Presse Med
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Comparative Study
[What is expected of psychologists in palliative care mobile teams? Their role and missions].
The present development of palliative care structures has led to the organisation, in institutes and also in the home, of multi-disciplinary teams destined that contribute to the care and accompanying of persons at the end of their life. The multiplication of these mobile teams invites us to gain further knowledge on the respective role of each professional and in particular that of the clinical psychologist in a function that is often ignored by the institutions. ⋯ The psychologists' clinical activity is specified with regard to interventions with the patients and their families and also their intervention among the medical and care professionals who look after these patients. The choice of working in a interdisciplinary group leads to a collaboration of quality and the dynamics of such collaboration guarantee the global approach of the patients in their physical, mental, social and spiritual suffering.
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VIROLOGICAL ASPECTS: Human polyomaviruses (BK virus and JC virus), together with simian polyomaviruses (SV40 virus) share 75% of genomic homology. Their in vivo and in vitro genomes vary. Molecular analyses have identified several genotypes, some of which appear related to the development of viral diseases. Genomic modifications of the regulation area might provide the BKv with a pathogenic aspect thus enhancing the induction of tubulo-interstitial nephropathies in renal transplant recipients.
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TWO PREREQUISITES: In order to avoid the emergence of bacterial resistance, the treatment of nosocomial infections must avoid unnecessary multiplication of antibiotics. Treatment must also be given early for these life-threatening infections. The presence of resistant and/or multiresistant strains is a common cause of antibiotic failure.