Search results for " Accessibility"
showing 10 items of 140 documents
Optimizing patient referral and center capacity in the management of chronic hepatitis C: Lessons from the Italian experience
2019
Abstract Aims In 2017 the Italian Drug Agency (Agenzia Italiana del Farmaco, AIFA) revised the criteria for access to therapy for patients with chronic hepatitis C as part of a three-year plan to eradicate HCV. We conducted a Delphi study to determine strategies to identify and treat patients with HCV and to develop through a shared pathway, a model to manage patient referral and optimize prescription center capacity with the overall aim of increasing access to therapy. Methods The process took place in two phases – Phase I (January 2017), before the criteria for treatment of HCV were revised and Phase II (May 2017) when AIFA developed a framework for the eradication of HCV infection in Ita…
A Single-Center Experience with Lung Transplants During the COVID-19 Pandemic
2021
BACKGROUND This single-center study analyzed distinctions between lung transplants performed in the Department of Cardiac and Vascular surgery of the University Clinical Center in Gdansk, Poland before and during the COVID-19 pandemic. MATERIAL AND METHODS There were 189 patients who underwent the qualification procedure to lung transplantation in the Department of Cardiac and Vascular Surgery of the University Clinical Center in Gdansk, Poland in the years 2019 and 2020. The control group consisted of 12 patients transplanted in 2019, and the study group consisted of 16 patients transplanted in 2020. RESULTS During 2019, the qualification process was performed in 102 patients with pulmonar…
For patients with breast cancer, geographic and social disparities are independent determinants of access to specialized surgeons. A eleven-year popu…
2012
Abstract Background It has been shown in several studies that survival in cancer patients who were operated on by a high-volume surgeon was better. Why then do all patients not benefit from treatment by these experienced surgeons? The aim of our work was to study the hypothesis that in breast cancer, geographical isolation and the socio-economic level have an impact on the likelihood of being treated by a specialized breast-cancer surgeon. Methods All cases of primary invasive breast cancer diagnosed in the Côte d’Or from 1998 to 2008 were included. Individual clinical data and distance to the nearest reference care centre were collected. The Townsend Index of each residence area was calcul…
The road to equitable healthcare: A conceptual model developed from a qualitative study of Syrian refugees in Norway
2021
Background Refugees in high-income countries face barriers to healthcare access even when they have the same rights and entitlements as the host population. Disadvantages in healthcare access contribute to differences in health outcomes and impact acculturation. This study explores perceived changes in health status and experiences with the Norwegian healthcare system of Syrian refugees living in Norway, using a trajectory perspective. Methods We conducted 15 semi-structured interviews in April 2020 among purposefully recruited adult refugees from Syria resettled in Norway. Interviews were carried out in Arabic and analysed with Systematic Text Condensation using NVivo software. We used Lév…
Use of health care services among Syrian refugees migrating to Norway: a prospective longitudinal study
2021
Abstract Background Understanding the differential utilization of healthcare services is essential to address the public health challenges. Through the migration process, refugees move from one set of health risk factors to another and can face multiple healthcare challenges along their journey. Yet how these changing risk factors influence refugees’ use of health care services is poorly understood. Methods A longitudinal survey assessing health care utilization of 353 adult Syrian refugees was conducted; first in a transit setting in Lebanon and after one year of resettlement in Norway. The main outcomes are the utilization of general practitioner services, emergency care, outpatient and/o…
An integrated approach to architectural heritage conservation through preservation and accessibility
2015
Historical architecture preservation in an historic centre, shouldn’t leave out of consideration the analysis of the architecture itself , an analysis that acknowledges the original structure , the endless changes and the altering brought about by various needs of use as well as by natural phenomena and atmospheric events (earthquakes , pollution, anthropical damages). Historical buildings have also been damaged by the lack of understanding of these phenomena : further damages were caused by inadeguate laws (L.457/58) whose text is too old fashioned if we take into consideration the already settled notions on conservation . These notions are meant to provide : 1 - the ability to read these …
Eye tracking analysis of minor details in films for audio description
2012
This article focuses on the many instances when minute details found in feature films may have direct implications upon the development of both the visual and plot narratives. The main question we would like to ask examines whether very subtle details which may easily go unnoticed by the viewer should be audio described. To assess the visual consciousness of such minute details, a perception experiment was conducted using eye-tracking technology and questionnaires. Though the result is not conclusive, it shows a clear methodological approach in the field of the audio description of visual details, and does give some indication as to what should be taken into consideration in future studies …
Multi-sensory approaches to (audio) describing the visual arts
2012
Making art accessible to blind patrons requires the ability to convey explicit and implicit visual messages through non-visual forms. Audio description is often seen as the best way to offer visual texts to blind people; however, one may query whether words alone are sufficient to convey the subtleties of art and to transport the emotional charge such works offer. It is a fact that the dialogue between words and touch may allow these particular “readers” to “see” art in its tangible forms, but perhaps more is needed if one is to give them the opportunity to live the art experience to the full. This article discusses different multi-sensory approaches to making art available to visually impa…
The One Savior Paradigm
2009
The one savior paradigm is discussed not only as doctrinal aspect of religious teachings but as one of mostly manifested aspect of our psychic, that should be adequately investigated. We suggest simple idea that could serve as starting cognitive model for the one savior paradigm, that might give effect in considering global aspects of humanity, e.g., such as global economy and exact sciences in more friendly connection with religious thinking.
The promotion of the historical, cultural, and landscape heritage - Active citizenship
2017
In Italy, the management of the historic, artistic, cultural and landscape heritage and the issues related to its conservation and sustainability are an increasingly urgent issue to discuss, especially in light of the economic crisis of recent years. The policy, in the past, has focused mainly on large restorations, neglecting investments in conservation, an improved accessibility to the heritage, the dissemination of good practices for the protection and maintenance of the same, the enhancement of the landscape. Moreover, to make matters worse, the continuous risk of deterioration, caused by environmental conditions of the context in which the assets are located, and the lack of appropriat…