10,130 research outputs found
Employment and Social Security/Insurance among patients affected by mental disorders in Italy: A descriptive multi-center study
No full textIntroduction: Many mental disorders especially chronic serious ones such as schizophrenia-spectrum disorders, are disabling syndromes and impact on patients' social and cognitive functioning, including work activity. Thus, affected patients may show a particular socio-economic vulnerability and need specific social security as well as rehabilitation interventions, including pensions or job-placements. In Italy, the Working Group named 'Employment and Social Security/Insurance in Mental Health (ESSIMH)' was founded in 2020 in order to collect research evidence on mental illness, employment, social security, and rehabilitation. Methods: A descriptive, observational and multi-center study has been conducted in eleven Departments of Mental Health in Italy (Foggia, Brindisi, Putignano, Rome, Bologna, Siena, Pavia, Mantova, Genova, Brescia, and Torino) and involved 737 patients affected by major mental illness and classified in five diagnostic categories: psychoses, mood disorders, personality disorders, anxiety disorders, and others. The data collection was performed in 2020 among patients aged 18 to 70 years old. Results: The rate of employment in our sample was 35.8% (n = 264). Occupational disability in our sample was recognized in 58.0% of patients with a mean percentage of severity 51.7 ± 43.1; patients with psychoses (73%) reported higher disability followed by personality (60%) and mood disorders (47.3%) ones. In a logistic multivariate modeling, factors significantly associated with diagnosis were (a) higher level of occupational disability in psychoses; (b) higher number of job- placement programs among psychoses patients; (c) lower level of employment in psychoses; (d) more psychotherapy in personality disorder patients; and (e) more years of MHC program in psychoses patients; factors associated with sex were: (a) higher number of drive licenses among males; (b) more physical activity among males; and (c) higher number of job-placement programs among males. Conclusion: patients affected by psychoses were more likely to be unemployed, reported higher occupational disability as well as received more incentives and rehabilitation interventions. These findings confirmed that schizophrenia-spectrum disorders are disabling and patients need psychosocial support and interventions in the framework of a recovery-oriented treatment
Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group
No full textObjective: To develop recommendations that can be used as guidance for standardized approach regarding indications, patient preparation, sequences acquisition, interpretation and reporting of magnetic resonance imaging (MRI) for diagnosis and grading of pelvic floor dysfunction (PFD). Methods: The technique included critical literature between 1993 and 2013 and expert consensus about MRI protocols by the pelvic floor-imaging working group of the European Society of Urogenital Radiology (ESUR) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) from one Egyptian and seven European institutions. Data collection and analysis were achieved in 5 consecutive steps. Eighty-two items were scored to be eligible for further analysis and scaling. Agreement of at least 80 % was defined as consensus finding. Results: Consensus was reached for 88 % of 82 items. Recommended reporting template should include two main sections for measurements and grading. The pubococcygeal line (PCL) is recommended as the reference line to measure pelvic organ prolapse. The recommended grading scheme is the “Rule of three” for Pelvic Organ Prolapse (POP), while a rectocele and ARJ descent each has its specific grading system. Conclusion: This literature review and expert consensus recommendations can be used as guidance for MR imaging and reporting of PFD. Key points: • These recommendations highlight the most important prerequisites to obtain a diagnostic PFD-MRI.• Static, dynamic and evacuation sequences should be generally performed for PFD evaluation.• The recommendations were constructed through consensus among 13 radiologists from 8 institutions. © 2016 The Author(s
Data Quality and Standards
Get PDFThe Data Quality and Standards Working Group determined where current administrative data quality standards exist and where additional guidance are needed. The group used a hypothetical example to illustrate how improved data quality can make administrative data research better.
Chair and Lead Author: Amy O\u27Hara (Stanford University)https://repository.upenn.edu/admindata_reports/1001/thumbnail.jp
Data Sharing Governance and Management
Get PDFThe Data Sharing Governance and Management Working Group focused on data intermediaries that help to expand access to administrative data for a broad range of researchers. The group interviewed 11 data intermediaries and identified 9 unique functions that they serve to facilitate the data sharing process between data providers and researchers.
Chair: Ken Poole (Center for Regional and Economic Competitiveness)Lead Author: Monica King (ADRF Network)https://repository.upenn.edu/admindata_reports/1002/thumbnail.jp
Communicating about Data Privacy and Security
Get PDFThe working group on Communicating about Data Privacy and Security identified six core stages of the administrative data research lifecycle and developed a framework for how researchers can conduct stakeholder engagement throughout the research lifecycle.
Co-Chair and Lead Author: Kelsey Finch (Future of Privacy Forum)Co-Chair: Jules Polonetsky (Future of Privacy Forum)https://repository.upenn.edu/admindata_reports/1003/thumbnail.jp
Investing in educated British Columbians: 1995 BC colleges and institutes student outcome report
Get PDFReportPrepared for the Colleges and Institutes of BC by the BC Outcomes Working Grou
Investing in educated British Columbians: 1995 BC colleges and institutes student outcome report
Get PDFReportPrepared for the Colleges and Institutes of BC by the BC Outcomes Working Grou
Feature article on the author\u27s exeperiences working in a group home in Portland
No full textFeature article on the author\u27s exeperiences working in a group home in Portland, and her dealings with Madeleine, one of the residents
- …
