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15 results

  • P116: Cessation of caregiving due to institutionalization: Dementia family caregivers’ profile. A 3 year longitudinal study

  • Rosa Romero-Moreno, Samara Barrera-Caballero, Lucía Jiménez-Gonzalo, Cristina Huertas-Domingo, Javier Olazarán, Andrés Losada-Baltar
  • Journal:
    International Psychogeriatrics / Volume 35 / Issue S1 / December 2023
    Published online by Cambridge University Press:
    02 February 2024, pp. 131-132
    • Article
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  • Objective:

    Caregiving of a relative with dementia is considered a chronic stressful situation that generates physical and psychological strain and that may have negative effects on caregivers’ health. Many caregivers make the decision to enter their relatives in a nursing-home, however, there are few studies that analyze psychosocial (e.g., guilt) and biomarkers of cardiovascular risk (C-reactive protein, CRP) variables that are related to this decision during the caregiving process stress. The aim of this study was to analyze caregivers’ differences between caregivers who finish the role of caring of their relatives with dementia and those who continue their caregiving role throughout the process of caring in a 3-year period.

    Methods:

    The sample consisted of 294 family caregivers of people with dementia and was divided in two groups; a) caregivers who institutionalized their relatives during a 3-year period (12.7%); and caregivers who maintained their role as caregivers (87.3%).

    Results:

    Preliminary results show that caregivers who institutionalized their relatives with dementia in some time point of the caregiving process presented at baseline more frequency of behavioral problems (t = -2.95; p < .01), more feelings of guilt (t = -3.52; p < .01) and compassion (t = -3.79; p < .01), reported less frequency of dysfunctional thoughts about caregiving (t = 1.99; p < .05) and presented higher levels of CRP (t = 2.72; p < .01), compared to caregivers who maintained their role as caregivers. In addition, caregivers who institutionalized their relative were younger (t= 2.13; p < .05) and reported more weekly hours (t= -3.46; p < .01) and more days (t= -3.01; p < .01) of home help compared to those caregivers who maintained their role. No significant effects were found for caregivers’ gender (p = .38), daily hours caring (t= 1.54; p = .13) nor time caring (t=-1.1; p = .27).

    Discussion:

    The results of this study present several clinical implications. Knowing variables that are related to the decision of institutionalization could prevent it as well as it can be useful to accompany caregivers by providing support throughout the entire process.

  • Chapter 7 - Fertility Preservation in Non-Cancer Patients

  • from Section 3 - Fertility Preservation in Cancer and Non-Cancer Patients
  • Edited by Jacques Donnez, S. Samuel Kim
  • Book:
    Fertility Preservation
    Published online:
    27 March 2021
    Print publication:
    08 April 2021, pp 67-78

  • Summary

    The increasing survival rates of cancer patients [1] have encouraged many specialists to focus on the irreversible consequences of chemotherapy and radiotherapy. Chemotherapy and radiotherapy treatment for cancer or other pathologies have resulted in improved survival rates, but these treatments may also lead to sterility [2]. The increasing success of oncological treatments means it is now even more crucial to implement procedures aimed at preserving fertility.

    Similar to cancer patients, there are some non-oncological conditions currently treated with gonadotoxic agents, such as patients with autoimmune disorders or some chromosomal abnormalities that can lead to ovarian failure. There are also other situations where a woman may benefit from fertility preservation procedures, such as women with severe or recurrent endometriosis or women who electively postpone conception [3].

Great Christian Jurists in Spanish History
  • Edited by Rafael Domingo, Javier Martínez-Torrón
  • Published online:
    24 April 2018
    Print publication:
    10 May 2018
  • The Great Christian Jurists series comprises a library of national volumes of detailed biographies of leading jurists, judges and practitioners, assessing the impact of their Christian faith on the professional output of the individuals studied. Spanish legal culture, developed during the Spanish Golden Age, has had a significant influence on the legal norms and institutions that emerged in Europe and in Latin America. This volume examines the lives of twenty key personalities in Spanish legal history, in particular how their Christian faith was a factor in molding the evolution of law. Each chapter discusses a jurist within his or her intellectual and political context. All chapters have been written by distinguished legal scholars from Spain and around the world. This diversity of international and methodological perspectives gives the volume its unique character; it will appeal to scholars, lawyers, and students interested in the interplay between religion and law.

  • Chapter 3 - Fertility preservation in non-cancer patients

  • from Section 1 - Introduction
  • Edited by Jacques Donnez, Université Catholique de Louvain, Belgium, S. Samuel Kim, University of Kansas
  • Book:
    Principles and Practice of Fertility Preservation
    Published online:
    04 February 2011
    Print publication:
    03 February 2011, pp 23-34

  • Summary

    This chapter focuses on female fertility preservation procedures because of their complexity and peculiarities. Ovarian failure leads to the impossibility of childbearing apart from other problems related to the menopause, such as vasomotor, skeletal or cardiovascular alterations. Early menopause and infertility are two of the main consequences for patients treated with gonadotoxic agents. Gonadotoxicity, a decrease in ovarian activity, depends on several factors, including the age of the patient; the initial status of the ovaries; the treatment applied and cumulative doses; and the type of agent used. Ovarian tissue freezing for later autotransplantation is alternative for fertility preservation in women with oncological or non-oncological diseases. Any patient with a high risk of premature ovarian failure is a possible candidate for fertility preservation. Oocyte and ovarian tissue cryopreservation are useful as they overcome some of the disadvantages, ethical concerns and legal restrictions related to embryo cryopreservation.