Search results for "PATIENT"

Cornelia de Lange syndrome: A case report

2007

Cornelia de Lange is a genetic syndrome which affects between 1/10.000 and 1/60.000 neonates, but its genetic bases are still not clear. Its principal clinical characteristics are the delay in growth and development, hirsute, structural anomalies in the limbs and distinctive facial characteristic. Dental problems are frequent and include: ogival palate, micrognathia, dental malalignment, delayed teething, microdontic teeth, periodontal disease and dental erosion produced by gastric reflux. Discussed is the case of a 29 year old patient affected by the syndrome in question, which presents the principal clinical characteristics. The patient?s general state of health is acceptable, without car…

Results of a dental care protocol for mentally handicapped patients set in a primary health care area in Spain

2007

Objective: Disabled people have the same right as other people to receive the health care they need, but they sometimes have difficulties to achieve it. In Castilla y Leon it has come into effect a law to guarantee Primary and Secondary Care coordination to provide dental treatment under sedation or anaesthesia to mentally disabled people who need it. Our aim is to evaluate the results of the implementation of such a law through a specific protocol in our health setting. Study design: Descriptive, made in a Health Area over a year, on mentally disabled people who were sent to hospital for treatment under anaesthesia after Primary Dental Care Units assessment. It has been studied the age, ge…

Biopsychosocial approach to caregiving burden: Why should we care about caregivers’ health?

2018

There are 11 million family caregivers in France and some estimates indicate that there will be 17 million in 2020.Caregiving is a source of chronic stress that requires adaptation and coping strategies.Caregiving may benefit the health of a caregiver with a positive coping style and altruistic goals.However, the caregiver's burden is frequently associated with negative effects in terms of biopsychosocial imbalance and medical conditions, with frequent anxiety and depression.The management of the caregiving burden starts with the recognition of health professionals – caregivers may benefit from consultation-liaison psychiatry and multidisciplinary medico-social strategies, in addition to co…

Advances in the endoscopic management of malignant biliary obstruction

2020

Biliary obstruction is common in pancreatobiliary malignancies and has a negative impact on the patient’s quality of life, postoperative complications, and survival rates. Particularly in the last decade, there has been enormous progress regarding the diagnostic and therapeutic options in patients with malignant biliary obstruction. Endoscopy has given a new insight in this direction and novel techniques have been developed for the better characterization and treatment of malignant strictures. We herein summarize the available data on the different endoscopic techniques, and clarify their role in the diagnosis and treatment of malignant biliary obstructive disease. Finally, we propose an al…

Komandas darbs insulta pacientu aprūpē

2019

Insults tiek diagnosticēts 7-8% pаcientu ar neiropatoloģiju. Slimību raksturo smaga patoģenēze ar mirstību līdz 50% un invаliditāti līdz 80% pacientu.Insulta ārstēšanas panākumi ir atkarīgi no kvalitatīvas medicīniskās aprūpes siegšanas savlaicīguma. Insulta pacientu aprūpe ir labi organizēts un saskaņots ārstniecības personu komandas darbs, sākot no prehospitālā etapa, līdz pat pilnīgam vai daļējai atlabšanai. Kvalifikācijas darba tēma ir „Komandas darbs insulta pacientu aprūpē” ar mērķi izpētīt, komandas darbu un komandas dalībnieku savstarpēju sadarbību, aprūpējot insulta pacientus. Darbā izvirzīts sekojoš pētniecības jautājums: Kāda ir komandas dalībnieku savstarpējā sadarbība insulta p…

Zabieg medycyny estetycznej w przypadku małoletniego dziecka bez zgody sądu rodzinnego a odpowiedzialność prawnokarna

2017

This article refers to criminal liability for performing aesthetic medicine treatment in a form of plastic surgery without patient’s consent, substitute consent (including collective) or substitute consent of Family Court. Article presents the current state of law in this respect and the correlation between applicable regulations of various branches of law and lex generalis regulations that deal with this issue, i.e. aesthetic medicine treatment.The author evaluates and describes the legal issues related with aesthetic medicine, including the patient’s consent, extended disclosure obligation as well as the ground for statutory liability for committing a prohibited act that is described and …

Physiological and autonomic stress responses after prolonged sleep restriction and subsequent recovery sleep in healthy young men

2018

Purpose Sleep restriction is increasingly common and associated with the development of health problems. We investigated how the neuroendocrine stress systems respond to prolonged sleep restriction and subsequent recovery sleep in healthy young men. Methods After two baseline (BL) nights of 8 h time in bed (TIB), TIB was restricted to 4 h per night for five nights (sleep restriction, SR, n = 15), followed by three recovery nights (REC) of 8 h TIB, representing a busy workweek and a recovery weekend. The control group (n = 8) had 8 h TIB throughout the experiment. A variety of autonomic cardiovascular parameters, together with salivary neuropeptide Y (NPY) and cortisol levels, were assessed.…

Addressing Patients Mobility through a Dynamic Performance Management perspective: the case of Sicily

Al giorno d'oggi molte regioni italiane sperimentano il fenomeno della mobilità sanitaria passiva, consistente nella tendenza dei loro residenti a rivolgersi ad altri sistemi sanitari regionali, spesso caratterizzati da miglior reputazione, per ricevere assistenza sanitaria. Poiché il Servizio Sanitario Italiano (SSN) è pubblico e regionalizzato, ogni governo regionale ha la responsabilità di prestare assistenza sanitaria ai propri residenti, garantendo al contempo ad ogni cittadino la libertà di essere curato fuori dalla propria giurisdizione, e compensando le regioni di destinazione per i servizi sanitari resi ai non residenti. Nonostante tale diritto di scelta sia un punto di forza del S…

Activity Theory as a Lens to Identify Challenges in Surgical Skills Training at Hospital Work Environment

2015

In this paper the concepts from activity theory (AT) are applied for identifying the challenges and contradictions emerging in surgical resident’s curriculum based training at hospital. AT is utilised as a lens to identify contradictions that cause disturbances, problems, ruptures, breakdowns, and clashes which emerge while surgical skills training is implemented in a new way at hospital. We especially aim at finding solutions for contradictions which emerge while the new and old working culture are confronted and the workers are required to balance themselves between the patient care demands and workplace learning requirements. We are using the conceptual theoretical approach to describe…

The relationship between context, structure, and processes with outcomes of 6 regional diabetes networks in Europe

2018

BackgroundWhile health service provisioning for the chronic condition Type 2 Diabetes (T2D) often involves a network of organisations and professionals, most evidence on the relationships between the structures and processes of service provisioning and the outcomes considers single organisations or solo practitioners. Extending Donabedian's Structure-Process-Outcome (SPO) model, we investigate how differences in quality of life, effective coverage of diabetes, and service satisfaction are associated with differences in the structures, processes, and context of T2D services in six regions in Finland, Germany, Greece, Netherlands, Spain, and UK.MethodsData collection consisted of: a) systemat…