Search results for "Univers"

showing 10 items of 6284 documents

Children of parents with cancer: a collaborative project between a child psychiatry clinic and an adult oncology clinic.

2007

This article describes the development of a collaborative relationship between a child psychiatry clinic and an adult oncology clinic within a university hospital. The interest of the child psychiatry clinic was to pay attention to children of parents with cancer, and to propose an intervention to support them. A child-centred family counselling model was designed for this purpose. The preparation, implementation, and results of this project are described. Positive results, as well as mistakes and failures are discussed, and recommendations are made regarding this kind of collaboration.

AdultMalemedicine.medical_specialtyAdolescentOncology clinicInterprofessional RelationsPsychiatric Department Hospital03 medical and health sciences0302 clinical medicineChild of Impaired ParentsIntervention (counseling)NeoplasmsOncology Service HospitalmedicineChild and adolescent psychiatryHumans0501 psychology and cognitive sciencesCooperative BehaviorPsychiatryChildFinlandbusiness.industry05 social sciencesHealth Plan ImplementationCancerGeneral MedicineUniversity hospitalmedicine.disease030227 psychiatryPsychiatry and Mental healthClinical PsychologyFamily medicineChild PreschoolModels OrganizationalPediatrics Perinatology and Child HealthFamily TherapyFemaleInterdisciplinary Communicationbusiness050104 developmental & child psychologyClinical child psychology and psychiatry
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Early detection of the risk of developing psychiatric disorders: a study of 461 Chinese university students under chronic stress

2019

Chronic stress, a characteristic of modern time, has a significant impact on general health. In the context of psychiatric disorders, insufficient coping behavior under chronic stress has been linked to higher rates of (1) depressive symptoms among subjects of the general population, (2) relapse among patients under treatment for clinical depression, and (3) negative symptoms among subjects with an elevated vulnerability to psychosis. In this normative study we assessed basic coping behavior among 461 Chinese freshman university students along with their consumption behavior and general health in terms of regular exercises, physical health, psychosomatic disturbances, and mental health. The…

AdultMalemedicine.medical_specialtyAdolescentUniversitiesPopulationEthnic groupNeural netsNormative dataContext (language use)610 Medicine & healthBasic coping behavior03 medical and health sciencesYoung Adult2738 Psychiatry and Mental Health0302 clinical medicineRisk FactorsmedicineHumanseducationPsychiatryStudentsSocioeconomic statusDepression (differential diagnoses)education.field_of_studyPrevention3203 Clinical PsychologyEarly detectionCollege/university studentsMental healthPsychophysiologic Disorders030227 psychiatryPsychotherapyPsychiatry and Mental healthClinical PsychologyEarly Diagnosis10072 Institute of Response Genetics10054 Clinic for Psychiatry Psychotherapy and PsychosomaticsNormativeFemaleChronic stressMental healthPsychologyRisk assessmentPrediction030217 neurology & neurosurgeryStress PsychologicalResearch Article
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Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

2019

Background: Drug abuse in university students is an emerging social and health issue. The present study assesses alcohol and abuse of other illicit drugs and the adverse consequences related to such use and its relationship with self-care agency among European university students. Methods: A multicenter cross-sectional study was performed among 592 European students from different health science degrees. The screening of alcohol abuse was evaluated with the Alcohol Use Disorder Test (AUDIT), and the screening for substance-related risks and problems was conducted with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) screening test. We analyzed the relationship of substance abuse wit…

AdultMalemedicine.medical_specialtyAdolescentUniversitiesSubstance-Related DisordersHealth Toxicology and Mutagenesisalcohol consumptionAlcohol abuseAlcohol use disorderHashishArticle03 medical and health sciencesYoung Adult0302 clinical medicineHealth careAgency (sociology)medicinesubstance abuseHumans030212 general & internal medicineuniversity studentsPsychiatryStudents030504 nursingbiologybusiness.industryCRAFFTPublic Health Environmental and Occupational HealthAppraisal of Self-care Agencybiology.organism_classificationmedicine.diseaseSelf EfficacySubstance abuseEuropeSelf CareAlcoholismCross-Sectional StudiesHealth OccupationsResidenceFemaleCannabisAUDIT0305 other medical sciencebusinessmedicine.drugInternational Journal of Environmental Research and Public Health
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Sleep quality and its association with substance abuse among university students

2019

Abstract Objective Poor sleep is one of the greatest health problems with social significance whose prevalence started early in adolescence. The relationship between poor sleep quality and the use of alcohol and illicit substances among university students has not been studied. Our study aimed to determine these relationships and the factors influencing the risk of poor sleep in students from health sciences degrees which are the future healthcare providers. Patients and methods A cross-sectional study performed in European university students (n = 676). Sleep quality was assessed by measuring insomnia symptoms with the Athens insomnia scale (AIS). The CRAFFT screening test and AUDIT test w…

AdultMalemedicine.medical_specialtyAdolescentUniversitiesSubstance-Related DisordersPopulationProtective factorPsychological interventionAlcohol abuseCRAFFT Screening TestYoung Adult03 medical and health sciences0302 clinical medicineRisk FactorsSleep Initiation and Maintenance DisordersInsomniamedicineHumansAthens insomnia scaleStudentsPsychiatryeducationeducation.field_of_studybusiness.industryGeneral MedicineProtective Factorsmedicine.diseaseSubstance abuseCross-Sectional StudiesUnemployment030220 oncology & carcinogenesisFemaleSurgeryNeurology (clinical)medicine.symptomSleepbusiness030217 neurology & neurosurgeryClinical Neurology and Neurosurgery
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Complex regional pain syndrome: evidence for warm and cold subtypes in a large prospective clinical sample.

2016

Limited research suggests that there may be Warm complex regional pain syndrome (CRPS) and Cold CRPS subtypes, with inflammatory mechanisms contributing most strongly to the former. This study for the first time used an unbiased statistical pattern recognition technique to evaluate whether distinct Warm vs Cold CRPS subtypes can be discerned in the clinical population. An international, multisite study was conducted using standardized procedures to evaluate signs and symptoms in 152 patients with clinical CRPS at baseline, with 3-month follow-up evaluations in 112 of these patients. Two-step cluster analysis using automated cluster selection identified a 2-cluster solution as optimal. Resul…

AdultMalemedicine.medical_specialtyDatabases FactualPopulationStatistical patternSigns and symptoms610 Medicine & health03 medical and health sciences0302 clinical medicine030202 anesthesiologyInternal medicinemedicineHumansIn patientProspective StudieseducationProspective cohort studyPain MeasurementInflammationeducation.field_of_studyPain durationbusiness.industry10051 Rheumatology Clinic and Institute of Physical MedicineMiddle Agedmedicine.diseaseAnesthesiology and Pain MedicineComplex regional pain syndrome2728 Neurology (clinical)PhenotypeNeurologyAnesthesia2808 Neurology10046 Balgrist University Hospital Swiss Spinal Cord Injury CenterFemaleNeurology (clinical)2703 Anesthesiology and Pain Medicinebusiness030217 neurology & neurosurgeryComplex Regional Pain SyndromesPain
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The experience of physicians in pharmacogenomic clinical decision support within eight German university hospitals.

2017

Aim: The aim of this study was to assess the physicians’ attitude, their knowledge and their experience in pharmacogenomic clinical decision support in German hospitals. Materials & methods: We conducted an online survey to address physicians of 13 different medical specialties across eight German university hospitals. In total, 564 returned questionnaires were analyzed. Results: The remaining knowledge gap, the uncertainty of test reimbursement and the physicians’ lack of awareness of existing pharmacogenomic clinical decision support systems (CDSS) are the major barriers for implementing pharmacogenomic CDSS into German hospitals. Furthermore, pharmacogenomic CDSS are most effective …

AdultMalemedicine.medical_specialtyDecision support systemAttitude of Health PersonnelClinical decision support systemGermanHospitals University03 medical and health sciencesYoung Adult0302 clinical medicinePhysiciansSurveys and QuestionnairesGeneticsMedicineHumans030212 general & internal medicineReimbursementAgedPharmacologybusiness.industryMiddle AgedUniversity hospitalDecision Support Systems Clinicallanguage.human_languageTest (assessment)Pharmacogenetics030220 oncology & carcinogenesisPharmacogenomicsFamily medicinelanguageMolecular MedicineFemalebusinessPharmacogenomics
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Clinicopathological characteristics of Epstein-Barr virus-positive gastric cancer in Latvia

2019

Objective Epstein-Barr virus (EBV)-associated gastric cancer has been proposed to be a distinct gastric cancer molecular subtype. The prognostic significance of EBV infection in gastric cancer remains unclear and needs further investigation. Our study aimed to analyze EBV-positive and EBV-negative gastric cancer patients regarding their personal and tumor-related characteristics, and compare their overall survival. Methods Gastric cancer patients consecutively treated at the Riga East University Hospital during 2009-2016 were identified retrospectively. Tumor EBV status was determined by in-situ hybridization for EBV-encoded RNA (EBER). Information about clinicopathological characteristics …

AdultMalemedicine.medical_specialtyEpstein-Barr Virus InfectionsComorbidityKaplan-Meier EstimateAdenocarcinomaGastroenterologyHospital recordsArticle03 medical and health sciencesYoung Adult0302 clinical medicineAge DistributionStomach NeoplasmsInternal medicinehemic and lymphatic diseasesmedicineHumansStage (cooking)Sex DistributionAgedNeoplasm StagingProportional Hazards ModelsRetrospective StudiesAged 80 and overHepatologyStage I Gastric Cancerbusiness.industryHazard ratioSmokingGastroenterologyCancerEpstein-Barr Virus PositiveMiddle AgedOverweightUniversity hospitalmedicine.diseasePrognosisLatviaConfidence intervalSurvival Rate030220 oncology & carcinogenesis030211 gastroenterology & hepatologyFemaleNeoplasm Gradingbusiness
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Technical Alternatives in Laparoscopic Placement of an Adjustable Gastric Band: Experience of Two German University Hospitals

2004

Background: The technique of laparoscopic adjustable gastric banding (LAGB), although relatively well standardized, has some "weak points". Methods: We analysed the experience of 2 German university clinics in order to suggest technical alternatives that can be helpful in difficult situations. Results: Between April 1997 and May 2002 115 patients in Cologne (87 females, 28 males) with median BMI 49.5 kg/m2 and mean age 39 years (19-54), and 112 patients in Mainz (91 females, 21 males) with median BMI 48 kg/m2 and mean age 35 years (18-57) underwent LAGB, using the Lap-Band®. LAGB was performed through 5 ports (3 10-mm, 1 18-mm, and 1 5-mm in Cologne and 4 10-mm and 1 18-mm port in Mainz). T…

AdultMalemedicine.medical_specialtyGastroplastyEndocrinology Diabetes and MetabolismGermanPneumoperitoneumHumansMedicineAdjustable gastric bandLaparoscopyNutrition and Dieteticsmedicine.diagnostic_testbusiness.industryMean ageMiddle AgedUniversity hospitalmedicine.diseaselanguage.human_languageSurgerylanguagePars flaccidaFemaleLaparoscopySurgerybusinessPneumoperitoneum ArtificialLaparoscopic adjustable gastric bandingObesity Surgery
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Improved effectiveness from individualized dosing of self-administered biologics for the treatment of moderate-to-severe psoriasis: a 5-year retrospe…

2019

Background: Biologics for moderate-to-severe psoriasis are expensive and treatment substitutions may vastly increase cost. Moreover, administration regimens in routine practice may differ from recommended guidelines. Objectives: To evaluate long-term effectiveness, regimen, drug-survival, and efficiency of self-administered biologics in clinical practice. Methods: We performed a 5-year retrospective study in 72 patients (44 ± 14 years old) with moderate-to-severe psoriasis at the University Hospital La Plana (Vila-real, Spain), treated with subcutaneous biologics. We determined the effectiveness (PASI 75 or PASI < 5), and drug-survival using Kaplan-Meier estimates, and analyzed reasons for …

AdultMalemedicine.medical_specialtyIndividualized dosingCost effectivenessefficacySelf AdministrationKaplan-Meier EstimateDermatologyRoutine practiceDrug CostsustekinumabEtanercept030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicineChart reviewPsoriasisUstekinumabmedicineHumansPsoriasisbiologicsIntensive care medicinecost-effectivenessRetrospective Studies030203 arthritis & rheumatologyBiological ProductsDrug Substitutionbusiness.industryModerate to severe psoriasisAdalimumabpsoriasisanti-TNFpersistenceMiddle Agedmedicine.diseaseUniversity hospitalSpainFemaleUstekinumabbusinessmedicine.drugJournal of Dermatological Treatment
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German validation of the conners adult ADHD rating scale-self-report: confirmation of factor structure in a large sample of participants with ADHD.

2013

Objective: The Conners Adult ADHD Rating Scales (CAARS) assess symptoms specific to adults that are frequently used and have been translated into German. The current study tests the factor structure of the CAARS in a large sample of German adults with ADHD and compares the means of the CAARS subscales with those of healthy German participants. Method: CAARS were completed by 466 participants with ADHD and 851 healthy control participants. Confirmatory factor analysis was used to establish model fit with the American original. Comparisons between participants with ADHD and healthy controls and influences of gender, age, and degree of education were analyzed. Results: Confirmatory factor anal…

AdultMalemedicine.medical_specialtyMedizinFactor structurebehavioral disciplines and activitiesGermanConners Adult ADHD Rating Scales (CAARS)diagnostic issuesRating scaleGermanyHealthy controlmental disordersDevelopmental and Educational Psychologymedicineadult ADHD assessmentADHDHumansddc:610Medizinische Fakultät » Universitätsklinikum Essen » LVR-Klinikum Essen » Klinik für Psychiatrie Psychosomatik und Psychotherapie des Kindes- und JugendaltersPsychiatrySelf reportadult ADHDMiddle AgedConfirmatory factor analysislanguage.human_languageLarge sampleClinical PsychologyAttention Deficit Disorder with HyperactivitylanguageFemaleSelf ReportPsychologyJournal of attention disorders
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