Search results for "Consulta"

showing 10 items of 222 documents

Intimate partner violence in women with disabilities: perception of healthcare and attitudes of health professionals

2017

Intimate partner violence (IPV) is a major social problem and public health issue, but we still have a relatively small amount of data about partner violence in women with disabilities. The main objective of this study was to understand the experiences of women with disabilities who are or have been abused by their partners and to explore the knowledge, views and training requirements of primary care professionals.Qualitative study using semi-structured interviews with women with disabilities who had experienced IPV (n = 14), and focus groups with healthcare professionals (n = 16).Women with disabilities suffer specific forms of abuse. Because they depend on the people around them to take a…

AdultHealth Knowledge Attitudes Practice030506 rehabilitationmedicine.medical_specialtyAttitude of Health PersonneleducationIntimate Partner ViolencePoison controlSocial issuesSuicide prevention03 medical and health sciences0302 clinical medicineNursingHealth caremedicineHumansDisabled Persons030212 general & internal medicinePsychiatryReferral and ConsultationQualitative Researchbusiness.industryBattered WomenPublic healthRehabilitationFocus groupSpainWomen's HealthDomestic violenceFemale0305 other medical sciencebusinessNeeds AssessmentQualitative researchDisability and Rehabilitation
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Assessment of EVAR Complications using CIRSE Complication Classification System in the UK Tertiary Referral Centre: A ∼6-Year Retrospective Analysis …

2021

Purpose: To retrospectively analyse complications in endovascular aortic repair (EVAR) interventions and evaluate if the CIRSE (Cardiovascular and Interventional Radiological Society of Europe) complication classification system is appropriate as a standardized classification tool for EVAR patients. Materials and Methods: Demographic, procedural and complication data in 719 consecutive patients undergoing EVAR at one institution from January 2014 to October 2019 were retrospectively reviewed. Data (imaging reports, procedural reports, nurse notes, discharge summary reports) were collected consulting the electronic patient record system (EPR) of the hospital and cleaned and stored in a Micro…

AdultMaleAccess-site complicationmedicine.medical_specialtyTime FactorsAdditional treatmentEndoleakEndovascular aortic repair (EVAR)Tertiary referral centreComplication grading scalePopulationVascular accessRadiology InterventionalSeverity of Illness Index030218 nuclear medicine & medical imagingTertiary Care Centers03 medical and health sciencesYoung Adult0302 clinical medicinePostoperative ComplicationsmedicineRetrospective analysisHumansRadiology Nuclear Medicine and imagingIn patienteducationReferral and ConsultationSocieties MedicalAgedRetrospective StudiesAged 80 and overeducation.field_of_studyCIRSE complication classification systemmedicine.diagnostic_testbusiness.industryGeneral surgeryEndovascular ProceduresInterventional radiologyMiddle AgedUnited KingdomAortic AneurysmEuropeReporting systemTreatment OutcomeRadiological weaponFemaleCardiology and Cardiovascular MedicineComplicationbusinessCardiovascular and interventional radiology
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Impact of pharmaceutical intervention on quality of life and coping strategies in patients with haematological malignancies

2015

Summary Objectives We conducted a prospective study approved by the local ethics committee to determine the impact of a pharmaceutical intervention (PI) on pain, fatigue, quality of life (QoL) and coping strategies in patients with HMs starting chemotherapy sessions. Material and methods Patients received either usual care (UC) + PI (PI group) or UC alone (UC group). They had to complete 2 questionnaires, QLQ-C30 and MAC 21, at 3 different time points: before starting the 1st chemotherapy session (T1), during the intercure (T2) and the day before starting the 2nd chemotherapy session (T3). To determine predictive factors of pain, fatigue, QoL and coping scores at T3, a multivariate ANOVA wa…

AdultMaleCoping (psychology)medicine.medical_specialtyAdolescentPharmaceutical ScienceAntineoplastic AgentsPharmacistsYoung Adult03 medical and health sciences0302 clinical medicineNursingSurveys and QuestionnairesAdaptation PsychologicalHumansMedicineIn patientProspective Studies030212 general & internal medicineProspective cohort studyReferral and ConsultationAgedAged 80 and overPharmacologybusiness.industryEthics committeeMiddle AgedhumanitiesHematologic Neoplasms030220 oncology & carcinogenesisMuscle FatigueUsual careQuality of LifePhysical therapyFemaleAnalysis of variancebusinessAnnales Pharmaceutiques Françaises
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Factors associated with the activities of safety representatives in Spanish workplaces

2007

Objective: To describe the activities of safety representatives in workplaces in Spain. Methods: A specific questionnaire was applied to a representative sample of safety representatives. Activities developed during the past year, presented in a closed ended list, were categorised into three groups: information and advising; participation in occupational health management; and pressure on or negotiation with employers. Personal phone interviews were conducted from September to December 2004. A sample of 1201 interviews was attained. Crude and multivariate analyses were carried out. Results: Spanish safety representatives were mostly men (76%), aged 26 to 45 years (62%), with fixed contracts…

AdultMaleEvidence-Based Public Health Policy and Practicemedicine.medical_specialtyMultivariate analysisAdolescentConsultantsEpidemiologyJob descriptionOccupational safety and healthOddsOccupational medicineSampleUNESCO::CIENCIAS MÉDICAS ::Salud públicaPhoneSurveys and QuestionnairesHumansMedicine:CIENCIAS MÉDICAS ::Salud pública [UNESCO]Safety ; Spanish workplaces ; Activities ; SampleOccupational HealthAgedbusiness.industryPublic healthPublic Health Environmental and Occupational HealthMiddle Aged:CIENCIAS MÉDICAS [UNESCO]Job DescriptionSpainFamily medicineScale (social sciences)UNESCO::CIENCIAS MÉDICASFemaleSpanish workplacesSafetybusinessActivities
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Achalasia—an unnecessary long way to diagnosis

2015

Although achalasia presents with typical symptoms such as dysphagia, regurgitation, weight loss, and atypical chest pain, the time until first diagnosis often takes years and is frustrating for patients and nevertheless associated with high costs for the healthcare system. A total of 563 patients were interviewed with confirmed diagnosis of achalasia regarding their symptoms leading to diagnosis along with past clinical examinations and treatments. Included were patients who had undergone their medical investigations in Germany. Overall, 527 study subjects were included (male 46%, female 54%, mean age at time of interview 51 ± 14.8 years). Dysphagia was present in 86.7%, regurgitation in 82…

AdultMaleMyotomymedicine.medical_specialtyDelayed DiagnosisTime FactorsManometrymedicine.medical_treatmentAchalasia03 medical and health sciences0302 clinical medicineInterquartile rangeGermanymedicineHumansReferral and ConsultationAgedmedicine.diagnostic_testbusiness.industryEsophagogastroduodenoscopyGold standardGastroenterologyEndoscopic dilatationGeneral MedicineMiddle Agedmedicine.diseaseDysphagiaSurgeryEsophageal Achalasia030220 oncology & carcinogenesisVomitingFemale030211 gastroenterology & hepatologyEsophagoscopySymptom Assessmentmedicine.symptombusinessDiseases of the Esophagus
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Clinicopathologic features of nasopalatine duct cysts: A retrospective study in two Brazilian oral and maxillofacial pathology referral centers

2021

Background Nasopalatine duct cyst (NDC) is the most common non-odontogenic cyst in the oral cavity. Clinically it is not difficult to suspect these lesions based on clinical and radiographic appearance. However, the histopathological diagnosis may be difficult due to the broad morphological diversity of these lesions. The objective was to analyze the clinicopathological features of NDCs diagnosed in two oral and maxillofacial pathology services in the Brazilian northeast. Material and Methods A retrospective clinicopathologic study was performed. A total of 18,121 clinical records of oral lesions from two oral and maxillofacial pathology services in Brazil were analyzed (2000-2020). All NDC…

AdultMalePathologymedicine.medical_specialtyrecurrenceRadiographyStratified squamous epitheliumAsymptomaticzoledronic acidOral and maxillofacial pathologyNasopalatine duct cystMedicineHumansCystbisphosphonatesplatelet rich plasmaGeneral DentistryReferral and ConsultationUNESCO:CIENCIAS MÉDICASRetrospective StudiesOral Medicine and Pathologybusiness.industryCystsResearchdenosumabRetrospective cohort studymedicine.diseaseNonodontogenic Cystsosteonecrosis of the jawmedicine.anatomical_structurerisk factorOtorhinolaryngologyGiant cellPathology OralSurgeryFemalemedicine.symptombusinessBrazilMedicina Oral, Patología Oral y Cirugía Bucal
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PREGO (presentation of Graves' orbitopathy) study: changes in referral patterns to European Group On Graves' Orbitopathy (EUGOGO) centres over the pe…

2015

BACKGROUND/AIMS: The epidemiology of Graves' orbitopathy (GO) may be changing. The aim of the study was to identify trends in presentation of GO to tertiary centres and initial management over time.METHODS: Prospective observational study of European Group On Graves' Orbitopathy (EUGOGO) centres. All new referrals with a diagnosis of GO over a 4-month period in 2012 were included. Clinical and demographic characteristics, referral timelines and initial decisions about management were recorded. The data were compared with a similar EUGOGO survey performed in 2000.RESULTS: The demographic characteristics of 269 patients studied in 2012 were similar to those collected in the year 2000, includi…

AdultMalePediatricsmedicine.medical_specialtyReferralEpidemiologyMedizin030209 endocrinology & metabolismGraves' ophthalmopathyTertiary Care Centers03 medical and health sciencesCellular and Molecular Neuroscience0302 clinical medicineEpidemiologymedicinePrevalenceHumansEpidemiology; Orbit; Ophthalmology; Sensory Systems; Cellular and Molecular NeuroscienceProspective StudiesProspective cohort studyReferral and Consultationbusiness.industryThyroid diseaseMiddle Agedmedicine.diseaseSensory SystemsEuropeGraves OphthalmopathyOphthalmologyCohort030221 ophthalmology & optometryObservational studyFemalesense organsPresentation (obstetrics)businessOrbitBritish journal of ophthalmology
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Guideline-based survey of outpatient COPD management by pulmonary specialists in Germany

2012

Thomas Glaab1,2, Claus Vogelmeier3, Andreas Hellmann4, Roland Buhl11Department of Respiratory Diseases III, Medical Center of the Johannes Gutenberg-University, Mainz, 2Medical Affairs Germany, Respiratory Medicine, Boehringer Ingelheim Pharma GmbH and Co, KG, Ingelheim, 3Department of Respiratory Diseases, University Hospitals of Giessen and Marburg, Marburg, 4Federal Association of Pneumologists, Augsburg, GermanyBackground: Little is known about the role of guidelines for the practical management of chronic obstructive pulmonary disease (COPD) by office-based pulmonary specialists. The aim of this study was to assess their outpatient management in relation to current guideline recommenda…

AdultMaleSpirometryHealth Knowledge Attitudes Practicemedicine.medical_specialtyChronic bronchitisAttitude of Health Personneldiagnosismedicine.medical_treatmentInternational Journal of Chronic Obstructive Pulmonary DiseasePulmonary Disease Chronic ObstructivePatient Education as TopicAmbulatory careRisk FactorsGermanySurveys and QuestionnairesHealth careAmbulatory CaremedicineHumanssurveyPulmonary rehabilitationGOLDPractice Patterns Physicians'Referral and ConsultationOriginal ResearchtherapyCOPDEvidence-Based Medicinemedicine.diagnostic_testbusiness.industryGeneral MedicineGuidelineMiddle Agedmedicine.diseasepulmonary rehabilitationclinical outcomesObstructive lung diseaseRespiratory Function TestsBenchmarkingCross-Sectional StudiesHealth Care SurveysFamily medicinePractice Guidelines as TopicFemaleGuideline AdherencebusinessInternational Journal of Chronic Obstructive Pulmonary Disease
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Results of the Thyroid Cancer Alliance international patient/survivor survey: Psychosocial/informational support needs, treatment side effects and in…

2013

To comprehensively assess the experience of a large, diverse cohort and identify potential care improvements, the Thyroid Cancer Alliance, an international patient/survivor group coalition, surveyed thyroid cancer patients/survivors worldwide.English, German, French or Spanish versions of a self-developed 43-item questionnaire were completed, predominantly online, by 2398 respondents from the US (37.9%), Germany (21.3%), the UK (11.5%), Canada (11.4%), France (9%), and 35 other countries. Females and differentiated thyroid carcinoma patients each comprised ~87% of respondents. Diagnosis occurred at age 30-59 years in 71.8%, within1 (1-5) year(s) before survey completion in 16.4% (55%).At di…

AdultMalemedicine.medical_specialtyCanadaReferralCross-sectional studyEndocrinology Diabetes and MetabolismThyroid carcinomaCohort StudiesIodine RadioisotopesSocial supportGermanySurveys and QuestionnairesmedicineHumansSurvivorsThyroid NeoplasmsThyroid cancerReferral and Consultationbusiness.industrySocial SupportGeneral MedicineMiddle Agedmedicine.diseaseUnited KingdomUnited StatesCross-Sectional StudiesFamily medicineCohortThyroidectomyFemaleFrancebusinessPsychosocialStress PsychologicalCohort studyHormones (Athens, Greece)
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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…

AdultMalemedicine.medical_specialtyDelphi TechniqueGeneral PracticeDelphi methodDelphi methodAntiviral AgentsDrug PrescriptionsHealth Services AccessibilityMedication AdherencemodelsPatient referralTreatment targetsChronic hepatitismedicineHumansdelphi method; direct-acting antivirals; disease eradication; hepatitis c virus; adult; aged; antiviral agents; disease eradication; drug prescriptions; female; general practice; health care surveys; health services accessibility; hepatitis c chronic; humans; italy; male; medication adherence; middle aged; models theoretical; quality Improvement; referral and consultation; delphi techniquehepatitis cMedical prescriptiontheoreticalReferral and Consultationdirect-acting antiviralsAgedHepatitisdirect-acting antiviralHepatologyDisease Eradicationbusiness.industryHepatitis C virusGastroenterologyDrug agencyHepatitis C ChronicMiddle AgedModels Theoreticalmedicine.diseaseQuality ImprovementchronicItalyHealth Care SurveysFamily medicineFemaledisease eradicationbusiness
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