Esperienze di pazienti e utenti durante una breve interazione comunicativa con il personale ospedaliero

2009 ◽  
pp. 5-14
Author(s):  
Marinella Sommaruga ◽  
Paola Gremigni ◽  
Porta Paola Della
Keyword(s):  
Health Care ◽  
Key Words ◽  
Hospital Personnel ◽  
Verbal Immediacy ◽  
Health Care Communication ◽  
Hospital Employees ◽  
Hospital Employee ◽  
The North ◽  
Key Words Communication ◽  
Female Employees

- This study is aimed at investigating outpatients' and clients' experience of communication with a group of employees of a hospital in the North of Italy. Participants in the study were 328 patients/users who were asked to report their communicative experience with 20 hospital employees using the Health Care Communication Questionnaire (HCCQ). Employees were 40% administrative, 60% ambulatory nurses and technicians, and 82% females. The comparison between employees on scores obtained showed significant differences in two of the four factors of the questionnaire (Lack of hostility and Non verbal immediacy). Furthermore, the female employees have been perceived by patients as less hostile then men. Female patients/users felt to be more respected then males, but this difference was linked to age, as among males the feeling of being respected decreased with age. Finally, it was possible to observe the scores obtained by each hospital employee in the HCCQ factors, to detect which of the four communicative behaviours has been evaluated by the users as less appropriate. This seems useful for planning personalized training.Key words: communication, patients, hospital personnel.Parole chiave: comunicazione, pazienti, personale ospedaliero

FEATURES OF OPHTHALMIC CARE FOR PATIENTS WITH COMPLICATED CATARACTS

2020 ◽  
pp. 84-89
Author(s):  
Inna Ivanovna Lapkina
Keyword(s):  
Health Care ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Key Words ◽  
Outpatient Treatment ◽  
Practical Application ◽  
Unified Approach ◽  
Case Histories ◽  
High Prevalence

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.

scholarly journals 472. The Utility of Infectious Diseases E-consults in the Era of COVID-19

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S302-S303
Author(s):  
Hala Saad ◽  
Kruti Yagnik ◽  
Helen King ◽  
Roger Bedimo ◽  
Richard J Medford
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Infection Prevention ◽  
Panel Member ◽  
University Hospital ◽  
North Texas ◽  
Review Panel ◽  
The North ◽  
Time To Completion ◽  
Texas Health

Abstract Background During the COVID-19 pandemic, rapid Infectious Diseases (ID) consultation has been required to answer novel questions regarding SARS-CoV-2 testing and infection prevention. We sought to evaluate the utility of e-consults to triage and provide rapid ID recommendations to providers. Methods We performed a retrospective study reviewing ID e-consults in three institutions in the North Texas region: Clements University Hospital (CUH), Parkland Hospital and Health System (PHHS), and the VA North Texas Health Care System (VA) from March 1, 2020 to May 15, 2020. Variables collected include age, sex, ethnicity, comorbidities, time to completion, reason for consult and outcome of consult (initiation or removal of personal protective equipment (PPE) and recommendation to test or retest for COVID-19). Results We performed all analysis using R studio (Version 1.3.959). Characteristics of 198 patients included: 112(57%) male, 86(43%) female, 86(43%) Caucasian, 71(36%) Hispanic, 42(21%) African American, 6(3%) Asian and mean(sd) age of 55.1(15.9). Patient comorbidities included: 89(45%) with a heart condition, 77(39%) diabetes, 30(15%) asthma and 14(7%) liver disease. Median time to completion for all hospitals was 4 hours(h); ((CUH (4h) vs PHHS (2h), p< 0.05; VA (5.5h) vs PHHS (2h) p< 0.05)). Most common reasons for e-consult included: (63)32% regarding re-testing ((CUH 14(21%) vs PHHS 43(50%), p< 0.05; CUH vs VA 14(27%), p< 0.05; PHHS vs VA, p< 0.05)), (61)31% testing ((CUH 25(37%) vs PHHS 39(45%), p< 0.05; CUH vs VA 7(16%), p< 0.05; PHHS vs VA, p< 0.05)) and 61(31%) infection prevention (IP). Based on the e-consult recommendation, 53(27%) of patients were tested ((CUH 31(45%) vs PHHS 11(13%), p< 0.05, CUH vs VA 11(25%), PHHS vs VA, p< 0.05)), 45(23%) were re-tested, 44(22%) of patients had PPE started on and 19% had PPE removed ((CUH 0(0%) vs PHHS 16(19%), p< 0.05; CUH vs VA 21(48%), p< 0.05; PHHS vs VA, p< 0.05)). Reason for Consult Conclusion E-consult services can provide prompt ID input during the COVID-19 pandemic, minimizing the risk of infection to the patient and health care workers while preserving PPE and testing supplies. Disclosures Roger Bedimo, MD, MS, Gilead Sciences (Consultant)Merck & Co. (Advisor or Review Panel member)ViiV Healthcare (Advisor or Review Panel member, Research Grant or Support)

Conundrums in health care reform: current experiences across the North Atlantic

2012 ◽  
Vol 72 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Richard B. Currie ◽  
Iain A. Pretty ◽  
Martin Tickle ◽  
Gerardo Maupomé
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
North Atlantic ◽  
The North ◽  
The North Atlantic

Mutual speech influence and speech passages in epos texts

2020 ◽  
Vol 60 (11) ◽  
pp. 138-142
Author(s):  
Mehriban Gasim Alasgarova ◽  
Keyword(s):  
Key Words ◽  
Speech Act ◽  
Mutual Influence ◽  
Key Words Communication ◽  
Text Formation

In this article one can notice changing of communication participants, substitution of narrators with personage speeches, their mutual influences on each other as well. The problem mentioned here is going to be investigated on the basis of epos materials, and for solving this problem the epos of “The Book of Dada Gorgud” and the anglosacs “Beowulf” texts were used by us here. The artistic text is playing the rode of realization of an artistic text. At this stage communication goes through the line of author-reader, together with this, in any text dealing with the occurance or the topic shows the participants taking part there. The author is also giving the speeches of participants in the process of the formation of a text. In the end in artistic text one can meet the speeches of the narrators (ozan, skop in epos) and the personages as well. In the process of text formation there will be mutual influence between these speech forms. In most cases the narrator’s speech will serve for concretizing of continuation and succession of the occurances and within this draws up the ozan-reader dialogue of course. Key words: communication, speech, text, epos, personage, speech act

Prophylaxis of obstetric and perinatal pathology at women with pathological increase of body weight during pregnancy

2018 ◽  
pp. 7-79
Author(s):  
S.Yu. Vdovichenko ◽  
◽  
T.D. Fakhrutdinova ◽  
Keyword(s):  
Health Care ◽  
Body Weight ◽  
Pregnant Women ◽  
Key Words ◽  
Perinatal Outcomes ◽  
Perinatal Complications ◽  
Perinatal Pathology ◽  
Fetoplacental Complex ◽  
The Right ◽  
Selection Of

The objective: depression of obstetric and perinatal complications at pregnant women with pathological increase of body weight during pregnancy on the basis of studying of clinical-functional, endocrinologic, metabolic, morphological features of condition of fetoplacental complex and development of advanced algorithm of treatment-and-prophylactic actions. Materials and methods. We conducted examination of 264 patients who consisted on the account concerning pregnancy in female consultations of Kiev. By a method of selection of 178 women were included in retrospective research and 86 – in prospective. The main group was made by 39 pregnant women with whom led individual discussions, control – 142 women, that received traditional references in female consultation. Results. Use of the algorithm improved by us allows to improve obstetric (decrease of frequency of a preeclampsia by 12.3%; anomalies of a patrimonial deyalnost for 8.4%) and perinatal outcomes (depression of level of an asphyxia at a delivery for 9.4% and post-natal adaptation for 7.8%) deliveries of women with an excessive increase of body weight during pregnancy. Conclusion. The received results grant the right to recommend the algorithm improved by us for wide use in practical health care. Key words: obstetric and perinatal pathology, pathological increase of body weight, prophylaxis.

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