87,530 research outputs found
Patient perception of the quality of Healthcare Services. A psychometric study on the Questionnaire of Quality Perception
No full textIn the present article we examine the psychometric properties of the Questionnaire of Quality Perception (QQP), an Italian survey measuring patients' perceptions on the quality of a recent hospital admission. The authors predict that the 14-item survey will be divided into four factors: 1) satisfaction with the medical doctor, 2) satisfaction with the nursing staff, 3) satisfaction with the auxiliary staff, and 4) satisfaction with the hospital amenities. Considering Coluccia, Ferretti, Lorini, Calamai (2002), we administered the test on 1804 patients from the "Le Scotte" Hospital in Siena. We tested two models using a confirmatory factorial analysis (structural equation modeling): the first model with 4 orthogonal factors, the second model with 4 oblique factors. The SEM fit indices and the test of the difference of the Ï2, lean towards the acceptance of the second model
Questionario di qualità percepita (QQP): Uno studio sulle differenze di genere. [Questionnaire of perceived quality (QQP): a study on the differences of gender]
No full textIn the present paper we analyze the psychometric properties of an Italian questionnaire measuring the perceived quality of health services (Questionnaire of Perceived Quality; Coluccia, Ferretti, Lorini, Calamai, 2002). Subjects answered 14 questions subdivided into four factors (i.e. Satisfaction regarding Medical Doctors, Nurses, Auxiliary Staff, and Hospital Structure). We administered the questionnaire to 1,600 patients in the "Le Scotte" Hospital of Siena. According to structural equation modeling, we studied the dimensionality of the questionnaire using confirmatory factor analysis and, successively, we studied differences in gender using Multi-sample analysis. Results show significant gender differences for two dimensions (i.e. Satisfaction regarding Nurses and Satisfaction regarding Hospital Structures). Females, compared to males, express more negative evaluations in these two factors. © PI-ME, 2006
"A Man for all Faculties”? The Unity of Kantian Reason from a Pragmatic Point of View
No full textThe present contribution aims to investigate the way Kant deals with the relation between the individual and humankind in order to provide a complete and unitary image of the human being. According to some commentators, the reconciliation between the individual and humankind is achieved by Kant only in the Critique of the Power of Judgment by means of the structure of reflective judgement (e.g., Nobbe 1995), and it reflects a hypothesis that has long been widespread among scholars, such as Erdmann, Arnoldt, Dilthey, and Adickes. According to this view, Kant's anthropology is not a discipline in its own right, so that it is not able to answer the fundamental questions it raises
Younger age at onset and sex predict celiac disease in children and adolescents with type 1 diabetes: an Italian multicenter study.
No full textDiabetes Care. 2004 Jun;27(6):1294-8.
Younger age at onset and sex predict celiac disease in children and adolescents with type 1 diabetes: an Italian multicenter study.
Cerutti F, Bruno G, Chiarelli F, Lorini R, Meschi F, Sacchetti C; Diabetes Study Group of the Italian Society of Pediatric Endocrinology and Diabetology.
Dipartimento di Scienze Pediatriche e dell'Adolescenza, Università di Torino, Piazza Polonia 94, I-10126 Turin, Italy. [email protected]
Abstract
OBJECTIVE:
To estimate the prevalence of biopsy-confirmed celiac disease in Italian children and adolescents with type 1 diabetes and to assess whether age at onset of type 1 diabetes is independently associated with diagnosis of celiac disease.
RESEARCH DESIGN AND METHODS:
The study group was a clinic-based cohort of children and adolescents with type 1 diabetes cared for in 25 Italian centers for childhood diabetes. Yearly screening for celiac disease was performed using IgA/IgG anti-gliadin and IgA anti-endomysium antibodies.
RESULTS:
Of the 4,322 children and adolescents (age 11.8 +/- 4.2 years) identified with type 1 diabetes, biopsy-confirmed celiac disease was diagnosed in 292 (prevalence 6.8%, 95% confidence interval [CI] 6.0-7.6), with a higher risk seen in girls than in boys (odds ratio [OR] 1.93, 1.51-2.47). In 89% of these, diabetes was diagnosed before celiac disease. In logistic regression analyses, being younger at onset of diabetes, being female, and having a diagnosis of a thyroid disorder were independently associated with the risk of having diabetes and celiac disease. In comparison with subjects who were older than 9 years at onset of diabetes, subjects who were younger than 4 years at onset had an OR of 3.27 (2.20-4.85).
CONCLUSIONS:
We have provided evidence that 1) the prevalence of biopsy-confirmed celiac disease in children and adolescents with type 1 diabetes is high (6.8%); 2) the risk of having both diseases is threefold higher in children diagnosed with type 1 diabetes at age 9 years; and 3) girls have a higher risk of having both diseases than boys
A Narrative Review of Adherence to Subarachnoid Hemorrhage Guidelines
No full textA Narrative Review of Adherence to Subarachnoid Hemorrhage Guidelines
Paolo Gritti, MD,* Oluwaseun Akeju, MD, MMSc,† Ferdinando L. Lorini, MD,* Luigi A. Lanterna, MD,‡
Carlo Brembilla, MD,‡ and Federico Bilotta, MD, PhD§
Abstract: Over the past 2 decades, a large number of guidelines for aneurysmal subarachnoid
hemorrhage (aSAH) management have been proposed. The primary aim of these “evidence-based”
guidelines is to improve the care of aSAH patients by summa- rizing and making current knowledge
readily available to clini- cians. However, an investigation into aSAH guidelines, their
changes along time and their successful translation into clinical practice is still lacking.
We performed a literature search of historical events and subarachnoid hemorrhage
guidelines using the Entrez PubMed NIH, Embase, and Cochrane databases for articles published up to
November of 2016. Data were summarized for guidelines on aSAH management and cross-sectional
studies of their applica- tion. A total of 11 guidelines and 10 cross-sectional studies on aSAH
management were analyzed. The use of nimodipine for the treatment of SAH is the only
recommendation that remained consistent across guidelines over time (r = 0.82; P < 0.05). A shift
in the definitive treatment for aneurysms from open surgical clipping to endovascular
coiling was also noted (r = −0.91; r = 0.96; P < 0.005). In addition, definitive treatment for
aneur- ysm is being performed earlier. The use of triple-H therapy and the long-term administration
of anticonvulsive therapy has de- creased. Finally, written protocols for aSAH management were not
consistently used across tertiary care institutions (r = −0.46; P = 0.43; confidence interval, −0.95
to −0.70).
We conclude that guidelines related to the management of patients with SAH have evolved
from a consensus-based ap- proach into an evidence-based approach. Nevertheless, the
translation into clinical practice is limited, suggesting that per- sonalized approaches to care is
inherent, and perhaps necessary
for aSAH management
Nationwide cross-sectional survey of 3560 children and adolescents with diabetes in Italy
No full textA New Project for Rehabilitation and Psychomotor Disease Analysis with Virtual Reality Support
No full textModeling Social Groups, Policies and Cognitive Behavior in COVID-19 Epidemic Phases. Basic Scenarios
No full textThe covid19 pandemic is distinct from Spanish flu of 1918 from many aspects among which the contrast between the overabundance of worldwide exchange of information (infomedia) and the actual scarce knowledge of the pathogen and the infection mechanism. Another important distinction is that the epidemics threaten society components, social groups, communities and jobs in very different ways and different death tolls. With this in mind, we start with simple models of pandemics and we drive the reader to more complex models that take into accounts social compartments and communities. The discrete-state models are built by adding elements, first in a mean-field approximation, then adding age classes and differential contact rates, and finally inserting the social group dimension. The novel element we insert is the effect of restrictions in contacts and travels, filtered by the risk perception, according with the growth of the number of infected or recovered people. Assimilating risk perception with cognitive behavior, we obtain several coarse-grain scenarios, that can be used for instance to calibrate the level of restrictions so not to exceed the capacity of the health system, and to speed the post-emergency recovery
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