Relationship with a physician in the narratives of children and adolescents hospitalized due to cancer

2019 ◽  
Vol 44 (2) ◽  
pp. 99-110
Author(s):  
Beata Antoszewska ◽  
Aleksandra Tobota
Keyword(s):  
Children And Adolescents ◽  
Therapeutic Process ◽  
Physician Patient Relationship ◽  
Long Time ◽  
Lymphoma Study Group ◽  
Paediatric Leukaemia ◽  
Child Subject ◽  
Physician Patient ◽  
The Relationship

The key value of the physician-patient relationship has been strongly emphasized in scientific literature for a long time. This relationship impacts significantly the patient’s therapeutic process. In case of children and adolescents suffering from cancer, the relationship with physician is of a specific value due to both the age of such patients and the type of disease. Children and adolescents meet various specialists (physicians) during their treatment; however, they establish a long-term and quite intensive relationship with their treating physician. This relationship is, by definition, most important during intensive and maintenance therapy. The physician’s involvement is indisputable and it is directly related to the therapeutic process and its success. However, what is also extremely important is the physician’s interest in a particular patient and a personalized nature of this relationship: treating physician (subject) – child (subject). The manner in which the physician communicates with and treats his or her patient has a significant impact on the patient’s wellbeing during treatment and afterwards. The relationship with a physician also determines the patient’s subjectivity and self-esteem in later everyday life. The paper presents the results of research focused on the opinions of children and adolescents concerning relationships with their treating physicians. The study was conducted in three institutions which belong to the Polish Paediatric Leukaemia and Lymphoma Study Group. It involved 62 children aged 7–17 years old at different stages of their cancer treatment.

scholarly journals Self-Esteem Evaluation in Children and Adolescents Suffering from ADHD

2013 ◽  
Vol 9 (1) ◽  
pp. 96-102 ◽  
Author(s):  
Luigi Mazzone ◽  
Valentina Postorino ◽  
Laura Reale ◽  
Manuela Guarnera ◽  
Valeria Mannino ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Treatment Strategies ◽  
Well Being ◽  
Self Esteem ◽  
Control Group ◽  
Healthy Controls ◽  
Adhd Symptoms ◽  
The Relationship ◽  
Drug Free

Background: Several recent studies investigated the relationship between self-esteem and ADHD, however, the results are still controversial. In the present study we analyze the characteristics of self-esteem in a sample of children and adolescents suffering from ADHD, with a particular focus on the relationship between ADHD symptoms severity and treatment strategies. Methods: A total of 85 patients with ADHD (44 drug-free and 41 drug-treated, 23 of which atomoxetine-treated and 18 Methylphenidate-treated) and 26 healthy controls were enrolled in the study in order to evaluate self-esteem using the Self-esteem Multidimensional Test (TMA). Results: ADHD subjects revealed lower scores on all self-esteem domains compared to controls. Both ADHD drug-free (47.1%) and ADHD drug-treated (44.1%) groups showed significantly higher rates of subjects in the pathological range as compared to normal control group (8.8%) (p <.001) with a higher percentage of subjects in the pathological range. Among ADHD drug-treated subjects, the methylphenidate group showed higher self-esteem scores as compared to the atomoxetine group. Conclusion: A lower self-esteem profile is more common in subjects suffering from ADHD than in healthy controls, suggesting the importance of an early detection of psychological well-being in these children in order to reduce the ADHD symptoms long-term impacts.

scholarly journals Scorpion Envenomation of Lactating Rats Decreases the Seizure Threshold in Offspring

Toxins ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 853
Author(s):  
Marina de Oliveira Rodrigues Barbosa ◽  
Maria Eliza F. do Val de Paulo ◽  
Ana Leonor Abrahão Nencioni
Keyword(s):  
Perinatal Period ◽  
Postnatal Period ◽  
Seizure Threshold ◽  
Long Term Effects ◽  
Crude Venom ◽  
Long Time ◽  
Few Data ◽  
The Relationship ◽  
Convulsive Threshold

Few data are available in the literature describing the long-term effects of envenoming in the perinatal period. In this study, the relationship between envenoming of lactating rats and possible behavioral changes in the mother and in her offspring were investigated. Lactating Wistar rats received a single dose of T. serrulatus crude venom on postnatal days 2 (V2), 10 (V10) or 16 (V16), and had their maternal behavior evaluated. The seizure threshold was evaluated in adulthood offspring. A decrease in maternal care during envenoming was observed in V2 and V10 groups. The retrieval behavior was absent in the V2 group, and a lower seizure threshold in the adult offspring of all groups was observed. During envenoming, mothers stayed away from their offspring for a relatively long time. Maternal deprivation during the early postnatal period is one of the most potent stressors for pups and could be responsible, at least in part, for the decrease in the convulsive threshold of the offspring since stress is pointed to as a risk factor for epileptogenesis. Furthermore, the scorpionic accident generates an intense immune response, and inflammation in neonates increases the susceptibility to seizures in adulthood. Therefore, maternal envenoming during lactation can have adverse effects on offspring in adulthood.

scholarly journals Bioethical aspects of robotics in surgery

JAHR ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 127-137
Author(s):  
Elena Vvedenskaya
Keyword(s):  
Radical Change ◽  
Modern Medicine ◽  
Type Model ◽  
Physician Patient Relationship ◽  
Routine Tasks ◽  
Patient Will ◽  
The One ◽  
Physician Patient ◽  
The Impact ◽  
The Relationship

The article discusses the bioethical aspects of robotics in surgery and assesses the impact of this process on the relationship between the physician and the patient. An engineering model is gradually replacing the traditional paternalistic model of the physician-patient relationship. If paternalism implies the doctor’s attitude to the patient as his sick child, which requires compassion, help, and great responsibility on the part of the doctor, then when implementing the second model, the doctor, like a technical executor, performs only the responsibilities provided by the job description. On the one hand, the dominance of a technical-type model carries the threat of depersonalizing the patient and eliminating contact between the physician and the patient. On the other hand, this contributes to a radical change in the concept of medicine. Why people usually go to doctors? For establishing a diagnosis, prescribing a course of treatment, a prescription, and performing medical manipulations? Machines, leaving a human with a completely different role in the relationship between the physician and the patient, will increasingly perform these actions. The release of doctors from routine tasks will allow them to pay more attention to patient care, fully demonstrating their human qualities. The article analyzes the surgeon’s place in modern medicine and makes an attempt to determine which category the surgery belongs to, “machine territory” or “human territory”.

Nurse, 30 years’ experience, Norway

2020 ◽  
pp. 247-251
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Young People ◽  
Children And Adolescents ◽  
Youth Culture ◽  
Epileptic Seizures ◽  
The Body ◽  
Total Load ◽  
Long Time ◽  
The Mind ◽  
People Today

This chapter focuses on the experience of a nurse when working with children and adolescents with Non-Epileptic Seizures (NES). Young people today have challenges on many levels, and for some, the total load becomes so great that they develop “seizures” for which a biological cause cannot be identified. Young people who develop NES have often been overloaded for a long time, many describing family problems, long-term bullying problems, exclusion or problems at school. The nurse is also increasingly meeting young people who struggle to adapt to youth culture. They are exhausted from trying to find a balance in their lives—a balance between achievement and rest, between their own needs and society’s demands, between “what the mind wants” and “what the body can tolerate.” Some come from families who have strong ideals that are not compatible with youth culture. This can result in a loyalty conflict that seems impossible to solve.

scholarly journals Pregnancy Centers: A Clear Purpose of Medicine with Coherent Ethics

2020 ◽  
Vol 87 (3) ◽  
pp. 334-340
Author(s):  
Christopher Lisanti ◽  
Sandy Christiansen
Keyword(s):  
Well Being ◽  
Customer Relationship ◽  
Physician Patient Relationship ◽  
Selective Abortion ◽  
Elective Abortion ◽  
Sex Selective Abortion ◽  
Medicine Today ◽  
Subjective View ◽  
Physician Patient ◽  
The Relationship

What is the purpose of medicine? This fundamental question is at the heart of the criticisms faced by pregnancy centers (PCs) and accusations that they are unethical. PCs maintain that the purpose of medicine is to treat and prevent disease. Because pregnancy is not a disease, PCs do not advocate for elective abortion or contraceptives. PCs view the function of values (e.g., autonomy) as constraints upon physicians that prevent physical and ethical harms. Their critics either embrace an ill-defined purpose of medicine such as promoting well-being or conflate the value of autonomy with medicine’s purpose. This leads to a subjective view of medicine and changes the relationship from physician–patient to vendor–customer. This subjective nature along with its attendant vendor–customer relationship cannot solve for current or future ethical problems such as sex-selective abortion and its fatal discrimination against females. Summary: Pregnancy Centers embrace a traditional “treat and prevent disease” purpose of medicine.  This clear and objective purpose logically leads to not advocating for abortion or contraceptives.  The authors outline a coherent ethical structure outlining the role values play in regards to this purpose. This is contrasted with the current ill-defined purpose within medicine today that has led to an inconsistent change of the physician-patient relationship to a vendor-customer one, ethical incoherence, and several attendant harms, most notably sex-selective abortion.

scholarly journals What is Relationship Marketing and How to Use it to Connect with Your Customers

2020 ◽  
Vol 28 (46) ◽  
pp. 29-35
Author(s):  
Veronika Johanesová ◽  
Jaromíra Vaňová
Keyword(s):  
Competitive Advantage ◽  
Relationship Marketing ◽  
Customer Loyalty ◽  
Sales Promotion ◽  
Long Time ◽  
Marketing Costs ◽  
The Relationship ◽  
A Company ◽  
Expensive Process

AbstractIn fact, all demands and advances in customer satisfaction are the result of the technology and company developments. The companies that accept this and constantly create value for the customer provide a competitive advantage for themselves and for both sides the business potential. Getting new customers can be a very expensive process. This process includes considerable marketing costs such as advertising costs, sales promotion costs, PR, seller time costs etc. Therefore, every customer represents an investment for company. It has been proven that if a company treats its customers properly and they are loyal for a long time, they will bring more and more profits to the company every year. In this article, we focus on the relationship marketing that focuses on customer loyalty. Effective relationship marketing involves a variety of overlapping strategies and technologies that help foster a deeper, long-term relationship with current and prospective customers.

Psychiatrists’ Attitude to the Psychiatrist’s Style of Dressing and Addressing: A Cross -Sectional Study

2019 ◽  
Author(s):  
Yousef Semnani ◽  
Arash Ardalan ◽  
Hamid Reza Shahpouri ◽  
fatemeh bastami
Keyword(s):  
Sampling Method ◽  
Cross Sectional Study ◽  
Patient Relationship ◽  
Sectional Study ◽  
Key Factors ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Physician Patient ◽  
The Relationship

Abstract Background The relationship between physician and patient is important topic in medical practice. How a physician dresses and addresses the patients are key factors that contribute to developing a rapport. This study aimed to investigate the psychiatrist's perspectives in order to facilitate an effective communication with patients.Methods This descriptive-analytic study was done on psychiatrists and psychiatric residents through a non-selective and non-randomized sampling method. Data were collected based on a questionnaire. Variables were such as age, sex, duration of practice as a psychiatrist, priority for male psychiatrist dress preference, priority for female psychiatrist dress preferences, priority for choosing a doctor from a gender perspective, priority for being addressed by patients, using the word of the gentleman or lady to address the patients, and the type of verbs and pronouns used by the psychiatrist and the patient during the interview in terms of the total number of verbs and pronouns. Subsequently, eight photographs of male and female physician’s coverage according to the in Iranian culture were shown to the participants and they were asked to choose one.Results A total of 77 psychiatrists participated in this study, of which 45 (58.4%) were male and 32 (41.6%) were female. In case of male psychiatrist’s coverage, 56 (72.7%) participants preferred suits; whereas in case of female psychiatrist’s coverages, 25 (32.5%) participants chose colored mantos and scarves, 22 (28.6%) selected black manteos and head dresses. Sixty three (81.8%) patients believed that the gender of the physician was not important in determining the treating physician. According to the type of addressing the psychiatrist by patients, 71 (92.2%) participants preferred to call the doctor's name followed by surname and 60 (77.9%) psychiatrists wanted patients to use the word "Mr. or Ms.” prior their names. Sixty three (81.8%) psychiatrists stated that it was better to use plural pronouns and verbs in interviewing patients, and 67 (87%) preferred their patients to use plural verbs to address them.Conclusions Psychiatrists’ appearance and the accuracy of the patient-referring type, based on what the physicians believe, along with the characteristics of the patients’ perspectives, help improving physician-patient relationship.

scholarly journals Evolution and changes in the physician-patient relationship

2011 ◽  
pp. 400-405 ◽  
Author(s):  
José Henry Osorio
Keyword(s):  
Insurance Companies ◽  
Pharmaceutical Companies ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Patient Trust ◽  
Community Physician ◽  
Physician Availability ◽  
Physician Patient ◽  
True Relationship

The idealized vision of the physician-patient relationship was characterized by patient trust and physician availability, in a long-term relationship in which physicians knew many things about their patients and their families, being the physician a part of the patient's community. Physician employers, pharmaceutical companies, and insurance companies have abruptly entered the once private relationship between physicians and patients, changing a true relationship into a simple encounter. The substitution of the generic terms physician and patient for provider and client mirrors the increased impersonality of the encounter based on the commercialization of medicine. The present review analyzes the situations, which have led to the progressive and unavoidable deterioration of the physician-patient relationship within a globalized society.

scholarly journals The Role of Human Capital in the Economic Development and Social Welfare In Albania

2016 ◽  
Vol 6 (1) ◽  
pp. 63 ◽  
Author(s):  
Arjola Mitaj ◽  
Klodian Muco ◽  
Jonida Avdulaj
Keyword(s):  
Human Capital ◽  
Economic Development ◽  
Empirical Studies ◽  
Theoretical Models ◽  
University Education ◽  
Long Time ◽  
Training Courses ◽  
The Relationship

Continuously, the relation between education and economic development has been the focus of development researchers’ studies that study long-term growth. While theoretical models recognize education as the key to a country's economic growth (Bassanini and Scarpetta, 2001; Fuente and Ciccone, 2003; Jones, 2005 Bassanini, 2007), the importance of education is very low in empirical models.The reason for this discrepancy is that for a long time education is measured by the years attended in school and not by the knowledge and skills gained, which according to an OSCE study, a student competences growth of 100 points (measuring unit) produces an increase of 2% of GDP per capita. Thanks to this identification, education is recognized as one of the main keys to development.Various empirical studies show that productivity can be increased through training (Barrett and O'Connell, 2001; Scrutinio et al., 2006). In sum, these studies show that pre university, university education and training courses positively affect the increase of production, which in turn can positively affect the economic development of a country.Thus, this article tends to evaluate the role of Albanian human capital in economic development of the country considering the relationship between education and productivity.

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