ABSTRACT
Introducción: El suicidio está entre las tres primeras causas de muerte en el grupo de adolescentes y adultos jóvenes, su incidencia no ha descendido en el presente siglo. Objetivo: Valorar algunos indicadores relevantes del programa de atención a la conducta suicida en adolescentes. Métodos: Investigación en sistema y servicios de salud con diseño de estudio observacional descriptivo en tres áreas de salud del municipio Cienfuegos: áreas V, VII y VIII, de enero a septiembre del 2019. El universo fue de 46 profesionales de los Equipos de Salud Mental y Equipo Básicos de Salud. Se utilizaron como instrumentos dos encuestas, diseñadas y validadas por criterio de experto. Fueron seleccionados 6 indicadores en las dimensiones estructura y proceso y 4 en resultado. Se utilizó una media ponderada para procesar los datos. Resultados: Los indicadores valorados de regular fueron: en la estructura: capacitación de los recursos humanos y capacidad técnica del personal; en el proceso: confección de las historias clínicas, diseminación del programa en las unidades de salud y su verificación y las modalidades terapéuticas; y en resultado: la participación del equipo de salud mental en las investigaciones relacionadas con la conducta suicida. Conclusiones: Existe un grupo de deficiencias que conlleva a que el cumplimiento del programa de atención a la conducta suicida en adolescentes sea valorado como regular, en las tres áreas de salud del municipio Cienfuegos estudiadas(AU)
Introduction: Suicide is among the first three causes of death in the group of adolescents and young adults; its incidence has not decreased in the present century. Objective: To assess some relevant indicators of the adolescent suicidal behavior care program. Methods: Research in health system and services with descriptive observational study design in health areas V, VII and VIII of Cienfuegos municipality from January to September 2019. The universe was 46 professionals of the Mental Health Teams and Basic Health Team. Two surveys were used as instruments, designed and validated by expert criteria. Six indicators were selected in the structure and process dimensions and four in outcome. A weighted average was used to process the data. Results: The indicators rated as fair were: in the structure: training of human resources and technical aptitude of personnel; in the process: preparation of clinical histories, dissemination of the program in health units and its verification and therapeutic modalities; and in the outcome: participation of the mental health team in research related to suicidal behavior. Conclusions: There is a group of deficiencies that leads to the fact that compliance with the program of attention to suicidal behavior in adolescents is valued as regular in the three health areas of the Cienfuegos municipality studied(AU)
Subject(s)
Humans , Male , Female , Adolescent , Primary Health Care , Suicide/psychology , Suicide, Attempted/prevention & control , Suicide, Attempted/psychology , Epidemiology, Descriptive , Observational StudyABSTRACT
Objective To analyze the incidence of occupational diseases in Dandong from 2015 to 2019, discuss the characteristics and rules of occupational diseases, and provide theoretical basis for the formulation of occupational disease prevention measures. Methods The occupational disease report data of Dandong from 2015 to 2019 were collected and analyzed by using Excel and SPSS statistical software. Results From 2015 to 2019, a total of 112 new cases of occupational diseases were reported in Dandong, including 108 cases of occupational pneumoconiosis, accounting for 96.43%. Four patients with other occupational diseases, accounting for 3.57% . Among the newly reported cases of occupational diseases, 111 cases were male, accounting for 99.10%, and one case was female, accounting for 0.89%. There were statistically significant differences in the reported conditions of different types of occupational diseases according to gender (P 0.05). The length of contact at the onset of the disease was mainly concentrated in 11-20 years, and there was no statistical significance in the comparison of the length of contact at the onset of different types of occupational diseases (P > 0.05). In terms of industry distribution, the mining industry reported the most cases (87 cases, accounting for 77.68%). The private enterprises were more concentrated, accounting for 68 cases, 60.71%. Small and medium-sized enterprises reported the most new cases of occupational diseases, with 107 cases, accounting for 95.54%. There was statistical significance in the new cases of occupational diseases with different industry distribution (P 0.05). Conclusions Occupational pneumoconiosis accounted for the majority of new cases of occupational diseases in Dandong city from 2015 to 2019, indicating that occupational pneumoconiosis is still the focus of occupational disease prevention and control in Dandong City. In the future occupational disease prevention work, we should actively standardize the implementation of the “Law of the People's Republic of China on the Prevention and Control of Occupational Diseases”, do a good job in the supervision and management of key groups and positions, and effectively protect the health of workers.
ABSTRACT
Objective To investigate the epidemical characteristics and analyze the incidence trend of 2019 novel coronavirus diseases (COVID-19) in China. Methods The daily new confirmed cases of 2019 novel coronavirus diseases (COVID-19) in China from January 25 to February 8,2020 were collected for epidemiological descriptive analysis. Results During the period from January 25 to February 8, 2020, the number of daily new confirmed cases fell for five consecutive days, from 890 cases on February 3 to 509 cases on February 8. Conclusion The incidence of 2019 novel coronavirus diseases (COVID-19) slowed down in 30 provinces (autonomous regions and municipalities directly under the central government) except Hubei and Xinjiang production and construction corps , but the overall situation is still not optimistic. It is imperative to pay close attention to the origin and destination of migrant workers and the incidence of disease in various areas, and take targeted measures to strengthen prevention and control of the disease.
ABSTRACT
Background: Hypertension is a major risk factor contributing to cardiovascular and cerebrovascular diseases and death. Medical officers play an important role in Indian public health care system. The objective of this study was to evaluate the impact of training program on knowledge about hypertension among medical officers working in government health centres in Gujarat, India.Methods: A one day training program was conducted for medical officers of various Primary Health Centres (PHCs) and Community Health Centres (CHCs) in Narmada district of Gujarat. This training focussed on screening, diagnosis and management of hypertension, essential and secondary hypertension, lifestyle modifications, various anti-hypertensive drugs and practical aspects of examining a patient with hypertension. Impact of the training program was evaluated by a questionnaire consisting of 10 questions which was used as a pre-test and a post-test.Results: A total of 30 medical officers (18 male and 12 female) attended the training. The mean age of participants was 37.4 years and average clinical experience was 11 years. The pre-test mean score of participants was 4.52 and post-test mean score was 8.44. This improvement in the post-test mean score was found to be statistically significant. On comparison of questions answered incorrectly in pre-test and post-test, we found that there was a significant reduction in the number of questions answered incorrectly in the post-test.Conclusion: There was a significant improvement in the knowledge of medical officers regarding screening, diagnosis and management of hypertension as a result of their training.
ABSTRACT
Discussion on the construction of medical dispute prevention and control mechanism from the per -spective of crisis management and the ethical thinking are conducive to the effective prevention , control and solution of medical disputes .This can promote the healthy development of the doctor -patient relationship and has the im-portant value of ethics .At present , should strengthen the crisis management from the aspect of ethics to control medical disputes in the following aspects: establishing the medical dispute crisis -prevention mechanism by strengthening the training of medical staff′s medical ethics and medical skill;establishing the medical dispute crisis-resolution mechanism under the principle of respect for life and the patient first;establishing the medical dispute crisis assessment and post -processing mechanism around the idea of love , gratitude , and excellence development .
ABSTRACT
resumen está disponible en el texto completo
Summary In the European Union 50 per cent leave their jobs due to stress. Burnout is an English term literally meaning "to be burnt out by work", that is, to be emotionally exhausted. Later on, this term was extended and consolidated by Maschlach and Jackson who considered burnout as a threedimensional syndrome derived from emotional chronic stress characterized by physical and/or psychological tiredness, a feeling of being unable to work more (emotional exhaustion), a cold and impersonal attitude towards other people, and a feeling that the current job position and the fulfilled tasks are inadequate. From a psychosocial point of view, burnout must not be identified as psychological stress, yet it has to be understood as a response to chronic stress sources developed from relationships between assistance services users and the workers who take care of them. From the psychiatric scope, Olza pointed out that psychological problems that are job related have not been given enough attention. Burnout is one of the major problems that has strong financial, social and personal effects. Our review is centered in the burnout syndrome prevalence among education professionals. In the past years many authors analysed and defended the need of a deep research regarding this subject. These authors also established burnout as a non questionable feature in the case of teaching, taking into account that somatic and psychological problems are common and affect teachers' performance as well as their relationship with students and their teaching quality. Prevention and intervention strategies Burnout research has been centered in describing the syndrome, facilitating variables, and describing syndrome consequences. It has been taken also as a statistical analysis of measure instruments. Alvarez and Fernandez classify the researches reviewed in their work in two categories considering burnout prevention and treatment. The first one is related to primary prevention and the second covers secondary prevention; it includes researches that examine and compare diverse intervention techniques. Individual strategies This part refers to a preventive and treatment focused approach meant to promote self-adaptation improvement strategies, and stress confronting regarding many personal factors. Physiological techniques Techniques oriented towards physiological arousal and emotional or physical unrest caused by labour stress sources, such as physical relaxation, breath control and biofeedback are considered among others. Behavioural techniques Those techniques are aimed to self-acquired skills and competences to facilitate labour conflict solving. Assertive training, social skills training, problem solving techniques and self-control are considered among others. Cognitive techniques Cognitive approach focuses on the perception, interpretation, and evaluation of labour conflicts and self resources that are at work in the subject. Taking into account that burnout is mediated by irrational thinking derived from stressing events, it is important to confront it according to cognitive techniques in order to change automate thinking. The following are among cognitive techniques: Systematic desensibilization, mind detention, stress inoculation, cognitive restructuration, irrational thinking control, dysfunctional attitude suppression and rational-emotive therapy. Social intervention strategies Social intervention strategies are considered to break isolation and improve socialization processes, strengthening social support trough cooperative work policies. It seems clear that social support crushes the nocive effects produced by stress sources and increases self-capacity to confront them. Sandin points out that social support affects health directly; therefore, to have a support net facilitates individual experiences regarding self-esteem, positive affection and control, protecting the worker from multiple diseases and improving the immunologic system. Final remarks Different researches reviewed, clearly show that, for burnout to be explained in all its complexity, it is necessary a wider approach. This takes us to lay out a more efficient way to handle prevention and treatment as a holistic intervention that includes single, social and organizational contexts. Other researches propose a psychopedagogical intervention program from a behavioural-cognitive approach, aimed to provide confronting strategies that will allow to improve health, labor quality and personal confort. Information society has changed its pattern and needs professionals being capable of adapting to continuous technological, social and cultural changes. Static job positions have disappeared and initial formation does not have the level needed to confront the educational challenging that our educational reality has become. It is now needed a fresh and continued formation where other values rather than technical ones are taken into account. We are undoubtedly referring to personal, emotional and professional competence development programs, that will allow ourselves to communicate efficiently, work in groups, and control our emotions as well as our creative and innovative capabilities. Currently there are no measures to soften burnout in teachers; burnout teachers performance gets worse and their presence has negative effects on their teaching quality. These reasons moved us to propose the design and implementation of a prevention and intervention program dealing with teacher's stress, trough a research project. We believe that in the future, setting, development, and -most important- evaluation of this kind of programs will be strictly held; meanwhile, we hope to contribute with this article to promote dysfunction prevention and health improvement, as well as the involvement and monitoring of challenging programs designed to improve single, social and labour competences.