0000000000789394
AUTHOR
G Profita
Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery
Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery.A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a c…
I luoghi del malinteso nella cultura e nella cura
This article focuses on cultural misunderstanding in care relations, starting from the analysis of the effects misunderstanding causes in the relation between doctor and migrant patient. The Western medical model tends to be based on objective data, which can be diagnosed through more and more precise and detailed techniques, but it excludes from care relations human and cultural aspects of subjectivity and relation. This exclusion creates distance, which increases when doctor and patient do not share a cultural homogeneity but differ for their language and the way they conceive their body, health, disease. By showing some clinical examples, this contribution points out how specialized comp…
Safety of hospital discharge before return of bowel function after elective colorectal surgery
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Il riconoscimento, il lavoro, la cura
Il contributo che propongo vuole essere una riflessione sul tema del riconoscimento, nel contesto lavorativo e nel sociale, che mette l’accento sulle problematiche e sulle difficoltà che le persone incontrano in questo momento storico. Un periodo nel quale non sembrano più avere valore i rapporti di reciprocità e di riconoscimento del proprio percorso formativo e lavorativo, perché altro è divenuto il fulcro d'interesse del mondo del lavoro, ormai da anni indirizzato a coinvolgere le persone nella produttività senza più interessarsi a sufficienza del progetto di vita dei soggetti coinvolti. Si evidenziano i rischi e le sofferenze di soggetti che percepiscono, sempre con maggiore precisione,…
Lavoro, organizzazione e cura
Il volume raccoglie contributi sul significato del lavoro nei contesti organizzativi e nei contesti di cura.