Spiritual Emergency

Mindfulness meditation has been proven efficient in treating many physical and psychological disorders. Mindfulness meditation techniques are also subjected to specific indications and contraindications. Scanning of gross body, thoughts, emotions, and memories are the essential components of any form of meditation. During those scannings, some unwanted memories and some unusual experiences are very much apparent. There are many energy points in the gross human body, which are correspondent to the endocrine system of the human body, known as Kundalini or Chakra. During meditation, those chakras are stimulated, and hidden energy is exploded; increased psychomotor activities manifest in the behaviors of the person. This behavioral manifestation is called a spiritual emergency. Professionals often confused this behavioral manifestation with psychotic illness. A spiritual emergency requires specific therapeutic management. Against this backdrop, this chapter attempts a review of research articles on spiritual emergencies and therapeutic guidelines to handle them in clinical settings.

Variations in Salivary Stress Biomarkers and Their Relationship with Anxiety, Self-Efficacy and Sleeping Quality in Emergency Health Care Professionals

Hospital healthcare workers of emergency departments (EDs) face a variety of occupational stressors on a daily basis. We have recently published that emergency professionals display increased salivary levels of α-amylase and dehydroepiandrosterone during the working day. The pattern of these markers may suggest a counteracting mechanism of dehydroepiandrosterone against the stress reflected by amylase increases. In order to verify this hypothesis, we have analysed different psychological aspects in the same group of healthcare professionals through different tests related to behaviours resulting from stress. These include the state-trait anxiety inventory, the self-efficacy test and the sleeping quality questionnaire. The tests were provided at the beginning of the working day and collected at the end. STAI scores (trait and state) were indicative of no anxiety. Self-efficacy scores were considered optimal, as well as those from the sleeping quality questionnaire. This is supported by the modest correlation between STAI scores and salivary levels of α-amylase and dehydroepiandrosterone. In conclusion, the emergency professionals of the studied hospitals seem to have adequate work management. Altogether it means that the stress generated during work performance is controlled, allowing a correct adaptation to the demanding situations undergone in emergency departments.

Condutas de urgência e emergência na atenção básica sob a ótica de discentes de enfermagem

A Atenção Básica em Saúde (ABS) é considerada como uma das portas de entrada dos usuários na rede de atenção à saúde, sendo necessário que os profissionais estejam preparados para atuar nas demandas de urgência e emergência neste cenário. Conhecer as condutas em situações de urgência e emergência desenvolvidas pelos profissionais de saúde na ABS sob a ótica de discentes de Enfermagem. Pesquisa descritiva, qualitativa. Os dados foram coletados por entrevistas semiestruturadas e a sistematização de conteúdo temático-categorial foi empregada para análise. Participaram 11 estudantes de enfermagem e construiu-se 04 categorias: Concepção de urgência e emergência; Profissionais que atuam nas situações de urgência e emergência; Condutas dos profissionais nas urgências e emergência; Fragilidades no atendimento nos serviços de urgência e emergência. Identificou-se, portanto, sob o olhar dos discentes, as condutas em situação de urgência e emergência na ABS, quais os profissionais atuantes, as fragilidades, as concepções relacionadas.Descritores: Atenção Primária à Saúde, Enfermagem, Emergências. Urgent and emergency care in primary health system from the perspective of nursing studentsAbstract: Primary Health System (PHS) is considered as a gateway for patients in the health care network, and professionals need to be prepared to act on urgent and emergency demands in this scenario. To know the conducts in urgent and emergency situations developed by health professionals in PHS from the perspective of nursing students. Descriptive, qualitative research. The data were collected through semi-structured interviews and the systematization of thematic-categorical content was used for analysis. 11 nursing students have participated on the study and 04 categories were built: Conception of urgency and emergency; Professionals working in urgent and emergency situations; Conduct of professionals in urgencies and emergencies; Weaknesses in provision of urgent and emergency services. Therefore, it was identified, from the perspective of nursing students, the behaviors in situations of urgency and emergency in PHS, who are the professionals working, the weaknesses, the related conceptions.Descriptors: Primary Health Care, Nursing, Emergencies. Cuidados de urgencia y emergencia en atención primaria desde la perspectiva de los estudiantes de enfermeríaResumen: La atención primaria de salud (APS) se considera como una puerta de entrada para los usuarios de la red de atención en salud, y los profesionales deben estar preparados para actuar ante demandas urgentes y de emergencia en este escenario. Conocer las conductas en situaciones de urgencia y emergencia desarrolladas por profesionales de la salud en APS desde la perspectiva de los estudiantes de enfermería. Investigación descriptiva, cualitativa. Los datos fueron recolectados a través de entrevistas semiestructuradas y la sistematización del contenido temático-categórico fue utilizada para el análisis. Participaron 11 estudiantes de enfermería y se construyeron 04 categorías: Concepción de urgencia y emergencia; Profesionales que trabajan en situaciones urgentes y de emergencia; Conducta de profesionales en urgencias y emergencias; Debilidades en la provisión de servicios urgentes y de emergencia. Por lo tanto, se identificó, desde la perspectiva de los estudiantes de enfermería, los comportamientos en situaciones de urgencia y emergencia en ABS, que son los profesionales que trabajan, las debilidades, las concepciones relacionadas.Descriptores: Atención Primaria de Salud, Enfermería, Urgencias Médicas.

Ranking and grouping social media requests for emergency services using serviceability model

Social media has become an alternative communication mechanism for the public to reach out to emergency services during time-sensitive events. However, the information overload of social media experienced by these services, coupled with their limited human resources, challenges them to timely identify, prioritize, and organize critical requests for help. In this paper, we first present a formal model of serviceability called Social-EOC, which describes the elements of a serviceable message posted in social media expressing a request. Using the serviceability model, we then describe a system for the discovery and ranking of highly serviceable requests as well as for re-ranking requests by semantic grouping to reduce redundancy and facilitate the browsing of requests by responders. We validate the model for emergency services by experimenting with six crisis event datasets and ground truth provided by emergency professionals. Our experiments demonstrate that features based on both serviceability model and social connectedness improve the performance of discovering and ranking (nDCG gain up to 25%) service requests over different baselines. We also empirically validate the existence of redundancy and semantic coherence among the serviceable requests using our semantic grouping approach, which shows the significance and need for grouping similar requests to save the time of emergency services. Thus, an application of serviceability model could reduce cognitive load on emergency servicers in filtering, ranking, and organizing public requests on social media at scale.

Does Gender Influence Physiological Tolerance in Resuscitators When Using Personal Protection Equipment against Biological Hazards?

Introduction. Certain professions, such as those related to emergency services, have usually been performed by men, progressively incorporating women into these professions. The main objective of our study was to determine, according to gender, how the use of level D biohazard personal protection equipment (PPE) affects emergency professionals during the performance of resuscitation. Materials and Methods. An uncontrolled quasi-experimental study was performed on 96 volunteers selected by means of random sampling stratified by gender. Baseline and final vital signs of the assessment activity were analyzed. This activity involves volunteers performing a simulated resuscitation in a controlled environment whilst wearing personal protective suits in a biohazard situation. Results. Analyzing the physiological tolerance pattern parameter by parameter, and according to gender, through a univariate model, we can observe that there is no interaction between tolerance and gender; that is, having good or bad tolerance does not depend on gender. Conclusion. This specialized skilled work can be performed by any properly trained professional.