The Healing Power of Music

What better “medicine” than a “treatment” that has only positive side effects and “therapy” that is actually enjoyable? Music is shown to have the ability to help organize the brain; especially vital to those who are afflicted with Alzheimer’s.

Studies have shown that the results of a musical therapy session last for several hours afterward. Positive results include elevated mood, increased socialization and appetite and reduction in agitation. These benefits are attributed to the stimulation the brain receives during a music therapy session, a sort of “cognitive workout”.

As speech, writing and traditional forms of communication are compromised, music provides an alternative means of maintaining a connection, thereby helping to normalize interaction between caregiver and patient. Music used therapeutically creates an environment where the patient can be nurtured and cared for in a way that is safe, gentle and appropriate. Music is central to maintaining human bonds when those with dementia have lost the ability to initiate communication or to respond verbally.

The powers of music when focused and used therapeutically are many. Critical to maintaining quality of life for those with Alzheimer’s is management of emotions and preserving the connection with others. Music is conducive to keeping those connections strong as long as possible while helping the participant to focus, increase awareness and orient to the environment. A number of research studies have looked at music therapy as an important adjunct to medical treatment and findings suggest a possible link between the use of music and slowing the

progression of dementia.

Music is primal to life and expressed by each of us every day whether through dancing to a favorite tune, keeping rhythm with a pencil or remembering a special time when hearing a forgotten melody. It is central to our lives and is embedded in our culture, defining how we acknowledge milestones, rites of passage and celebrations as well as providing comfort, transformation and inspiration.

<http://www.caregiver.com/articles/print/healing_power_of_music.ht

m> Acessado em 14 de abril de 2017. Adaptado

Considerando essa estrutura, podemos dizer que não constitui uma de suas características:

Administración y salud (II)

La obligación del directivo de la atención de la salud es que en sus instituciones se presten servicios oportunos al menor costo y de la mejor calidad posible, considerando al paciente como individuo, como integrante de una familia y como miembro de la sociedad. Por lo tanto, el propósito de los directivos del sistema de salud es lograr que las actividades y funciones de sus organismos (institutos, hospitales, clínicas, centros de rehabilitación, departamentos, programas, proyectos) se racionalicen y se cumplan las funciones de promoción de la salud, prevención de enfermedades, curación de padecimientos y rehabilitación de invalidez, así como las de educación e investigación, y que estas funciones se logren con eficiencia. Las demandas de formación en administración en salud conforman un desafío, para lo cual es necesario incorporar formas tradicionales e innovadoras de educación, que permitan dar una completa respuesta a sus múltiples facetas.

La formación de profesionales de la administración de sistemas de salud se ha visto ante dos retos fundamentales; por una parte, la necesidad de profesionalizar el trabajo de los directivos de los servicios de salud, y por otra, la dificultad de entrenar a todos los directivos que se encuentran actualmente realizando actividades en las organizaciones de atención a la salud. Para estos últimos, debido a las responsabilidades que tienen en sus instituciones, es difícil asistir a los centros formadores de tiempo completo, por lo que una opción sería la educación a distancia.

Por otro lado, las escuelas de medicina deben incorporar en sus planes de estudios la materia de administración en forma permanente y aprovechar en su enseñanza la experiencia de los directivos de los servicios de salud con el fin de que no haya un divorcio entre la realidad y la teoría, entre las instituciones de atención a la salud y las universidades.

Sólo una correcta administración en las organizaciones de salud permitirá optimizar los recursos disponibles para que con ello se pueda ofrecer una atención más eficiente y eficaz a todos los usuarios. La administración no es una panacea que vaya a resolver todos los problemas, pero si permitirá formar un orden operante en la mente del directivo y vincularlo a un proceso, el de la administración, creando una estructura analítica de marcada utilidad en la práctica diaria.

https://www.uv.mx/rm/num_anteriores/revmedica_vol4_num1/articul

os/admon-salud.htm

“Liberdade é o poder de fazer tudo aquilo que as leis permitem.” (Montesquieu).

Autor da obra ‘Do Espírito das Leis’, Montesquieu fez parte do grupo de intelectuais, com bases filosóficas fixadas no Iluminismo, reconhecido por

Yellow Fever — Once Again on the Radar

Screen in the Americas

Over the past several weeks, a fifth arbovirus, yellow fever virus, has broken out in Brazil, with the majority of the infections occurring in rural areas of the country. These are referred to as sylvatic, or jungle, cases, since the typical transmission cycle occurs between forest mosquitoes and forest-dwelling nonhuman primates, with humans serving only as incidental hosts. In this ongoing outbreak, health authorities have reported 234 confirmed infections and 80 confirmed deaths as of February 2017. Confirmed infections have occurred in the Brazilian states of Minas Gerais, Espírito Santo, and São Paulo, and hundreds of additional cases remain under investigation. The high number of cases is out of proportion to the number reported in a typical year in these areas.

Although there is currently no evidence that human-tohuman transmission through Aedes aegypti mosquitoes (urban transmission) has occurred, the outbreak is affecting areas in close proximity to major urban centers where yellow fever vaccine is not routinely administered. This proximity raises concern that, for the first time in decades, urban transmission of yellow fever will occur in Brazil.

Yellow fever is the most severe arbovirus ever to circulate in the Americas, and although vaccination campaigns and vector-control efforts have eliminated it from many areas, sylvatic transmission cycles continue to occur in endemic tropical regions. The most recent outbreak in Brazil highlights this phenomenon. If the current outbreak leads to urban spread through A. aegypti mosquitoes, clinicians should adopt a high index of suspicion for yellow fever, particularly in travelers returning from affected regions. As with all potentially reemerging infectious diseases, public health awareness and preparedness are essential to prevent a resurgence of this historical threat.

Adaptado de:

<http://www.nejm.org/doi/full/10.1056/NEJMp1702172> Acessado

em 15 de abril de 2017.