Search results for " need"
showing 10 items of 648 documents
Rechte und Pflichten des Radiologen bei der Indikationsstellung und Anwendung radiologischer Verfahren
2008
A radiological examination or an interventional procedure is a medical invasion of the patient's freedom and does not constitute an offense of causing bodily harm there is a medical indication, when the patient has given consent after being adequately informed, and the intervention is carried out in accord with the valid rules of medical conduct. During the assessment of possible contraindications, the radiologist must also evaluate the indicationy, i.e., he or she must decide if the medical question can be answered by the requested radiological examination. The indication must be viewed the more critically the greater the risk for a complication is. A radiological diagnosis with the use of…
Physical activity promotion in public health nursing practice with children
2007
Background: Physical activity has become a major public health concern even in early childhood. This article exemplifies physical activity promotion in practice as described by public health nurses from Finnish primary health care. Method: We gathered the data by purposive sampling in five regional focus groups with 24 informants working in child health clinics provided for all families with children below school age. Statements associated with physical activity promotion were extracted out of verbatim transcripts. Frequency counting complemented qualitative analysis of the content of statements. Findings: Child-centred evaluation provided by public health nurses focused on motor developmen…
Health Tecnology Assessment: bisogni formativi teorici e pratici nelle Scuole di Specializzazione in Igiene e Medicina Preventiva
2010
Objective: The aim of our study was to perform a survey of Italian graduate students (medical doctors) attending Public Health Schools, in order to assess the importance and training needs concerning Health Technology Assessment (HTA) during their public health postgraduate education. Methods: In July 2010, we sent by e-mail a questionnaire to all graduate medical students attending Public Health Schools from four Italian Regions (representing Northern, Center and Southern Italy). The questionnaire included two sections: 1) knowledge on HTA; 2) assessment of the importance of HTA training during academic public health education. Main results: Eighty-two Public Health graduate students from …
Unmet needs in the management of schizophrenia
2014
Studies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Wi…
Diagnostic and clinical procedures of a patient with oral-facial-digital type II syndrome: a case report
2011
The oral-facial-digital syndromes (OFD) are part of a great number of genetic disorders. They are classified in categories based on characteristic abnormalities, including OFD type I (Papillon-Leage and Psaume syndrome) and OFD type II (Mohr syndrome). The aim of this article is to describe a clinical case of a patient with oral- facial-digital type II syndrome or Mohr syndrome, who underwent surgery for supernumerary teeth removal under endovenous sedation. Moreover, it is intended to discuss the importance of diagnostic and clinical procedures, with proper and concise indications about the limitations of patients with special needs treatment. Due to their clinical and physiological limita…
The effect of the calibre and length of needle on the stability of sclerosing foam.
2020
Objectives Little is known how calibre and length of needles affect the stability of sclerosing foam. Methods Foams were made of 0.5%, 1%, 2% and 3% polidocanol, and 0.2%, 0.5%, 1% and 3% sodium tetradecyl sulfate (STS), which were mixed with air in the proportion of 4:1. These foams were ejected through needles with the length of: 4 mm, 6 mm and 13 mm, and diameter of: 0.26 mm, 0.3 mm and 0.4 mm. Results Foams made of more concentrated polidocanol were more stable. Regarding STS an opposite relationship was revealed. Foams made of polidocanol were more stable if ejected through a longer needle, while the length of needle did not significantly affect stability of STS foams. Foams ejected th…
Consumer Satisfaction with Outpatient Mental Health Care: Impact of an Organizational Change in Mental Health Center Function from Hospital District …
1996
In Finland the administrative responsibility for outpatient psychiatric care has in part been reorganized from specialized psychiatric treatment organizations to health centers. This change has been encouraged by economic pressures, but data about its impact on the quality of treatment and patient satisfaction are limited. We carried out a follow-up study by using the UKU Consumer Satisfaction Rating Scale (UKU-CONSAT) and qualitative interviews to estimate consumer satisfaction with the psychiatric outpatient care just before and 1 year after such a change. The results suggest that dissatisfaction may emerge if too little attention is paid to the longevity of the treatment relationships an…
Real-world EUROCRINE® registry data challenge the reliability of Bethesda cytopathology for thyroid surgery indication
2021
Abstract Objectives Fine-needle aspiration cytology (FNAC) is recommended by international guidelines for the preoperative evaluation of suspicious thyroid nodules >1 cm. Despite robust evidence from endocrine centers demonstrating the key role of FNAC results for the indication of surgery, the method is not routinely used in European clinics. The database EUROCRINE®, which was introduced in 2015 with the scope of registering operations of the endocrine system, allows for a large-scale analysis of the current service reality in Europe concerning FNAC use and associated accuracy. Methods Operations performed to “exclude malignancy”, registered from January 2015 to December 2018 in EUROCRI…
Pre-operative diclofenac HPβCD for pain control of needle biopsy in musculoskeletal neoplasm: preliminary results.
2015
Needle biopsy is the main standard method used for diagnosis of musculoskeletal tumors of the limbs and superficial trunk. Pain control during this procedure is through the use of Local Anaestetic (L.A.). In order to achieve a complete pain control in our cases, recently we started using diclofenac HPβCD 50 mg via s.c. preoperativly. We present the clinical results of a non-randomized study of two eterogeneous groups of patients: "Experimental" Group (1): diclofenac HPβCD 50 mg via s.c. one hour before surgical procedure, local anesthesia and ev. diclofenac HPβCD 50 mg via s.c. 12 hours postoperative; "Conventional" Group (2): local anesthesia and ev. postoperative tramadol 100 mg via oral …
Understanding the relationship between subjective health complaints and satisfaction with life for people in prevocational training in Norway
2021
Background and aim: In Norway, a large part of the population is dependent on disability benefits. The main reasons for this are related to long-term musculoskeletal pain and psychological complaints. Prevocational rehabilitation, aimed at increasing participation in working life, targets people in need of a sheltered vocational environment. This group has been found to report a very high level of health complaints. Therefore, a better understanding of the psychological mechanisms affecting satisfaction with life for people who experience subjective health complaints could be important for tailoring more optimal vocational rehabilitation initiatives for these individuals. This study aimed t…