scholarly journals University Medicine in Italy: an exemplary “case report” of several unresolved criticities

2010 ◽  
Vol 4 (4) ◽  
pp. 145-155
Author(s):  
Roberto Manfredi
Keyword(s):  
Academic Medicine ◽  
Point Of View ◽  
University Hospital ◽  
Professional Activity ◽  
The Past ◽  
University Medicine ◽  
Medical Division ◽  
Starting Point ◽  
The University ◽  
Present Role

The present role, space, task, mission, function, and outcome of University Medicine in Italy are briefly examined, taking as a pure and trivial pretext the actual professional activity of single, representative physician who changed his role at the same specialistic Department of the same University Hospital, by covering an University role in the past five years, after working at the same facility as an Hospital-affiliated specialist in charge of the same Medical Division during the previous 14 years. The lights and shadows of assistential and academic medicine organisation and integration in Italy are the starting point of our preliminary observations, which may be potentially extended to the University Medicine as a whole, from an organisative, functional, and especially ergonomic point of view.

scholarly journals Prologue: Tropical Meteorology 1960–2010—Personal Recollections

2016 ◽  
Vol 56 ◽  
pp. vii-xv ◽  
Author(s):  
Taroh Matsuno
Keyword(s):  
Early Period ◽  
Tropical Meteorology ◽  
Point Of View ◽  
Late Professor ◽  
The Past ◽  
Personal Reminiscence ◽  
Past Half Century ◽  
Long Time ◽  
The University ◽  
Past Half

This volume consists of some papers presented at the AMS Symposium held to honor the memory of the late Professor Michio Yanai as well as additional works inspired by his research. By the nature of this volume, many of the contributed papers describe the development of tropical meteorology over the past half-century or so in connection with Professor Yanai’s influence on it. While most of the chapters address specific areas and discuss timely issues, in this prologue I will describe some of Professor Yanai’s contributions during the early period of his career from my own point of view. As this is a personal reminiscence, I would like to emphasize how Professor Yanai influenced me. Both Professor Yanai and I became graduate students at the University of Tokyo to begin our career as meteorologists in 1956 and 1957, respectively. Since we studied and worked together so closely for a long time, in this article I will call him Yanai-san as I have done in our personal interactions.

scholarly journals Original Article. Demographic Changes in the Population of Bulgaria as Challenges for Anaesthesiologists

2016 ◽  
Vol 9 (2) ◽  
pp. 130-133
Author(s):  
Vladimir R. Radev ◽  
Radko N. Radev ◽  
Daniela A. Arabadzhieva ◽  
Vladin I. Petrov ◽  
Nikolay H. Kolev
Keyword(s):  
Population Decline ◽  
University Hospital ◽  
Annual Number ◽  
Multidisciplinary Teams ◽  
The Past ◽  
Statistical Institute ◽  
Age Related ◽  
Physical Classification ◽  
The University ◽  
Organ Changes

Summary In the past two decades, the demographic crisis in Bulgaria has been widely debated. According to the National Statistical Institute (NSI), the proportion of people aged 65 and over is increasing, despite the general population decline in the country. To investigate whether the age structure of patients operated on has changed during the past 10 years and assess the need to reorganize the training of anesthetists,aretrospective study in the anesthesia electronic database of the University Hospital in Rouse was carried out. The data of anesthesia performed by anesthesiologists in 2005, 2010 and 2015 in patients aged 65 and over were summarized. The distribution of these patients by ASA Physical Classification System and frequency of complications during anesthesia were analyzed. The average annual number of anaesthesias for the three years was almost unchanged and amounted to about 5500. The proportion of patients aged 65 and over increased from 30.54%in 2005 to 35.72%in 2010, and 37.81%in 2015. The distribution of patients in according to the ASA Classification changed significantly: the percentage of patients ASAI-IIdropped from 36.19%in 2005 to 11.85%in 2015. The patients in the ASA III-IVgroups for the three analyzed years was 41.86%, 58.66%and 65.30%, respectively, and this was mainly due to the increase in the ASAIVpatients. It is necessary to build multidisciplinary teams and prepare specialized protocols for behavior in geriatric patients. It is imperative that anesthesiologists possess specialized knowledge about age-related organ changes and their effects on anesthesia.

scholarly journals COMEPA (COVID-19 Medicina Policlinico Palermo): a study in hospitalized patients

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
The COMEPA group
Keyword(s):  
Internal Medicine ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Prognostic Factors ◽  
Clinical Practice ◽  
Medical Records ◽  
University Hospital ◽  
Efficacy And Safety ◽  
The Past ◽  
The University

Coronavirus disease 2019 (COVID-19) has dramatically changed our lives. In the past months, hospitals were saturated of patients; therefore, it is still important to have simple and standardized prognostic factors and to evaluate the efficacy and safety of medications commonly used for COVID-19. We aimed to collect data of the patients hospitalized in Internal Medicine and Geriatrics Wards at the University Hospital (Policlinico) ‘P. Giaccone’ in Palermo, Italy (COMEPA, COVID-19 Medicina Policlinico Palermo), with the main purpose of finding prognostic tools that can be easily used in clinical practice in order to identify patients hospitalized for/with COVID-19 at higher risk of negative outcomes, such as mortality, transfer to Intensive Care Unit (ICU) and institutionalization, as well as evaluating the efficacy/safety of medications commonly used for COVID-19. For reaching these aims, the medical records of approximately 600 patients will be recorded, having data on several parameters and including as outcomes mortality, ICU placement, institutionalization. With the COMEPA study, we therefore plan to update current literature, giving new data on prognostic factors and on the efficacy/safety of some medications used for COVID-19.

Time Perspective among Patients Diagnosed with Neurotic and Personality Disorders − an Exploratory, Clinical Study

2021 ◽  
pp. 1-20
Author(s):  
Joanna Mostowik ◽  
Krzysztof Rutkowski ◽  
Tadeusz Ostrowski ◽  
Michał Mielimąka
Keyword(s):  
General Population ◽  
Personality Disorders ◽  
Time Perspective ◽  
University Hospital ◽  
The Past ◽  
Behavioural Syndromes ◽  
Balanced Time Perspective ◽  
Icd 10 ◽  
The University ◽  
Distinct Features

Abstract (1) An assessment of the structure of time perspective (TP) in a group of patients with neurotic and personality disorders (ICD-10: F4x, F60.x, F61) treated with group psychotherapy. (2) An analysis of the differences between the structure of TP in patients and the general population in order to expand the understanding of the relations between TP and mental health. Data were collected from 49 patients at the University Hospital Day Centre for the Treatment of Neurotic Disorders and Behavioural Syndromes. The measurement of TP was performed with the Zimbardo Time Perspective Inventory. A licensed psychiatrist conducted the diagnosis of neurotic and personality disorders, with additional data obtained from the Symptom Checklist KO ‘O’ and the Neurotic Personality Questionnaire KON-2006. The statistical analysis revealed significant differences in the structure of TP between patients and the general population. Among patients, the intensity of the past experienced negatively was significantly higher, and subsequently, the degree of the past experienced positively was lower. Patients remain in the negative past and concentrate much more on the pain and the worrying memories. They give much less attention to what was and what is valuable and pleasant in their life. Results of this research reveal distinct features of the structure of TP in the studied group. Findings underline the clinical relevance of TP at various stages of therapy. Restoring a balanced time perspective could be regarded as a tenable goal for psychotherapy and perhaps an innovative indicator of the treatment’s effectiveness.

5TH ANNIVERSARY OF THE PATRIOTIC WAR OF 1812. PRACTICES OF COMMEMORATION

2020 ◽  
pp. 76-88
Author(s):  
Philipp I. Ulanov ◽  
Keyword(s):  
Collective Memory ◽  
Focal Point ◽  
Historical Memory ◽  
Historical Analysis ◽  
Memory Formation ◽  
Point Of View ◽  
War Of 1812 ◽  
The Past ◽  
Starting Point ◽  
The Press

This article examines the commemoration practices in marking 5th anniversary of the Patriotic war of 1812. Those celebrations became actually the first commemorative event dedicated to that war. A historical analysis is based on the material of mass media and memoirs of contemporaries. The focal point of the article is the collective memory formation process: what ceremonies were carried out and what goals were pursued by the state, what were the narratives of historical memory that existed in the press. The study of historical memory and its formation means, and specifically with regard to the anniversaries of the Patriotic war of 1812, has become widely prevalent in modern Russian historiography. However, historians rarely focus their attention on the 5th jubilee of the war. The study of that event from the point of view of the memorial history problematic will reveal not only the emerging of the narratives of historical memory, but also will be the starting point in the further study of their evolution and changes. The study of that dynamics is extremely important, because using the memory of the Patriotic war of 1812 has contributed to forming the national identity and self-consciousness of the Russian population over the past two centuries.

Epidemiology of Clostridium difficile infection: results of a hospital-based study in Krakow, Poland

2015 ◽  
Vol 143 (15) ◽  
pp. 3235-3243 ◽  
Author(s):  
J. CZEPIEL ◽  
J. KĘDZIERSKA ◽  
G. BIESIADA ◽  
M. BIRCZYŃSKA ◽  
W. PERUCKI ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Fold Increase ◽  
Time Span ◽  
University Hospital ◽  
Posterior Stabilization ◽  
The Past ◽  
Risk Of Mortality ◽  
Crude Mortality ◽  
Medical Wards ◽  
The University

SUMMARYOver the past two decades Clostridium difficile infection (CDI) has appeared as a major public health threat. We performed a retrospective study based on the records of patients hospitalized for CDI at the University Hospital in Krakow, Poland, between 2008 and 2014. In the study period, CDI occurred in 1009 individuals. There were 790 (78%) individuals who developed infection only once, whereas 219 (22%) developed infection more than once. The percentage of deaths within 14 days of CDI confirmation was 2·4%, with a mean age of 74·2 ± 15·9 years. Crude mortality was 12·9% in medical wards, 5·6% for surgical wards and 27·7% in the ICU setting. The time span between diagnosis and death was 5·1 days on average. Between 2008 and 2012 a 6·5-fold increase of CDI frequency with a posterior stabilization and even reduction in 2013 and 2014 was observed. According to the data analysed, 2/3 patients in our population developed CDI during their hospitalization even though they were admitted for different reasons. Medical wards pose a significantly higher risk of CDI than the surgical ones. Age is a risk factor for CDI recurrence. In the case of patients who died, death occurred shortly after diagnosis. The first CDI episode poses much higher risk of mortality than the consecutive ones.

scholarly journals Characteristics and Results of the Treatment of Multiple Myeloma in the Subject under the Age of 65 at the University Hospital of Yopougon in Abidjan, Côte d’Ivoire

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Diebkilé Aïssata Tolo ◽  
Duni Sawadogo ◽  
Danho Clotaire Nanho ◽  
Boidy Kouakou ◽  
N’Dogomo Méité ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Sex Ratio ◽  
Stable Disease ◽  
Bone Pain ◽  
Causes Of Death ◽  
University Hospital ◽  
Professional Activity ◽  
The Subject ◽  
The University ◽  
Ig G

We retrospectively studied 30 cases of multiple myeloma in patients under the age of 65, diagnosed from 1991 to 2005 in the clinical hematology department of the University Hospital of Yopougon that is a hospital incidence of 2.9 cases/year. The age of patients ranged from 34 to 64 years, with a mean age of 49 years and a sex ratio of 1.73. The professional activity was variable with 3% of radiographers and 10% of farmers. Clinically, the dominant sign was bone pain in 83% of cases. Myeloma was secretory in 93% of cases. It was Ig G-type in 86%, kappa-type in 66% of cases. 86% of patients were anemic, 20% had creatinine >20 mg/L, and 10% had serum calcium >120 mg/L. Geodes were found in 80% of cases. 53% were at stage III of DURIE and SALMON. Complications were infectious (33%), renal (20%), and hemorrhagic (7%). Chemotherapy regimens were VAD (10%), VMCP (30%), and VMCP/VBAP (60%) with 47% of partial responses, 33% of stable disease, and 7% of very good quality partial responses. The outcome developed towards death in 37% and causes of death were renal in 46% of cases. The median survival was only 5.1 months.

scholarly journals Intra-abdominal hypertension in the ICU – a prospective epidemiological study

2015 ◽  
Vol 88 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Georgi M. Arabadzhiev ◽  
Valentina G. Tzaneva ◽  
Katya G. Peeva
Keyword(s):  
Elective Surgery ◽  
Treatment Options ◽  
Point Of View ◽  
University Hospital ◽  
Abdominal Pressure ◽  
Medical Patients ◽  
Invasive Treatment ◽  
Abdominal Hypertension ◽  
Significant Difference ◽  
The University

The aim of this prospective study is to examine the frequency and the severity of intra-abdominal hypertension in a mixed ICU of the University hospital.Methods: A closed system for intravesical intermittent measurement of IAP was constructed.Results: The frequency and the severity of IAH were examined in the period from June 2009 to December 2012 in 240 ICU patients divided into 3 groups (patients submitted to elective surgery, emergency surgery, and medical patients) in the University Hospital. In the elective surgery group there was 12.5% IAH, while in the emergency group IAH was 43.75%, and in the medical patients it was 42.5%. There was no statistical significant difference in the frequency of IAH among the mixed population of patients we examined and those studied by other authors with the same type of population.Conclusions. The standardized measurement of intra-abdominal pressure is fundamental for defining intra-abdominal hypertension and abdominal compartment syndrome. The measurement of intra-abdominal pressure should be a part of the basic monitoring of patients at risk of intra-abdominal hypertension. Our point of view is that before there are indications for a surgical decompression, less invasive treatment options should be optimized.

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