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Atención urgente a un paciente anciano que se encuentra inconsciente
2011
Recopilacion de datos Se trata de una persona de 79 anos que se ha caido en la calle. Esta inconsciente, y la llevan al servicio de urgencias de un hospital universitario. Esa manana, como casi todas, hay colapso en las puertas de urgencias. El residente de primer ano (R1) que la recibe, tras comprobar la normalidad de su glucemia digital y de su presion arterial (medida con esfigmomanometro automatico), decide no explorar en espera de que aparezca algun familiar y aporte informacion complementaria (no detecto la arritmia -facilmente comprobable por toma de pulso-, tampoco solicito analisis ni pruebas de imagen). El familiar se presenta 50 min despues e informa sobre el buen estado de salud…
Evaluating the Reform of Healthcare System in Sicily: variations of efficiency and appropriateness between 2008 and 2010
2022

 
 Background. Sicilian government has developed a very ambitious Reform through the Regional Law n. 5 (14th April 2009). Hospitals were requested to ensure the quality of care through monitoring of appropriateness and quality of service. The aim of this study was to assess variations of efficiency and organizational appropriateness of healthcare delivery before and after this Reform and to show patterns associated to different types of healthcare delivery organizations.
 Methods. This study was based on repeated cross-sectional data for 118 (out of 129) short-term, acute-care, non teaching-and-research Sicilian hospitals, in 2008 and 2010. Congestion and slacks analysis was…
Validation of a questionnaire for young women to assess knowledge, attitudes and behaviors towards cervical screening and vaccination against HPV in …
2014
Background: Despite knowledge about HPV may be an important determinant for vaccine acceptance and uptake, only few studies have assessed HPV-related knowledge in young females. The aim of this study was to assess the reliability and validity of the questionnaire, in Italian women ≥18 years old, as a tool to examine knowledge, attitudes and behaviors towards screening and vaccination against HPV and reliable source of information. Methods: The questionnaire was administered to 30 girls in anonymous, voluntary and self -administered form with close-ended type of questions, except for the socio-demographic characteristics. It was composed in 3 sections for a total of 69 items. Participation i…
Barriers to the care of febrile patients in a malaria endemic area : El Bagre (Antioquia, Colombia) 2016.
2020
Objective: identify constraints of patients with acute febrile syndrome to institutional care services access, emphasizing the identification of communication barriers. Method: this is a descriptive study that involves qualitative research techniques including malaria care service patients as well as assistance and administrative personnel of El Bagre town in Antioquia, Colombia in 2016. Semi-structured individual surveys, interviews and focus groups were used. Results: users listed difficulties including transportation, insufficient number of appointments and absence of personnel to access healthcare. Communication difficulties were related to the information provided in the paperwork and …
Rejoinder to Chambers' Comments
1995
RÉSUMÉLes commentaires du professeur Larry Chambers soulèvent des enjeux qui méritent réflexion. Il préfêre le terme «théorie» à celui de «modèle»; il y a plusieurs définitions du concept de modèle et, en conséquence, absence de concensus. Pour moi, le modèle est une métaphore qui guide la recherche de théorie. Quand les variables sont très nombreuses, comme en épidémiologie écologique, le modèle permet au chercheur de construire une séquence d'évenéments qui aide à la compréhension du phénomène étudié. Chambers a raison: je n'ai pas essayer de définir des facteurs de risque spécifiquement épidémiologiques et écologiques. En pratique, les facteurs écologiques du vieillissement restent en ar…
Agent +014 health program: gamification applied to the education of adolescents with diabetes according to the Precede-Proceed model and from a salut…
2021
Resumen Objetivos: la diabetes mellitus tipo 1 es una enfermedad crónica que suele debutar en la infancia y necesitar formación a lo largo para dar respuesta a los cambios producidos en todas las etapas vitales. El objetivo de esta investigación es desarrollar un programa de educación para la salud, siguiendo el modelo Precede-Procede y desde una perspectiva salutogénica atendiendo a las necesidades de la población adolescente y que incluya la gamificación como estrategia educativa. Materiales y métodos: la primera fase es investigación mixta, cuantitativa y cualitativa y combina diferentes instrumentos para la recogida de información. Los participantes son adolescentes con dicho diagnóstic…
Agility activities for children in a municipality in Norway.
2015
The aim of this study was to investigate whether agility activity with dogs can be used to motivate less active children in physical activity and how such activity is experienced by parents and handlers. Data were collected through qualitative interviews with handlers and parents of the participating children. Agility with dogs appeared to motivate less active children to participate in, and endure, demanding physical activity. Joy and bonding with the dog appeared to be key elements in the motivational process. Motivation, initiation, and sustainment of activity over time are beneficial for children.
Dignity, Dependence, and Relational Autonomy for Older People Living in Nursing Homes
2015
Dignity is a core concept in nursing care. In earlier theories on dignity, close links have been drawn between dignity and autonomy, and autonomy has been closely related to independence. These traditional understandings of dignity and autonomy may be challenged when an individual moves into a nursing home. Our findings show that negative views about dependence, institutional frames and structures in the nursing home, and the attitudes and actions of healthcare personnel may diminish independence and lead to a lack of autonomy. Each of these areas can be experienced as a serious threat to the residents' dignity. Findings are interpreted and discussed in the light of a theory of relational a…
Are We Talking about the Same Thing? A Survey of Preschool Workers’ Attitudes and Beliefs about Bullying
2021
The aim of the study was to examine the attitudes and beliefs of preschool workers with respect to the phenomenon of bullying in preschool. Participants comprised 694 employees in private and munic...
Flernivåstaten og krisehåndtering: En kommentar
2022
Artikkelen diskuterer muligheter og utfordringer knyttet til koordinering på tvers av styringsnivåer. Utfordringen er minst tredelt: Dels knyttet til balansen mellom kontinuitet og endring, nærmere bestemt evnen offentlig forvaltning har til å balansere en stabil kjerne samtidig som den justerer, oppdaterer og reformerer; dels balansen mellom effektivitet og legitimitet, nærmere bestemt evnen til kortsiktig problemløsningen i møtet med kriser og langsiktige utfordringer knyttet til legitime løsninger generelt og parlamentarisk forankring konkret; dels dilemmaet mellom politisk-administrativ orden i turbulente tider, nærmere bestemt hvordan offentlige institusjoner håndterer kriser og vanske…