Search results for "PATIENT"
showing 10 items of 5265 documents
Interregional mobility, socio-economic inequality and mortality among cancer patients
2020
This paper investigates 3-years mortality after discharge in patients residing in Sicily (Italy) diagnosed with cancer among: colon, stomach, liver, and lungs, between 1/1/2010 - 31/12/2011. The effect of mobility and socio-economic status on mortality is evaluated through survival analysis approach. Results shows that out-of-region hospitalization is associated with higher survival time; no association of mortality with socio-economic status appears. The extent of patients’ mobility, and its relation with mortality raises regional policy considerations
“Dealing With Patients’ Mobility Issues: An Inter-Institutional Perspective To Analyze The Phenomenon And To Support Sustainable Policy Making In Sic…
2014
Nowadays many Italian policy makers, both at a national and regional level, are devoting a growing attention to the phenomenon of patients’ movements seeking public healthcare treatments out of the territorial jurisdiction. This paper presents the main features of a research project being carried out to analyze the mobility flows of Sicilian patients towards other Italian Regions in order to support the design of sustainable related policies. Such study adopts an inter-institutional perspective as the design of sustainable mobility-related policies requires a coordination effort of the Regional Healthcare Department, the Local Health Authorities and the Healthcare providers. The main outcom…
Kairós. Un tempo nel mezzo. Percorso multidisciplinare di analisi dell’esperienza di assistenza ai pazienti oncologici terminali
2011
La concezione personalistica cristiana permette una corretta visione antropologi- ca ed etica che fonda le riflessioni delle scienze umane (sociologia, psicologia, pedagogia, scienze della comunicazione) che vogliono analizzare le situazioni in cui versano il paziente oncologico terminale, i suoi familiari e coloro che si occupano dell’attività di assistenza clinico-sanitaria, sociale e volontaria. Se- condo tale concezione, la “persona” è un’unità inscindibile di corpo, psiche e spirito, di sesso maschile e femminile, destinata a una dimensione trascendente e ultraterrena dell’essere. La persona ammalata di cancro, in questa visione, non può essere ridotta a mero agglomerato psicofisico, a…
La responsabilità penale da derelizione di corpo estraneo in sito chirurgico
2011
The authors focus on the liability of the surgery team members in the case they inadvertently forget behind in the patient's body a foreign abject, which causes injuries and/or death. The authors underline that, according to the current case law regarding medical malproactice, both the main surgeon and their assistant/subordinate are liable for engaging in a markedly imprudent and/or negligent conduct, such as not double-checking scrupulously the surgical site before its closure in order to highlight forgotten foreign bodies. As well, the authors underline that either the circulator nurse or the theatre nurse can be considered punishable by law when that medical error occurs, even if they a…
Total Pain and Illness Acceptance in Pelvic Cancer Patients: Exploring Self-Efficacy and Stress in a Moderated Mediation Model.
2022
Cancer patients experience pain not only in its physical dimension, but also in a broader context that includes psychological, social, and spiritual aspects due to a higher level of anxiety and stress. The present prospective, longitudinal study examined the relationship between total pain and illness acceptance among pelvic cancer patients, taking into consideration the moderated mediation effects of self-efficacy and stress. The study involved a sample of pelvic cancer patients receiving radiotherapy treatment. Assessments were completed at T1 (before radiotherapy), T2 (after 3–4 weeks), and T3 (after radiotherapy) to assess the psychosocial dynamics of illness acceptance (N = 267). The m…
System Dynamics Models To Support Health Care Companies In Managing Clinical Risk
2011
Clinical risk management has gained an increasing relevance because of the higher monetary and no monetary effects of clinical errors on health care companies' performance. For this reason, different risk management techniques from the industrial sector have been adopted by managers of health care companies in order to reduce the occurrences of errors and their relative impacts. However, these methods, based on a linear and static perspective, do not properly support the health care companies' management in the identification and assessment of policies aimed at improving the clinical risk profile without reducing financial performances. Therefore, it is necessary to adopt a systemic and mul…
Predictors of long-term outcomes in patients undergoing periodontal maintenance
2017
Abstract Aim This retrospective study aimed to characterize the baseline status of patients following periodontal maintenance, analysing the association between the long‐term outcome of these patients, smoking, bruxism, and the main clinical and radiographic variables. Material and methods A sample of 174 patients with moderate to severe periodontitis was refined into homogeneous subsamples according to smoking and bruxism and the rate of tooth loss due to periodontal disease (TLPD): 0, 1–2, and >2 teeth. The association and the distribution (χ² test) of the variables within the subsamples were analysed. Results Smoking and bruxism were significantly associated with higher TLPD rates. Verti…
Radiation protection of patients undergoing high-dose-rate brachytherapy: peripheral dose estimation, review of radiation risks and implant shielding…
2015
La braquiterapia (BT) es una modalidad de tratamiento de radioterapia en la que se coloca una fuente radiactiva encapsulada cerca, en contacto o en el interior del volumen a tratar. La desintegración de esta fuente produce la emisión de energía, lo que puede dar lugar a la muerte celular. Una dosis absorbida muy elevada (la dosis absorbida se define como la energía absorbida por unidad de masa) se deposita en un corto período de tiempo y en un pequeño número de fracciones. Para poder realizar un tratamiento de BT se requiere que el volumen de tratamiento sea accesible y bien delimitado en tamaño y forma. La BT se utiliza comúnmente como una modalidad de tratamiento eficaz para el cáncer de …
Course and Predictors of Pain and Physical Functioning in Patients with Hip Osteoarthritis: Systematic Review and Meta-Analysis
2016
Objective: To systematically summarize the literature on: (i) the course of pain and physical functioning; and (ii) predictors of deterioration of pain and physical functioning in patients with osteoarthritis of the hip. Methods: A literature search was conducted in PubMed, CINAHL, Embase, PsychINFO and SPORTDiscus up to July 2015. Meta-analyses and qualitative data syntheses were performed. Results: Eleven of the 15 included studies were of high quality. With regard to the course of pain and physical functioning, high heterogeneity was found across studies (I2 >71%) and within study populations (reflected by large standard deviations of change scores). Therefore, the course of pain and phy…
Le patient gourmand, une identité possible ?
2014
International audience; effet, le plaisir est explicitement revendiqué et cité comme une dimension inhérente au bien manger (Fischler et Masson, 2008). Ainsi, le plaisir participe à l’équilibre alimentaire et constitue une composante nécessaire des sociabilités. Dans cette perspective le plaisir et la santé non seulement ne s’opposent pas mais sont étroitement liés. Malgré cela, en institution hospitalière, l’alimentation ne revêt plus des caractéristiques de partage et semble se réduire à une ingestion de nutriments. Pourtant, le contexte commensal a une influence sur la consommation des patients (Hartwell & al, 2013). C’est à partir de ce constat que nous avons initié une enquête de terra…