Aplicação dos princípios da Terapia Cognitivo-Comportamental no desenvolvimento de ferramentas e-mental health: O caso de Be a Mom, uma intervenção psicológica online para prevenir a depressão pós-parto

E-mental health tools are a new format of treatment delivery that can increase population’s access to mental health services. Its effectiveness is higher when grounded on evidence-based therapeutic protocols, such as Cognitive-Behavior Therapy (CBT). We aim to understand how CBT principles can be applied in the development of e-mental health tools, more specifically, in web-based interventions. We use the case example of the Be a Mom program, a web-based psychological intervention, grounded on the principles of CBT, designed to prevent postpartum depression and targeting high-risk postpartum women in the Portuguese population. We describe how the design of Be a Mom was grounded in CBT, by addressing: a) general CBT principles; b) its therapeutic mechanisms; and c) organization of sessions. Also, we discuss the relevance of the therapeutic alliance in web-based interventions and the importance of evidence-based interventions. By providing insight on how the principles of CBT can be operationalized in an innovative delivery format, we can contribute to the further development of web-based interventions, as well as to increase awareness and knowledge among mental health professionals about the similarities between the principles underlying web-based and face-to-face CBT interventions.As ferramentas e-mental health são um novo formato de aplicação de intervenções que potenciam o acesso da população aos serviços de saúde mental. A sua eficácia é maior quando são assentes em protocolos terapêuticos baseados na evidência, como a Terapia Cognitivo-Comportamental (TCC). Assim, procuramos compreender como os princípios da TCC podem ser aplicados no desenvolvimento de ferramentas de saúde mental, mais especificamente, em intervenções psicológicas online. Utilizámos o caso-exemplo do programa Be a Mom, uma intervenção psicológica online, assente nos princípios da TCC, concebida para prevenir a depressão pós-parto e destinada a mulheres em risco elevado no período pós-parto. Descrevemos como o design do Be a Mom foi fundamentado na TCC, considerando: a) princípios gerais da TCC; b) os seus mecanismos terapêuticos; e c) a organização de sessões. Também discutimos a relevância da aliança terapêutica em intervenções online e a importância de intervenções baseadas na evidência. Ao esclarecer como os princípios da TCC podem ser operacionalizados num formato inovador, podemos contribuir para o desenvolvimento de intervenções online, bem como para o aumento da consciencialização e do conhecimento nos profissionais de saúde mental sobre as semelhanças entre os princípios subjacentes às intervenções de TCC online e presenciais

What's best option for fine needle aspiration in thyroid?

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ATUAÇÃO DO ENFERMEIRO ESTÉTICO: competências, conquistas e avanços

Introdução: A Enfermagem Estética é um instrumento do enfermeiro, para a promoção do confortoe bem-estar de seu paciente/cliente. Este instrumento torna-se valioso, pois possibilita aoprofissional, além da “tradicional” intervenção, uma mudança de paradigma e a ampliação da suaautonomia. A atuação do enfermeiro esteta foi regulamentada, através da Resolução nº 529/2016do Conselho Federal de Enfermagem que permitia aos enfermeiros com pós-graduação emestética, a prática de diversos procedimentos. Após um ano de avanço neste campo de atuação,liminares proferidas pela Justiça Federal do Rio Grande do Norte e do Distrito Federal suspenderamos efeitos da Resolução e ficaram permitidos apenas alguns procedimentos, sendo proibidos osprocedimentos injetáveis. Há em pauta o Projeto de Lei 2717/2019 de cunho Federal, que dispõesobre o reconhecimento da Saúde Estética como área de atuação do profissional de Biologia,Biomedicina, Enfermagem, Farmácia, Fisioterapia e Fonoaudiologia, caso seja aprovada, estesprofissionais poderão atuar em estética sem dependerem de resoluções. Pressupõe-se que este éum campo que avançou desde sua abertura e permitiu conquistas a categoria de enfermagem eentende-se que há uma questão mercadológica por detrás dos processos e ações judiciais queimpugnaram temporariamente a atuação. Objetivos: Descrever as atribuições do enfermeiroestético e as resoluções que regulamentam a enfermagem estética. Discutir sobre as conquistas eavanços da profissão na área. Verificar o conhecimento dos enfermeiros (as), estudantes deenfermagem sobre a temática. Metodologia: As fontes de pesquisa bibliográfica se constituirão deartigos de periódicos científicos e produções oficiais, resoluções e notas publicadas pelo ConselhoFederal e Conselhos Estaduais de Enfermagem, seminários, adquiridas após a realização delevantamentos bibliográficos eletrônicos junto a bases de dados informatizadas nacionais

Mesenchymal Stem Cells (MSCs) as a potential therapeutic Strategy in COVID-19 Patients: Literature Research

In 2019, an outbreak of an unknown coronavirus – SARS-CoV-2 – responsible for COVID-19 disease, was first reported in China, and evolved into a pandemic of huge dimensions and raised serious concerns for global health. The number of critical cases continues to increase dramatically, while vaccines and specific treatments are not yet available. There are several strategies currently being studied for the treatment of adverse symptoms of COVID-19, that encompass Acute Lung Injury (ALI)/Acute Respiratory Distress Syndrome (ARDS), extensive pulmonary inflammation, cytokine storm, and pulmonary edema, due to virus-induced pneumonia.info:eu-repo/semantics/publishedVersio

is it time to move forward?

Funding: This research was supported by Projects PEst-OE/AGR/UI0211/2011 from FCT, and COMPETE 2020, from ANI – Projetos ID&T Empresas em Copromoção, by the project “insitu.Biomas – Reinvent biomanufacturing systems by using an usability approach for in situ clinic temporary implants fabrication” with the reference POCI-01-0247-FEDER-017771, by the project “Print-on-Organs – Engineering bioinks and processes for direct printing on organs” with the reference POCI-01-0247-FEDER-033877, and by the project “Bone2Move – Development of “in vivo” experimental techniques and modelling methodologies for the evaluation of 4D scafolds for bone defect in sheep model: an integrative research approach” with the reference POCI-01-0145-FEDER-031146. Mariana Vieira Branquinho (SFRH/BD/146172/2019), Ana Catarina Sousa (SFRH/BD/146689/2019), and Rui Damásio Alvites (SFRH/BD/116118/2016), acknowledge FCT, for financial support.INTRODUCTION: Central airway obstruction (CAO) represents a pathological condition that can lead to airflow limitation of the trachea, main stem bronchi, bronchus intermedius or lobar bronchus. MAIN BODY: It is a common clinical situation consensually considered under-diagnosed. Management of patients with CAO can be difficult and deciding on the best treatment approach represents a medical challenge. This work intends to review CAO classifications, causes, treatments and its therapeutic limitations, approaching benign and malign presentations. Three illustrative cases are further presented, supporting the clinical problem under review. CONCLUSION: Management of CAO still remains a challenge. The available options are not always effective nor free from complications. A new generation of costume-tailored airway stents, associated with stem cell-based therapy, could be an option in specific clinical situations.publishersversionpublishe

Synovia-Derived Mesenchymal Stem Cell Application in Musculoskeletal Injuries: A Review

Musculoskeletal injuries impact millions of people globally and affect their health and well-being as well as of their companion and athletic animals. Soft-tissue injuries represent almost half of these and are associated with unorganized scar tissue formation and long time-depending healing processes. Cell-based therapeutic strategies have been developed in the past decades aiming at the treatment and reversion of such disorders. Stem cells are fairly appealing in the field, being a responsive undifferentiated population, with ability to self-renew and differentiate into different lineages. Mesenchymal stem cells (MSCs) can be obtained from several adult tissues, including the synovial membrane. Synovia-derived MSCs can be found in individuals of any age and are associated to intrinsic regenerative processes, through both paracrine and cell-to-cell interactions, thus, contributing to hosts’ healing capacity. Studies have demonstrated the potential benefit of synovia-derived MSCs in these regenerative processes in both human and veterinary medicine. The purpose of this chapter is to review the literature regarding SM-MSC therapies applied to musculoskeletal disorders, in both human and veterinary medicine

Peripheral nerve injury and axonotmesis: State of the art and recent advances

Peripheral nerve lesions are frequent occurrences in both human and animal patients, leading to important physiological and labor complications that affect the quality of life of those who suffer the injury. More severe injuries are often associated with poor nerve regeneration and inadequate functional recovery, even with early medical and surgical interventions. Peripheral nerve crush lesions are frequent and, therefore, an experimental lesion paradigm widely used in researches involving nerve injury models and therapies for its resolution. In recent years, many studies have focused on innovative approaches to peripheral nerve treatment after crush injuries with more or less success. This review addresses the theme of peripheral nerve injury, with a special focus on the axonotmesis lesion, its etiology, pathophysiological mechanisms, methods of functional evaluation and regenerative processes, therapeutic options and corresponding recent advances

Biomaterials and Cellular Systems at the Forefront of Peripheral Nerve Regeneration

Peripheral nerve injuries remain a common clinical complication, and currently available therapies present significant limitations, often resulting in poor and suboptimal outcomes. Despite significant developments in microsurgical approaches in the last decades, no effective treatment options have been disclosed. Current research focuses on the optimization of such microsurgical techniques and on their combination with other pro-regenerative factors, such as mesenchymal stem cells or biomaterials. Mesenchymal stem cells present a remarkable capacity for bioactive molecule production that modulates inflammatory and regenerative processes, stimulating peripheral nerve regeneration. In parallel, efforts have been directed towards the development of biomaterial nerve guidance channels and nerve conduits. These biomaterials have been optimized in terms of biodegradability, ability to release bioactive factors, incorporation of cellular agents, and internal matrix architecture (to enable cellular migration and mimic native tissue morphology and to generate and bear specific electrical activity). The current literature review presents relevant advances in the development of mesenchymal stem cell and biomaterial-based therapeutic approaches aiming at the peripheral nerve tissue regeneration in diverse lesion scenarios, also exploring the advances achieved by our research group in this field in recent years