ABSTRACT
SOCHED debe preocuparse del desarrollo profesional de sus miembros y de alzar su voz ante temas endocrinológicos relevantes para la sociedad chilena. La invisibilidad a todo nivel del tema trans nos encontró mal posicionados, pues la nula formación en este aspecto cerraba el ciclo de su desconocimiento en pre y post grado. Las solicitudes de muchos años para discutir el tema en nuestros congresos había sido sistematicamente rechazadas o ignoradas. El desconcierto y alarma produjeron las consultas de personas trans que nos solicitaban la fase endocrinológica de la readecuación corporal, revelando la falta de preparación para comprenderlos y tratarlos. El proyecto de ley de identidad de género puso en evidencia además la falta de estructura de SOCHED para actuar en el campo político y parlamentario. Reseñamos la actuación de SOCHED en este proceso y las medidas sugeridas sobre cambios a realizar y puntos débiles a corregir. Se debe evitar su repetición , por ejemplo si se propusiera el tratamiento hormonal de la pedofilia.
SOCHED must worry about the professional development of its members and to raise its voice before the endocrinological issues for the Chilean society. The invisibility at all levels of the trans aspect found us bad positioned, as the null formation in this aspect closed the cycle of its disconnection in pre-and post-grade. The request of many years to discuss this topic in our congresses had been systematically rejected or ignored. The alarm and disconcerate caused by the questions of trans persons who requested us the endocrinological phase of body readjustment, revealing the failure of preparation to understand and treat them. The gender identity law project put evidence also the lack of SOCHED structure to act in the political and parliamentary field. We review the action of SOCHED in this process and the measures suggested about changes to be implemented and the weaknesses points to correct. their repetition must be avoided, for example if the hormone treatment of the pedophilia is proposed.
Subject(s)
Humans , Societies, Medical , Transgender Persons/legislation & jurisprudence , Gender Identity , ChileABSTRACT
Los desafíos del mundo actual exigen otorgar a la salud una prioridad dentro de las políticas sociales y en este proceso la universidad asume una posición de principios. En los últimos años, diversos países de la región latinoamericana y del mundo han mostrado el resultado del trabajo de reajuste de los currículos de formación. Se advierte el interés de acercar más al profesional a la atención primaria de salud y se implementan nuevas disciplinas, para lograr cumplir con las metas de Salud para Todos de la Organización Mundial de la Salud. Cuba por su parte, se ha caracterizado por mantener desde 1959 una línea coherente de trabajo para lograr la calidad de los servicios de salud. La formación de médicos ha sido desde entonces una tarea estratégica y una serie de planes de estudio han permitido en cada momento histórico enfrentar estos retos. Disímiles son los criterios publicados en estos últimos años con respecto a la manera en que hoy se conduce la formación básica del futuro galeno, lo que ha generado debates entre los interesados y al fin motivado reformas, aunque estas aún insuficientes. Actualmente se implementa un nuevo plan de estudios en la carrera de medicina, verdadera tarea para los docentes que llevan a cabo esta labor. El propósito es promover una reflexión acerca del tratamiento de las políticas públicas en salud de la región y en particular el de Cuba, haciendo hincapié en la educación médica como eje formador y sostenedor de la misma (AU).
The challenges of the current world require conferring to health care a priority among the social politics, and in this process the medical university assumes a position of principles. During the last years, several countries of the Latin American area and around the world have showed the results of the readjustment of the training curriculums. It is noticed the interest of approaching professionals to the primary health care, and new subjects are implemented, to reach the aims of "Health for everyone", the program of the World Health Organization (WHO). Cuba, for its part, has been characterized for keeping up a coherent line of work to achieve the quality of health services since 1959. Since them the training of physicians has been a strategic task, and a series of study plans have allowed to affront these challenges in each historical moment. Several criteria have been published in the last years with respect to the way the basic training of the futures physicians is led; it has generated disputes among the interested factors, motivating reforms at the end that are still insufficient. Currently, a new study plan is implemented in the medicine studies, a true task for the teaching staff carrying this task out. The aim is promoting reflections on the treatment of public health politics in the region and particularly in Cuba, making emphasis in medical education as its training and sustaining axis (AU).
Subject(s)
Humans , Professional Competence , Public Policy , Curriculum , Education, Medical , Educational Measurement , Health Policy , Primary Health Care , Quality of Health Care , Societies, Medical , Universities , Cuba , Higher Education Policy , Research Policy Evaluation , Teacher Training , Health GainsABSTRACT
O objetivo principal deste artigo é analisar, pelo ângulo dos próprios trabalhadores, os sentidos da readaptação na vida dos professores de uma universidade pública, sob o enfoque metodológico da pesquisa qualitativa. Participaram do estudo oito professores readaptados com vínculo estável na universidade, sendo que dois pertenciam ao colégio de aplicação. Quanto à discussão do material, optou-se pelo método de análise do discurso, objetivando interpretar, a partir de sua própria fala e vivência, como os docentes lidam com o fato de serem readaptados. As principais categorias empíricas advindas das análises das falas foram: "Você tem que correr atrás para que seu trabalho seja publicado e ainda ministrar e preparar as aulas"; "A readaptação foi favorável para minha saúde porque saí da sala de aula"; "Aqui há falta crônica de professores"; "O pior do processo de readaptação é o tratamento dado pelos colegas"; "Na perícia central você é muito maltratado". Concluiu-se que a readaptação funcional é um processo gerado por condições coletivas de trabalho como, por exemplo, a sobrecarga de aulas, o que exige a necessidade de intervenções institucionais de caráter coletivo para a promoção de ambientes laborais mais saudáveis.
In this paper we aimed at analyzing, from the perspective of workers themselves and under the methodological approach of qualitative research, the meanings of readjustment in the lives of professors at a public university. Eight readapted professors with stable relationship with the university and two others from Application School have participated in this study. As for the discussion of the material, we have chosen the method of discourse analysis, aiming to interpret from their own speech and experience, how the professors deal with the fact that they are readjusted. The main categories of empirical results from the speech analyzes were: "You have to catch up with your papers to be published and teach and prepare lessons, as well" "The readjustment was favorable to my health condition just because I've quit classes", "There is chronic lack of professors here", "The worst in the process of readjustment is the treatment you receive from colleagues", "In central expertise you are very badly treated". It was concluded that the functional readjustment is a process generated by collective work conditions, for example, the overhead of classes, which requires the need for collective character of institutional interventions to promote healthier working environments.
Subject(s)
Humans , Faculty/organization & administration , Employment, Supported/psychology , Occupational Health , Working Conditions , Qualitative ResearchABSTRACT
Tanto con animales como con humanos se ha demostrado que el estrés puede causar daños en la salud. También se ha mostrado que algunas variables psicológicas modulan la relación entre el estrés y la enfermedad. En el presente trabajo se sumarizan los resultados de varios estudios realizados en México sobre distintas variables psicológicas relacionadas con la salud de las personas. Se mencionan resultados de estudios para validar cuestionarios para medir estrés vital y apoyo social percibido. También se muestra evidencia de que es factible medir el apoyo social como una auténtica variable independiente, utilizando los juicios de otras personas sobre su disposición para interactuar con un individuo. Se muestra evidencia de que las primeras personas que brindan apoyo son las responsables del efecto benéfico del apoyo social, mientras que prestadores de ayuda adicionales tienen efectos cada vez menos pronunciados. Se reseñan estudios que mostraron que al igual que en otras culturas el estrés tiene un efecto nocivo sobre la salud de los mexicanos y que el apoyo social mitiga dichos efectos nocivos. Diferente de otras culturas, en México la feminidad y no la masculinidad es el factor que mitiga los efectos dañinos del estrés, mientras que el afrontar los problemas no modula la relación estrés-enfermedad.
It has been shown that with both animals and humans stress can damage health. It has also been shown that some psychological variables modulate the relation between stress and health. The present paper summarizes the results from various studies done in Mexico regarding the effect of several psychological variables on people's health. The paper presents results from studies in which the social readjustment rating for adults and for elementary school children were validated in Mexico. Data regarding the validation in Mexico of the social support questionnaire are also presented. The results from a study that used the reports of school peers about their willingness to interact with an individual showed that social support can be measured as an authentic independent variable. The paper also reviews the results from studies that showed that as predicted by social impact theory, the first perceived helpers are responsible for the beneficial effects of social support while the effect of each additional helper is only marginal. The paper summarizes the results from studies that showed that as in other countries stress predicted reliably the frequency with which children and adults experienced somatic symptoms and that perceived social support mitigated the noxious effects of stress. Different from other countries, in Mexico femininity and not masculinity mitigated the noxious effects of stress on health while coping strategies did not modulate the effects of stress.
ABSTRACT
The catalogue for regular college programs is the guide to offering specialties and academic degrees in medical colleges and universities.It serves as the orienting framework under which to develop human resources at the institution of higher learning.Thus,it is an important task concerning the overall reform and development of tertiary education to revise the catalogue for regular college programs.This paper discusses the adjustment of such kind of catalogs in terms of their special aspects and distinctive qualities of medical education with an attempt to draw the attention of more experts and scholars to this research direction in order to ensure a stable,scientific,and continuous development of the catalog for medical sciences.
ABSTRACT
BACKGROUND: The Korean traditional national holidays commonly produce several physical symptoms related to stress. This study was performed to evaluate the degree of the stress from the married women during their Korean traditional biggest holidays. METHODS: The subjects were 99 married women who had visited the Health Promotion Center at a university hospital. For evaluating the stress of the Korean traditional biggest holidays, subjects were allowed to write in subjective stress score based on the Social Readjustment Rating Scale. The factors associated with the stress were investigated. RESULTS: The mean (+/- SD) score of the married women's stress of the Korean traditional biggest holidays was 38.7 (+/- 21.9). The score was widely distributed from the 0 to 100. The cases with hobbies to cope with stress showed significantly (P < 0.05) lower stress score than those without hobby. The stress score was inversely correlated with family APGAR score (r = -0.346, P < 0.01). In stepwise multiple regression model, the stress score was related to family APGAR score and hobby to cope with stress (overall R2 = 0.171, P < 0.001). CONCLUSION: The stress score of the Korean traditional biggest holidays was widely distributed from 0 to 100 in Korean married women. These results suggest that traditional biggest holidays act as a stressor for individual with a range of variable extent.
Subject(s)
Female , Humans , Apgar Score , Health Promotion , Hobbies , Holidays , PhosphatidylethanolaminesABSTRACT
PURPOSE: The purpose of this study was to evaluate the effects of exercise on functional status, activity of daily living and social re-adjustment(social function, depression) in stroke patients. METHOD: A quasi-experimental pretest and posttest study was used. The subjects consisted of 33 adults who were stroke in the G hospital, and the period of data collection was from February 8, 2006 to August 30, 2006. Seventeen patients were assigned to experimental group and sixteen to the control group. The subjects of the experimental group performed an exercise for 15-20 minutes twice a day, 3-5 times per week, during six weeks. Outcome variables were functional status, activity of daily living and social re-adjustment. Chi-Square test and T-test were used to examine the equality of the subjects and ANCOVA used to examine the group difference using SAS. RESULTS: There ware significant differences in functional status, activity of daily living, and social re-adjustment(social function, depression) between the two groups. CONCLUSION: The above results state the exercise can be an effective intervention to improve the functional status, activity of daily living, and social re-adjustment(social function, depression) of stroke patients.
Subject(s)
Adult , Humans , Activities of Daily Living , Data Collection , StrokeABSTRACT
Social readjustment is very important in rehabilitation of stroke survivors. The purpose of this study was to examine the level of social readjustment and related factors in stroke survivors. Especially, to find the most useful predictor for social readjustment is a major point of this research. The study included 254 outpatients who were given follow-up care after discharge from. Occupational rehabilitation and resumption of the perceived meaningful social activity prios to the stroke were used to measure social readjustment. The resumptions of first meaningful social activity was the best predictor for life satisfaction in stroke survivors(r=.245, p<.01). The substance of perceived meaningful social activities were job, meeting with friends, hobby and activities for the family. The sum of meaningful social activities (r=.175, p<.01) and occupational rehabilitation (r=.116, p<.05) were significantly related to life satisfaction. There were significant difference in IADL, depression and life satisfaction according to resumption of meaningful social activity. But, occupational rehabilitation was not related to depression. The level of social readjustment was different between occupational rehabilitation and resumption of meaningful social activity. It was 45.7% in the first meaningful social activity and 36.6% in occupational rehabilitation. The related factors with resumption of the first meaningful social activity were that of IADL, depression, illness intrusiveness and cognitive function. And the level of IADL, illness intrusiveness, cognitive function, and age were significantly related to occupational rehabilitation. In conclusion, we suggest that the resumption of the first meaningful activity in stroke survivors is the best predictor of social rehabilitation. Thus, nurses need to work for resumption of meaningful activity as well as occupational rehabilitation.
Subject(s)
Humans , Depression , Follow-Up Studies , Friends , Hobbies , Outpatients , Rehabilitation , Stroke , SurvivorsABSTRACT
An explanatory design was employed to identify the relationship of physical, emotional & social readjustment and social support of post hospitalized stroke patients and their caregiver. A convenient sample of 254 patients who given follow-up care at the outpatient department after discharge and 225 caregivers were recruited. Mental Status Questionnaire(MSQ), Social Support Inventory Stroke Survivors(SSISS), Illness intrusiveness(II), Instument Activity of Daily Living(IADL), Center of Epidnmilogic Studies-Depression(CES-D), social activity and caregiver burden were used for measurement in this study. Results showed patient's physical level measured by IADL and psychological level measured by depression were high. But social activity was low. Cognitive function, depression & social activity were not significantly different by the posthospitalized period, but IADL was. The source of professional support was mostly the physician at the outpatient department. The family support was found significantly related to patient's depression & social activity and caregiver's subjective related to patient's IADL & depression. ILLness intrusiveness as a mediating variable was a significantly predicting power on patient's IADL & depression. The path analysis was used to identify the variables to predict the physical, emotional, and social status of patients, the physical, emotional, and cognitive function, illness intursiveness and professional support significantly predicted the level of siveness and family support significantly predicted the level of depression ; and patient's age and family support significantly predicted the level of social activity of posthospitalized stroke patients. Based upon these results, the rehabilitation programs to reduce the illness intrusiveness and improve cognitive function were recommended for the readjustment of the stroke patients. This model of the readjustment of the posthospitalized stroke patients is recommended as the framework for care of the stroke patients.
Subject(s)
Humans , Caregivers , Depression , Follow-Up Studies , Negotiating , Outpatients , Rehabilitation , StrokeABSTRACT
The purpose of this study was to construct a Korean version of the Geriatric Social Readjustment Questionnaire (K-GSRQ), to investigate its applicability to the elderly and to compare cross-cultural differences in the perception of the life events between Koreans and Americans. The K-GSRQ consists of 33 items. Most of the life events considered as crucial in old age were similar in ranking in comparison between Koreans and Americans. Some differences in ranking can be attributed to the differences in Socio-cultural backgrounds. The K-GSRQ was applied to controls, neurotic cases and cases with physical illnesses. The result suggest that the Korean version of the Geriatric Social Readjustment Questionnaire is applicable for the study of the health status of the elderly in Korea.