The number of vulnerable migrants in Canada is on the rise. While debates on immigration policies have been at the forefront, there has been little dialogue regarding the health and well-being of refugees, asylum-seekers and non-status migrants despite the significant health inequities that these populations face. In this context, health research that aims to understand migrants' realities, develop appropriate health and social services and policies, and empower these populations, is needed more than ever. Participatory action research (PAR) is one approach for conducting relevant and empowering research with migrants, however it remains underutilized due to inadequate funding, infrastructure and support. PAR addresses real-life challenges, emphasizes collaboration with communities, and involves all stakeholders, including community-based organizations, in the co-construction and implementation of practical solutions. In this commentary, we call for more research with and for migrants, particularly in the form of PAR, as well as for more targeted funding initiatives and research conditions (University, funding agencies) that foster and support this type of research.
Este artigo discute as indicações para tratamento hospitalar total e parcial em transtornos alimentares. A literatura básica sobre o tema é revisada, explicando tipos e locais de tratamento e guias terapêuticos para abordagem de pacientes nestas condições.
BACKGROUNDatopic dermatitis is directly related to psychological stress, reduced quality of
life and psychosomatic symptoms. The Psychosomatic Scale for Atopic Dermatitis is
the only questionnaire developed specifically for assessment of psychosomatization
in atopic dermatitis. OBJECTIVESthe objective of this study was to cross-culturally adapt and validate a
Brazilian-Portuguese version of the Psychosomatic Scale for Atopic Dermatitis.
METHODSadaptation consisted of independent translation and backtranslation by three
bilingual translators, followed by a pre-test. The Psychosomatic Scale for Atopic
Dermatitis and the Dermatology Life Quality Index were self-administered to 47
patients with atopic dermatitis. Disease severity was evaluated using the Eczema
Area and Severity Index. Factor analysis was used to identify the dimensions of
the Brazilian Portuguese version of the Psychosomatic Scale for Atopic Dermatitis.
Internal consistency and convergence validity were also analyzed. Reproducibility
was assessed using the Kappa coefficient. RESULTSfactor analysis revealed a two-dimensional structure: stress/laziness/insecurity
(I) and maladjustment/social relationships (II), explaining 54.4% of total
variance. All dimensions revealed excellent internal consistency. External
construct validity was confirmed by positive correlations between the
Psychosomatic Scale for Atopic Dermatitis and the Dermatology Life Quality Index.
Test-retest reliability was excellent, with k>0.7 for all questions. CONCLUSIONSthe Brazilian Portuguese version of the Psychosomatic Scale for Atopic Dermatitis
demonstrated acceptable psychometric properties and can be used for the evaluation
of psychosomatic symptoms in patients with atopic dermatitis and as a tool in
clinical and epidemiological research.
A 26-year-old caucasian male developed incipient neuroleptic malignant syndrome (NMS) during the course of paranoid schizophrenia with catatonic signs at admission, while on quetiapine/paroxetine combination treatment. The clinical presentation was "atypical", but increased creatine kinase levels and positive myoglobinemia were highly suggestive of the diagnosis. Of note, the patient was successfully rechallenged with olanzapine. The implications of the drug regimen and of the catatonic presentation are discussed.
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