Terapia ocupacional en mujeres con cáncer de mama, una mirada desde el modelo canadiense del desempeño ocupacional.
Bibliographic record
Abstract
espanolObjetivos: Determinar como la practica de Terapia Ocupacional, se vuelve necesaria en situaciones complejas de vida como es el cancer de mama. Metodos: Se eligio la metodologia cualitativa, con un enfoque biografico, ya que se utilizo la entrevista en profundidad como herramienta para obtener los datos, luego se codifico la informacion a traves del Modelo Canadiense del Desempeno Ocupacional para asi conocer de manera sistematica como participacion en los diversos componentes emanados desde este modelo; el analisis se realiza comparando la vivencia descrita en contraste con el enfoque de derechos. La muestra se delimito a cuatro mujeres con mas de cinco anos de evolucion pos tratamiento quirurgico. Se solicito que cumplieran con este criterio de tiempo dado que el tratamiento de hormonoterapia segun lo senalado en la literatura se utiliza 5 anos seguidos de farmacos entre los cuales el mas comun es el Tamoxifeno. Resultados: Estos apuntan a que la vivencia del cancer irrumpe en la cotidianidad de la mujer y eso afecta al desempeno ocupacional, dado a que su forma de relacionarse con la, familia y demas personas que estan alrededor de ella se modifica, se reconstruyen e incluso se llegan a disolver relaciones establecidas. Conclusion: A traves de este se puede fortalecer la intervencion desde la Terapia Ocupacional en mujeres con cancer de mamas, donde la practica con un enfoque de derechos permite validar y visualizar (a) la inclusion de mecanismos asociados a los cuidados paliativos enfocados a mantener o mejorar la calidad de vida de la persona llamada superviviente del cancer. EnglishObjective: The goal is to determine how the practice of Occupational Therapy, it becomes necessary in complex life situations such as breast cancer. Methods: The qualitative methodology was chosen, with a biographical approach, since the in-depth interview was used as a tool to obtain the data, then the information was codified through the Canadian Model of Occupational Performance in order to know systematically how to participate in the various Components emanated from this model. The analysis is made comparing the experience described in contrast with the rights approach. The sample was delimited to four women with more than five years of evolution after surgical treatment. They were asked to comply with this time criterion because the treatment of hormone therapy, as it is indicated in the literature, is used 5 consecutive years of drugs, among which the most common is Tamoxifen. Results: These indicate that the experience of cancer breaks into the daily life of women and that affects the occupational performance, given that her way of relating to the family and other people around her is modified, rebuilt and even dissolve established relationships. Conclusion: Through this study, it is possible to strengthen the intervention from Occupational Therapy in women with breast cancer, where practice, with a rights approach, allows validating and visualizing the inclusion of mechanisms associated with palliative care focused on maintaining or improving the quality of life of the person named cancer survivor.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".