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Ramos-Petersen L, Rodríguez-Sánchez JA, Cortés-Martín J, Reinoso-Cobo A, Sánchez-García JC, Rodríguez-Blanque R, Coca JR. A Qualitative Study Exploring the Experiences and Perceptions of Patients with Hemophilia Regarding Their Health-Related Well-Being, in Salamanca. J Clin Med 2023; 12:5417. [PMID: 37629458 PMCID: PMC10455868 DOI: 10.3390/jcm12165417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/28/2023] [Accepted: 08/19/2023] [Indexed: 08/27/2023] Open
Abstract
Hemophilia is a chronic, congenital/hereditary and X-linked disease, characterized by an insufficiency of factors VIII or IX, which are necessary for blood clotting. Those affected by hemophilia often suffer from particular psychosocial problems, both in the acceptance, coping, treatment and self-management of their disease and in their family and social relationships, which are often mediated by these circumstances. The aim of this study was to explore the experiences of people with hemophilia or their family members, of in a specific region of Spain, regarding the impact of having hemophilia. Structured interviews were conducted and developed, using the studies of the World Federation of Hemophilia and Osorio-Guzmán et al. as a guide, as well as a literature review of qualitative work on hemophilia. Data were analyzed using a six-step thematic analysis. A total of 34 interviews were thematically analyzed. The results showed that three key themes emerged from the data: (1) the daily impact of having hemophilia, (2) uncertainty about the disease, (3) the role of associations and (4) support from institutions. The results make it clear that the disease has a major impact on their lives (work, family, leisure and personal environment). The main conclusion is that hemophilia has a negative impact on the daily lives of patients, families and caregivers.
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Affiliation(s)
- Laura Ramos-Petersen
- Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Peñalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, Spain;
| | - Juan Antonio Rodríguez-Sánchez
- Department of Biomedical Sciences and Diagnosis, University of Salamanca, C/Alfonso X el Sabio S/N, 37007 Salamanca, Spain;
| | - Jonathan Cortés-Martín
- Research Group CTS1068, Andalusia Research Plan, Junta de Andalucía, Nursing Department, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain; (J.C.-M.); (J.C.S.-G.); (R.R.-B.)
| | - Andrés Reinoso-Cobo
- Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Peñalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, Spain;
| | - Juan Carlos Sánchez-García
- Research Group CTS1068, Andalusia Research Plan, Junta de Andalucía, Nursing Department, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain; (J.C.-M.); (J.C.S.-G.); (R.R.-B.)
| | - Raquel Rodríguez-Blanque
- Research Group CTS1068, Andalusia Research Plan, Junta de Andalucía, Nursing Department, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain; (J.C.-M.); (J.C.S.-G.); (R.R.-B.)
- San Cecilio Clinical University Hospital, 18016 Granada, Spain
| | - Juan R. Coca
- Social Research Unit on Health and Rare Diseases, Sociology and Social Work Department, University of Valladolid, 47002 Valladolid, Spain;
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Esteban-Bueno G, Berenguel Hernández AM, Fernández Fernández N, Navarro Cabrero M, Coca JR. Neurosensory Affectation in Patients Affected by Wolfram Syndrome: Descriptive and Longitudinal Analysis. Healthcare (Basel) 2023; 11:1888. [PMID: 37444722 DOI: 10.3390/healthcare11131888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 06/15/2023] [Accepted: 06/27/2023] [Indexed: 07/15/2023] Open
Abstract
Wolfram syndrome (WS) is a rare neurodegenerative disease usually of autosomal recessive origin. There is limited research about sensorineural hearing loss, despite it being a fundamental entity. It is important to broaden the study of this disease and specify a set of tests required for an adequate assessment of patients for efficient monitoring and control. The fundamental objective of this research is to understand WS from a biomedical perspective in order to help in its diagnosis, follow-up, and control. Pure tones audiometry, tympanometry, speech perception, the speech intelligibility index without aid, and testing at high frequencies were among the audiological measurements utilised since they were deemed suitable for standardised follow-up. Mixed linear models were used to examine the effects of age, time, or mean interaction in pure-tone (IPT), the average of high frequencies (HFA), auditory brainstem response (ABR), and brainstem auditory evoked potentials (BAEP). The genetic analysis allowed mutations to be classified into three phenotype-genotype groups, where the phenotype indicated the severity of the hearing loss. Patients with homozygous gene changes had a more severe neurosensory phenotype. The early discovery of sensorineural hearing loss and WS is crucial since it allows intensive follow-up and treatment of the person affected from the start.
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Affiliation(s)
- Gema Esteban-Bueno
- Clinical Management Unit Almería Periphery-Almería Health District, Andalusian Health Service, 04120 Costacabana, Almería, Spain
- Spanish Association for the Research and Support of Wolfram Syndrome, 04120 Costacabana, Almería, Spain
| | | | | | - Miguel Navarro Cabrero
- Spanish Association for the Research and Support of Wolfram Syndrome, 04120 Costacabana, Almería, Spain
| | - Juan R Coca
- Social Research Unit on Health and Rare Diseases, Department of Sociology and Social Work, University of Valladolid, 42004 Soria, Castile and León, Spain
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Coca JR, Gómez-Redondo S, Soto-Sánchez A, Lozano-Blasco R, Romero-Gonzalez B. Perception of Social and Educational Quality of Life of Minors Diagnosed with Rare Diseases: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2023; 20:933. [PMID: 36673688 PMCID: PMC9859107 DOI: 10.3390/ijerph20020933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/31/2022] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
This study explores the perception of social and educational quality of life in minors with rare diseases (RDs). Two meta-analyses were performed, applying the random effects model. Results: Regarding the social Quality of Life, the meta-sample consisted of k = 40 samples, with a total population of 1943 children (mean age = 9.42 years), of whom 687 (35.3%) were girls, 615 (31.4%) were boys and 641 (33%) did not report their sex. The effect size was large (mean size = 7.68; p < 0.000; 99% Confidence Interval; lower limit = 7.22; upper limit = 8.14). The results of the meta-regression and model analysis showed the importance of the measurement instrument (Paediatric Quality-of-Life Inventory and Prototypes of the Quality of life) and the dissimilarity of perception among caregivers. The nationality and the type of RD were not relevant. With respect to the educational Quality of Life, the meta-sample consisted of k = 19 samples, with 699 minors (mean age = 10.3 years), of whom 266 (38%) were girls, 242 (34.6%) were boys and 191 (27.4%) did not report their sex. The effect size was large (mean size = 7.15; p < 0.000; 99% CI; lower limit = 6.35; upper limit = 7.94). The meta-regression and comparison of models showed that the type of RD was essential. The measurement instrument was a moderating variable, especially the Parent version Paediatric Quality-of-Life Inventory. This study reveals the need for further research on RDs and their social−educational effects.
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Affiliation(s)
- Juan R. Coca
- Social Research Unit on Health and Rare Diseases and Transdisciplinary Center for Research in Education, Department of Sociology and Social Work, University of Valladolid, 42004 Soria, Spain
| | - Susana Gómez-Redondo
- Social Research Unit on Health and Rare Diseases and Transdisciplinary Center for Research in Education, Department of Pedagogy, University of Valladolid, 42004 Soria, Spain
| | - Alberto Soto-Sánchez
- Social Research Unit on Health and Rare Diseases, Department of Psychology, University of Valladolid, 42004 Soria, Spain
| | - Raquel Lozano-Blasco
- Psychology and Sociology Department, Faculty of Education, University of Zaragoza, 50009 Zaragoza, Spain
| | - Borja Romero-Gonzalez
- Social Research Unit on Health and Rare Diseases, Department of Psychology, University of Valladolid, 42004 Soria, Spain
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Coca JR, Coca-Asensio R, Esteban Bueno G. Socio-historical analysis of the social importance of pharmacovigilance. Front Sociol 2022; 7:974090. [PMID: 36505765 PMCID: PMC9732674 DOI: 10.3389/fsoc.2022.974090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 11/15/2022] [Indexed: 06/17/2023]
Abstract
Pharmacovigilance is a scientific discipline that has changed a lot in recent years and is of great social importance. The case of the so-called sulfonamide elixir showed society the importance of this discipline. Since then, pharmacovigilance has evolved into a scientific discipline with a strong social character. In this paper, a historical review is made of several paradigmatic examples of this discipline to reflect on what pharmacovigilance could be like finally. We conclude that this discipline could be more closely related to other areas of the social sciences, which would help to promote a more democratic social environment taking into account the needs of individuals and social groups.
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Affiliation(s)
- Juan R. Coca
- Unit for Social Research in Health and Rare Diseases, Faculty of Education of Soria, University of Valladolid, Soria, Spain
| | - Raquel Coca-Asensio
- Department of Neurosciences (Pharmacology), University of Cadiz, Cadiz, Spain
| | - Gema Esteban Bueno
- Almeria Periphery Clinical Management Unit, Almería Health District, Andalusian Health Service, Almeria, Spain
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Coca JR, Esteban-Bueno G, Manuel-Guerra J. Investigación cualitativa sobre el impacto del confinamiento estricto en las entidades del tercer sector españolas relacionadas con las enfermedades raras. Saude soc 2022. [DOI: 10.1590/s0104-12902022210378es] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumen A raíz de la pandemia producida por el impacto del nuevo coronavirus, se adoptaron medidas de confinamiento estricto en España desde el 15 de marzo de 2020. Las medidas afectaron, entre otros sistemas, a la actividad y gestión de las entidades del tercer sector dedicadas a la atención a las personas con enfermedades raras. En este estudio se trató de conocer este impacto, mediante el uso de metodología cualitativa y el software MAXQDA a partir de una muestra de 81 entidades participantes en el estudio. Del análisis de la información obtenida se pudo extraer que el confinamiento no ha supuesto un impacto homogéneo en la gestión de las entidades. Destaca la reducción de sus actividades de visibilidad con el consiguiente impacto social y psicoafectivo. Ello pone de manifiesto una debilidad estructural previa que con esta situación se ha visto agravada. Este estudio también profundiza en los ajustes que estas entidades han realizado para poder seguir prestando sus servicios de apoyo, así como el impacto que ha tenido en sus escasas plantillas y equipos directivos.
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Coca JR, Soto A, Mesquita C, Lopes RP, Cordero-Rivera A. Biosociological ethodiversity in the social system. Biosystems 2021; 210:104552. [PMID: 34563624 DOI: 10.1016/j.biosystems.2021.104552] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 09/22/2021] [Accepted: 09/22/2021] [Indexed: 10/20/2022]
Abstract
A comprehensive understanding of human sociality needs to embrace the coevolution of genes and culture. Recent advances in biological research about niche construction by organisms, and the development of the concepts of social niche and ethodiversity, can be integrated into a common approach to understand this coevolution, which implies the interaction between sociology and ecology in an integrative framework of knowledge. In this paper the authors propose such inclusive biosociological and heuristic framework to improve the understanding of the evolution of social niche construction. In addition, it allows a better understanding of the concept of sociotype in non-human organisms and explains some aspects of the social or presocial behavior through the concept of ethodiversity.
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Affiliation(s)
- Juan R Coca
- University of Valladolid, Faculty of Education of Soria, Campus Universitario s/n, 42004, Soria, Spain.
| | - Alberto Soto
- University of Valladolid, Faculty of Education of Soria, Campus Universitario s/n, 42004, Soria, Spain.
| | - Cristina Mesquita
- Instituto Politécnico de Bragança, Research Center in Basic Education, Portugal.
| | - Rui Pedro Lopes
- Instituto Politécnico de Bragança, Research Center in Digitalization and Intelligent Robotics, Portugal.
| | - Adolfo Cordero-Rivera
- Universidade de Vigo, ECOEVO Lab, Escola de Enxeñaría Forestal, Campus Universitario, 36005, Pontevedra, Spain.
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Coca JR, Eraña H, Castilla J. Biosemiotics comprehension of PrP code and prion disease. Biosystems 2021; 210:104542. [PMID: 34517077 DOI: 10.1016/j.biosystems.2021.104542] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 09/01/2021] [Accepted: 09/07/2021] [Indexed: 01/01/2023]
Abstract
Prions or PrPSc (prion protein, Scrapie isoform) are proteins with an aberrant three-dimensional conformation that present the ability to alter the three-dimensional structure of natively folded PrPC (prion protein, cellular isoform) inducing its abnormal folding, giving raise to neurological diseases known as Transmissible spongiforms encephalopathies (TSEs) or prion diseases. In this work, through a biosemiotic study, we will analyze the molecular code of meanings that are known in the molecular pathway of PrPC and how it is altered in prion diseases. This biosemiotic code presents a socio-semiotic correlate in organisms that could be unraveled with the ultimate goal of understanding the code of signs that mediates the process. Finally, we will study recent works that indicate possible relationships in the code between prion proteins and other proteins such as the tau protein and alpha-synuclein to evaluate if it is possible that there is a semiotic expansion of the PrP code and prion diseases in the meaning recently expounded by Prusiner, winner of the Nobel Prize for describing these unusual pathological processes.
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Affiliation(s)
- Juan R Coca
- Social Research Unit in Health and Rare Diseases, University of Valladolid, Spain.
| | - Hasier Eraña
- Center for Cooperative Research in Biosciences (CIC BioGUNE), Basque Research and Technology Alliance (BRTA), Derio, Spain; Atlas Molecular Pharma S. L., Derio, Spain
| | - Joaquín Castilla
- Center for Cooperative Research in Biosciences (CIC BioGUNE), Basque Research and Technology Alliance (BRTA), Derio, Spain; IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
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Coca JR, Sanz-Molina L, Erana H, Castilla J. [Qualitative analysis of the social and family impact of human transmissible spongiform encephalopathies]. Rev Neurol 2019; 69:242-248. [PMID: 31497868 DOI: 10.33588/rn.6906.2019122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Human transmissible spongiform encephalopathies are pathologies related to the misfolding of the cellular prion protein. When these diseases manifest, they are characterized by a rapid and invariably fatal neurodegeneration. AIM To gain insight on the social, personal and family reality of the people in close contact with these disorders. PATIENTS AND METHODS Qualitative interviews were conducted online through semi-structured questionnaires open to carriers and first-degree relatives of those affected. The information was anonymous and the responses were requested to be broad. RESULTS The sample consisted on 47 interviewees, seven confirmed carriers and 40 relatives that might be carriers or not. The majority of the informants were women aged between 30 and 50. The discourse analysis focused on their perception of the disease, time to diagnosis, and their uncertainties/needs allowed establishing four semantic fields: suffering/loss, temporality, medical/clinical and daily life. However, other important elements were also found. Only eight relatives considered necessary to increase research efforts. Relatives also presented a higher rate of uncertainty, while confirmed carriers did not show such uncertainty about their future. CONCLUSIONS Socio-biomedical studies related to prion pathologies are rare. In this work, our knowledge on the social reality of the affected people and their close relatives is extended. These pathologies lead those in close contact with them to extremely complicated social situations with utmost psychosocial management difficulties.
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Affiliation(s)
- J R Coca
- Universidad de Valladolid, Soria, Espana
| | | | - H Erana
- CIC bioGUNE, Vizcaya, Espana
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Fernández Tijero C, R. Coca J, Pérez Sedeño E. El imaginario social de la mujer venenosa: ciencia, metáfora y hermenéutica. Inv fem 2016. [DOI: 10.5209/infe.51666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Son muchas las supersticiones que rodean al ámbito de lo femenino, y que hacen de la mujer el elemento constitutivo esencial de una amplia variedad de imaginarios sociales. Este trabajo presenta el análisis de uno de esos aspectos: el papel de la naturaleza femenina como poseedor de un veneno de efectos nocivos para su entorno, el fujo menstrual, que convierte a toda mujer en una potente hechicera por naturaleza, en un ser dominado por la irracionalidad, frente al espíritu objetivo y científico del hombre y, por tanto, inferior. Esta idea aparece en los primeros tratados médicos de la Antigüedad clásica, perdurando incluso en las obras científicas de auctoritates del mundo de la medicina hasta el Renacimiento y en libros de texto médicos actuales
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