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Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 165
Author(s):  
Tsuyoshi Chiba ◽  
Nanae Tanemura ◽  
Chiharu Nishijima

Health support pharmacies (HSPs) have been established as a new category of pharmacies in Japan. In addition to prescriptions, HSPs provide several health services, including consultations on diet/nutrition, health foods, and nursing care. Therefore, not only individuals receiving medications but also community residents should have access to HSPs. However, it is unclear whether people are aware of HSPs. Thus, the purpose of this study was to assess the awareness about HSPs and determine the need for their services. To this end, we conducted an online cross-sectional questionnaire survey in 10,000 Japanese adults. Approximately 60.2% of the participants were aware of family pharmacies/pharmacists, and 21.8% of these participants had a family pharmacy/pharmacist. Meanwhile, 2.6% of the participants were aware of HSPs, while 9.2% of the participants had only heard of HSPs. Awareness of HSPs was higher among men and younger individuals than among women and older generations. In addition, only 7.2% of the participants were aware of the location of the HSP in their area of residence. At the time at which this survey was conducted, only 3.5% of the participants were using HSP services, and half of them did not perceive the merits of using these services. However, 44.4% of the participants wished to avail themselves of HSP services in the future, and this desire increased with age. Half of the participants wished to use services that were associated with drugs, and the need for other services, such as consultations on diet/nutrition or health foods, was low. In conclusion, there was low awareness about HSPs among the survey participants. However, from our findings, we gathered that if individuals are aware of HSPs, they will wish to use HSP services. To improve healthy life expectancy, it is important to increase awareness about HSPs and their number.


2021 ◽  
Vol 10 (2) ◽  
pp. 62-77
Author(s):  
Fabien Wille

FR. Le sport occupe une place non négligeable dans la société médiatisée. Dès lors, les productions informationnelles, à propos du sport, doivent être appréhendées comme des denrées objectivées (Quére, 2000) et « normalisées » dans le sens ou le sport est traité en fonction de significations sociales existantes, co-construites et légitimées par le journaliste lui-même. La diversité constitue-t-elle alors une norme ? Comment est-elle construite ? Comment est-elle perçue par les journalistes ? Dans quelle mesure cela interfère-t-il dans les pratiques et les discours produits ? Sur le plan théorique et méthodologique, l’analyse convoque les travaux de Denis McQuail (1997 & 2003) à propos de « the accountability of media ». L’analyse prend alors appui sur l’identification des procédés discursifs proposés par Schaeffer (1989), qui se structurent, d’une part par un acte communicationnel qui s’élabore sur la base des processus d’énonciation et d’autre part par l’acte réalisé. En l’occurrence, les données de terrain utilisées émanent du Projet RSJ-MéDiS, elles proviennent de différentes rencontres, journées d’étude, colloques, entretiens et échanges parfois informels. Si ces données permettent de mieux appréhender le contexte d’énonciation, l’analyse de l’acte réalisé, s’effectue quant à lui, au moyen des commentaires produits à l’occasion des directs consultés sur l’INAthèque. Les événements choisis sont les compétitions d’athlétisme à l’occasion des Jeux Olympiques de Rio (2016) et les Championnats du Monde de Londres (2017) diffusés sur les différentes chaines du groupe France-Télévisions (France 2-3-4). Dans le cas du terrain exploré, celui des journalistes de France Télévisions et au regard des évènements analysés, celui des compétitions internationales d’athlétisme, ce sont les normes et les valeurs communément associées au sport qui servent de cadre à l'interprétation des événements et des performances sportives. Tantôt inclusif, tantôt ségrégatif et exclusif, le discours oscille en fonction des fluctuations des normes sportives. *** EN. Sports take a significant place in our media societies. Informational productions on sports should therefore be apprehended as objectified commodities (Quére, 2000) and "normalized". This implies that sports should be apprehended based on existing social meanings which are co-constructed and given legitimacy by the journalist himself. Can diversity be considered as a norm? What does it consist of? How is it perceived by journalists? To what extent does it interfere with practices and discourses produced? The analysis developed refers theoretically and methodologically to the work of Denis McQuail (1997 & 2003) on "the accountability of media". It builds on the identification of discursive processes suggested by Schaeffer (1989), which are structured on the one hand by a communicative act that is elaborated on the basis of the processes of enunciation, and on the other hand by the act performed. In this case, the field data analyzed was produced by the RSJ-MéDiS Project: it was gathered during multiple competitions, workshops, symposiums, interviews and occasional informal exchanges. This data allows to better comprehend the enunciation context; however, analysis of the performed acts was conducted thanks to the commentary produced during the live broadcasts of selected sporting events. Those were consulted on the French National Archive Institute online consultation service, the INAthèque. The sporting events considered were the athletics competitions of the 2016 Rio Olympic Games as well as the 2017 London World Athletics Championships, which were broadcasted on multiple channels of the French public broadcasting company France Télévisions (France 2-3-4). In the present field of research – the discourse of France Télévisions sports journalists, and with regard to the events analyzed – international athletics competitions, norms and values commonly associated with sports appear to serve as a framework for the interpretation of sporting events and performances. At times inclusive, at times discriminatory, the discourse evolves based on the fluctuations of norms in sports. *** PT. O esporte ocupa um lugar significativo na sociedade midiatizada. Consequentemente, as produções informacionais sobre o esporte devem ser entendidas como mercadorias objetivadas (Quére, 2000) e “normalizadas” no sentido de que o esporte é tratado de acordo com os significados sociais existentes, co-construídos e legitimados pelo próprio jornalista. A diversidade é então uma norma? Como ela é construída? Como é percebida pelos jornalistas? Em que medida isso interfere nas práticas e discursos produzidos? No plano teórico-metodológico, a análise recorre ao trabalho de Denis McQuail (1997 e 2003) sobre "a responsabilização dos meios de comunicação". A análise baseia-se, então, na identificação dos processos discursivos propostos por Schaeffer (1989), os quais se estruturam, por um lado, por um ato comunicativo que se desenvolve a partir dos processos de enunciação e, por outro, pelo ato realizado. Neste caso, os dados de campo utilizados provêm do Projeto RSJ-MéDiS, advindos de vários encontros, jornadas de estudo, seminários, entrevistas e por vezes trocas informais. Enquanto esses dados proporcionam uma melhor compreensão do contexto do enunciado, a análise do ato praticado é realizada por meio de comentários produzidos durante as visitas diretas ao INAthèque. Os eventos escolhidos são as competições de atletismo dos Jogos Olímpicos do Rio (2016) e do Mundial de Londres (2017) transmitidos nos diversos canais do grupo France-Televisions (France 2-3-4). No caso do campo explorado, o dos jornalistas da France Télévisions e no que se refere aos eventos analisados, o das competições internacionais de atletismo, são os padrões e valores comumente associados ao esporte que servem de quadro para a interpretação dos eventos e desempenho esportivo. Às vezes inclusivo, às vezes segregativo e exclusivo, o discurso oscila de acordo com as flutuações dos padrões esportivos. ***


Author(s):  
Jatinderpreet Singh ◽  
Erin Keely ◽  
Sheena Guglani ◽  
Gary Garber ◽  
Clare Liddy

2021 ◽  
Vol 108 (4) ◽  
pp. 457-474
Author(s):  
Nicolas Rabain

This article is an account of a pioneering multifamily group for transgender adolescents. Meetings were conducted in a Sexual Identity Consultation Service in a Child and Adolescent Psychiatry Department in Paris. In addition to enabling both teenagers and their parents to escape a certain form of isolation, this novel mental health care setting also reinforced the ability of participants to free associate and to cathect substitute objects. The author highlights specific characteristics of transference movements and countertransference reactions of the therapists in this framework. An additional goal is to promote these innovative groups and to recommend similar groups for transgender adolescents and their parents.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Dagmar Schmitz ◽  
Angus Clarke

Abstract Background Ethics consultation is recognized as an opportunity to share responsibility for difficult decisions in prenatal medicine, where moral intuitions are often unable to lead to a settled decision. It remains unclear, however, if the general standards of ethics consultation are applicable to the very particular setting of pregnancy. Main text We sought to analyze the special nature of disagreements, conflicts and value uncertainties in prenatal medicine as well as the ways in which an ethics consultation service (ECS) could possibly respond to them and illustrated our results with a case example. Ethics facilitation and conflict mediation, currently, have no broadly consented normative framework encompassing prenatal diagnosis and therapy as well as reproductive choice to draw on. Even so, they can still be helpful instruments for ethically challenging decision-making in prenatal medicine provided two additional rules are respected: For the time being, ECSs should (a) refrain from issuing content-heavy recommendations in prenatal medicine and (b) should not initiate conflict mediations that would involve the pregnant woman or couple as a conflict party. Conclusion It seems to be vital that ethics consultants as well as health care professionals acknowledge the current limitations and pitfalls of ethics consultation in prenatal medicine and together engage in the advancement of standards for this particularly complex setting.


2021 ◽  
pp. 274-284
Author(s):  
Sławomir Tobis ◽  
Katarzyna Wieczorowska-Tobis ◽  
Agnieszka Neumann-Podczaska

2021 ◽  
pp. 136346152110437
Author(s):  
Marcela Mezzatesta Gava ◽  
Laia Miquel ◽  
G. Eric Jarvis

Gender-based violence (GBV) among female refugees/asylum seekers is a major underreported/understudied psychosocial issue. The aims of this study were: to describe the proportion of GBV-related experiences among female refugees/asylum seekers referred to a Cultural Consultation Service (CCS) in Montreal; to describe their sociodemographic and clinical characteristics; and to compare these characteristics among women who make GBV their principal refugee claim (Group A), those who did not but had suffered GBV (Group B1), and those who had never reported GBV (Group B2). Data on sociodemographic and clinical variables and GBV were gathered by chart review. Data were analyzed using chi-square for categorical and ANOVA for continuous comparisons. A total of 91 female refugees/asylum seekers were evaluated from 2000 to 2013; 80% (73/91) having reported GBV, with 38.5% (35/91) using GBV as the principal reason for seeking asylum in Canada (Group A), mainly due to intimate partner violence (IPV). Fully 66.6% (38/56) of women who sought asylum for reasons other than GBV reported having experienced GBV (Group B1). When compared to the other groups, Group A women exhibited a number of statistically significant differences: they tended to migrate alone ( p < .001), be divorced/single ( p = .02), have more suicidal thoughts/behaviors ( p < .001), and report a history of IPV ( p < .001). Women from Group B1 were more likely to be diagnosed with Affective Disorders ( p = .045), and to have suffered sexual violence ( p < .001). Results suggest that GBV is frequently experienced by refugee/asylum seeker women in this small, tertiary care clinical sample. When assessing refugee women such as these, differences in the kind of violence suffered, migration process, family/social support, and clinical related features should be taken into account and explored by clinicians in a culturally appropriate and safe manner.


Author(s):  
A Wang ◽  
S Guglani ◽  
T McCutcheon ◽  
E Keely ◽  
F Alkherayf

Background: Timely access to neurosurgeons for clinical advice is limited depending on region and other social factors. An eConsult service providing access to neurosurgeons in Ontario, Canada may influence primary care provider (PCP) course of action and referral behaviours. Methods: The Champlain BASE (Building Access to Specialist Care via eConsult) service allows PCPs to access specialist care in lieu of traditional face-to-face referrals. We conducted a cross-sectional study of eConsult cases submitted to neurosurgeons by PCPs between Jan 1, 2017 and Dec 31, 2018. Usage data and PCP responses to a mandatory closeout survey were analyzed. Results: A total of 432 eConsults were submitted. Specialist median response time was 2.29 days with 86.8% of responses occurring within 7 days. PCPs received a new or additional course of action in 53% of cases. An unnecessary face-to-face referral was avoided in 57% of all eConsults, and 50% of cases where the PCP initially contemplated requesting a referral. Over 86% of cases were rated at least 4 out of 5 in value for PCPs and their patients. Conclusions: The use of eConsult improves access to neurosurgeons by providing timely, highly-rated practice-changing clinical advice while reducing the need for patients to attend face-to-face office visits.


2021 ◽  
Author(s):  
Björn Hendrik Schott ◽  
Jakob Christian Voetlause ◽  
Juliana Lisa Amoah ◽  
Alexander Kratzenberg ◽  
Michael Belz ◽  
...  

The treatment of patients with dementia poses a considerable challenge to regional district general hospitals, particularly in rural areas. Here we report the establishment and initial evaluation of a dementia-specific consultation service provided by a teaching hospital-based Psychiatry Department to regional district general hospitals in smaller surrounding towns. The service was provided to patients both with pre-existing and newly diagnosed or suspected dementia, who were in acute hospital care for concurrent conditions. An initial evaluation of 61 consultations - 49 on-site and 12 via telemedicine - was performed to assess the needs of the participating hospitals and the specific nature of the referrals to the consultation service. Suspected dementia or cognitive dysfunction was the primary reason for consultation requests (>50% of cases). Other common requests concerned suspected delirium, behavioral disturbances, and therapeutic recommendations. During the consultations, a diagnosis of dementia was reached in 52.5% of cases, with other common diagnoses including delirium and depression. Recommendations related to pharmacotherapy were given in 54.1% of consultations. Other recommendations included referral for outpatient neurological or psychiatric follow-up, further diagnostic assessment, or assessment in a memory clinic. Geriatric psychiatric inpatient treatment was recommended in only seven cases (11.5 %). Our initial evaluation demonstrates the feasibility of providing a dementia-specific consultation service in a rural area. The service has the potential to reduce acute transfers to inpatient geriatric psychiatry and enables older patients with dementia or delirium to be treated locally by helping and empowering rurally-based regional hospitals to manage these problems and associated complications.


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