DSpace Comunidad :

Antígona

2026-01-01T00:00:00Z

Título: Antígona Autor: Rosales, María de la Victoria Resumen: Nombrar a este proyecto de gestión como "Antígona" es una declaración de principios: encarna la defensa inquebrantable de la dignidad humana y los lazos compasivos frente a la despersonalización. En la salud pública, nuestro equipo asume diariamente ese imperativo ético: rescatar la singularidad y los derechos de los pacientes con padecimientos mentales y sufrimiento existencial donde la vulnerabilidad es extrema. En estos años, el servicio de Salud Mental del Hospital Zonal General de Agudos "Mi Pueblo" dejó de ser un equipo reducido para convertirse en un efector robusto e interdisciplinario. Este crecimiento exponencial responde a una demanda social creciente. El Proyecto Antígona sintetiza este recorrido y traza la hoja de ruta para los próximos cuatro años (2026-2030), sosteniendo la eficacia operativa y el cuidado de la dignidad de la persona como ejes rectores.

Toma de decisiones en el escenario de los cuidados paliativos

2026-01-01T00:00:00Z

Título: Toma de decisiones en el escenario de los cuidados paliativos Autor: Rosales, María de la Victoria Resumen: Revisar la toma de decisiones en el equipo interdisciplinario específico que se ocupa de la atención de pacientes con enfermedades con compromiso vital, es importante para lograr la integración de los cuidados paliativos en todos los niveles asistenciales y a lo largo de toda la trayectoria de la enfermedad avanzada, subrayando la importancia de cuidar la vulnerabilidad del enfermo y su entorno. Se considera importante tomar decisiones para establecer una relación de confianza y más estrecha con el paciente. Tomar decisiones es considerado esencial en la práctica médica y determinante del carácter del médico en su disposición para atender al paciente de forma integral. La capacidad de tomar decisiones es mencionada como elemento necesario para definir el perfil profesional.; Reviewing decision-making in the specific interdisciplinary team involved in the care of patients with life-threatening illness is important to achieve the integration of palliative care at all levels of care and throughout the advanced disease trajectory, underlining the importance of caring for the vulnerability of the patient and their environment. Decision- making is considered important to establish a trusting and closer relationship with the patient. Decisionmaking is considered essential in medical practice and a determinant of the doctor’s character in his or her willingness to care for the patient in a holistic way. The ability to make decisions is mentioned as a necessary element in defining the professional profile.

Protecting young minds: insights on pre-adolescents’ mental health from a school-based study in Argentina

2025-01-01T00:00:00Z

Título: Protecting young minds: insights on pre-adolescents’ mental health from a school-based study in Argentina Autor: Kaliman, Perla; Álvarez-López, María Jesús; Lisenberg, Marina; Acosta, María Agustina; Simkin, Denise Agostina; Martínez Vivot, Rocío Resumen: Background: Childhood and adolescent mental health is in crisis globally, emphasizing the need for early detection and prevention strategies. Children from marginalized neighborhoods are particularly vulnerable, yet data on their psychological well-being is still limited in Argentina. Objectives: We aimed to explore mental health characteristics of vulnerable school children and assess the feasibility of a psychological well-being promoting program. Participants and setting: This study was conducted in a primary school in a disadvantaged neighborhood of Buenos Aires, Argentina, involving 35 children aged 11. Methods: Participants completed validated Spanish versions of scales assessing perceived stress (PSS-14), PTSD symptoms (CPSS), empathy, mindfulness (MAAS-A), and self-compassion (SCS-SF). Sex differences and correlations between scales were explored. Findings: Significant sex disparities were found in perceived stress, with girls reporting higher scores (p = 0.002). PTSD symptoms were alarmingly high, with 74 % of participants exceeding the clinical cut-off of 16 (girls: mean = 27.48, SD = 9.45; boys: mean = 17.36, SD = 12.76; p = 0.017). Boys scored higher in self-compassion (p = 0.003). Positive correlations were found between stress and PTSD symptoms (r = 0.597, p < 0.001) and between mindfulness and self-compassion (r = 0.439, p = 0.008). Both dispositional mindfulness and self-compassion negatively correlated with perceived stress (r = − 0.526, p = 0.001; r = − 0.595, p < 0.001, respectively) and PTSD symptoms (r = − 0.616, p < 0.001; r = − 0.561, p < 0.001, respectively). Conclusion: Our study highlights the significant vulnerability of this population, emphasizing the urgency for early detection and gender- and trauma-sensitive prevention efforts. Notably, our findings suggest that mindfulness and self-compassion training may be key protective components within mental health-promoting interventions for preadolescents.

Non-ergot dopamine agonists and the risk of heart failure and other adverse cardiovascular reactions in Parkinson’s disease

2024-01-01T00:00:00Z

Título: Non-ergot dopamine agonists and the risk of heart failure and other adverse cardiovascular reactions in Parkinson’s disease Autor: Crispo, James A. G.; Farhat, Nawal; Fortin, Yannick; Pérez Lloret, Santiago; Sikora, Lindsey; Morgan, Rebecca L.; Habash, Mara; Gogna, Priyanka; Shannon E. Kelly; Elliott, Jesse; Kohen, Dafna E.; Bjerre, Lise M.; Mattison, Donald R.; Hessian, Renée C.; Willis, Allison W.; Krewski, Daniel Resumen: Reports suggest possible risks of adverse cardiovascular reactions, including heart failure, associated with non-ergot dopamine agonist (DA) use in Parkinson’s disease (PD). The objectives of our review were to evaluate the risk of heart failure and other adverse cardiovascular reactions in PD patients who received a non-ergot DA compared with other anti-PD pharmacological interventions, placebo, or no intervention. Studies were identified via searches of six bibliographic databases. Randomized controlled trials (RCTs) and non-randomized studies (NRS) were eligible for study inclusion. Random-effect meta-analyses were performed to estimate adverse cardiovascular reaction risks. Quality of evidence was assessed using GRADE. In total, forty-four studies (thirty-six RCTs and eight NRS) satisfied our inclusion criteria. A single RCT found no significant difference in the risk of heart failure with ropinirole compared with bromocriptine (odds ratio (OR) 0.39, 95% confidence interval (CI) 0.07 to 2.04; low certainty). Conversely, three case–control studies reported a risk of heart failure with non-ergot DA treatment. The quality of evidence for the risk of heart failure was judged as low or very low. Findings suggest that non-ergot DA use may be associated with adverse cardiovascular outcomes, including heart failure. Studies are needed to better understand cardiovascular risks associated with PD treatment.