Risultati per: Gestione del trauma renale dell’adulto

Colpito almeno il 7% italiani, solo il 10% dei pazienti lo sa

This cohort study investigates the association between neighborhood and individual resources and posttraumatic stress disorder trajectories after trauma.

Non solo un problema dei bimbi ma “attenzione all’autodiagnosi”

Objectives
Major trauma centres (MTCs) save lives but rehabilitation to support return-to-work (RTW) is lacking. This paper describes development of a vocational rehabilitation intervention (the ROWTATE intervention) to support RTW following traumatic injury.

Design
Sequential and iterative person-based approach in four stages—Stage 1: review of evidence about the efficacy and mechanisms of RTW interventions; Stage 2: interviews (n=38) and focus groups (n=25) with trauma survivors and service providers in five UK MTCs to identify the issues, and challenges faced postinjury; Stage 3: codesign workshops (n=43) with trauma stakeholders in MTCs to conceptually test and identify intervention delivery barriers/enablers; Stage 4: meetings (n=7) with intervention development working group (IDWG) to: (1) generate guiding principles, (2) identify key intervention features (process, components, mechanisms) to address unmet rehabilitation needs; (3) generate a logic model and programme theory to illustrate how the intervention works; and (4) develop a training package to support delivery.

Results
Trauma survivors described unmet needs relating to early advice about RTW; psychological support; pain management; hidden disabilities (eg, fatigue); estimating recovery; and community, amputee and musculoskeletal rehabilitation. Mechanisms of effective interventions identified in the review included early intervention, colocation, employer engagement, case coordination and work accommodations. Intervention features identified by IDWG members (n=13) from stages 1 and 2 were use of stepped-care approaches by occupational therapists (OTs) and clinical psychologists (CPs), OT/CP formulation for complex cases, assessment of mental health problems, individually tailored rehabilitation including vocational goal setting, cross-sector coordination/communication, employer engagement, phased RTW, education/advice for family/employers, exploration of work alternatives, ongoing review of physical and mental health needs, work stability monitoring. Conceptual testing ratified the logic model. Geography and long waiting lists were identified as potential delivery barriers.

Conclusions
Real-world testing of the intervention is underway in a randomised controlled trial.

Botulino, anche per i casi più difficili di nevralgia trigemino

I risultati del progetto Iss “Veterani in Sella”

I risultati del progetto Iss “Veterani in Sella”

Tra gli effetti indesiderati le disfunzioni di tiroide e ipofisi

Objective
To examine the relationship between social support and psychological birth trauma among Chinese primiparous women and the mediating effects of childbirth readiness.

Design
A cross-sectional study was conducted between November 2021 and March 2022.

Setting
10 general tertiary hospitals and 3 specialised maternity hospitals in 7 provinces in China.

Participants
A total of 751 primiparous women were recruited for this study.

Outcome measures
The questionnaires consisted of questions on demographic characteristics, the Birth Trauma Scale, the Chinese Mandarin version of the Medical Outcomes Study Social Support Survey and the Childbirth Readiness Scale. Hierarchical multiple regression was used to explore the associated factors and mediating role of childbirth readiness in the relationship between social support and psychological birth trauma. The mediating model was examined by the PROCESS macro for SPSS.

Results
After adjusting for demographic variables, social support was negatively associated with psychological birth trauma (r=–0.242, p

Primo prodotto al mondo, arriva da mini caseificio Ogliastra

Primo prodotto al mondo, arriva da mini caseificio Ogliastra