1,721,024 research outputs found
Emotional-patient oriented approach alla oncologia senologica: prospettive scientifiche e cliniche innovative
La presente Tesi di Dottorato dal titolo ‘Emotional-patient oriented approach alla oncologia senologica: prospettive scientifiche e cliniche innovative’ riporta il lavoro di approfondimento tematico scientifico di area clinica che ho sviluppato nel corso dei 3 anni di formazione alla ricerca scientifica.
Il Testo è diviso in n.3 Sezioni: a. Sezione Pratica Clinica, b. Sezione Sperimentale e c. Sezione Sviluppi Futuri.
Nella Sezione Pratica Clinica viene fatta una disamina della condizione emotiva e dell’impatto psicologico che la diagnosi ed il trattamento medico ha sulla Qualità della Vita della donna non solo durante il percorso sanitario primario (chirurgico e farmacologico) ma anche e soprattutto la condizione della paziente nel post-trattamento clinico.
Nella Sezione Sperimentale vengono presentati gli studi condotti durante il Corso di Dottorato su popolazioni oncologiche giovani. Sono descritti n.4 Studi che hanno investigato le caratteristiche emotive delle donne con diagnosi di cancro al seno negli stadi iniziali della patologia nel post-trattamento; intento dei lavori è stato di investigare le caratteristiche cliniche ed i bisogni delle pazienti nella loro survivorship. Target privilegiato delle ricerche è stata una popolazione che comincia ad essere rilevante nell’ambito della senologia oncologica, ovvero le pazienti in giovane età o in età produttiva/riproduttiva.
Infine nella Sezione Sviluppi Futuri vengono riportati in modo sintetico gli studi che attualmente sono in corso di realizzazione e che rappresentano l’evoluzione clinico-scientifica di quanto maturato durante il Corso di Dottorato. Sulla base del lavoro effettuato finora, sono in fase di avvio ulteriori sviluppi della ricerca che saranno portati avanti grazie alla collaborazione con vari reparti del servizio sanitario nazionale. Gli sviluppi futuri della ricerca sono duplici. Da un lato, l’approfondimento delle problematiche emotive correlate agli effetti collaterali fisici delle terapie antitumorali nel carcinoma mammario. In particolare, gli agenti chemioterapici, aventi come obiettivo la divisione rapida delle cellule, incluse quelle nei follicoli piliferi, causano la perdita di capelli, sopracciglia e ciglia, che rappresentano fonte di distress psicologico per il paziente. Un aspetto ancora poco indagato nella letteratura è l’impatto emotivo dell’impiego della tecnologia di raffreddamento del cuoio capelluto nella prevenzione dell’alopecia chemioterapia-indotta in pazienti con carcinoma mammario sottoposte a chemioterapia adiuvante. Sebbene questo trattamento sia disponibile in Europa da oltre un decennio, non sono state ad oggi ampiamente indagate da una parte l’efficacia della tecnologia, dall’altra la soddisfazione, l’accettabilità, l’impatto sul benessere e sul processo decisionale dei pazienti (Shaw e coll, 2016), e la letteratura non è ancora giunta ad una conclusione unanime. Obiettivo del progetto CRISTAL sarà rilevare le aspettative e la soddisfazione delle pazienti giovani con carcinoma mammario rispetto all’utilizzo della tecnologia DigniCap all’inizio e al completamento del trattamento chemioterapico. Obiettivo del progetto ALIANTE sarà confrontare l’impatto della diagnosi e del trattamento di diversi tumori in età giovanile in entrambe le popolazioni, maschile e femminile, per identificare le caratteristiche di un nuovo modo di affrontare la malattia oncologica
Predictive risk factors for post-traumatic stress symptoms among nurses during the Italian acute COVID-19 outbreak
An Integrated Approach for a New Pattern in Pediatric Primary Care: Interaction Mediation for Active and Efficient Medical Consultations
Lifestyle, body mass index and wellness in youth: Strengthens and weakness in Italian youth
This study investigated the psychological wellbeing and body perception among young Italian people. Drinking, eating, and sexual behaviors have been examined in relation to body mass index (BMI) and psychological well-being by EPOCH framework. This was a cross-sectional observational study conducted on Italian adolescent and young adult population through an online survey. Qualitative and quantitative data on lifestyle, BMI classes, and psychological characteristics of wellness in youth were obtained from a sample of 1221 Italian participants using a self-report questionnaire on body perception and habits, a socio-demographics inventory, and the EPOCH measure. Findings suggest that being underweight or overweight is associated with various factors, including gender, self-control regarding food, perception of one's body, and the happiness domain. EPOCH framework revealed the psychological wellness of girls and young women did not seem strongly affected by BMI, though Perseverance and Happiness seemed reduced with increasing BMI. The Engagement, Optimism, and Connectedness domains were not significantly affected by the BMI variable. On the contrary, Perseverance and Happiness seemed reduced with increasing BMI and were related to physical shape. Our study offers a new perspective: promoting the development of positive psychological characteristics since adolescence to boost quality of life by improving wellness, by EPOCH approach could be functional reinforcing specific psychological aspects in young generations regarding future wellness, improving the positive perception and management of their own health
Chronic non-communicable diseases and health awareness of patients: An observational study analysing the health adaptive behaviours through self-care skills
Technophobia as emerging risk factor in aging: Investigation on computer anxiety dimension
Digital innovation changed the daily living impacting Quality of Life of individuals. Our study was focused on adult and elder behavioural approach to the technology. Out study aimed to investigate the impact of technology use in not digital native in order to investigate the behavioural degree of adaptation. An observational study was conducted on adult and old subjects (age range 50-67 years) measuring computer anxiety and technology use ability variables identifying the indexes for technophobia risk in digital living. Not digital native subjects and more older ones appeared being influenced by technophobia features because of feeling themselves as inadequate in the management of technology. Oneway ANOVA and then Bonferroni's post-hoc analysis showed that non-autonomous (p<0.01), low-frequency (p<0.01), and feelingneed- for-help users (p<0.01) had higher levels of computer anxiety. No significant effect was in gender distribution. Finally, social networking seems related better use of technology and lower anxiety for digital solutions. Our findings highlight technophobia as a possible new risk factor for not digital native because it can affect their daily life through lower adherence to digital solutions; rather than aging successfully, they could develop fragile ageing. More, they seemed inadequate to use the digital solutions for better living in aging
Digital Learning As Enhanced Learning Processing? Cognitive Evidence for New insight of Smart Learning
Large use of technology improved quality of life across aging and favoring the development of digital skills. Digital skills can be considered an enhancing to human cognitive activities. New research trend is about the impact of the technology in the elaboration information processing of the children. We wanted to analyze the influence of technology in early age evaluating the impact on cognition. We investigated the performance of a sample composed of n. 191 children in school age distributed in two groups as users: high digital users and low digital users. We measured the verbal and visuoperceptual cognitive performance of children by n. 8 standardized psychological tests and ad hoc self-report questionnaire. Results have evidenced the influence of digital exposition on cognitive development: the cognitive performance is looked enhanced and better developed: high digital users performed better in naming, semantic, visual memory and logical reasoning tasks. Our finding confirms the data present in literature and suggests the strong impact of the technology using not only in the social, educational and quality of life of the people, but also it outlines the functionality and the effect of the digital exposition in early age; increased cognitive abilities of the children tailor digital skilled generation with enhanced cognitive processing toward to smart learning
‘Self body-management and thinness in youth: survey study on Italian girls’
Abstract Adherence to the thinness model, self-acceptance such as self-esteem is psychological dynamics influencing the young age and emerging adulthood of women life. The purpose of this study was to investigate the girls and young women’ ability to deal with the adherence to thinness model according to their self-body management thought daily self-perception of ownhabits and aptitude. We analysed their emotional patterns and body management to elucidate the Italian phenomenon. A cross-sectional study was conducted on 2287 Italian female distribute in range age 15–25 years old and distributed in girl and young women groups. We conducted a Survey study by snowball sampling technique. Our results showed that girls had higher emotional pattern scores when their weight and shape fit the thinness model: skinny girls felt positively about their body even if when they did not take adequate care of it. Italian girls consider the underweight body mass index an adherence model. Findings suggest the urgent need to plan prevention programme to model healthy behaviours about their daily good practice overcoming social and cultural models based on appearance
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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