Search results for "HCA"
showing 10 items of 895 documents
Training of Physical Therapists to Deliver Individualized Biopsychosocial Interventions to Treat Musculoskeletal Pain Conditions: A Scoping Review
2021
Abstract Objective Current guidelines recommend management of musculoskeletal pain conditions from a biopsychosocial approach; however, biopsychosocial interventions delivered by physical therapists vary considerably in effectiveness. It is unknown whether the differences are explained by the intervention itself, the training and/or competency of physical therapists delivering the intervention, or fidelity of the intervention. The aim was to investigate and map the training, competency assessments, and fidelity checking of individualized biopsychosocial interventions delivered by physical therapists to treat musculoskeletal pain conditions. Methods A scoping review methodology was employed,…
Evaluating the effect of organization and context on technical efficiency: a second-stage DEA analysis of Italian hospitals
2022
Objective: the purpose of this study was to compare the technical efficiency of Italian hospitals at a regional level and to examine if differences could be explained by organisational and contextual factors. Technical efficiency was defined as the ability of the operating units evaluated to use optimal resource levels for their level of output.Methods: the effect of external factors was explored through a second stage Data Envelopment Analysis (DEA). Efficiency scores were calculated for each hospital using the DEA method (Stage I). Through Tobit regression analysis, the estimated efficiency scores were regressed against a set of organisational and contextual characteristics beyond manager…
PsychDT Working Group
2015
Background: Diabetes technology is a cornerstone of diabetes management in the 21st century, with advances in available devices over recent years playing a central role in the way that health care has progressed. Psychosocial interventions have been shown to have a positive impact on glycemic control, reduce psychological distress and reduce costs of health care. Addressing and improving psychosocial outcomes that complement biomedical improvements and looking to the future are crucial to enhance patient acceptance of artificial pancreas (AP) systems. Methods: To achieve closer collaboration and comparability across different AP research trials, a working group was established. Results: Exi…
Clinical Approach to Flash Glucose Monitoring: An Expert Recommendation
2019
The flash glucose monitoring (FGM) system FreeStyle Libre® is a device that measures interstitial glucose in a very simple way and indicates direction and speed of glucose change. This allows persons with diabetes to prevent hypoglycemic and hyperglycemic events. Scientific evidence indicates that the system can improve glycemic control and quality of life. To obtain the maximum benefit, it is necessary to properly handle glucose values and trends. Due to the generalization of the system use, the purpose of the document is to provide recommendations for the optimal use of the device, not only in the management of glucose values and trends but also in the prevention of hypoglycemia, actuati…
Psychosocial Aspects of Continuous Glucose Monitoring
2016
Continuous glucose monitoring (CGM) systems provide people with diabetes with valuable real-time information on glucose trajectories and trends, thus offering opportunities for improving diabetes self-management. Ample evidence from clinical trials underscores CGM effectiveness for biomedical outcomes including HbA1C and hypoglycemia. However, interindividual variability in CGM uptake seems to be substantial: Neither do all individuals with diabetes adopt CGM readily in their diabetes self-management, nor do all of them benefit from CGM. In this article, we focus on CGM effects on quality of life and the potential role of psychosocial patient characteristics for determining the uptake and …
Blood and body fluids exposure of healthcare workers in a university hospital of Palermo, Italy: a fourteen years long surveillance.
2020
Background Healthcare workers are habitually in direct contact with patients, possible carriers of infectious diseases and with potentially infectious biological materials; therefore, the implementation of standard precautions and good working practices represent an intervention strongly recommended by the Centers for Disease Control and Prevention, and required by Italian law, for the prevention of professional cut wounds. The study focused on assessing the exposure frequency and factors related to biological injuries among healthcare workers in a teaching hospital in Palermo, Italy. Methods We performed a 14-years retrospective descriptive analysis on blood and body fluids exposures in he…
Microtomographic reconstruction of mandibular defects treated with xenografts and collagen-based membranes:a pre-clinical minipig model
2021
Background The goal of this study was to evaluate hard tissue response following guided bone regeneration using commercially available bovine bone grafts and collagen membranes; bilayer collagen membrane and porcine pericardium-based membrane, by means of a non-destructive three-dimensional (3D) computerized volumetric analysis following microtomography reconstruction. Material and Methods Bone regenerative properties of various bovine bone graft materials were evaluated in the Göttingen minipig model. Two standardized intraosseous defects (15mm x 8mm x 8mm) were created bilaterally of the mandible of eighteen animals (n=72 defects). Groups were nested within the same subject and randomly d…
A Biologically Inspired Representation of the Intelligence of a University Campus
2016
Abstract Intelligence or smartness in an urban environment implies several factors directed to improve quality of life and efficiency. It is important to note that in this context the inclusion of citizens and their devices is a key factor for reaching smartness. Data from mobile devices are increasingly used in everyday activities and have to be considered a useful means for handling and analyzing knowledge and communications. This paper shows how to represent important data when dealing with smartness by creating an analogy between the representation of human brain areas, activated when specific tasks are performed, and groups of students when behaviors or needs arise. The brain traffic c…
Ogļskābes anhidrāzes XII izoformas strukturālie pētījumi
2017
Ogļskābes anhidrāzes katalizē dzīvajos organismos būtisko bikarbonāta un ogļskābās gāzes savstarpējo atgriezenisko reakciju. Cilvēka organismā ir vairākas ogļskābes anhidrāžu izoformas, un dažu izoformu katalītiskā darbība ir nevēlama. Viena no šīm izoformām, ogļskābes anhidrāzes XII izoforma, saistīta ar vairāku ļaundabīgu audzēju attīstību. Maģistra darba iztrādē tika vairākkārtīgi uzlabota ogļskābes anhidrāzes XII izoformas ekspresijas un attīrīšanas sistēma un iegūtas vairākas ar ligandu saistītas ogļskābes anhidrāzes XII izoformas struktūras. Ar proteīnu rentgenstaru kristalogrāfijas palīdzību tika identificētas dažādu inhibitoru konformācijas ogļskābes anhidrāzes XII izoformas aktīvaj…
Correlations Between Clinical Trial Outcomes Based on Symptoms, Functional Impairments, and Quality of Life in Children and Adolescents With ADHD
2017
Objective: To assess relationships between treatment-associated changes in measures of ADHD symptoms, functional impairments, and health-related quality of life in children and adolescents with ADHD. Method: Pearson correlation coefficients were calculated post hoc for changes from baseline to endpoint in outcomes of one randomized, placebo- and active-controlled trial of lisdexamfetamine (osmotic-release methylphenidate reference) and one of guanfacine extended-release (atomoxetine reference). Results: Changes in ADHD Rating Scale IV (ADHD-RS-IV) total score generally correlated moderately with changes in Child Health and Illness Profile−Child Edition: Parent Report Form (CHIP-CE:PRF) Ach…