Academic literature on the topic '"Chi ha paura ... ?" Foundation'

Demonologia, culti, ritualità e miti religiosi molto spesso in territorio africano si congiungono con questioni relative alla cura. Ad oggi ancora diffusissima è la sovrapposizione tra insanità mentale e possessione diabolica, tipica della mentalità animista che conduce al gravoso problema dell’emarginazione e della contenzione del paziente psichiatrico. Il malato mentale incute paura alla comunità che ne teme il contagio, sicché il più delle volte, si affida il malato a sette religiose o a centri di preghiera, in cui i sedicenti guaritori, sciamani e santoni si fanno pagare cifre molto elevate per imprigionare all’interno di tronchi di albero o incatenare a ceppi o blocchi di cemento l’ammalato, così da neutralizzare la potenza maligna. La vita in catene rende gli ammalati storpi, talvolta li porta alla morte per malnutrizione ed incuria. In questo modo questioni relative alla salute, alla cura, incrociandosi con ritualità religiose, chiamano irrimediabilmente in causa la bioetica ed i diritti rispetto ad un problema non più posponibile. Si tratta di una barbarie che avviene nel completo disinteresse dell’OMS e delle grandi organizzazioni internazionali che conoscono l’incubo di questi “prigionieri” almeno da 30 anni, da quando il beninese Gregoire Ahongbonon, il “Basaglia nero” ha fondato in Costa d’Avorio la sua “Saint Camille de Lellis di Bouaké” e ha cominciato – letteralmente – a liberare i malati di mente dalle catene. L’analisi proposta intende precisare che, pur nel rispetto delle differenti culture, c’è un limite che non è possibile valicare: quello del rispetto dei diritti umani che è la base ed alla base di ogni discorso sul pluralismo e sull’Intercultura. ---------- In Africa, demonology, cults, rituals and religious myths are very often combined with issues related to health care. Today the overlap between insanity and demonic possession is still widely widespread. It is typical of the animist mentality that leads to the serious problem of psychiatric patient marginalization and restraint. The mentally ill arouses dread in the community that fears the contagion, so in most cases, the patient commits herself/himself to religious sects or to prayer centers, where the healers, shamans and gurus charge very high prices to imprison the patient in tree trunks or to chain up the patient to stumps or concrete blocks, in order to neutralize the evil force. Life in chains makes the sick patients lame, and sometimes leads them to death for malnutrition and neglect. In this way, issues related to health and health care, intersecting with religious rituals, involve bioethics and rights compared with a problem that cannot be postponed any further. It is a matter of barbarity that takes place in the complete disregard of WHO and of the major international organizations, aware of the nightmare experienced by these “prisoners” since at least 30 years, when Gregoire Ahongbonon from Benin, the “black Basaglia”, established in the Ivory Coast his “Saint Camille de Lellis of Bouaké” and – literally – began to release the mentally ill patients from the chains. The proposed analysis aims to clarify that, even if respecting the different cultures, there is a limit that cannot be crossed: the respect of human rights that is the basis and the foundation of every discourse on pluralism and interculture.

Chi compie reati contro i minori è visto dall'opinione pubblica come un mostro, un "orco", nel migliore dei casi un malato incurabile che non ha niente a che fare con le persone "normali". L'odio per l'orco ha conseguenze molto gravi: impedisce di prendere atto della diffusione degli abusi sessuali nei circoli della fiducia (famiglia, scuola, associazionismo, sport, ecc.) contribuendo al negazionismo dell'abuso; ostacola l'attivazione di interventi efficaci, favorisce il diniego e la minimizzazione o l'adesione passiva allo stigma nei trattamenti.

Si sta verificando negli ultimi anni un incremento dei cosiddetti “comportamenti a rischio”(taking-risk behaviors) tra gli adolescenti. Si tratta di comportamenti che sono, in modo diretto o indiretto, responsabili di danno per la salute e/o per la vita di chi li agisce e dell’aumentata incidenza di morbilità e di mortalità in un’età della vita, che è meno esposta alla malattia e alla morte. Questa aumentata incidenza di patologie secondarie a comportamenti a rischio ha interpellato ed interpella, in senso preventivo, sia gli educatori sia quanti sono responsabili della salute pubblica che hanno proposto diverse modalità di intervento: dalla cosiddetta “riduzione del rischio” alla “strategia della paura” all’educazione alla salute. Questo articolo cerca di valutare le ricadute delle diverse strategie di intervento sul comportamento degli adolescenti, al fine di individuare se gli eventuali fallimenti o successi dipendano dai contenuti dei programmi di prevenzione o dalla personalità degli educandi. Tale valutazione è preceduta dall’analisi del perchè gli adolescenti agiscono, con elevata frequenza, comportamenti a rischio: infatti, la conoscenza del “perch锂 è elemento fondamentale per stabilire il “come” (intervenire).

RESUMENEl objetivo de este estudio ha sido diseñar y validar un instrumento para evaluar la participación de las familias en los centros educativos. El estudio se ha realizado con una muestra de 271 representantes legales de estudiantes en edad escolar de las distintas Direcciones de Área territorial de la Comunidad Autónoma de Madrid (CAM) (padres, madres y tutores). Se propuso un modelo teórico compuesto por cuatro dimensiones donde se analizó la fiabilidad, la validez de contenido y de constructo.La validez de contenido fue sustentada a través de la fundamentación teórica y la validez de expertos. Se realizó un Análisis Factorial Confirmatorio (AFC) mediante la aplicación de metodología S.E.M. (Structural Equation Modeling) para la validación del constructo del instrumento obteniendo un ajuste adecuado (CMIN/DF=2.066, CFI=0.900, RMSEA=0.063, PRATIO=0.916). Por todo ello, se puede afirmar que el instrumento reúne las características técnicas exigidas para ser considerado un recurso de evaluación válido y fiable para el estudio de la participación de las familias en los centros educativos y su aplicación en investigación y evaluación.ABSTRACT The aim of this study is to design and validate an instrument to evaluate family involvement in schools. The study was conducted with a sample of 271 legal guardians of school-age students of the different Territorial Area Directions of the Autonomous Community of Madrid (parents and custodians). We set up a theoretical model consisting of four dimensions where it the reliability, the validity of content and the construct is analyzed.The overall reliability of the instrument is very satisfactory scoring 0.928 (Cronbach's alpha) and quite acceptable giving the ratio of 0.896, Learning Support of 0.855, Participation of 0.913 and Training of 0.910. The validity of the content is supported by the theoretical foundation and the validity of experts. One Confirmatory Factor Analysis (CFA) is performed by applying S.E.M. (Structural Equation Modeling) methodology for validation of the instrument constructed obtaining an appropriate adjustment (CMIN / DF = 2.066, CFI = 0.900, RMSEA = 0.063, PRATIO = 0.916).Therefore, we can say that the instrument gets the technical characteristics required to be considered a valid and reliable approach for the study of family involvement in schools and its application in research and evaluation assessment.

Based on WHO data (World Health Organition), around 972 million people in the world or 26.4% of people worldwide have hypertension, the figure is likely to increase to 29.2% in 2025. Of the 972 million hypertension, 333 million are in developed countries and the remaining 639 are in developing countries including Indonesia. This research aims to determine the relationship of food consumption with hypertension in the elderly at the Nursing Home in Medan Labuhan Foundation for the Budi Bakti in 2018. The research design is an analytical survey to determine the relationship between two variables with a cross sectional approach. The population in this study were patients who suffered from hypertension in the Nursing Home Foundation Medan Labuhan For Bakti Budi Bakti in 2018 totaling 64 people and a sample of 64 people and using total sampling. The test in this study is Chi-square test. The results of this study showed that 61 (95.3%) of the majority had poor food consumption, and the majority of hypertensive diseases were as heavy as 45 respondents (70.3%), bivariate statistic test results showed that there was a relationship between food consumption and hypertension with p value -Velue = 0.004. The conclusion in this study is that there is a relationship between food consumption and hypertension is p-velue = 0.004 α 0.05, so Ha is accepted. Suggestions for further researchers to be able to examine the causes and relationship of food consumption with hypertension.

Introduction Emerging research suggests key differences in clinical manifestations among people with hemophilia A (HA) and hemophilia B (HB) that may impact health-related quality of life (HRQoL), healthcare utilization and costs. However, HB's low prevalence hinders obtaining study cohorts large enough to be representative and avoid selection bias. This analysis of the Hematology Utilization Group Studies (HUGS) cohorts examined over a 2-year period (1) baseline pain, joint range of motion (ROM), and HRQoL (2) clinical characteristics and treatment outcomes, and (3) costs of care and service utilization among a geographically diverse sample of individuals with HB and HA. Materials and Methods HUGS part Va (enrolling HA) and HUGS part Vb (enrolling HB) are US multicenter observational studies conducted at hemophilia treatment centers (HTCs) serving patients from 15 states. HUGS Va was conducted 2005-2007; HUGS Vb 2009-2014. This analysis included 350 participants with complete medical records and ≥2 follow-up surveys: 243 with HA and 107 with HB. Children (age 2-17 years) and adults (age 18-64 years) were followed prospectively. Mean ages at baseline were 21.3 (HA) and 24.5 (HB); 70% of HA participants were severely affected, as were 46% with HB. HUGS collected data through an initial, in-person interview with participants or parents after informed consent; regularly scheduled web-, mail-, or phone-based follow-up questionnaires; and clinical chart review conducted by HTC staff. Treatment utilization and costs were annualized including direct and indirect costs. Medication cost was obtained from payment allowance limits for Medicare Part B. Costs were adjusted for inflation to reflect costs in 2019. We compared continuous variables using Wilcoxon-Mann-Whitney and Chi-square or Fisher's exact test for categorical variables. Results Quality of Life and Clinical Measures Both severe adults HA (mean±SD: 40.7±10.4) and HB (42.6±11.4) showed lower SF-12 physical composite score than the general US population (50±10). Severe HB children had mean 6 points greater physical health summary score than severe HA children. Pain and joint ROM limitation were reported less often by those with severe HB (63% and 58%, respectively), compared to those with severe HA (81% and 77% respectively). Among HB children with severe hemophilia, 12% reported pain compared to 28% with HA. Joint ROM limitation was reported in 8% of HB children, compared to 16% with HA. HB children having half the burden than HA on reported pain and joint ROM limitation. Median annualized missed work days were significant lower in the HB group (3) than HA (7), P<0.01. Adults with severe HB missed a median 4 days of work annually, compared to 7 days for those with severe HA (P=0.04). At baseline, the pediatric severe HB group had overweight/obesity double the HA group (P=0.03), but nearly 50% of both adult severe populations were overweight/obese. Treatment and Outcomes At baseline, adults with severe HB were slightly more likely to use prophylaxis than HA adults (50% versus 43%). HA children, however, were more likely than HB children (84% versus 64%) to treat prophylactically (P=0.03). Mild/moderate HA and HB cohorts rarely used prophylaxis. At follow-up, both severe and mild/moderate HA adults experienced significantly greater annualized bleeding rates than adults (P<0.01). Cost and Service Utilization The follow-up data indicated that the median number of ED visits among both severe HA and HB adults was 0, but the means were 0.1 and 0.5 respectively (P=0.04), and range was lower among the HB group (0-1) than in HA (0-8). Among adults, median annual total costs for severe HB ($135,299) were significantly lower than for severe HA ($317,961), P<0.001. Among children, median annual total costs among those with severe HB ($164,681) were lower than for those with severe HA ($236,537), P=0.04. Conclusions At baseline, the HUGS Va and Vb cohorts revealed less clinical burden among those with HB than those with HA, indicating that people with HB may experience fewer symptoms and effects from the disease. The fact that the HB cohort had lower costs and healthcare utilization over a 2-year period supports this finding. Overweight/obesity exceeded 2/3 for adults with mild/moderate HA and HB. Despite the relatively small HB sample size, analyses of HUGS cohort studies provide valuable information about people treated at HTCs in the US. Disclosures Curtis: Wyeth, now Pfizer: Consultancy; Bayer Foundation: Consultancy; CSL Behring: Consultancy; Baxalta, now part of Takeda: Consultancy; Novo Nordisk: Consultancy. Lou:Wyeth, now Pfizer: Research Funding. Tran:Pfizer: Honoraria; Bioverativ: Honoraria; Novo Nordisk: Honoraria; Bayer: Honoraria. Wu:Bayer Foundation: Research Funding; Novo Nordisk: Research Funding; Baxalta, now part of Takeda: Research Funding; CSL Behring: Research Funding; Wyeth, now Pfizer: Research Funding. Nichol:Novo Nordisk: Research Funding; CSL Behring: Research Funding; Wyeth, now Pfizer: Research Funding; Bayer Foundation: Research Funding; Baxalta, now part of Takeda: Research Funding.