The Research Unit of the Servizio di Psicologia Medica at the Institute of Psychiatry of the University of Verona, 1980–1991

1993 ◽  
Vol 23 (1) ◽  
pp. 239-247 ◽  
Author(s):  
M. Tansella

SynopsisThere has been an adult psychiatry research group within the Institute of Psychiatry of the University of Verona since 1970. However, in 1980, the University of Verona established a Chair in Medical Psychology and since that time a separate department gradually developed. This department, primarily devoted to epidemiological studies in mental health and to teaching activities, was later involved also in clinical work and was officially recognized by the Regional Health Department and by the Local Socio Health authorities (ULSS No. 25, Verona), as Servizio di Psicologia Medica. They provided additional financial support and new infrastructures not only for its clinical activities but also for research carried out in its Research Unit.

Author(s):  
Ada Ducas ◽  
Tania Gottschalk ◽  
Analyn Cohen-Baker

From 1993 to 2009 the University of Manitoba (UM), the Regional Health Authorities of Manitoba (RHAM), and the Manitoba Health Department signed affiliation agreements that changed the access to knowledge-based information for health professionals. These agreements transferred the management and delivery of library service from the home organizations to the UM Libraries. This three-part paper describes the events that led to the evolution of change in health information access in Winnipeg, subsequent revolutionary changes in the nature of the services, and their eventual devolution due to a significant array of unexpected challenges.


2021 ◽  
Vol 3 ◽  
Author(s):  
Paolo Bellavista ◽  
Marco Torello ◽  
Antonio Corradi ◽  
Luca Foschini

The recent COVID-19 pandemic in Italy has highlighted several critical issues in the management process of infected people. At the health level, the management of the COVID-19 positive was mainly delegated to the regional authorities and centrally monitored by the State. Despite requested common activities (such as diagnosis of virus positivity, active surveillance of infected people and contact tracing), Regional Health Departments were able to issue specific directives in their territories and establish priority levels for each activity according to the specific needs related to the emergency in their area. The development of novel digital tools for the management of infected people become an urgent necessity to foster more organized and integrated solutions, able to quickly process large amounts of data. Mobile Crowdsensing methodologies could effectively facilitate needed lateral interviewing activities as well as the monitoring of crowds in environments with a high concentration of virus-positive subjects (such are hospital wards but also other locations), facilitating the tracing of possible outbreaks of contagion due to advanced geolocation techniques and big data analysis methods. This paper analyzes the functionality of SWAPS (Supporting Workflows for Healthcare Personnel management), a modular and scalable web platform which facilitate and reduces the management time of COVID positive health personnel within healthcare facilities. It also analyzes the possible integrations between SWAPS and ParticipACT, an advanced MCS platform developed by the University of Bologna that can help set up the alert notification in case of entry into a COVID risk area. This article surveys the current literature on software platforms to address COVID-19 and related tracing issues and presents the practical issues and on-the-field results obtained from the research developed by the University of Bologna by assisting the deployment of the proposed solution for a big Regional Health Department in the city of Bologna.


1990 ◽  
Vol 14 (10) ◽  
pp. 590-591
Author(s):  
M. M. Tannahill

The White Paper (CM 555) Working for Patients DoH, 1989 and its associated Working Paper 7 recommended Regional Health Authorities to devolve everyday management of consultant contracts to Districts, with instructions that, by April 1991, hospital consultants must have job plans which reflect their main duties and responsibilities within the service. Health Circular HC(90)16 represents, in four pages, the outcome of the year-long negotiation between the Ministry and the medical profession's negotiators on the Central Consultants and Specialists Committee (CCSC). Honours are even. Government can claim that the profession's traditional autonomy, already weakened by the Griffiths NHS enquiry in 1983, has been brought further under its iron fist; on the other hand CCSC can justifiably pride itself on the preservation of a flexible professional contract (Havard, 1990). It has succeeded too in modifying the original proposals by winning rights to an appeals mechanism, and, of great importance to those involved in College activities, in preserving the opportunity for consultants to contribute to national and local professional committees within NHS time. The CCSC has also negotiated amendments to Terms and Conditions of Service for Consultants which allow those involved in management activities (UMRs, Clinical Directors, Resource Management Leaders and Audit Co-ordinators) either payment for up to two additional notional half days a week or relinquishment of equivalent clinical work, in which case a colleague may be paid to take this on. These are important concessions and will be welcomed by all consultants.


2010 ◽  
Vol 58 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Rosina-Martha Csöff ◽  
Gloria Macassa ◽  
Jutta Lindert

Körperliche Beschwerden sind bei Älteren weit verbreitet; diese sind bei Migranten bislang in Deutschland und international noch wenig untersucht. Unsere multizentrische Querschnittstudie erfasste körperliche Beschwerden bei Menschen im Alter zwischen 60 und 84 Jahren mit Wohnsitz in Stuttgart anhand der Kurzversion des Gießener Beschwerdebogens (GBB-24). In Deutschland wurden 648 Personen untersucht, davon 13.4 % (n = 87) nicht in Deutschland geborene. Die Geschlechterverteilung war bei Migranten und Nichtmigranten gleich; der sozioökonomische Status lag bei den Migranten etwas niedriger: 8.0 % (n = 7) der Migranten und 2.5 % (n = 14) der Nichtmigranten verfügten über höchstens vier Jahre Schulbildung; 12.6 % (n = 11) der Migranten und 8.2 % (n = 46) der Nichtmigranten hatten ein monatliches Haushaltsnettoeinkommen von unter 1000€; 26.4 % der Migranten und 38.1 % (n = 214) der Nichtmigranten verfügten über mehr als 2000€ monatlich. Somatische Beschwerden lagen bei den Migranten bei 65.5 % (n = 57) und bei den Nichtmigranten bei 55.8 % (n = 313). Frauen wiesen häufiger somatische Beschwerden auf (61.8 %) als Männer (51.8 %). Mit steigendem Alter nahmen somatische Beschwerden zu. Mit Ausnahme der Altersgruppe der 70–74-Jährigen konnte kein signifikanter Unterschied zwischen Migranten und Nichtmigranten hinsichtlich der Häufigkeit körperlicher Beschwerden gezeigt werden. Ausblick: Es werden dringend bevölkerungsrepräsentative Studien zu körperlichen Beschwerden bei Migranten benötigt.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. L. Downey ◽  
J. Bentley ◽  
H. Pandit

Abstract Background Time out of clinical training can impact medical trainees’ skills, competence and confidence. Periods of Out of Programme for Research (OOPR) are often much longer than other approved mechanisms for time of out training. The aim of this survey study was to explore the challenges of returning to clinical training following OOPR, and determine potential solutions. Methods All current integrated academic training (IAT) doctors at the University of Leeds (United Kingdom) and previous IAT trainees undertaking OOPR in the local region (West Yorkshire, United Kingdom)(n = 53) were invited to complete a multidisciplinary survey. Results The survey was completed by 33 participants (62% response rate). The most relevant challenges identified were completing the thesis whilst transitioning back to clinical work, the rapid transition between full-time research and clinical practice, a diminished confidence in clinical abilities and isolation from colleagues. Potential solutions included dedicated funds allocated for the renewal of lapsed skills, adequate notice of the clinical rotation to which trainees return, informing clinical supervisors about the OOPR trainee returning to practice and a mandatory return to standard clinical days. Conclusions Addressing these issues has the potential to improve the trainee experience and encourage future trainees to take time out of training for research activities.


Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 580
Author(s):  
Catherine Torcivia ◽  
Sue McDonnell

In recent years, there has been a growing interest in and need for a comprehensive ethogram of discomfort behavior of horses, particularly for use in recognizing physical discomfort in domestically managed horses. A clear understanding of the physical discomfort behavior of horses among caretakers, trainers, and professional health care personnel is important to animal welfare and caretaker safety. This is particularly relevant to pain management for hospitalized equine patients. Various pain scale rubrics have been published, typically incorporating only a few classically cited pain behaviors that, in many cases, are specific to a particular body system, anatomic location, or disease condition. A consistent challenge in using these rubrics in practice, and especially in research, is difficulty interpreting behaviors listed in various rubrics. The objective of this equine discomfort ethogram is to describe a relatively comprehensive catalog of behaviors associated with discomfort of various degrees and sources, with the goal of improving understanding and clarity of communication regarding equine discomfort and pain. An inventory of discomfort-related behaviors observed in horses has been compiled over 35 years of equine behavior research and clinical consulting to medical and surgical services at the University of Pennsylvania School of Veterinary Medicine’s equine hospital. This research and clinical work included systematic evaluation of thousands of hours of video-recordings, including many hundreds of normal, healthy horses, as well as hospitalized patients with various complaints and/or known medical, neurologic, or orthopedic conditions. Each of 73 ethogram entries is named, defined, and accompanied by a line drawing illustration. Links to online video recorded examples are provided, illustrating each behavior in one or more hospitalized equine patients. This ethogram, unambiguously describing equine discomfort behaviors, should advance welfare of horses by improving recognition of physical discomfort, whether for pain management of hospitalized horses or in routine husbandry.


1996 ◽  
Vol 20 (3) ◽  
pp. 177-177 ◽  
Author(s):  
David Storer

The major problem of manpower planning in psychiatry has until fairly recently been one of securing enough posts in the training grades to place doctors wishing to train in psychiatry and to ensure an adequate supply of applicants for consultant posts. Numerous consultant vacancies and a ‘bottleneck’ between registrar and senior registrar grades was the frustrating combination largely consequent upon the failure of some regional health authorities to fund the posts which Joint Planning Advisory Committee (JPAC) had approved.


1978 ◽  
Vol 23 (3) ◽  
pp. 207-212 ◽  
Author(s):  
G. D. Forwell

A working party was set up by the Scottish Home and Health Department to consider the system of allocation of money to health boards. The system advocated (SHARE Report) is predictable from the NHS structure and the analogous report (RAWP) in England. The Secretary of State has announced his decision to accept SHARE in general principle. In principle, the Report is to be welcomed as a first step toward rationalising the distribution of health service money. However, work already published suggests the assumptions in SHARE require examination. SHARE would encourage individual health boards to plan for their own populations although thereby the greatest improvement in health services in Scotland may not be achieved. The SHARE objective of equal opportunity of securing access is open to various interpretations. Emphasis is laid on the recommendation in the Report for a comprehensive examination of the inter-relationship of social circumstances (in particular, urban deprivation), morbidity and mortality.


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