Risultati per: Gestire la colica renale nel setting delle cure primarie

‘La Comunità che cura’, modelli d’eccellenza in 8 Regioni

Introduction
Chronic pain is a common health problem that is not efficiently managed by standard analgesic treatments. There is evidence that treatment resistance may result from maladaptive brain changes in areas that are fundamental to the perception of pain. Knee osteoarthritis is one of the most prevalent causes of chronic pain and commonly associated with negative affect. Chronic knee osteoarthritis pain is also associated with altered right anterior insula functional connectivity. We posit that reversal of these brain circuit alterations may be critical to alleviate chronic pain and associated negative affect, and that this can be achieved through non-invasive neuromodulation techniques. Despite growing interest in non-invasive neuromodulation for pain relief and proven efficacy in depression, results in chronic pain are mixed with limited high-quality evidence for clinical and mechanistic efficacy. Limitations include patient heterogeneity, imprecision of target selection, uncertain blinding and protocols that may deliver pulses at subclinical efficacy.

Methods and analysis
We hence developed an optimised treatment protocol of connectivity-guided intermittent theta-burst stimulation (iTBS) targeting the left dorsolateral prefrontal cortex with accelerated delivery on four consecutive days (allowing 4 days within the same week as protocol variation) with five daily treatment sessions that will be piloted in a sham-controlled design in 45 participants with chronic knee pain. This pilot study protocol will assess feasibility, tolerability and explore mechanistic efficacy through serial functional/structural magnetic resonance imaging (MRI) and quantitative sensory testing.

Ethics and dissemination
This pilot trial has been approved by the Ethics Committee Cornwall and Plymouth.
Results of the pilot trial will be submitted to peer-reviewed journals, presented at research conferences and may be shared with participants and PPI/E advisors.

Trial registration number
ISRCTN15404076.

Bilancio a meno di 2 anni dall’apertura struttura a Passoscuro

Bilancio a meno di 2 anni dall’apertura struttura a Passoscuro

Tra le richieste del garante c’è la trasparenza, la supervisione dell’uomo sulle decisioni e la necessità di evitare discriminazioni sulle cure a causa degli algoritmi.

This clinical trial compares the effectiveness of nasal iodophor vs mupirocin for decolonization in combination with chlorhexidine gluconate bathing in adult patients in the intensive care unit (ICU).

Introduction
Diabetes is a major risk factor for cardiovascular disease, which is the most significant contributor to increased mortality due to natural causes in those with severe mental illness (SMI). Self-management interventions for diabetes have been shown to be effective in the general population, however, effects of these interventions in those with SMI is still unclear. Psychiatric admission could be used opportunistically to deliver interventions of this kind and help improve diabetes self-management. This review aims to assess whether interventions of this kind improve diabetes outcomes and have an effect on reducing cardiovascular risk.

Methods and analysis
This review will include studies assessing diabetes self-management interventions designed to be delivered to those aged 18 and over with comorbid type 2 diabetes and SMI during admission to psychiatric inpatient settings. Databases including the Cochrane Library, Medline, Psychinfo, CINAHL, Embase, WHO’s International Clinical Trials Registry Platform, International Health Technology Assessment Database, UK Clinical Research Network and ClinicalTrials.gov will be searched from inception to September 2022. Where possible, meta-analysis of included studies will be conducted. If heterogeneity is high and meta-analysis is not possible, we will use other means of data synthesis and will include a narrative description of included studies.

Ethics and dissemination
Ethical approval is not required as the systematic review will only include data from existing studies. The results will be disseminated via peer-reviewed publication and presentation at relevant national and international conferences.

PROSPERO registration number
CRD42022357672

Le strutture sanitarie ancora esposte a vulnerabilità che potrebbero essere compensate da formazione, informazione e modelli di finanziamento del rischio basati sull’evidenza

Ghebreyesus, medicina integrata spesso considerata ascientifica

Nuovo sistema di diagnosi avanzate integra dati sanitari e IA

Da diagnosi a terapie errate, 1 paziente su 10 subisce danni

A dominare i ranking realizzate da Newsweek sono soprattutto gli ospedali americani quasi sempre da soli sul podio, ma le strutture italiane sono molto presenti in tutti i ranking

Objectives
Most sexual violence (SV) remains undisclosed to healthcare professionals. The aims of this study were to identify where support would be sought after SV and whether routine enquiry about SV was acceptable in a sexual healthcare setting.

Design
An online population-based survey collected data on a history of SV and preferences on support after SV, in addition to sociodemographic data. Respondents’ views on being routinely asked about SV were sought.

Setting and participants
This online survey was based in England, UK. There were 2007 respondents.

Results
The police were the most frequent first choice for support after experiencing SV (n=520; 25.9%); however, this was less common in individuals in younger age groups (p

Alla presentazione dell’Ospedale comunità (Odc) all'”Itis”