Non solo un problema dei bimbi ma “attenzione all’autodiagnosi”
Risultati per: Gestione del trauma renale dell’adulto
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Terapie farmacologiche per la gestione acuta dell’emicrania negli adulti
Development of a vocational rehabilitation intervention to support return-to-work and well-being following major trauma: a person-based approach
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.
La tossina “antirughe” efficace sulle cefalee da trauma cranico
Botulino, anche per i casi più difficili di nevralgia trigemino
Cavalli e cani come terapia, anche per gestione stress veterani
I risultati del progetto Iss “Veterani in Sella”
Cavalli e cani come terapia, anche per gestione stress veterani
I risultati del progetto Iss “Veterani in Sella”
Immunoterapia, al Gemelli la gestione delle complicanze endocrinologiche
Tra gli effetti indesiderati le disfunzioni di tiroide e ipofisi
Mediating role of childbirth readiness in the relationship between social support and psychological birth trauma in primiparous women: a nationwide cross-sectional study in China
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
Nasce formaggio di capra per chi soffre di insufficienza renale
Primo prodotto al mondo, arriva da mini caseificio Ogliastra
Nasce formaggio di capra per chi soffre di insufficienza renale
Primo prodotto al mondo, arriva da mini caseificio Ogliastra
Linee guida per la gestione del carcinoma epatocellulare negli adulti
Nuove linee guida per la gestione cardiovascolare nella chirurgia non cardiaca
Effectiveness of moisturising therapy in treating nipple trauma: a systematic review protocol
Introduction
Breastfeeding is crucial in infant nutrition and bonding, recommended for at least 6 months and up to 2 years postpartum, providing health benefits for both infants and mothers. However, nipple trauma is common among lactating mothers. Moisturising therapies, such as hydrogel application, aim to promote the healing of nipple wounds. Despite various interventions proposed, comprehensive reviews evaluating the efficacy of moisturising therapies for nipple trauma are lacking. This review aims to appraise the effectiveness of moisturising therapy, particularly tailored for nipple trauma in lactating women.
Methods and analysis
This systematic review protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines and is registered in the International Prospective Register of Systematic Reviews. The focus will be on both randomised and non-randomised controlled trials addressing the treatment of nipple trauma in lactating women. In this context, ‘moisturising therapy’ is categorised as a non-pharmacological intervention applied directly to the nipple, excluding treatments for bacterial or fungal infections. The primary outcomes will include measures of the healing efficiency of nipple trauma and reduction in nipple pain. Searches will be conducted without date restrictions across multiple databases, including PubMed, CINAHL, the Cochrane Library, Web of Science, CiNii Research and Ichushi-Web, in addition to exploration of grey literature. Two independent reviewers will manage all stages of the review process, under the supervision of a third reviewer. Data extraction will encompass participant demographics, study methodologies, sample specifics and measured outcomes. Quality assessment will be conducted using the Joanna Briggs Institute Appraisal Checklist Tools.
Ethics and dissemination
Ethics approval is not required for this study. The findings of this review will be disseminated through academic publications, detailed reports and presentations at relevant conferences.
PROSPERO registration number
CRD42023481761.