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Who's Afraid of Murderous Rage? When Euthanasia Colludes with Self-Destructiveness.
Psychodyn Psychiatry
January 2025
Psychologist, Transparant Centrum GGZ, Leiden, The Netherlands.
The impact of intense countertransference affects in working with patients experiencing complex trauma can have a critical effect on decisions about euthanasia, especially when such decisions are made solely on the grounds of a psychiatric condition. These countertransference dynamics become particularly significant in the context of the rising number of euthanasia requests by psychiatric patients in the Netherlands. We contend that for a subgroup of patients with complex trauma, attachment trauma, and personality disorders, the label "treatment-resistant" may be applied prematurely and incorrectly.
View Article and Find Full Text PDFUsing qualitative systems mapping to analyze the linkages between the behavioral and social (BeSD) determinants of routine childhood immunization in LMICs.
BMC Public Health
December 2024
Bill & Melinda Gates Foundation, Capital Court, The, 5th Floor, Olof Palme Marg, Munirka, New Delhi, Delhi, 110067, India.
Background: Designing effective immunization programs requires a strong understanding of how the factors affecting vaccine uptake interplay. In this review, we analyze the relationships between the Behavioral and Social Drivers (BeSD) of routine immunization using qualitative systems mapping (QSM).
Methods: In this review, we analyzed 92 experimental and quasi-experimental impact evaluations (IEs) from 11 LMICs that were published between 2010 and 2020.
Patient-reported physical activity, pain, and fear of movement after cardiac surgery: a descriptive cross-sectional study.
Scand Cardiovasc J
December 2024
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Objectives: After cardiac surgery, there may be barriers to being physically active. Patients are encouraged to gradually increase physical activity, but limited knowledge exists regarding postoperative physical activity levels. This study aimed to assess patient-reported physical activity six months after cardiac surgery, determine adherence to WHO's physical activity recommendations, and explore potential relationships between pain, dyspnea, fear of movement, and activity levels.
View Article and Find Full Text PDFManaging greenhouse gas emissions in the terminal year of life in an overwhelmed health system: a paradigm shift for people and our planet.
Lancet Planet Health
May 2024
Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada.
Article Synopsis
- Health care is responsible for 4.4% of global carbon emissions, largely due to high resource use in hospitals, particularly during a patient's last year of life.
- In this crucial period, health care demands rise sharply, leading to increased emissions that often conflict with patients' preferences for care.
- Suggested solutions include improving advanced care planning, initiating palliative care sooner, reducing unnecessary medication prescriptions, and increasing access to community care options, with findings primarily based on Canadian data but relevant to other wealthy nations.
Understanding the gap between guidelines and influenza vaccination coverage in people with diabetes: a scoping review.
Front Public Health
May 2024
Hospices Civils de Lyon, Pharmacie et Stérilisation Centrales, Pharmacie centrale, Saint-Genis-Laval, France.
Background: Diabetes affects millions of people worldwide, making them more vulnerable to infections, including seasonal influenza. It is therefore particularly important for those suffering from diabetes to be vaccinated against influenza each year. However, influenza vaccination coverage remains low in this population.
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