1,720,991 research outputs found
La classificazione delle unità sanitarie locali secondo caratteri omogenei. La Cluster Analysis
No full textLa qualità percepita dai pazienti con psoriasi sull'assistenza sanitaria di prima accoglienza-differenza tra nord, centro e sud d'Italia
No full textI comitati etici abruzzesi: criticità rilevate e prospettive di sviluppo [Research Ethics Committees in Abruzzo: criticisms and prospects for developments]
No full textThe first legislative bills on Ethics Committee (EC) activity were adopted across the Italian Regions simultaneously (1998). This widespread implementation meant it was necessary to define new qualitative and quantitative standards (Decree Law, 12th May 2009), creating expectations about the EC’s role in research and clinical practice and its potential to improve the quality of medial assistance.
The present paper presents the results of a descriptive survey that maps out the framework, organization and operating methods of ECs in the Abruzzo Region in Italy. Differences between ECs have been outlined, with special concern for differences in organization and way of operating. It was found that interaction between the EC and the experimenter is limited to the authorization phase of the research protocol, with low level involvement in the planning and execution phases. Additionally, the exchange of information between the co-ordinating EC and EC practitioners is not well organized in multicentre experimentation. A certain amount of criticism emerged regarding those areas of activity that would help to place the EC at the centre of the cultural growth process with regards to Bioethics and Clinical Research (e.g. education, on-line news on Bioethics topics).These criticisms are part of the reality of the Abruzzo Region that lacks economic and structural resources which penalizes EC activity.La prima regolazione normativa (1998) dei Comitati Etici (CE) è coincisa con la loro proliferazione in tutte le Regioni. La presenza di questa rete diffusa ha reso necessario fissare nuovi standard qualitativi e quantitativi ( D. M. 12 maggio 2006) creando aspettative circa il loro ruolo nell’ambito della ricerca e della pratica clinica e nelle loro potenzialità in funzione del miglioramento della qualità dell’assistenza.
Questo lavoro presenta i risultati di una indagine conoscitiva che descrivono struttura, organizzazione e modalità operative dei CE istituiti in Abruzzo. Vengono evidenziate differenze tra i CE abruzzesi, in particolare nell’organizzazione e nelle modalità operative. I rapporti con lo sperimentatore sono limitati alla fase autorizzativa con scarso coinvolgimento dei CE nella fase progettuale ed esecutiva del protocollo di ricerca; nelle sperimentazioni multicentriche lo scambio di informazioni tra CE coordinatore e CE collaboratori non è adeguatamente organizzato. E’ emersa una certa criticità in quelle aree di attività che contribuirebbero a porre i CE al centro del processo di crescita culturale in campo bioetico e nella ricerca clinica (attività di formazione, diffusione tematiche di bioetica).Queste aree critiche sono inserite in un contesto di scarsità di risorse economiche e strutturali che penalizzano l’attività dei CE abruzzes
Clinical ethics service: contenuti e organizzazione del servizio nelle strutture ospedaliere. I temi del dibattito internazionale e le implicazioni per un contesto regionale italiano
No full textAnatomical study about anterior mandibular lingual foramina
No full text"Introduction: In descriptions of surgical procedures in. the inferior jaw, often there is no mention of an. important anatomical variance, the spinal lingual. foramina, where nerves and vessels go through. Aim. of this study is to investigate the frequency, the shape. and the dimension of anterior mandibular lingual. foramina and their canals, in order to give more. information to operators who have to consider these. structures in a correct planning of the surgical. procedures. Materials and methods: 25 computed. tomography dentascans were analyzed with an implant. planning software (MICERIUM IMPLANT PLANNINGM.I.P.).. The parameters considered were the. frequency, the number, the localization, the diameters. and the length of canals, and for each patient a table. was made where the measured data were inserted.. These data were statistically analyzed and compared. with the ones found in literature. Results: The results of. measurements agree with the ones found in earlier. studies, except for the length of the inferior spinal. canals which resulted lesser than those found in. literature (4.38 mm +1.43 vs 6.1mm +2.6 ). The. frequency of the inferior spinal foramina and the data. related to the inferior spinal foramina diameter (cross. section scan) and the measurements related to the. superior spinal foramina diameter (axial scan) resulted. major than those found in earlier studies (respectively. 49% vs 38(1)\/13.34(2)%, 1.09 mm +0.4 mm vs 0.8. +0.4 and 1.24 mm + 0.29 vs 0.7 mm + 0.2).. Conclusion: This study is clinically interesting because. it has been used an implant planning software that is. daily used by operators and that permits in vivo. investigations. Furthermore, due to the possibility of. hemorrhagic accidents in the anterior region of the. mandible, the oral surgeon has to perform an accurate. planning, attending to search also the structures less known thank others
Ethical difficulties in nursing, educational needs and attitudes about using ethics resources.
No full textEthical difficulties arise in health care practices. However, despite extensive research findings that demonstrate that most nurses are involved in recurrent ethical problems, institutions are not always able to effectively support nursing operators. The limited availability of ethics consultation services and traditional nursing training fail to meet the frequent and strong requests by health workers to support their ethical dilemmas. A questionnaire was administered to 374 nurses attending a specialist training and a lifetime learning programme in Italy. The respondents reported a high frequency of ethically sensitive situations, and they described the poor development of ethics support and a scarcity of ethics training programmes.
The results suggest the importance of promoting ethics services that include consultation and ethics training. A need for systematic ethics educational activities was identified for improving the capacity of nurses to manage ethical issues in patient care
Mortalità e morbosità differenziale in Europa. Stato delle conoscenze, riflessioni metodologiche e linee di sviluppo
No full textRequest for ethics support in healthcare practices. Reasons and characteristics of Ethics Consultation Service users
No full textClinical ethics service: contenuti e organizzazione del servizio nelle strutture ospedaliere. I temi del dibattito internazionale e le implicazioni per un contesto regionale italiano
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