ESSLei - Revista Research & Networks in Health, N.º1, Vol. 1
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- Effect of acupuncture on post-operative pain in Lumbar surgeryPublication . Hamza, Fatine; Anjos, Ana Alexandra; Machado, Jorge Pereira; Laranjeira, Manuel; Greten, Henry JohannesAccording to the Heidelberg model of TCM, we designed clinical randomized single blinded controlled trial to investigate if acupuncture can be a useful therapeutic option in post-operative pain in lumbar surgery. To achieve this goal 30 patients were randomly assigned to two groups: Group one: intervention group received acupuncture in three points (KI10), (BL40) and (SP6). Control group received Sham acupuncture in three points that doesn't belong to any meridian. Both groups received the acupuncture by leopard spot technique and the treatment was given 24h after lumbar surgery for LDD and LSS. The pain assessment was evaluated by subjective measurement (VAS)and objective by measuring the angle of the hip in (lasegue Test) before and after acupuncture. Our results showed a significant decrease in the pain on VAS and a significant increase in angle measurement between before and after the acupuncture in both groups and no difference between the two groups. Our results confirmed that acupuncture can be used as a post-operative pain analgesic; it also proved the efficiency of the points choice. However, the therapeutic effect found in the control group is not unusual and can be explained by several theories: a.leopard spot technique that has a systemic effect on the qi and xue of the body.b.Sham points had common dermatomes with true acupoints. In conclusion: Acupuncture showed to be an effective way of treatment in postoperative pain in lumbar surgery for LDD and LSS, It can be used effectively as an adjunct to conventional analgesia in surgery departments.
- Developing documentary practices for sensitive contexts – Video Ethnography in the UK Hospice SectorPublication . McGorrian, TomAny filmmaker who sets out to make documentaries faces multiple challenges, not the least of which is a set of ethical issues inherent in the process. How to portray the subjects of the film? What to shoot and what not to shoot? How to edit so that the film is true to its topic and subjects, yet also works as a compelling story for the audiences? If a filmmaker is working in a sensitive environment, such as a hospice, how to represent people with dignity and sensitivity to that place, time and experience are added factors too. That said, the overall purpose of my research project is to use video ethnography in the Hospice Sector as a case study for developing documentary filming practices for sensitive contexts. My key aim is to explore how the convergence of documentary video ethnography methodologies can be used to help guide researchers as they navigate ethical concerns. The specific objectives of my research project are to explore the ethics issue around documentary filmmaking through interviews with people from a range of ages and experiences living out their last stage of life; to deliver evidence (research and film) about what the quality of life means to people visiting day hospices and what specific practices, behaviours and attitudes have an impact on their quality of life; to capture the voices (film) of those who are attending day hospices, expressing their views of a vision for care in hospices and consider how their input might influence practice with the future.
- Transição para o papel maternal: a experiência vivida de mulheres com problemas de adição a substâncias psicoativasPublication . Henriques, Carolina; Botelho, Maria Antónia Rebelo; Catarino, Helena da Conceição Borges PereiraExiste hoje alguma investigação que se tem debruçado sobre os aspetos associados à parentalidade e à construção da identidade materna e paterna, no entanto, os aspetos específicos inerentes à consecução do papel maternal em mulheres em situação de vulnerabilidade acrescida, da gestação até os primeiros anos de vida do filho, são pouco conhecidos. A revisão sistemática da literatura que efetuámos permitiu compreender que os contextos de vida em que estas mulheres se movem são complexos e fulcrais para construção da identidade materna destas mulheres (Henriques, Botelho, Henriques & Vaz, 2015). O objetivo geral passa compreender a experiência vivida da transição para o papel maternal de mulheres com problemas de adição a substâncias psicoativas, desde o momento da gravidez ao primeiro ano de vida do filho. Esta pesquisa situa-se no paradigma qualitativo de desenho fenomenológico e interpretativo, inspirado na fenomenologia existencial de Heidegger. Como participantes teremos mães com idades entre os 18-35 anos, que saibam ler e escrever, que acordem participar na investigação e ao abrigo de programas terapêuticos (substituição narcótica de opiáceos) no âmbito dos Centros de Respostas Integradas da ARS do Centro. Do ponto de vista da fenomenologia ética seguir a abordagem de Emmanuel Levinas parece fazer-nos sentido, em que a responsabilidade e igualdade face ao outro e à sua experiência, alicerçam o encontro face a face.
- Reflexões sobre Kontakthof com idosos: perguntas e propostas de estudoPublication . Gomes, Camilla RodriguesEsta pesquisa tem por finalidade analisar e ressaltar o vínculo que pode ser obtido entre a prática de atividades artísticas realizadas por idosos, diante de uma proposta como a do espetáculo Kontakthof, de Pina Bausch, que se utiliza de ações cotidianas e destaca diferentes faixas etárias, em especial os idosos, e o modo como eles se apropriam das cenas que lhe são propostas. Com isso, esperase observar os meios utilizados pela coreógrafa, e a percepção de idosos diante do espetáculo.
- Bioethics through cinema lensesPublication . Silva, Francielle MacielThe study aims to report an extension project completion entitled "Cinema, Health and Bioethics", organized by the Research Center for Bioethics and Collective Health (NUPEBISC) of the Federal University of Santa Catarina (UFSC), in partnership with public institutions of health. The project enables the rapprochement between university and health services, discussing some issues related to the work process in health, care and management policies to the Unified Health System (SUS) in the light of the theoretical framework of Daily Bioethics by Giovanni Berlinguer. The project’s first experience was in 2010, and it is still in progress. It enables the participation and integration of new subjects such as workers, undergraduate and post-graduate students. The working method to trigger reflection and debate is through cinematographic works selected from a list provided by the research group and elected by the participants according to their interests. During each of the five sections that make up each project’s edition, the participants have the opportunity to reflect more deeply on relevant ethical topics in their daily lives. That has been considered an exciting time of health permanent education according to the assessment performed by the subjects, in the end. It is worth mentioning that the method encourages participation and provides subsidies for anchoring produced reflections, facilitates more critical, ethical and political analyses.
- Promoção da saúde oral na idade pré-escolar: estudo de intervenção comunitária numa amostra de recém-mãesPublication . Vitorino, Fátima; Frias-Bulhosa, José; Martins, AliceA cárie precoce da infância pode acarretar complicações locais, sistémicas e psicológicas, com repercussões significativas a nível individual, familiar e socioeconómico, comprometendo a qualidade de vida da criança e sua família, tanto a curto como a longo prazo. Sendo a cárie uma doença do foro comportamental é passível de prevenção, cujo início ideal se reporta ao período perinatal, intervindo na grávida e recém-mãe, através da educação para a saúde, melhorando a literacia em saúde oral e a sensibilização do público. Perante estas premissas, desenvolveu-se um estudo quási-experimental de intervenção comunitária, que decorreu nas 4 Unidades de Cuidados na Comunidade do Agrupamento de Centros de Saúde da Unidade Local de Saúde de Matosinhos, de março a maio de 2014, integrado no Projeto Bem Me Quer. Definiram-se dois objetivos: identificar os conhecimentos das recém-mães; e verificar se após a ação de educação para a saúde os conhecimentos das recémmães sobre saúde oral aumentam. Efetuaram-se 6 ações de educação para a saúde a 48 recém-mães. Aplicou-se um questionário, um pré-teste, uma sessão formativa e um pós-teste. Para testar diferenças significativas entre pré e pós-teste aplicou-se o teste de qui-quadrado, considerando-se um nível de significância de 0,05. Conclui-se que as ações de educação para a saúde foram eficazes na aquisição de conhecimentos (p < 0,001), o que reforça a indicação de se adotar um papel ativo na promoção da saúde oral e prevenção das doenças orais e motiva a que os médicos dentistas dediquem mais tempo à intervenção comunitária.
- The power of ambiguity: the collaborative story of a radical intervention located within a sheltered workshop in the United StatesPublication . Ilyes, EmeseThe US, as much of the world, has failed to provide an equal environment and life to people labeled as “intellectually disabled”. Historically, this group suffered forced sterilization, institutionalization, exploitation, and abuse. While the disability rights movement has improved the conditions for many, people continue to live out their lives in segregated environments such as group homes and sheltered workshops (vocational training facilities that offer rote piece work for pennies per hour). In 2009, I co-founded a radical space of possibilities within a sheltered workshop located in Portland, Oregon. This art studio, community gallery, event space, and functioning urban farm was collaboratively shaped by the participants (formerly occupied with factory related work in the sheltered workshop) and myself, as well as dozens of community members and volunteers. We called it Project Grow. Before this space could morph into a space of possibilities we had to interrogate the language we used to define others and ourselves. We felt that all available words and categories were not only inadequate but inflicted significant epistemological violence. At the core of our space was the elevation and appreciation of ambiguity. Rather than seeking an alternate label for the group that was historically segregated (and in many aspects of their life continues to be so) we resisted categories. Project Grow curated gallery events involving artists from all over the world, ran a monthly lecture series that provoked conversations related to our experiences as system transformers and other topics relevant to our world. We grew vegetables year round and delivered them by bike to our members of the community and restaurants who supported us. We directed monthly art workshops that problematized the meaning of teacher and student, art and learning. On Halloween we crafted a fantastical Haunted House in our studio, directly pushing back on disturbing stereotypes related to people whose bodies may not fit the norm. In short, with love and joy and curiosity we sought to create a world that elevated possibilities and diverse, fascinating abilities. Messy chaotic experiments such as Project Grow are difficult to capture on paper or even in words. From the beginning I documented to experience through photographs and videos. These archive videos and photographs are not just to tell the story but to inspire others to embrace ambiguity and provoke change. I would love to share the story of this intervention in a system that has been formidable and resistant to change.
- Análise comparativa do "Evaluation on Ayres Sensory Integration" versus "Sensory Integration and Praxis Test"Publication . Reis, Helena I. S.; Almeida, Elsa; Marcelino, PatríciaDr. Ayres desenvolveu um método válido e confiável de avaliar as funções de integração sensorial - a Sensory Integration and Praxis Test. Contudo há a necessidade de um teste que seja de mais fácil acesso a terapeutas. Assim este projeto surgiu da necessidade de existir instrumentos de avaliação validados para a população infantil. Pretende-se, deste modo, verificar se existe correlação entre os testes táteis que constituem o Teste “Evaluation in Ayres Sensory Integration” (EASI) e os testes táteis que constituem a Sensory Integration and Praxis Test. O plano é recolher dados normativos de crianças entre os 3 e os 12 anos sem necessidades ou problemáticas identificadas, aplicando 3 sub- testes táteis da SIPT (Localização do estimulo táctil, grafestesia e Identificação do dedo) e 2 subtestes táteis da EASI –Perceção Tátil: Localização e Perceção Táctil: Desenho. A comparação do desempenho nos testes tácteis da EASI (PT:L e PT:D) e os testes táteis (LTS, GRA, FI) da SIPT, surge da necessidade de perceber se os testes tácteis da EASI podem ser utilizados para fornecer informação válida e confiável para avaliar funções da perceção táctil, na integração sensorial, que fundamentem a aprendizagem, comportamento e participação da criança. Este estudo poderá dar indicação se os testes da EASI, conseguem resultados tão fidedignos como os do SIPT, e podem ser usados pelos profissionais de forma a que as influências ou cultura, compreensão da linguagem e experiência prévia sejam minimizados.
- The Authentic Voice: Digital stories and the organizationPublication . Theodosius, CatherineThe cultivating compassion project set out to represent and celebrate compassionate practice within local NHS Trusts by creating compassion digital stories for educational purposes. A key project aim was to capture and build on existing practice in order to develop compassionate culture within the organization. The project took an appreciative inquiry approach, which considers that the creative process of storytelling can facilitate a ‘collective imagination’ that can become constructive in making possible change and improvement within and for the organization. Six stories from three separate NHS trusts were created for the toolkit and have successfully been used to raise awareness of compassion. However, these stories are very different from other digital stories. This paper asks why? It explores the impact on the choice of story, the narration of the story and the images used when the stories are specifically created for educational purposes and are considered to represent examples of compassionate care for professional practice development. The paper suggests that the authentic voice can be lost when stories become incorporated into the organizational discourse. Thus, rather than the stories enabling a ‘collective imagination’ they can become representative of prescribed organizational norms. However, the paper argues that despite this, the value of the stories in facilitating discussing and learning remains because within the organizational context when these prescribed norms are brought to life through the medium of the digital stories, they can be challenged.
- Narrativas dinâmicas onlinePublication . Silva, Maria Eduarda Moreira Abrantes Ferreira daAs narrativas dinâmicas para se adaptarem ao espaço da rede têm indubitavelmente de fazer uso das bases de dados. O espaço Web é fragmentado enquanto espaço de hiperligação e por sua vez infinito pois permite ter a informação ligada através de nós intermináveis (espaço rizomático), vive da troca de informação, da acumulação de dados, da sua multiplicação enquanto espaço social. O crescimento incomensurável das bases de dados apela aos artistas das narrativas que procedam em conformidade com estas características.