Governmentality Versus Community: The Impact of the COVID Lockdowns.

The COVID lockdowns were characterised by new forms of governmentality as lives were disrupted and controlled through the vertical transmission of biopolitics by the state. The paper considers how this was experienced by academics in 11 different countries through analysis of diaries written during the first lockdown. The paper asks if communities can offer an alternative to governmentality by looking at three levels: the national, the neighbourhood and the personal. Whilst at a national level the idea of community was instrumentalised to encourage compliance to extraordinary measures, at the local level community compassion through helping neighbours encouraged horizontal connections that could offer a "space" within the dominant logic of governmentality. At the level of personal communities, the digitalisation of social relationships helped to create supportive networks over widely dispersed areas but these were narrowly rather than widely focused, avoiding critical discussion.

COVID-19 and policies for care homes in the first wave of the pandemic in European welfare states: Too little, too late?

This article examines COVID-19 and residential care for older people during the first wave of the pandemic in 2020, comparing a range of countries - Denmark, England, Germany, Italy and Spain - to identify the policy approaches taken to the virus in care homes and set these in institutional and policy context. Pandemic policies towards care homes are compared in terms of lockdown, testing and the supply of personal protective equipment. The comparative analysis shows a clear cross-national clustering: Denmark and Germany group together by virtue of the proactive approach adopted, whereas England, Italy and Spain had major weaknesses resulting in delayed and generally inadequate responses. The article goes on to show that these outcomes and country clustering are embedded in particular long-term care (LTC) policy systems. The factors that we highlight as especially important in differentiating the countries are the resourcing of the sector, the regulation of LTC and care homes, and the degree of vertical (and to a lesser extent horizontal) coordination in the sector and between it and the health sector.

Compassion, communication, and the perception of control: a mixed methods study to investigate patients' perspectives on clinical practices for alleviating distress and promoting empowerment during awake craniotomies.

PURPOSE: To inquire into clinical practices perceived to mitigate patients' intraoperative distress during awake craniotomies. METHODS: This mixed-methods study involved administration of Amsterdam Preoperative Anxiety and Information Scale and PTSD Checklist prior to the awake craniotomy to evaluate anxiety and information-seeking related to the procedure and symptoms of PTSD. Generalized Anxiety Disorder Scale and Depression Module of the Patient Health Questionnaire were administered before and after the procedure to evaluate generalized anxiety and depression. Patient interviews were conducted 2-weeks postprocedure and included a novel set of patient experience scales to assess patients' recollection of intraoperative pain, overall distress, anxiety, distress due to noise, perception of empowerment, perception of being well-prepared, overall satisfaction with anaesthesia management, and overall satisfaction with the procedure. Qualitative data were analysed using conventional content analysis. RESULTS: Participants (n = 14) had undergone an awake craniotomy for tissue resection due to primary brain tumours or medically-refractory focal epilepsy. Validated self-report questionnaires demonstrated reduced levels of generalized anxiety (pre mean = 8.66; SD = 6.41; post mean= 4.36; SD = 4.24) following the awake craniotomy. Postprocedure interviews revealed very high satisfaction with the awake craniotomy and anaesthesia management and minimal levels of intraoperative pain, anxiety, and distress. The most stressful aspects of the procedure included global recognition of medical diagnosis, anxiety provoked by unfamiliar sights, sounds, and sensations, a perception of a lack of information or misinformation, and long periods of immobility. Important factors in alleviating intraoperative distress included the medical team's ability to promote patient perceptions of control, establish compassionate relationships, address unfamiliar intraoperative sensations, and deliver effective anaesthesia management. CONCLUSION: Compassion, communication, and patient perception of control were critical in mitigating intraoperative distress. Clinical practice recommendations with implications for all clinicians involved in patient care during awake craniotomies are provided. Use of these interventions and strategies to reduce distress are important to holistic patient care and patient experiences of care and may improve the likelihood of optimal brain mapping procedures to improve clinical outcomes during awake craniotomies.

Archivos 2018: Hacia el objetivo de la internacionalización de la revista / No disponible

No disponible

2016, aumentando la presencia de Archivos en la red / No disponible

No disponible

Archivos 2015: Archivos en abierto / Archivos 2015: an Open Access journal

No disponible

Encuesta serológica de virus transmitidos por artrópodos / Serological survey for arthopod-borne virus

This report deals with the results of a serological survey performed at the "Colonia Penal Agrícola de Araracuara", Colombia, during March, 1966. A total of 396 sera, from persons never vaccinated before against yellow fever, was studied; 262 of them were brought to the area when older than fourteen years of age, and 134 were Indians, natives from that region who had never left it and who live a nomadic existence collecting natural rubber

The rate of people with neutralizing antibodies against yellow fever was high (47.7 per cent) particularly among natives with a rate of 67.8 per cent; non-natives reached 37.4 per cent

The general immunity rates in the hemagglutination-inhibition (HI) test for other agents were: Mayaro, 19.4 per cent; Ilheus, 19.9 per cent, and St. Louis, 18.7 per cent. There also showed higher values among Indians. In each case the incidence follows and endemic pattern without differences between sexes

Ilheus virus was isolated from a person. Venezuelan equine encephalitis (VEE) virus apparently is not present in the area as the Indians had not antibodies and only 4.6 per cent of non-natives had neutralizing antibodies. The St. Louis results -6 per cent neutralization test positivity- are also discussed

As for Mayaro (and/or Una), it seems to be constantly active, with an immunity rate of 44 per cent in the HI test for Indians, and 6.5 per cent for non-natives(AU)

Encuesta serológica de virus transmitidos por artrópodos / Serological survey for arthopod-borne virus

This report deals with the results of a serological survey performed at the "Colonia Penal Agrícola de Araracuara", Colombia, during March, 1966. A total of 396 sera, from persons never vaccinated before against yellow fever, was studied; 262 of them were brought to the area when older than fourteen years of age, and 134 were Indians, natives from that region who had never left it and who live a nomadic existence collecting natural rubber

The rate of people with neutralizing antibodies against yellow fever was high (47.7 per cent) particularly among natives with a rate of 67.8 per cent; non-natives reached 37.4 per cent

The general immunity rates in the hemagglutination-inhibition (HI) test for other agents were: Mayaro, 19.4 per cent; Ilheus, 19.9 per cent, and St. Louis, 18.7 per cent. There also showed higher values among Indians. In each case the incidence follows and endemic pattern without differences between sexes

Ilheus virus was isolated from a person. Venezuelan equine encephalitis (VEE) virus apparently is not present in the area as the Indians had not antibodies and only 4.6 per cent of non-natives had neutralizing antibodies. The St. Louis results -6 per cent neutralization test positivity- are also discussed

As for Mayaro (and/or Una), it seems to be constantly active, with an immunity rate of 44 per cent in the HI test for Indians, and 6.5 per cent for non-natives(AU)