with the human papillomavirus (HPV). Two elements of the narrative message structure were manipulated: the message frame (gain framed vs. loss framed), and the grammatical person of the text (first-person vs. third-person). The messages were presented via the medium of an online blog. After reading a narrative participants responded to a brief questionnaire designed to measure perceptions of threat regarding HPV contraction, perceptions of efficacy regarding HPV prevention, and intentions to get the Gardasil vaccine. Participants exposed to loss framed messages reported higher levels of perceived threat (susceptibility and severity) than participants exposed to gain framed messages although participants in the gain framed message conditions reported higher levels of perceived self-efficacy. Significant correlations were also found between levels of reported character identification and the two threat variables. No effects were found for grammatical person.
ID: 030423180; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Thesis (M.A.)--University of Central Florida, 2011.; Includes bibliographical references (p. 96-112).
M.A.
Masters
Communication
Sciences

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Bryant, Cindy G. "Evaluating the use of Narrative Therapy and Art Therapy among Women Who Have Experienced the Trauma of Domestic Violence." Digital Commons at Loyola Marymount University and Loyola Law School, 2020. https://digitalcommons.lmu.edu/etd/906.

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This research study is aimed at evaluating the artwork created by a woman who has experienced the trauma of domestic violence. A qualitative research approach was used to capture the phenomenological outcomes in the art created during art therapy sessions using the theoretical lens of narrative therapy to analyze the art. For this study the subject was a young woman from Central America who had come into therapy per court mandate to address the issues of domestic violence at a community-based mental health center where the researcher was conducting her second- year practicum. The data (art) was gathered after each art therapy session. Five sessions in total were conducted where the subject was given various art making directives. The subject created six total pieces of artwork during the five sessions. The researcher then analyzed the artwork created by the subject using a phenomenological approach while looking for common themes found in the artwork using a narrative therapy lens with which to view the artwork. Many themes uncovered in the artwork were parallel to narrative therapy theory such as resilience and empowerment and held the possibility of assisting the subject who experienced domestic violence in finding new outcomes.

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FIORETTI, CHIARA. "The language of memory: the impact of narrating on autobiographical memory fluency." Doctoral thesis, 2015. http://hdl.handle.net/2158/1003575.

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(11038173), Stephanie Wilson. "Gender, Race, Class and the Normalization of Women's Pelvic Pain." Thesis, 2021.

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This dissertation, broadly, examines how power dynamics manifest during clinical interactions related to vague and gendered medical symptoms, such as pelvic pain. To examine this issue, I approach my research questions through multiple methods including a critical discourse analysis of the medical discourse on pelvic pain, a survey experiment administered to healthcare workers in the US, and a narrative analysis of pelvic pain patient experiences. While the focus of this research is on pelvic pain, the analyses presented here reach far beyond ideas of power dynamics and pelvic pain. Rather, the findings from this research speak to theoretical discussions medical sociologists have been having for decades. Specifically, findings provide new insight on: 1) the limits of evidence-based medicine as a biomedical paradigm, 2) how fundamental causes of health inequality intersect with each other as well as other factors, such as gender, important in predicting health outcomes and 3) how discussions of metamechanisms in fundamental cause theory can inform our understanding of the accumulation of cultural health capital. In providing such insight, this dissertation uses the case of pelvic pain to integrate multiple perspectives and theories in medical sociology to drive the field forward in a way that acknowledges the many ways power is simultaneously constituted in the clinical interaction. From the role of gender, race, and class in power relations, to the ways medical knowledge, discourse, and authority dictate the clinical interaction, this research covers a wide range of sociological theories and concepts. In doing so, this dissertation sheds new light on current understandings of power in the clinical interaction and its relationship to inequitable health outcomes in the US.

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Korchia, Mike Kévin. "Técnica de onda contínua de calor versus técnica termoplástica “carrier based”: revisão narrativa." Master's thesis, 2021. http://hdl.handle.net/10284/10276.

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O tratamento endodôntico não cirúrgico é composto por três etapas: a instrumentação, a irrigação e a obturação. A obturação é um processo que tem como objetivo selar de forma tridimensional o complexo sistema de canais da peça dentária. A realização deste trabalho tem como objectivo efectuar uma revisão narrativa da literatura para analisar e comparar duas técnicas de obturação: a Onda Contínua de calor e a Carrier Based, comparando a efetividade, vantagens e d esvantagens de cada técnica reportadas na literatura científica atual. Como resultado desta análise, compreendemos que não existe diferença significativa entre o sucesso das duas técnicas de obturação, mas que possuem limites de utilização a ter em conta, tais como certas características de anatomia dentária ou o risco de extrusão de material de obturação. Assim, a escolha de uma técnica ou de outra pelo profissional de saúde dependerá de fatores anatómicos e de particularidades de cada caso clínico.
Non surgical endodontic treatment consists of three steps: instrumentation, irrigation, and obturation. The obturation is a process that aims to seal in a three dimensional way the complex canal system of the tooth. The aim of this work is to perform a narrative review of the literature to analyze and compare two filling techniques: Continuous Heat Wave and Carrier Based, comparing the effectiveness, advantages and disadvantages of each technique reported in the current scientific literature. As a result of this analysis, we understand that there is no significant difference between the success of the two filling techniques, but that they have limits of use to be taken into account, such as certain characteristics of dental anatomy or the risk of extrusion of filling material. Thus, the choice of one technique or the other by the health professional will depend on anatomical factors and particularities of each clinical case.

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Eizaguirre, Colombo Juan Luís. "Bases genéticas envolvidas na reabsorção da crista residual mandibular - revisão narrativa." Master's thesis, 2020. http://hdl.handle.net/10284/9378.

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O aumento da longevidade do ser humano traduz-se no aparecimento de novos desafios para as ciências da saúde. Como resultado do envelhecimento, as doenças crónicas e degenerativas passaram a ocupar um papel predominante no desenvolvimento e na pesquisa clínica nas últimas décadas. É o caso do estudo dos processos degenerativos que ocorrem na cavidade oral após a perda de dentes. A reabsorção da crista residual mandibular é um processo amplamente estudado desde meados do século passado e muitas pesquisas relacionam esse processo com múltiplos fatores. Este trabalho é uma revisão narrativa sobre as bases genéticas envolvidas na reabsorção da crista residual mandibular. Foi estabelecida a relação entre alguns SPNs de alguns destes genes e a RRR. As investigações apontam para a necessidade de realizar estudos com maior amostragem que permitam ao clínico decidir o comportamento a tomar e impactar positivamente a previsibilidade dos tratamentos com base na identificação de variações genéticas.
The increase in life span of the human being leads to the appearance of new challenges for the health sciences. As a result of getting old, chronic and degenerative diseases started to occupy a predominant role in the development and clinical research in the last decades. It is the case of degenerative processes that occur in the oral cavity after teeth loss. Mandibular residual ridge resorption is a widely studied process from the middle of last century and many research relate this process with multiple factors. Recently, the understanding of the biological processes that occur after tooth extraction has been amplified. This work is a narrative revision concerning the genetic factors involved in mandibular residual ridge resorption (RRR). The relationship between some SNPs of some genes and RRR was stablished. All investigations point out for the need of studies with bigger sample sizes that allow the clinician to choose the best behaviour and have positive impact in treatments outcome based on the identification of genetic variations.

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Книги з теми "Narrative based medicine"

Narrative-based practice. Aldershot, Hants, England: Ashgate Pub., 2009.

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S, Passerman Daniel, ed. Integrating narrative medicine and evidence-based medicine: The everyday social practice of healing. London: Radcliffe Pub., 2011.

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Launer, John M. N. Narrative-based primary care: A practical guide. Abingdon: Radcliffe Medical Press, 2002.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. Narrative Medicine and Community-Based Health Care and Planning. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9.

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Goebelbecker, Carina. Empowering D/deaf Children: Narrative Medicine and Rights Based Claims. [New York, N.Y.?]: [publisher not identified], 2022.

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Anna, Collard, ed. Narrative based health care: Sharing stories : a multiprofessional workbook. London: BMJ, 2003.

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Hinckley, Jacqueline J. Narrative-based practice in speech-language pathology: Stories of a clinical life. San Diego: Plural Pub., 2008.

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Payne, Martin. Narrative therapy: An introduction for counsellors. 2nd ed. London: SAGE Publications, 2006.

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Catrina, Brown, and Augusta-Scott Tod, eds. Narrative therapy: Making meaning, making lives. Thousand Oaks, Calif: Sage Publications, 2007.

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Narrative therapy: An introduction for counsellors. London: SAGE Publications, 2000.

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Частини книг з теми "Narrative based medicine"

Marini, Maria Giulia. "Evidence-Based Medicine and Narrative Medicine: A Harmonic Couple." In Narrative Medicine, 1–9. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22090-1_1.

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Marini, Maria Giulia. "Designing Health Care Based on Patient’s Needs and Rights." In Narrative Medicine, 81–91. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22090-1_9.

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Au, Derrick K. S. "Ethics and Narrative in Evidence-Based Medicine." In Cross-Cultural Perspectives on the (Im)Possibility of Global Bioethics, 299–315. Dordrecht: Springer Netherlands, 2002. http://dx.doi.org/10.1007/978-94-017-1195-1_17.

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Murphy, John W. "Narrative Medicine in the Context of Community-Based Practice." In Dimensions of Community-Based Projects in Health Care, 15–23. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61557-8_2.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "Community and Narratives." In Narrative Medicine and Community-Based Health Care and Planning, 17–30. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_2.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "Conclusion: A Community-Based Strategy." In Narrative Medicine and Community-Based Health Care and Planning, 101–14. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_8.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "Narratives, Methods, and World Entry." In Narrative Medicine and Community-Based Health Care and Planning, 59–71. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_5.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "Introduction: Narratives, Local Knowledge, and World Entry." In Narrative Medicine and Community-Based Health Care and Planning, 1–15. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_1.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "What Is Dialogue?" In Narrative Medicine and Community-Based Health Care and Planning, 31–43. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_3.

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Murphy, John W., Berkeley A. Franz, Jung Min Choi, and Karen A. Callaghan. "Storylines, Causes, and the Locus of Interventions." In Narrative Medicine and Community-Based Health Care and Planning, 45–58. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61857-9_4.

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Тези доповідей конференцій з теми "Narrative based medicine"

Luchenski, Serena, Joanna Dawes, Robert Aldridge, Shema Tariq, Fiona Stevenson, and Andrew Hayward. "OP76 Hospital-based preventative health services for people experiencing homelessness: systematic review and narrative synthesis." In Society for Social Medicine Annual Scientific Meeting Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/jech-2021-ssmabstracts.76.

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Prandini Nunes Cota, Maria Gabriela, Ana Luísa Nunes Ribeiro, and Bruna Cristina Silva Martins. "CIRURGIA METABÓLICA E SEU IMPACTO EM PACIENTES COM SÍNDROMES METABÓLICAS: revisão narrativa." In Semana Online Acadêmica de Medicina. Congresse.me, 2022. http://dx.doi.org/10.54265/lljn5901.

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INTRODUÇÃO:Considerando que atualmente 21,5% da população brasileira é obesa, a Cirurgia Bariátrica (CB) surgiu como uma solução no tratamento dessa condição. Após estudos demonstrarem que ela pode ser um novo tratamento para as doenças metabólicas, esse termo foi substituído por Cirurgia Metabólica (CM). Nesse sentido, essa intervenção tem sido utilizada como uma nova abordagem para pacientes com síndrome metabólica resistentes às terapias convencionais. OBJETIVO:Avaliar como a cirurgia metabólica impacta pacientes com síndromes metabólicas. MÉTODOS:Para essa revisão narrativa, realizou-se buscas bibliográficas nas bases PubMed, UpToDate e Lilacs, utilizando os Descritores em Saúde “Bariatric Surgery”, “Nutritional and Metabolic Diseases” ,”Obesity Management”.Os critérios de inclusão são artigos dos últimos 5 anos, que abordam o prognóstico do paciente. RESULTADOS: A CM promove mudanças físicas e genéticas. Fisicamente, diminui o tamanho gástrico, rearranja anatomicamente o intestino, altera a secreção hormonal e promove restrições calóricas dietéticas fundamentais para o aprimoramento de microbiota salutar, reduzindo a inflamação sistêmica. Geneticamente, a restrição calórica pode alterar a expressão gênica de diferentes vias metabólicas, como transcrição gênica, processos imunológicos, metabolismo lipídico e energético, diferenciação celular e diferenciação de adipócito.Assim, a CM favorece melhor controle glicêmico e redução de eventos cardiovasculares após a intervenção cirúrgica. CONCLUSÃO: A CM em indivíduos com síndrome metabólica oferece melhora e/ou remissão de comorbidades associadas, devido aos benefícios proporcionados. O prognóstico se relaciona à elevação da sobrevida e melhora da qualidade de vida, além da redução da farmacoterapia. PALAVRAS-CHAVE: Bariatric Surgery, Nutritional and Metabolic Diseases, Obesity Management

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Lāma, Elza. "Unspoken Truths in Narratives of Contemporary Mothers Towards Their Mothers in Latvia." In 80th International Scientific Conference of the University of Latvia. University of Latvia Press, 2022. http://dx.doi.org/10.22364/htqe.2022.09.

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Soviet propaganda promised liberation of women from household shackles, glorifying them as ‘heroines’, who embody love for family, work and communist ideals. Behind ideology, the ‘second shift’ burdened mothers with tedious housework, childrearing, and professional workload. Nowadays their daughters, who were born in the turmoil of collapse of USSR, experience motherhood differently, with the aid of information and technologies, that seemingly ease childcare and everyday life in democratic Latvia. Although mothering is a subjective experience and each next generation questions decisions of the previous one, contemporary motherhood favours different childrearing methods, rooted in evidence-based sources, Western medicine practitioners, and democratized family models in contrast to Dr. Spock’s advice, home remedies or physical punishment. ‘Intensive mothering’ ideology adds to the pressures of modern motherhood, deeming the mother entirely responsible for social, psychological and cognitive well-being of her children. By employing the theoretical framework of Arlie Hochschild, this article explores the unspoken truths, doubts, and grievances of 21st century mothers towards their ‘mothers-heroines’ of USSR. The ‘deep story’ has been constructed, intertwining narratives, gained from eight phenomenological semi-structured interviews with new mothers. The ‘deep story’ has been supplemented by a case study of a viral post (Facebook, March 2021) by a contemporary mother, reflecting on advantages of modern motherhood in comparison to mothering in 1985, sparking a heated debate. The ‘deep story’ of contemporary mothers unfolds the layers of unarticulated feelings – from resentment to gratefulness, from anger to love. Inner conflict between respecting parents, and following an individual path is also present.

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Sewani, Salima. "Endemic of Violence and Child Labor during Covid-19 - A Narrative Case Study on the Effective Well-being Strategies for Building Resilience among Public School Going Learners in Karachi." In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.6588.

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This paper reflects on the tribulations faced by the public school-going learners in Karachi during Covid-19. It also sheds light on the innovative pilot strategies that we used to support their education during the closure of the school. Through the reflective narrative case study approach, fellow teachers first gathered a few stories from learners and parents, living in their neighborhoods. They reported cases of child labor, slavery, and early marriages. We then discussed, planned, and piloted strategies to teach and support learners of grades 5 to 8 during Covid-19. We prepared educational packs that included educational games, assignments, and an easy-to-use guidebook. We also offered phone-based academic counseling to learners. Strategies like, taking parents and community leaders into confidence, and offering free vocational education, medical checkups, and medicines to parents and learners worked successfully. Around 17 girl children and 32 male children, who were engaged in child labor during Covid-19 returned to their routine education. Throughout the process, the role of community leaders was pertinent. Our contextual education model for marginalized children and parents can be used by other educational institutions during an uncertain time.

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Costa, Raisa Ferreira, and Claúdia Malheiros Coutinho Camillo. "TUMORES DE GLÂNDULAS SALIVARES: MODELOS PDX E CULTURA DE CÉLULA." In I Congresso Nacional Multidisciplinar de Oncologia On-line. Revista Multidisciplinar em Saúde, 2021. http://dx.doi.org/10.51161/rems/1553.

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Introdução: Tumores de glândula salivares são raros e poucos frequentes, e apresentam quantidade de lesões diferentes dificultando o diagnóstico desta doença. O tratamento para essas neoplasias requer cirurgia e radioterapia e para o tratamento metastático, a quimioterapia. Essas poucas opções de tratamento ainda apresentam baixa taxa de sobrevida. Objetivos: O presente estudo de revisão narrativa objetivou abordar mecanismos possíveis envolvidos na gênese dos tumores, usando como base o uso de modelos experimentais como o modelo PDX e cultura de célula para o tratamento e diagnóstico precoce, possível para esses tumores. Materiais e métodos: Foi realizado um levantamento na literatura, no período de 2015 a 2021, em diferentes bases de dados, SciELO, da U.S. National Library of Medicine e do National Institutes Health (PubMed) e das bases de dados Web of Science. Como estratégia de busca, foram utilizados os seguintes termos: "Salivary gland tumors" and "model experiments" selecionados em consulta com o Medical Subject Headings (MeSH). 19 artigos foram selecionados para esta revisão. Resultados: Estudos apontam que há poucos modelos celulares disponíveis e considerando as opções de terapia personalizada e terapias-alvo, torna-se fundamental o desenvolvimento de novos modelos para identificação das alterações moleculares e a elucidação do papel delas nestes tumores, permitindo o delineamento de terapêuticas mais adequadas para cada caso e o entendimento da fisiopatologia da tumorigênese. Conclusão: Sendo assim, sugere-se que esses modelos conseguem replicar a heterogeneidade dos tumores com o dos pacientes, podendo ser uma ferramenta importante de pesquisa para se melhor entender os eventos da tumorigênese, a morfologia e biologia tumoral e a identificação de perfis de expressão gênica e alterações moleculares para o desenvolvimento de novas abordagens terapêuticas para os tumores de glândulas salivares.

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Gabriela Prandini Nunes Cota, Maria, and Luis Felipe Malaquias Ferreira. "A RELAÇÃO ENTRE A MICROBIOTA INTESTINAL E A OCORRÊNCIA DE NEOPLASIAS DO TRATO GASTROINTESTINAL." In Semana Online Acadêmica de Medicina. Congresse.me, 2022. http://dx.doi.org/10.54265/jnco9736.

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INTRODUÇÃO: A microbiota intestinal se relaciona simbioticamente e desempenha funções essenciais à homeostase humana, sobretudo do ponto de vista imunopatológico, sendo a sua composição influenciada pelo estilo de vida e dieta do indivíduo. Há indícios que o desequilíbrio da microbiota intestinal estaria relacionado ao desenvolvimento de neoplasias do trato gastrointestinal (TGI) OBJETIVO: Identificar a relação entre a microbiota intestinal e a ocorrência de neoplasias do TGI. MÉTODOS: revisão narrativa nas bases PubMed e LILACS com os seguintes descritores: “gastrointestinal tract”, “câncer”, e “microbiota”. RESULTADOS: A carcinogênese de neoplasias do TGI relaciona-se à fatores genéticos, ambientais e comportamentais. O aumento do consumo de produtos industrializados, que alteram a microbiota intestinal, está relacionado a um concomitante aumento da incidência de neoplasias do TGI. Esse efeito relaciona-se à uma diminuição de microrganismos importantes para a homeostase e a proliferação de agentes como H. pylori e Fusobacterium nucleatum. A disbiose gera um ambiente próinflamatório, por meio da maior produção de ácidos graxos de cadeia curtas e toxinas como a 4-hidroxi-2-nonenal, que relaciona-se à desregulação do inflamassoma e dos genes de supressão de células tumorais, predispondo mecanismos carcinogênicos. Do contrário, alguns estudos indicam um possível efeito protetor de microbiotas equilibradas na prevenção e melhor prognóstico dessas neoplasias. CONCLUSÃO: As evidências atuais sugerem um papel protetor de uma microbiota diversificada e equilibrada em prevenir neoplasias TGI, bem como o efeito nocivo da disbiose sobre a carcinogênese. Estudos prospectivos mais abrangentes ainda são necessários para especificar tais efeitos e promover medidas profiláticas e terapêuticas. PALAVRAS-CHAVE: Microbiota, Neoplasias, Trato Gastrointestinal

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Francisco, Alice Aparecida Rodrigues Ferreira, and Pedro Lopez. "EXERCISE AS AN ADJUVANT THERAPY FOR FATIGUE AND CARDIORESPIRATORY FITNESS IN BREAST CANCER PATIENTS: A REVIEW OF CURRENT EVIDENCE." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1032.

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Introduction: During primary breast cancer (BC) treatment, both systemic and local therapies are used to eliminate tumoral cells and reduce the risk of recurrence or disease progression. However, despite the efficacy and success of these treatments, most patients have their quality of life affected by some treatment-related side effects. Among them, fatigue and reductions in cardiorespiratory fitness are commonly observed in response to treatment toxicities during and even following primary treatment. To date, exercise has been considered an effective intervention to counteract these side effects. In the past few years, guidelines from the American Cancer Society, American College of Sports Medicine, and Exercise and Sport Science Australia were published highlighting the importance of being physically active before or after a cancer diagnosis. Recently, the Brazilian Clinical Oncology Society also started a new guideline in exercise and oncology. However, even with numerous studies demonstrating that exercise is effective, the relationship between its prescription variables and effects on these outcomes is unclear. Consequently, it is of great interest to understand the effects of different exercise modalities (e.g., resistance training, aerobic exercise or combined resistance, and aerobic exercise) and their effects on fatigue and cardiorespiratory fitness. Objective: The aim of this study was to describe the effects and moderators of exercise on fatigue and cardiorespiratory fitness in women with BC. Methods: This is a narrative literature review concerning the exercise effects and moderators of exercise response on fatigue and cardiorespiratory fitness in women with BC. The search was undertaken in PubMed using the following terms: “cancer” AND “exercise” AND (“fatigue” OR “cardiorespiratory fitness”) in November 2021. Given the specificity of the topic and outcomes of interest, we selected seven systematic reviews with meta-analysis to describe the exercise effects and moderators of exercise response on fatigue and cardiorespiratory fitness in BC patients. Results: In summary, the design of supervised exercise programs could benefit women with BC. In addition, exercise could result in greater effects in patients presenting higher levels of fatigue when compared to those who do not present. Some examples of supervised exercise programs are in studies from the Supervised Trial of Aerobic Versus Resistance Training (START), Combined Aerobic and Resistance Exercise (CARE), and Optimal Training Women with BC trials (OptiTrain). These studies prescribed resistance training, aerobic exercise, and combined resistance and aerobic exercise, 2–3 exercise sessions per week, 1–3 sets of 8–12 repetitions at 60–70% of one-repetition maximum (1RM) per resistance exercise, and 20–30 min of continuous or high-intensity interval aerobic exercise at 13–15 of the rated perceived exertion (RPE) scale. Regarding the exercise program prescription, supervised, high-intensity, or nonlinear schedule aerobic exercises are also associated with greater effects on cardiorespiratory fitness. The fact that supervised exercise results in greater benefits in cardiorespiratory fitness compared to unsupervised programs (supervised exercise, ES=0.34, 95%CI 0.28–0.40; unsupervised exercise, ES=0.19, 95%CI 0.07–0.32) is an important information. Conclusion: Sufficient evidence indicates that exercise promotes significant effects on fatigue and cardiorespiratory fitness in women with BC. In addition, specific subgroups of patients based on age and baseline levels appear to respond more favorably than others. Regarding contraindications, the exercise prescription should occur accordingly to and with the clearance of the oncologist and the medical team, respecting patients’ individualities, the feasible period for exercise, symptoms, and treatment course.

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Dias, Lorrany Alves, Guiomar Virgínia Vilela Assunção De Toledo Batello, and Milena Temer Jamas. "A IMPORTÂNCIA DA QUALIFICAÇÃO DA EQUIPE DE ENFERMAGEM NO TRATAMENTO DE LESÕES DE PELE: REVISÃO DA LITERATURA." In Anais do II Congresso Brasileiro de Saúde On-line. Revista Multidisciplinar em Saúde, 2021. http://dx.doi.org/10.51161/rems/1985.

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Introdução: ferida é considerada qualquer interrupção na continuidade da pele que afete a sua integridade, vista como um problema de saúde pública que atinge a população de modo geral, sem distinção de idade, raça ou etnia. A ferida pode ser superficial ou profunda, fechada ou aberta, aguda ou crônica. O tratamento de lesões de pele exige a qualificação dos profissionais de saúde que o realiza, pois por meio do tratamento adequado ocorrerá a evolução, sendo primordial a satisfação do cliente. Objetivo: destacar a importância da capacitação da equipe de enfermagem frente ao tratamento de lesões de pele. Materiais e Método: trata-se de um estudo de revisão narrativa da literatura com base nas referências indexadas nas bases de dados: Literatura Latino- Americana e do Caribe em Ciências da Saúde, nas coleções Scientific Electronic Library Online e Biblioteca Regional de Medicina. Resultados: as amostras pesquisadas cita diretamente como é imprescindível que a equipe de enfermagem se encontre capacitada para realizar o cuidado de forma holística, humanizada e eficiente. Para esse fim, além do conhecimento técnico-científico, é necessário que haja cursos de aperfeiçoamentos bem como capacitação permanente dos profissionais de enfermagem; também de intervenção educativa junto à população, visto que a Promoção da Saúde apresenta um sentido mais amplo e tem o propósito de aumentar a saúde e o bem-estar geral. Conclusão: o estudo possibilitou melhor compreensão das condições vivenciadas pelos enfermeiros, apontando suas potencialidades, dificuldades e limitações. Os profissionais necessitam de um protocolo norteador para a execução dos curativos, proporcionando resolutividade. Porém, a ausência dessa ferramenta não impede que o profissional exerça uma boa assistência.

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Oliveira, Júlia Vitória de. "Pesquisa Realizada Através Do Bioativos Da Planta Echinodorus grandiflorus Com Extração Do DNA Da Musa Para Embasamento De Pomada Caseira Cicatrizante." In II Congresso Nacional de Microbiologia Clínica On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/ii-conamic/12.

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Introdução: Uma planta promissora no campo fitoterapêutico é a Echinodorus grandiflorus, popularmente conhecida como chapéu de couro, que tem sido empregada na medicina popular no abrandamento dos processos inflamatórios e na recuperação da pele em casos de queimadura. Objetivo: com base nos princípios ativos foi utilizados para estudo de uma nova pomada caseira com ação terapêutica, asséptica e como uma ferramenta de fácil utilização e baixo custo para o cuidado tópico de feridas cicatrizantes.Material e métodos: A partir desse conhecimento foi feita uma revisão bibliográfica narrativa da literatura nas bases do Google Acadêmico, Scielo, Lilacs, PubMed e Medline para a análise de uma pomada no processo de cicatrização, sendo observado que o processo foi realizado de forma mais rápida e com atenuação das complicações de uma ferida. Além da comprovação da ação terapêutica de várias plantas utilizadas popularmente, a fitoterapia representa um saber utilizado e difundido pelas populações ao longo de várias gerações . Echinodorus grandiflorus e Echinodorus macrophyllus, conhecidas como chapéu-de-couro, são empregadas de forma indistinta como anti-inflamatório, tanto na forma de chás caseiros como em fitoterápicos. Apesar do amplo emprego pela população, não há atualmente nenhum medicamento fitoterápico contendo chapéu de couro registrado no Brasil, devido à falta de estudos que comprovem sua eficácia e segurança, conforme preconizado pela legislação vigente. Resultados: Durante a realização dos curativos no período de 10 à 13 semanas com a pomada contendo cera vitamina A, banana rica em potássio e uma base da planta Echinodorus grandiflorus, foi observado que ocorrem alterações significativas na diminuição do ferimento, com ação antifúngica, antibacteriana e antisséptica, tendo fácil utilização e baixo custo, auxiliando no aparecimento do tecido de granulação e a evolução satisfatória da cicatrização. Assim, há indicação da pomada como forma farmacêutica de fácil utilização, como anti-infecciosas, propiciando uma terapia complementar e integrativa com prevenção de agravos. Conclusão: O estudo da técnica deve ser mais investigado para nova modalidade de pomada caseira para resultados com mais amplos e para que processo de cicatrização seja diminuído, assim expandindo para a comunidade uma pomada natural e benéfica.

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Звіти організацій з теми "Narrative based medicine"

Uche, Chidi, Zita Ekeocha, Stephen Robert Byrn, and Kari L. Clase. Retrospective Study of Inspectors Competency in the Act of Writing GMP Inspection Report. Purdue University, December 2021. http://dx.doi.org/10.5703/1288284317445.

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The research was a retrospective study of twenty-five Good Manufacturing Practice (GMP) inspection reports (from March 2017 through to December 2018) of a national medicine regulatory agency, drug Inspectorate, in West Africa, designed to assess the inspectors’ expertise in the act of inspection report writing. The investigation examined a paper-based tool of thirteen pre-registration Inspection reports and twelve GMP reassessment reports written prior and following an intervention program by external GMP trainers to enhance inspectors’ skill in pharmaceutical cGMP inspection. The study made use of quantitative analysis to investigate each team’s expertise in the act of writing GMP inspection report. Likewise, each report’s compliance with the requirements of three regulatory standards on GMP inspection report writing was ascertained. Impact of intervention program on lead inspectors’ competence was assessed. Lastly, gap in each team writing effectiveness, and lead inspectors’ abilities to deliver an effective report were determined. The results showed one of the inspection team (4.0%) wrote an excellent report. Two (8.0%) of the twenty-five inspection teams penned good inspection reports. Eleven (44.0%) teams drafted needs improvement reports and the remaining eleven teams (44.0%) prepared unacceptable reports. The excellent report and the two good reports had report format that meet expectation. One (50.0%) of the good reports showed the authors possess excellent knowledge of cGMP technical areas. The remain good report (50.0%) revealed the writers’ knowledge.as good. The excellent report showed the authors displayed partial mastery in the use of objective evidence while the two good reports disclosed theirs as having partial and evolving abilities. One of the teams (50.0%) that wrote good reports displayed good use of third person narrative past tense in report writing whereas the other team used the same tense and voice excellently. Generally, a sort of marginal level of performance was prominent among the inspection teams. A gap, if not tackled, will slow down regulatory process through increase report review, litigations that query report factual accuracy (AIHO, 2017) and delay in issuance of marketing authorization. In conclusion, trainings on quality attributes, such as technical content (Quality Management System (QMS) and Site), the use of objective evidence, assignment of risk levels to GMP violations and citing of applicable laws, regulation and guidelines that substantiate GMP observations, were recommended, to enhance knowledge sharing and regulators’ performance in the act of writing inspection report.

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