First Spanish program of virtual body donation. Medico-legal issues and academic, clinical care and research interest

2019 ◽  
Vol 45 (4) ◽  
pp. 147-154
Author(s):  
José Aso-Escario ◽  
Manuel Gil-Begué ◽  
Cristina Sebastián-Sebastián ◽  
Alberto Aso-Vizán ◽  
José Vicente Martínez-Quiñones ◽  
...  
Keyword(s):  
Clinical Care ◽  
Legal Issues ◽  
Research Interest ◽  
Body Donation ◽  
Virtual Body ◽  
Spanish Program

scholarly journals Virtual Body Ownership Illusions for Mental Health: A Narrative Review

2021 ◽  
Vol 10 (1) ◽  
pp. 139
Author(s):  
Marta Matamala-Gomez ◽  
Antonella Maselli ◽  
Clelia Malighetti ◽  
Olivia Realdon ◽  
Fabrizia Mantovani ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Body Ownership ◽  
Surrounding Environment ◽  
Wide Range ◽  
Clinical Conditions ◽  
Virtual Body

Over the last 20 years, virtual reality (VR) has been widely used to promote mental health in populations presenting different clinical conditions. Mental health does not refer only to the absence of psychiatric disorders but to the absence of a wide range of clinical conditions that influence people’s general and social well-being such as chronic pain, neurological disorders that lead to motor o perceptual impairments, psychological disorders that alter behaviour and social cognition, or physical conditions like eating disorders or present in amputees. It is known that an accurate perception of oneself and of the surrounding environment are both key elements to enjoy mental health and well-being, and that both can be distorted in patients suffering from the clinical conditions mentioned above. In the past few years, multiple studies have shown the effectiveness of VR to modulate such perceptual distortions of oneself and of the surrounding environment through virtual body ownership illusions. This narrative review aims to review clinical studies that have explored the manipulation of embodied virtual bodies in VR for improving mental health, and to discuss the current state of the art and the challenges for future research in the context of clinical care.

scholarly journals How Can Law Support Development of Genomics and Precision Medicine to Advance Health Equity and Reduce Disparities?

2019 ◽  
Vol 29 (Supp) ◽  
pp. 623-628 ◽  
Author(s):  
Susan M. Wolf ◽  
Vence L. Bonham ◽  
Marino A. Bruce
Keyword(s):  
Health Care ◽  
Precision Medicine ◽  
Health Equity ◽  
Health Care Disparities ◽  
Clinical Care ◽  
Legal Issues ◽  
Genomic Research ◽  
Health Coverage ◽  
Barriers To Health ◽  
Legal Barriers

There is growing recognition that the genomic and precision medicine revolution in health care can deepen health disparities. This has produced urgent calls to prioritize inclusion of historically underrepresented populations in research and to make ge­nomic databases more inclusive. Answering the call to address health care disparities in the delivery of genomic and precision medicine requires a consideration of impor­tant, yet understudied, legal issues that have blocked progress. This article introduces a special issue of Ethnicity & Disease, which contains a series of articles that grew out of a public conference to investigate these legal issues and propose solutions.This 2018 conference at Meharry Medical College was part of an NIH-funded project on “LawSeqSM” to evaluate and improve the law of genomics in order to support appro­priate integration of genomics into clinical care. This conference was composed of pre­sentations and interactive sessions designed to specify the top legal barriers to health equity in precision medicine and stimulate potential solutions. This article synthesizes the results of those discussions.Multiple legal barriers limit broad inclusion in genomic research and the development of precision medicine to advance health equity. Problems include inadequate privacy and anti-discrimination protections for re­search participants, lack of health coverage and funding for follow-up care, failure to use law to ensure access to genomic medi­cine, and practices by research sponsors that tolerate and entrench disparities.Analysis of the legal barriers to health equity in precision medicine is essential for progress. Progressive use of law is vital to avoid worsening of health care dispari­ties. Ethn Dis. 2019;29(Suppl 3):623-628; doi:10.18865/ed.29.S3.623

Telehealth: technological, legal, and ethical issues

2021 ◽  
pp. 169-178
Author(s):  
Angelina Ivanova ◽  
Keyword(s):  
Public Health ◽  
Healthcare Professionals ◽  
Ethical Issues ◽  
Clinical Care ◽  
Legal Issues ◽  
Health Interventions ◽  
Patient Relationship ◽  
Public Health Interventions ◽  
Ethical And Legal Issues ◽  
Legal And Ethical Issues

The use of telehealth is an increasingly common avenue for providing clinical care, performing research and conducting public health interventions. However, with the growth of telecommunication technologies, healthcare professionals have encountered an emerging new set of ethical and legal issues relating to the doctor-patient relationship, standarts, privacy, cost and liability. This article explores the main benefits and challenges that come with growth of telehealth.

Ethical and Legal Issues

2013 ◽  
pp. 15-30
Author(s):  
David R. Cox ◽  
Richard H. Cox ◽  
Bruce Caplan
Keyword(s):  
Clinical Care ◽  
Code Of Conduct ◽  
Legal Issues ◽  
Rehabilitation Act Of 1973 ◽  
Individuals With Disabilities ◽  
Persons With Disabilities ◽  
Rehabilitation Psychology ◽  
Disabilities Education Act ◽  
Ethical And Legal Issues ◽  
Education Act

Chapter 2 discusses how psychologists are expected to practice in accordance with a code of conduct and ethical standards, typically those adopted by the APA, and how several areas of law (including, but not limited to, the Rehabilitation Act of 1973, Americans with Disabilities Act (ADA), and Individuals with Disabilities Education Act (IDEA)) are relevant to rehabilitation psychology in that they specifically address issues pertinent to persons with disabilities. It also covers cases where matters of competency, capacity, disability, accessibility to services and environments, and sensitivity regarding the treatment of individuals with disabilities are at issue, and how both ethical and legal matters frequently require consultation both within and outside of the provision of direct clinical care. Lastly it stresses how those treating patients must be cognizant of the ethical, legal and clinical implications for the practice of the specialty, respect and adhere to those in their daily activities, and seek consultation when appropriate.

Mental Health Practice and the Law

2017 ◽  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Professionals ◽  
Clinical Care ◽  
Legal Issues ◽  
Health Practice ◽  
Mental Health Practice ◽  
Case Examples ◽  
Or Practice ◽  
The Law

Mental health professionals, more than any other clinicians, encounter legal issues on a regular basis. Mental Health Practice and the Law is written for anyone in the field, at any stage in their training or practice, who has ever found themselves scratching their head in confusion or dreading that they will expose themselves to liability as they navigate the complexities at the interface of law and mental health. Written by established experts and the rising stars of the next generation, the sixteen chapters in this book offer readers a basic understanding of legal principles encountered in clinical practice, as well as practical advice on how to manage situations at the interface of law and clinical practice. Using case examples and clear language, this book will help clinicians understand the underlying principles behind the legal requirements of clinical care. It aims to enhance the reader’s knowledge of legal issues and ability to deliver good clinical care when those issues are encountered.

Confronting the grey zone after severe brain injury

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen
Keyword(s):  
Brain Injury ◽  
Ethical Issues ◽  
Vegetative State ◽  
Clinical Care ◽  
Grey Zone ◽  
Severe Brain Injury ◽  
New Methods ◽  
Legal Decision Making ◽  
Technological Developments ◽  
The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

A Questionnaire Survey of Current Rehabilitation Practices for Adults With Normal Hearing Sensitivity Who Experience Auditory Difficulties

2020 ◽  
Vol 29 (4) ◽  
pp. 738-761
Author(s):  
Tess K. Koerner ◽  
Melissa A. Papesh ◽  
Frederick J. Gallun
Keyword(s):  
Hearing Aids ◽  
Questionnaire Survey ◽  
Patient Population ◽  
Clinical Care ◽  
Normal Hearing ◽  
Auditory Training ◽  
Training Methods ◽  
Hearing Sensitivity ◽  
Considerable Benefit ◽  
High Level

Purpose A questionnaire survey was conducted to collect information from clinical audiologists about rehabilitation options for adult patients who report significant auditory difficulties despite having normal or near-normal hearing sensitivity. This work aimed to provide more information about what audiologists are currently doing in the clinic to manage auditory difficulties in this patient population and their views on the efficacy of recommended rehabilitation methods. Method A questionnaire survey containing multiple-choice and open-ended questions was developed and disseminated online. Invitations to participate were delivered via e-mail listservs and through business cards provided at annual audiology conferences. All responses were anonymous at the time of data collection. Results Responses were collected from 209 participants. The majority of participants reported seeing at least one normal-hearing patient per month who reported significant communication difficulties. However, few respondents indicated that their location had specific protocols for the treatment of these patients. Counseling was reported as the most frequent rehabilitation method, but results revealed that audiologists across various work settings are also successfully starting to fit patients with mild-gain hearing aids. Responses indicated that patient compliance with computer-based auditory training methods was regarded as low, with patients generally preferring device-based rehabilitation options. Conclusions Results from this questionnaire survey strongly suggest that audiologists frequently see normal-hearing patients who report auditory difficulties, but that few clinicians are equipped with established protocols for diagnosis and management. While many feel that mild-gain hearing aids provide considerable benefit for these patients, very little research has been conducted to date to support the use of hearing aids or other rehabilitation options for this unique patient population. This study reveals the critical need for additional research to establish evidence-based practice guidelines that will empower clinicians to provide a high level of clinical care and effective rehabilitation strategies to these patients.

Gastroesophageal Reflux Disease: A Gastroenterologist's Perspective

2011 ◽  
Vol 21 (3) ◽  
pp. 89-99
Author(s):  
Michael F. Vaezi
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Best Practice ◽  
Clinical Care ◽  
Diagnostic Testing ◽  
Diagnostic Tools ◽  
Swallowing Function ◽  
Atypical Symptoms

Gastroesophageal reflux disease (GERD) is a commonly diagnosed condition often associated with the typical symptoms of heartburn and regurgitation, although it may present with atypical symptoms such as chest pain, hoarseness, chronic cough, and asthma. In most cases, the patient's reduced quality of life drives clinical care and diagnostic testing. Because of its widespread impact on voice and swallowing function as well as its social implications, it is important that speech-language pathologists (SLPs) understand the nature of GERD and its consequences. The purpose of this article is to summarize the nature of GERD and GERD-related complications such as GERD-related peptic stricture, Barrett's esophagus and adenocarcinoma, and laryngeal manifestations of GERD from a gastroenterologist's perspective. It is critical that SLPs who work with a multidisciplinary team understand terminology, diagnostic tools, and treatment to ensure best practice.

External Validity of SCORS-G Ratings of Thematic Apperception Test Narratives in a Sample of Outpatients and Inpatients

2015 ◽  
Vol 36 (1) ◽  
pp. 58-81 ◽  
Author(s):  
Michelle B. Stein ◽  
Jenelle Slavin-Mulford ◽  
Caleb J. Siefert ◽  
Samuel Justin Sinclair ◽  
Michaela Smith ◽  
...  
Keyword(s):  
Life Events ◽  
Psychiatric Hospitalization ◽  
Clinical Care ◽  
Thematic Apperception Test ◽  
Clinical Samples ◽  
Cross Sectional ◽  
Conduct Disordered ◽  
Global Ratings ◽  
Thematic Apperception ◽  
History Of

Abstract. The Social Cognition and Object Relations Scale-Global Ratings Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker-Aspen, 2011 ) is a reliable system for coding narrative data, such as Thematic Apperception Test (TAT) stories. This study employs a cross-sectional, correlational design to examine associations between SCORS-G dimensions and life events in two clinical samples. Samples were composed of 177 outpatients and 57 inpatients who completed TAT protocols as part of routine clinical care. Two experienced raters coded narratives with the SCORS-G. Data on the following clinically relevant life events were collected: history of psychiatric hospitalization, suicidality, self-harming behavior, drug/alcohol abuse, conduct-disordered behavior, trauma, and education level. As expected, the clinical life event variable associated with the largest number of SCORS-G dimensions was Suicidality. Identity and Coherence of Self was related to self-harm history across samples. Emotional Investment in Relationships and Complexity of Representations were also associated with several life events. Clinical applications, limitations of the study, and future directions are reviewed.

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