There is a bi-directional relationship between depression and chronic illnesses such as diabetes and hypertension. This comorbidity is associated with higher mortality risk and diminishes the efficacy of interventions. The specific mechanisms of this mutual influence are still not fully understood, and most intervention protocols address these conditions separately. This study aims to improve our understanding of this relationship. We interviewed 18 patients and 24 health care professionals, focusing on understanding the different ways in which depression and chronic illness could influence each other. Our results show a common cyclical pattern and specific situations where the reported bi-directional relationship does not occur. We discuss the importance of opening a space for the patient’s grief process after the chronic illness diagnosis, managing the demands and stress of the patient’s treatment, and how to adjust the treatment to the different needs and possibilities of each person.
The most common requirement for informal caregivers is to experience a respite or temporary break from their caregiving routine. Some initiatives have been undertaken to provide respite care through volunteer providers. We report on a qualitative study carried out in Santiago, Chile, to learn about the willingness of potential volunteers to provide respite care for bedridden older persons, as well as their willingness to use information and communication technologies (ICT) to connect to caregivers in a low-income neighbourhood within their own geographic district. A trustworthy institution that mediates the volunteer–caregiver relationship is considered to be important by potential volunteers. Potential volunteers were found to be willing to use ICT to provide respite care, sharing basic information about themselves. However, they were also aware of the digital skill gap that may exist between them and the caregivers and were distrustful of unknown websites that could connect them to care recipients.
The construction industry is known for its high rate of accidents. Among the different possible causes of this situation, we could find lack of sleep and fatigue. Chronic sleep deprivation is a determining factor in the deterioration of vigilance and alert, and consequently a risk factor for occupational accidents. Fatigue is the answer of our organism to sustained physical and mental stress. Regretfully, those topics have been ovelooked in the construction industry. The objective of this study is to understand better these phenomena, such as sleep duration and fatigue, and whether they are interrelated, and to propose strategies to mitigate them and contribute to the reduction of accidents in construction projects. We worked with 154 male construction workers from one Chilean construction company. To assess sleep quality, we used the Pittsburgh Sleep Quality Index (PSQI). To evaluate fatigue, we used a personal computer version of the Psychomotor Vigilance Test (PC-PVT) that measures alertness and vigilance. This 5-minute test was performed on construction workers on-site in the morning. Those people who took part in the test were classified into various groups according to self-reported sleep hours, namely: 7–9 h (26%), 5–7 h (61.7%), and <5 h (12.3%). These results were compared for three variables (Mean Reaction Time (RT), 10% faster, and 10% slower) using an Analysis of Variance (ANOVA) test. Differences were found for Mean RT and Slowest 10%, the difference being greater in the group that reported sleeping <5 h, but without statistical significance. Studies with a greater number of subjects and measurements are required throughout the working day.
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