1,578 research outputs found
Come trasformare un corso d’aula tradizionale in un corso flipped e perché. Esperienza in un corso di metodologia clinica
No full textEsiste una crescente pressione sul mondo accademico italiano per una formazione centrata sullo studente, professionalizzante e orientata alla competenza. Tra i metodi attivi, la flipped classroom sta ricevendo sempre più attenzione. Questo articolo riporta i risultati della prima sperimentazione dle metodo in una calsse di 3° anno del corsodi laurea in medicina, nel corso integrato diMetodologia ClinicaThere is a growing pressure on the Italian academic world for a student-centered, professional competency-based education. Among the active methods, the flipped classroom is receiving more and more attention. This article reports about the results of the first application of this method in a medical curriculum , in a class of Introduction to Cllinical Medicin
Utilizzo del verde indocianina nella colecistectomia laparoscopica
No full textLa colecistectomia laparoscopica (VLC) è una delle procedure chirurgiche più frequentemente eseguite nei paesi industrializzati ed è diventata negli anni il gold standard nel trattamento della patologia litiasica e delle sue complicanze. Tuttavia, l’utilizzo della laparoscopia comporta un aumento dell’incidenza di lesioni della via biliare principale (VBP) di circa 2-3 volte superiore rispetto alla tecnica open. L’incidenza della lesione iatrogena della VBP (LIVB) in letteratura si attesta tra lo 0,2-0,7% con l'approccio laparoscopico, comportando una significativa morbilità e mortalità, aumentando la degenza post operatoria e di circa il 126% il costo sanitario rispetto ad un intervento senza complicanze. Tra le cause principali di LIVB c’è una errata identificazione intraoperatoria delle strutture anatomiche quali il dotto cistico (DC), l’arteria cistica (AC) e la VBP prima della loro sezione. Il mancato riconoscimento di tali strutture è dovuto, nella maggior parte dei casi, ad anomalie anatomiche o a processi infiammatori come pregressa colecistite, pancreatite o calcolosi della VBP trattata endoscopicamente con CPRE che causano aderenze e determinano un ispessimento dei tessuti che rende difficoltoso il discernimento delle varie componenti. Le procedure diagnostiche e operative volte al riconoscimento intraoperatorio delle strutture anatomiche sono attualmente due: Colangiografia (IOC) e somministrazione endovenosa di verde indocianina (ICG) con visione in near infra red (NIR). L'uso routinario della IOC è controverso in quanto c’è un aumento significativo dei tempi operatori, implica costi aggiuntivi, necessità di incannulamento del dotto cistico o biliare con un concomitante aumento del rischio di lesione della VBP; inoltre, aumenta l’esposizione a radiazioni e necessità di ulteriori attrezzature e personale addestrato e spesso non è disponibile nelle strutture ospedaliere periferiche. L’utilizzo dell’ICG combinato con una camera con visione NIR è, per contro, eseguibile prima della dissezione del triangolo di Calot, non necessita di personale specializzato e non espone a radiazioni. Allo stato attuale la maggior parte degli studi in letteratura riporta risultati dell’utilizzo dell’ICG nelle colecistectomie non complicate da processi infiammatori, mancando di evidenze nei casi in cui, a seguito di alterazioni post infiammatorie, sarebbe più utile una corretta valutazione anatomica. Scopo di questo studio è valutare l’efficacia nell’identificazione delle strutture anatomiche in pazienti sottoposti a VLC per calcolosi della colecisti complicata da processi infiammatori, con e senza uso del Verde Indocianin
Frequency and severity of globus pharyngeus symptoms in patients undergoing thyroidectomy. A pre-post short term cross-sectional study
No full textGlobus pharyngeus is a sensation of a lump or foreign body in the throat, sometimes associated with thyroid diseases and surgery. Previous studies investigated this condition with contradictory results, mainly because not standardized instruments of measure were used. The aim of this study was to evaluate the prevalence and severity of globus pattern symptoms in a population of patients three months after a thyroidectomy, and the reduction or increase of pre-existing symptoms or the onset of new symptoms
Schermi. Immagini, corpi, condivisioni
No full textIn this book the author investigates the digital image proliferation of our times from an interdisciplinary point of view. Starting from the Visual Culture theoretical frame, Valentina Mignano explores the ways in which we interact with the screen, dealing with the "screen experience" in the first years of the network societ
HIN-Health Issue Network as Means to Improve Case-Based Learning in Health Sciences Education
No full textHIN (Health Issue Network) is introduced as a peculiar approach to enhance Case-Based Learning (CBL) methodology for health sciences education, as well as innovative tool to query problem-oriented EHRs. In this paper HIN's Petri Nets-based formalism is described, and a first example of its twofold (lower and upper) representation level is proposed
Quality of life after nissen-rossetti fundoplication
No full textBACKGROUND:: We investigated Quality of Life (QoL) and Johnsson & DeMeester score of patients after Nissen-Rossetti fundoplication. MATERIALS AND METHODS:: From January 2007 to June 2008, 43 patients with chronic gastroesophageal reflux underwent laparoscopic Nissen-Rossetti fundoplication; 7 were lost during the follow-up. Patients underwent endoscopy, 24-hour pH-metry, Gastroesophageal Reflux Disease-Health-Related Quality-of-Life (GERD-HRQL), and Short Form 36 (SF-36) questionnaires preoperatively, 6 months, and 12 months after surgery. RESULTS:: Endoscopic findings revealed complete healing of esophagitis in all patients. Barrett esophagus was still present. Six patients reported persistence of symptoms but postoperative pH-metry and endoscopy showed the absence of reflux; 2 patients (5.5%) were still on proton pump inhibitor therapy at 12 months. Seven patients (19.4%) reported dysphagia for solids for at least 3 months. Readmission for dysphagia was required for 2 (5.5%) and 1 patient underwent endoscopic dilatation. At 6 and 12 months, no dysphagia was reported. During the follow-up, no gas-bloat syndrome was reported. The Johnsson & DeMeester score and QoL measurement obtained from GERD-HRQL and SF-36 revealed a significant improvement in the related domain. At 6 months, 23 patients (63.8%) were completely satisfied and after 12 months, 30 patients (83.3%) were satisfied. CONCLUSIONS:: Nissen-Rossetti fundoplication is safe and effective for the treatment of GERD, improving QoL. Copyright © 2012 by Lippincott Williams & Wilkins
ENTREPRENEURSHIP AND FEMALE ENTREPRENEURSHIP IN MARAMURES COUNTY
No full textInitiating and developing a business involves a considerable risk and a sustained effort in order to defeat the inertia against what is new. The person initiating a business, assuming the responsibility and risk of its development and benefiting from theentrepreneurship, female entrepreneurship, profit, businesses
HIN (Health Issue Network): metodo per estrarre casi clinici dalle cartelle cliniche della medicina generale per la formazione e l’aggiornamento basati sul Case-Based Learning
No full textThe use of initial tocolysis and maintenance tocolysis in preterm birth : guideline-based approach or off-label use - a survey on the current application in Switzerland
No full textAuthor Valentina Schedl, BscMasterarbeit Universität Linz 202
Understanding Petri Nets in Health Sciences Education: The Health Issue Network Perspective
No full textScarce literature exists as to the use of Petri Nets (PN) to model the
dynamic evolution of health issues in a deterministic way. Starting from the HIN
(Health Issue Network) approach, the paper aims at describing the suitability of
PN in supporting the Case–Based Learning method for improving an educational
simulation environment in which students can manage realistic clinical data
related to the evolution of a patient's health state over time
- …
