Search results for "FES"

showing 10 items of 5828 documents

Critical issues for employees in inter-municipal health care services: a multiple case study

2018

Abstract Background Traditional, hierarchical government structures have recently been challenged by increased complexity, fragmented services and heavy public demand. When healthcare services become fragmented and decentralised, they require redesign. Inter-municipal cooperation is a strategy to deal with current challenges and future demographic changes. Few studies exist that can help us conceptualize challenges regarding employment in this context and inform managers in the involved municipalities. This study aims to identify critical issues for employees in inter-municipal health care services and to elaborate on how and why these issues are experienced. Methods A multiple qualitative …

AdultMalemedicine.medical_specialtyAttitude of Health PersonnelInterprofessional RelationsContext (language use)Health informaticsHealth administrationYoung Adult0502 economics and businessHealth care050602 political science & public administrationHumansMedicineCooperative BehaviorQualitative ResearchGovernmentNorwayInter-municipal cooperation (IMC)Reformbusiness.industrylcsh:Public aspects of medicineHealth PolicyNursing researchPublic health05 social sciencesSocial SupportCaselcsh:RA1-1270Health ServicesMiddle AgedPublic relations0506 political scienceCooperationInterinstitutional RelationsHealthHealth Care ReformMunicipalityMultiple caseEmployeeFemalebusiness050203 business & managementResearch ArticleBMC Health Services Research
researchProduct

Prevalence of burnout in Polish anesthesiologists and anesthetist nursing professionals: A comparative non-randomized cross-sectional study.

2015

The purpose of the study was to assess the burnout levels in nurses ( N = 161) versus physicians ( N = 373). The levels of burnout were evaluated by the Polish adaptation of the Spanish Burnout Inventory (Cronbach’s alpha > .70). High burnout level was found in 18.63 percent nurses and 12.06 percent anesthesiologists, and critical level in 3.74 percent nurses and 5.90 percent anesthetists. There were statistically significant differences in Burnout global score, Enthusiasm toward the job, Psychological exhaustion, and Indolence subscales between nurses and physicians. No significant differences were found between sexes in any variable.

AdultMalemedicine.medical_specialtyCross-sectional studyhealth care facilities manpower and serviceseducationBurnout03 medical and health sciences0302 clinical medicineCronbach's alphaNursinghealth services administrationAnesthesiology0502 economics and businessPrevalenceMedicineHumans030212 general & internal medicineBurnout ProfessionalApplied PsychologyNurse AnesthetistsPsychiatric Status Rating Scalesbusiness.industry05 social sciencesNurse anesthetistMiddle AgedhumanitiesAnesthesiologistsCritical levelCross-Sectional StudiesFamily medicinePsychiatric status rating scalesFemalePolandbusinessbusiness.employerpsychological phenomena and processes050203 business & managementJournal of health psychology
researchProduct

Domains of Physical Activity in Relation to Stiffness Index in the General Population.

2021

Background Regular exercise training represents an important modifier of arterial stiffness (AS). Therefore, sex‐specific relations between domains of physical activity (PA; commuting, domestic, and leisure‐time PA, including active sport and occupational PA) with AS were investigated. Methods and Results Stiffness index by digital photoplethysmography was investigated in 12 650 subjects from the GHS (Gutenberg Health Study). Self‐reported PA was evaluated by the “Short Questionnaire to Assess Health‐Enhancing Physical Activity” and reported as activity score peer week, being a combined measure of duration, frequency, and intensity of PA. Multivariable linear regression analysis demonstrat…

AdultMalemedicine.medical_specialtyEpidemiologyPopulationPhysical activityStiffness indexphysical activityPopulation basedRisk Assessmentpopulation basedPhysical medicine and rehabilitationSex FactorsVascular StiffnessRegular exerciseRisk FactorsGermanystiffness indexmedicineHumansHealthy LifestyleProspective StudiesPreventive CardiologyeducationExerciseOriginal Researcheducation.field_of_studybusiness.industryMiddle AgedProtective Factorsmedicine.diseaseLifestylemortalityPrimary PreventionCross-Sectional StudiesCardiovascular DiseasesArterial stiffnessPhysical EnduranceFemaleCardiology and Cardiovascular MedicinebusinessRisk Reduction Behaviorarterial complianceJournal of the American Heart Association
researchProduct

Individualizing Standardized Tests

2013

Author's version of an article in the journal: Qualitative Health Research. Also available from the publisher at: http://dx.doi.org/10.1177/1049732313499073 In assessing geriatric patients' functional status, health care professionals use a number of standardized tests. These tests have defined administration procedures that restrict communication and interaction with patients. In this article, we explore the experiences of occupational therapists and physiotherapists acting as standardized test administrators. Drawing on fieldwork, interviews with physiotherapists and occupational therapists, and observations of test situations on acute geriatric wards, we suggest that the test situation g…

AdultMalemedicine.medical_specialtyEvidence-based practiceinterviewsStandardizationIndividualityStandardized testSocial EnvironmentJudgmentYoung AdultOccupational TherapyNursingrelationship health careHealth careHumansMedicineGeriatric AssessmentCompetence (human resources)Physical Therapy Modalitieshealth care economics and organizationsAgedGeriatricsNorwaybusiness.industryCommunicationHealth carePublic Health Environmental and Occupational HealthPatient PreferenceProfessional-Patient RelationsEvidence-based practiceHealth care professionalsTest (assessment)HospitalizationObservational Studies as TopicGeriatricsrestrictVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808FemaleRelationshipsOlder peoplebusinesshuman activitiesQualitative Health Research
researchProduct

Practice requirements for psychotherapeutic treatment of cancer patients in the outpatient setting-A survey among certified psychotherapists in Germa…

2016

Objective The aim of this study was to delineate the challenges that psychotherapists encounter when they treat cancer patients and how they organise their practices to be able to treat them. Methods A random sample of certified psychotherapists, licensed by the health authorities, with training in psycho-oncology, was asked to complete a questionnaire covering the following issues: therapists' qualifications, organisation of the practice, dealing with appointment cancellations, financing, and networking. Practices with ≥50% cancer patients in their patient load were defined as “practices specialising in cancer” (PSC) and were compared to practices with a smaller proportion of cancer patien…

AdultMalemedicine.medical_specialtyExperimental and Cognitive PsychologyCertificationSocial issues03 medical and health sciences0302 clinical medicineProfessional CompetencePatient LoadGermanyNeoplasmsSurveys and QuestionnairesHealth careOutpatientsmedicineHumans030212 general & internal medicineReferral and ConsultationReimbursementHealth Services Needs and DemandPsychotropic Drugsbusiness.industryHealth services researchMiddle AgedhumanitiesPsychotherapyPsychiatry and Mental healthOncologyPrivate practice030220 oncology & carcinogenesisFamily medicineCommunity practiceFemalebusinessPsycho-oncology
researchProduct

Parental occupational exposure to organic solvents and anencephaly in Mexico

2009

Objective: To assess the relationship between parental occupational exposure to organic solvents, and the risk of anencephaly in Mexico. Methods: A case-control study was conducted based on the registers of the Epidemiological Surveillance System for Neural Tube Defects in Mexico; 151 cases of anencephaly of ≥20 weeks’ gestation were included. A control, born alive and without any apparent congenital malformations at birth, was selected for each case in the same maternity service in which the case was born. Information on occupational exposures, lifestyle habits, reproductive history, use of medicines, supplementation with multivitamins and folic acid, was obtained by a general questionnair…

AdultMalemedicine.medical_specialtyExposición profesional:Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Solvents [Medical Subject Headings]Logistic regressionOccupational safety and healthOccupational medicineRisk FactorsOccupational ExposureEnvironmental healthAnencephaly:Health Care::Environment and Public Health::Public Health::Environmental Pollution::Environmental Exposure::Maternal Exposure [Medical Subject Headings]:Diseases::Congenital Hereditary and Neonatal Diseases and Abnormalities::Congenital Abnormalities::Abnormalities Severe Teratoid::Anencephaly [Medical Subject Headings]medicineHumansMexicoAnencephalyPregnancybusiness.industryPublic Health Environmental and Occupational Health:Health Care::Environment and Public Health::Public Health::Environmental Pollution::Environmental Exposure::Occupational Exposure [Medical Subject Headings]Odds ratioOccupational exposureAnencefaliamedicine.diseaseSolventesSurgeryB vitamins:Geographicals::Geographic Locations::Americas::North America::Mexico [Medical Subject Headings]Maternal ExposureCase-Control StudiesPaternal ExposureSolventsGestationFemalebusinessOccupational and Environmental Medicine
researchProduct

Stage of change and motivation to healthier lifestyle in non-alcoholic fatty liver disease.

2013

Backgrounds & Aims: Healthy diet and physical activity are the treatment cornerstones of non-alcoholic fatty liver disease (NAFLD); their effectiveness is however limited by difficulties in implementing lifestyle changes. We aimed at determining the stage of change and associated psychological factors as a prerequisite to refine strategies to implement behavior changes. Methods: We studied 138 consecutive NAFLD patients (73% male, age 19-73 years). The diagnosis was confirmed by liver biopsy in 64 cases (steatohepatitis, 47%). All cases completed the validated EMME-3 questionnaire, consisting of two parallel sets of instruments (for diet and physical activity, respectively) and providing st…

AdultMalemedicine.medical_specialtyHealth BehaviorDiseaseMotor ActivityLogistic regressionPsychological factorsDIETNAFLD. LIFESTYLEYoung Adult03 medical and health sciencesWEIGHT LOSS0302 clinical medicineHumansNON-ALCOHOLIC FATTY LIVER DISEASEMedicine030212 general & internal medicineYoung adultLife StyleAgedHepatologybusiness.industryPhysical activityBehavior changeFatty liverTranstheoretical modelLIFESTYLE DETERMINANTSMOTIVATIONOdds ratioMiddle Agedmedicine.diseaseLifestyle3. Good healthFatty LiverHealthy dietPhysical therapyFemale030211 gastroenterology & hepatologysense organsSteatohepatitisbusinessDemography
researchProduct

CC chemokine receptor 5 polymorphism in Italian patients with Beḩet's disease

2012

OBJECTIVE: To evaluate the potential role of CC chemokine receptor 5 (CCR5)Δ32 polymorphism in the susceptibility to and clinical expression of Behcet's disease (BD) in a cohort of Italian patients. METHODS: One hundred and ninety-six consecutive Italian patients satisfying the ISG criteria for BD were followed up for 8 years, and 180 healthy age- and sex-matched blood donors were molecularly genotyped for the CCR5Δ32 polymorphism. A standard microlymphocytotoxicity technique was used to serotype HLA-B51. The patients were subgrouped on the basis of the presence or absence of clinical manifestations. RESULTS: The distribution of the CCR5Δ32 genotype differed between BD patients and controls…

AdultMalemedicine.medical_specialtyHeterozygoteReceptors CCR5Behcet's disease CCR5 polymorphismBehcet's diseaseGastroenterologyRheumatologyGeneticGene FrequencyInternal medicineGenotypeReceptorsMedicineHumansPharmacology (medical)Genetic Predisposition to DiseaseAllelePolymorphismAllele frequencyPolymorphism Geneticbusiness.industryBehcet SyndromeHomozygoteCase-control studyOdds ratiomedicine.diseaseBeḩet's disease; CC chemokine receptor 5 Δ32 olymorphism; Chemokines; Disease manifestations; Adult; Behcet Syndrome; Case-Control Studies; Female; Gene Frequency; Genetic Predisposition to Disease; HLA-B Antigens; Heterozygote; Homozygote; Humans; Italy; Male; Polymorphism Genetic; Receptors CCR5; Rheumatology; Pharmacology (medical)Adult; Behcet Syndrome; Case-Control Studies; Female; Gene Frequency; Genetic Predisposition to Disease; HLA-B Antigens; Heterozygote; Homozygote; Humans; Italy; Male; Polymorphism Genetic; Receptors CCR5ItalyHLA-B AntigensCase-Control StudiesImmunologyCohortFemalebusinessCC chemokine receptorsCCR5
researchProduct

Type A Behavior Pattern

2012

Aim : To evaluate the presence of type A behavior in patients affected by open-angle glaucoma (OAG) and the possible role of psychophysiological stress as a risk factor for OAG. Materials and methods Fifty patients, 30 women and 20 men, affected by OAG, underwent ophthalmological examination consisting of complete biomicroscopy, tonometry and daily tonometric curve, examination of the visual field by means of computerized perimeter "Octopus 1-2-3," and its assessment with the Glaucoma Staging System 2, morphologic monitoring of the retinal nerve fiber layer with GDx VCC and psychological assessment (Hamilton Anxiety Rating Scale) to evaluate the presence of anxiety and its level; type A/B p…

AdultMalemedicine.medical_specialtyIntraocular pressureOpen angle glaucomaHamilton Anxiety Rating ScaleType A Behavior Patternmedia_common.quotation_subjectGlaucomaManifest Anxiety ScaleTonometry OcularRisk FactorsOphthalmologyHumansMedicinePersonalityPsychological testingIntraocular PressureAgedmedia_commonSettore MED/30 - Malattie Apparato Visivobusiness.industryType A PersonalityType A and Type B personality theoryMiddle Agedmedicine.diseaseOpen-Angle Chronic GlaucomaOphthalmologyquality of lifeChronic DiseaseVisual Field TestsAnxietyFemaleVisual Fieldsmedicine.symptombusinessGlaucoma Open-AngleStress PsychologicalJournal of Glaucoma
researchProduct

Cutaneous, genital and oral lichen planus: a descriptive study of 274 patients

2018

Background Lichen planus (LP) is a chronic autoimmune disease that affects the oral mucosa as well as the skin, genital mucosa and other sites. Objective: to evaluate the correlation between oral, genital and cutaneous lichen planus, in a sample of LP patients. Material and Methods This descriptive study reviewed 274 clinical histories of patients, who all presented histological confirmation of lichen planus verified by a pathologist, attending research centers in Barcelona. Results A total of 40 LP patients (14.59%) presented genital lesions. Of 131 patients with cutaneous LP (47.8%), the most commonly affected zones were the body’s flexor surfaces, representing 60.1% of cases. 24% of pati…

AdultMalemedicine.medical_specialtyLiquen plaManifestacions orals de les malaltiesDisease030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicinestomatognathic systemDiabetes mellitusmedicineHumansSex organOral mucosaFamily historyskin and connective tissue diseasesGeneral DentistryDepression (differential diagnoses)AgedAged 80 and overAutoimmune diseaseOral Medicine and PathologyGenerative organsintegumentary systembusiness.industryResearchLichen PlanusAparell genital030206 dentistryMiddle Aged:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseDermatologyOral manifestations of general diseasesstomatognathic diseasesmedicine.anatomical_structureOtorhinolaryngologyUNESCO::CIENCIAS MÉDICASFemaleSurgeryOral lichen planusGenital Diseases MalebusinessLichen planusGenital Diseases FemaleLichen Planus Oral
researchProduct