Search results for "Health Facilitie"
showing 9 items of 19 documents
Three Decades of Comprehensive Geriatric Assessment: Evidence Coming From Different Healthcare Settings and Specific Clinical Conditions
2017
Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies medical, psychosocial, and functional capabilities of older adults to develop a coordinated plan to maximize overall health with aging. Specific criteria used by CGA programs to evaluate patients include age, medical comorbidities, psychosocial problems, previous or predicted high healthcare utilization, change in living situation, and specific geriatric conditions. However, no universal criteria have been agreed upon to readily identify patients who are likely to benefit from CGA. Evidence from randomized controlled trials and large systematic reviews and meta-analyses suggested…
Air-kerma evaluation at the maze entrance of HDR brachytherapy facilities.
2014
In the absence of procedures for evaluating the design of brachytherapy (BT) facilities for radiation protection purposes, the methodology used for external beam radiotherapy facilities is often adapted. The purpose of this study is to adapt the NCRP 151 methodology for estimating the air-kerma rate at the door in BT facilities. Such methodology was checked against Monte Carlo (MC) techniques using the code Geant4. Five different facility designs were studied for (192)Ir and (60)Co HDR applications to account for several different bunker layouts.For the estimation of the lead thickness needed at the door, the use of transmission data for the real spectra at the door instead of the ones emit…
Attaccamento ai luoghi e prospettive abitative in un campione di utenti in comunità terapeutiche assistite psichiatriche
2011
Aim: The study aimed to inquire place attachment bonds in a sample of psychiatric patient hosted in Residential Mental Health Facilities of Palermo. Satisfaction for current accommodation in the Facility, reasons for place preference and housing perspectives were explored. Methods: A questionnaire consisting in 31 open questions was administered to 39 subjects living in three Residential Mental Health Facilities of Health Department of Palermo. Results: Own room and terraces with plats are the patients' favourite places in the Facilities. During the first month of stay, these places satisfy need for retirement and distraction, while in the following period they become spaces where meet peop…
Istruttoria tecnico-scientifica nel giudizio a quo e giudizio di legittimità costituzionale: il caso dell’obbligo vaccinale nella decretazione d’urge…
2022
Muovendo dall’ordinanza n. 38 del 2022 del Consiglio di giustizia amministrativa per la Regione siciliana (CGARS), il contributo si sofferma a) sull’estensione per analogia degli obblighi vaccinali; b) su oscurità ed incoerenze della disciplina sugli obblighi vaccinali in tema di accesso alle strutture socio-sanitarie. Il contributo si incentra poi sull'istruttoria tecnico-scientifica e la motivazione sulla non manifesta infondatezza delle questioni di legittimità costituzionale aventi ad oggetto la disciplina sull'obbligo vaccinale e sugli aspetti problematici dell'ordinanza di rimessione del CGARS.
Digitalisation of municipal healthcare collaboration with volunteers: a case study applying normalization process theory
2021
Abstract Background Increasing use of volunteers in healthcare requires structured collaboration between healthcare services and volunteers. The aim of this research was to explore critical issues and strategies in the implementation process of a digital solution for collaboration with and coordination of volunteers in municipal healthcare services. Methods Qualitative data collection was used to study implementation of a digital system for collaboration with volunteers in three Norwegian municipalities. Three rounds of interviews were conducted with healthcare employees from a volunteer centre and from municipality healthcare units in three municipalities: before implementation, and 6 and …
Muscle Function Differences between Patients with Bulbar and Spinal Onset Amyotrophic Lateral Sclerosis. Does It Depend on Peripheral Glucose?
2021
Background: One of the pathogenic mechanisms of ALS disease is perturbed energy metabolism particularly glucose metabolism. Given the substantial difference in the severity and the prognosis of the disease, depending on whether it has a bulbar or spinal onset, the aim of the study was to determine metabolic differences between both types of ALS, as well as the possible relationship with muscle function. Materials and Methods: A descriptive, analytical, quantitative, and transversal study was carried out in hospitals and Primary Care centers in the region of Valencia, Spain. Fasting glucose and alkaline phosphatase (AP) levels in venous blood, muscle percentage, fat percentage, muscle streng…
Leadership Effectiveness in Healthcare Settings: A Systematic Review and Meta-Analysis of Cross-Sectional and Before-After Studies
2022
To work efficiently in healthcare organizations and optimize resources, team members should agree with their leader’s decisions critically. However, nowadays, little evidence is available in the literature. This systematic review and meta-analysis has assessed the effectiveness of leadership interventions in improving healthcare outcomes such as performance and guidelines adherence. Overall, the search strategies retrieved 3,155 records, and 21 of them were included in the meta-analysis. Two databases were used for manuscript research: PubMed and Scopus. On 16th December 2019 the researchers searched for articles published in the English language from 2015 to 2019. Considering the study des…
Proposal for an Alliance Between Healthcare and Legal Area Professionals for Shared Public Health and Preventive Strategies in Italy and Europe
2020
Following the implementation of the new Italian legislation on responsibility of healthcare workers, a multi-professional framework, involving representatives of the Italian public health professionals and legal professionals expert in the field, drafted a proposal of the actionable recommendations to be implemented in the management of civil and penal disputes arising from the practice of public health interventions. In order to prevent legal disputes concerning some public health fields such as vaccinations, cancer screening, environmental health surveillance, and hospital management, it should be primary taken into account to update guidelines in supporting decision-making processes, in …
Serological and molecular identification of Legionella spp. isolated from water and surrounding air samples in Italian healthcare facilities
2016
Abstract Background Legionella is an intracellular microorganism living in natural and artificial aquatic environments. Although its transmission to humans is linked to the inhalation of contaminated aerosols, there is no validated air sampling method for the control and prevention of the disease. The aim of the present study was to provide more information on the distribution of Legionella spp. in indoor environments and to determine whether the same Legionella strains are isolated from air and water samples. Methods Ten healthcare facilities located in seven regions of Italy were enrolled. The serological typing of Legionella spp. from water samples and the surrounding air by active and p…