Search results for "interventio"
showing 10 items of 3167 documents
Overdiagnosis and overimaging: an ethical issue for radiological protection
2019
Aims and objectives: This study aimed to analyse the key factors that influence the overimaging using X-ray such as self-referral, defensive medicine and duplicate imaging studies and to emphasize the ethical problem that derives from it. Materials and methods: In this study, we focused on the more frequent sources of overdiagnosis such as the total-body CT, proposed in the form of screening in both public and private sector, the choice of the most sensitive test for each pathology such as pulmonary embolism, ultrasound investigations mostly of the thyroid and of the prostate and MR examinations, especially of the musculoskeletal system. Results: The direct follow of overdiagnosis and overi…
A look into the future of the COVID-19 pandemic in Europe : an expert consultation
2021
How will the coronavirus disease 2019 (COVID-19) pandemic develop in the coming months and years? Based on an expert survey, we examine key aspects that are likely to influence COVID-19 in Europe. The future challenges and developments will strongly depend on the progress of national and global vaccination programs, the emergence and spread of variants of concern, and public responses to nonpharmaceutical interventions (NPIs). In the short term, many people are still unvaccinated, VOCs continue to emerge and spread, and mobility and population mixing is expected to increase over the summer. Therefore, policies that lift restrictions too much and too early risk another damaging wave. This ch…
Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study fro…
2021
Background: A childhood cancer diagnosis and late effects of treatment may affect survivors' possibilities of employment or highly skilled occupations later in life. In this study, we compared the employment and occupational status of childhood cancer survivors with population comparisons and siblings.Methods: In a cohort study based on Nordic registers, we identified 10 461 survivors of childhood cancer diagnosed before age 20 years in Denmark, Finland and Sweden since 1971. Survivors were compared with 48 928 population comparisons matched to survivors by age, sex and geographical region and 12 605 siblings of survivors. Annual outcome information on employment, unemployment, health-relat…
Hospital dental practice in special patients
2013
Dental patients with special needs are people with different systemic diseases, multiple disorders or severe physical and/or mental disabilities. A Medline search was made, yielding a total of 29 articles that served as the basis for this study, which offers a brief description of the dental intervention protocols in medically compromised patients. Dental treatment in patients with special needs, whether presenting medical problems or disabilities, is sometimes complex. For this reason the hospital should be regarded as the ideal setting for the care of these individuals. Before starting any dental intervention, a correct patient evaluation is needed, based on a correct anamnesis, medical r…
A facially driven complete-mouth rehabilitation with ultrathin CAD-CAM composite resin veneers for a patient with severe tooth wear: A minimally inva…
2020
Abstract The development of technologies that include face scanning and dental software has improved workflows in dentistry. Digital files make it possible to create a 3-dimensional virtual image of the patient that helps the clinician plan treatment and make decisions, reducing uncertainty and improving communication. This report describes the complete-mouth rehabilitation of a patient with severe tooth wear. The treatment adopted a minimal intervention approach, applying adhesive veneers in areas where the tooth structure was affected and used a computer-aided design and computer-aided manufacturing (CAD-CAM) workflow to prepare nanoceramic composite resin materials with a high filler loa…
Treatment of Gingival Recession: When and How?
2021
Gingival recession is a common finding in daily clinical practice. Several issues may be associated with the apical shift of the gingival margin such as dentine hypersensitivity, root caries, non-carious cervical lesions (NCCLs), and compromised aesthetics. The first step in an effective management and prevention program is to identify susceptibility factors and modifiable conditions associated with gingival recession. Non-surgical treatment options for gingival recession defects include establishment of optimal plaque control, removal of overhanging subgingival restorations, behaviour change interventions, and use of desensitising agents. In cases where a surgical approach is indicated, co…
Topics and techniques in clinical supervision in psychotherapy training
2017
AbstractClinical supervision is regarded as one of the most important components of psychotherapy training. In clinical practice, it has been found that the implementation of clinical supervision varies substantially and often differs from the recommendations made in the literature. The objective of the current study was to investigate the frequency of topics (e.g. ethical issues) and techniques (e.g. role play) in the clinical supervision of psychotherapy trainees in Germany. To this end, we considered supervisions in cognitive behavioural therapy (CBT) and psychodynamic therapy (PT). A total of 791 psychotherapy trainees (533 CBT and 242 PT) were asked via the internet to provide informat…
Perfil psicosocial de adolescentes españoles agresores y víctimas de violencia de pareja
2018
El objetivo de este estudio fue analizar posibles diferencias en satisfacción con la vida, ánimo depresivo, autoconcepto y comunicación familiar entre adolescentes no implicados en violencia de pareja, agresores, víctimas, implicados en el rol de agresor-víctima de forma ocasional e implicados en este rol frecuentemente. Participaron 672 adolescentes españoles (325 chicas, 347 chicos), entre 12 y 19 años (M = 14.45; DT = 1.62). Los resultados muestran un perfil psicosocial más negativo en las chicas víctimas de violencia de pareja y en los chicos implicados frecuentemente en el rol de agresor-víctima. En las chicas con mayor implicación en violencia de pareja se observan también mayores dif…
Familia, profesorado e iguales: claves para el apoyo a las víctimas de acoso escolar
2011
ResumenEl objetivo del presente estudio fue analizar las diferencias en ajuste psicológico en víctimas de acoso escolar en función de la calidad de sus relaciones con padres, profesores e iguales. En concreto, se compararon cuatro indicadores de ajuste psicológico (autoestima, ánimo depresivo, soledad y percepción de estrés) en víctimas con buena o mala comunicación con la madre, buena o mala comunicación con el padre, alta o baja percepción de ayuda del profesor, y alta o baja identificación con su grupo de iguales. La muestra inicial estuvo compuesta por 1795 adolescentes, entre 11 y 18 años (M=14.2, DT=1.68). Los resultados indicaron que las víctimas que mantenían mejores relaciones soci…
Imaging techniques for the vulnerable coronary plaque
2007
The goal of this article is to illustrate the main invasive and noninvasive diagnostic modalities to image the vulnerable coronary plaque, which is responsible for acute coronary syndrome. The main epidemiologic and histological issues are briefly discussed in order to provide an adequate background. Comprehensive coronary atherosclerosis imaging should involve visualization of the entire coronary artery tree and plaque characterization, including three-dimensional morphology, relationship with the lumen, composition, vascular remodelling and presence of inflammation. No single technique provides such a comprehensive description, and no available modality extensively identifies the vulnerab…