Catalan Health Institute: 2014 Annual Report

Sistema sanitari públic; Activitat assistencial; MemòriaPublic health system; Healthcare activity; ReportSistema sanitario público; Actividad asistencial; MemoriaLa Memòria de l’Institut Català de la Salut vol ser un reflex de la realitat de l’empresa sanitària més gran del país. En aquest document trobareu un recull de la feina realitzada pels professionals de la institució, que s’orienta a millorar la salut de la ciutadania

Imagination applied to European norms in "humanized" hospitals. More research, less cost

The architect M. Tedeschi worked to an update project for the Department of Medical Oncology at the San Carlo Hospital in Milan (1994). It was part of a larger Humanization Project for that hospital. He compared the concept of humanization to that of Heimlichkeit, that means the comfort feeling, quiet, peace sensations and home warmth that everyone yearns for. In 2001, U. Veronesi - with R. Piano - presented a preliminary Preparatory Metaproject for guidelines definition in hospitals design in the Italian Regions, in which patients and their needs play a major role in the humanization project. This is a theme of topical interests, characterized by a lot of researches and applications. This paper aims to verify the colour role in the hospitals humanization process and will show, with general scientific criteria, an interesting colour restyling experiment conducted (as voluntary work) by the author for the San Lazzaro Hospital in Turin, in collaboration with ANDOS, Sikkens and Politecnico of Turin. Thus, by combining hospital voluntary work, technical and scientific research (public and private) and creativity, an important objective for the care and comfort of patients and hospital has been achieved. It has been conducted a "pilot project", with procedures based on norms, (without costs for the public institution) replicable in other similar situations

Imagination applied to European norms in “humanized” hospitals. More research, less cost.

The architect M. Tedeschi worked to an update project for the Department of Medical Oncology at the San Carlo Hospital in Milan (1994). It was part of a larger Humanization Project for that hospital. He compared the concept of humanization to that of Heimlichkeit, that means the comfort feeling, quiet, peace sensations and home warmth that everyone yearns for. In 2001, U. Veronesi - with R. Piano - presented a preliminary Preparatory Metaproject for guidelines definition in hospitals design in the Italian Regions, in which patients and their needs play a major role in the humanization project. This is a theme of topical interests, characterized by a lot of researches and applications. This paper aims to verify the colour role in the hospitals humanization process and will show, with general scientific criteria, an interesting colour restyling experiment conducted (as voluntary work) by the author for the San Lazzaro Hospital in Turin, in collaboration with ANDOS, Sikkens and Politecnico of Turin. Thus, by combining hospital voluntary work, technical and scientific research (public and private) and creativity, an important objective for the care and comfort of patients and hospital has been achieved. It has been conducted a “pilot project”, with procedures based on norms, (without costs for the public institution) replicable in other similar situations

MNCD: A New Tool for Classifying Parkinson’s Disease in Daily Clinical Practice

Background and objective: Parkinson's disease (PD) is a clinically heterogeneous disorder in which the symptoms and prognosis can be very different among patients. We propose a new simple classification to identify key symptoms and staging in PD. Patients and Methods: Sixteen movement disorders specialists from Spain participated in this project. The classification was consensually approved after a discussion and review process from June to October 2021. The TNM classification and the National Institutes of Health Stroke Scale (NIHSS) were considered as models in the design. Results: The classification was named MNCD and included 4 major axes: (1) motor symptoms; (2) non-motor symptoms; (3) cognition; (4) dependency for activities of daily living (ADL). Motor axis included 4 sub-axes: (1) motor fluctuations; (2) dyskinesia; (3) axial symptoms; (4) tremor. Four other sub-axes were included in the non-motor axis: (1) neuropsychiatric symptoms; (2) autonomic dysfunction; (3) sleep disturbances and fatigue; (4) pain and sensory disorders. According to the MNCD, 5 stages were considered, from stage 1 (no disabling motor or non-motor symptoms with normal cognition and independency for ADL) to 5 (dementia and dependency for basic ADL). Conclusions: A new simple classification of PD is proposed. The MNCD classification includes 4 major axes and 5 stages to identify key symptoms and monitor the evolution of the disease in patients with PD. It is necessary to apply this proof of concept in a properly designed study

Compliance and Adherence to Enteral Nutrition Treatment in Adults: A Systematic Review

OBJECTIVE: To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. METHOD: This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms "Treatment Adherence and Compliance" and "Enteral Nutrition", applying the filters "Comparative Study" or "Clinical Trial", "Humans" and "Adults". Date of the search: 25 October 2018. RESULTS: A total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%). CONCLUSIONS: Frequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.The authors received no financial support for the research, authorship, and/or publication of this article. The protocol of this systematic review has not been registered.S

Análisis de costes y efectividad de la rehabilitación moderna en IRCCS Bonino-Pulejo

La rehabilitación robótica trata de aplicar los conocimientos propios de la ingeniería para complementar y mejorar la medicina tradicional. En este trabajo se estudia el potencial impacto de la implementación de los métodos de rehabilitación moderna, tanto sobre la viabilidad económica como sobre la efectividad de los resultados obtenidos con los pacientes. Con este propósito, se han analizado los servicios de rehabilitación moderna que ofrece el hospital I.R.C.C.S Neurolese Bonino-Pulejo situado en la ciudad de Messina (Sicilia, Italia) detallando las características de los distintos dispositivos utilizados en dicha rehabilitación y todos los costes que conllevan. No obstante, la efectividad de estos recursos no ha sido ampliamente demostrada debido a su escaso tiempo de aplicación aunque si se pueden apreciar ciertas ventajas frente a la rehabilitación tradicional (reproducibilidad, resultados facilmente medibles, etc). En este trabajo se estudia dicha efectividad mediante el análisis de las últimas investigaciones en este campo de conocimiento.Ingegneria Civile, Energia, Ambiente e Materiali. Università Mediterranea. Reggio CalabriaGrado en Ingeniería en Organización Industria

Cardiovascular prevention in women: an update by the Italian Society of Cardiology working group on 'Prevention, hypertension and peripheral disease'

: The recent pandemic has substantially changed the approach to the prevention of cardiovascular diseases in women. Women have been significantly impacted by the changes that occurred during the pandemic and the quarantine adopted to prevent the spread of the disease. Changes involved prevention both through the reduction of visits and preventive screening and through social and economic changes. It is necessary to adopt new cardiovascular prevention approaches focused on returning to healthy lifestyles, reducing stress and depression also using modern tools such as telemedicine, mobile phone applications and the web. These tools convey messages in a persuasive way especially in young and adult women. There is less impact of these new tools on older women towards whom it is important to adopt a more traditional approach. This review focuses on the new approach to cardiovascular prevention in women in light of the lifestyle changes recorded during the pandemic and which led to an increase in obesity examines the effects on the cardiovascular system induced by stress and depression and analyses the new high blood pressure guidelines and indications that are specific to women

Telemedicine

Telemedicine is a rapidly evolving field as new technologies are implemented for example for the development of wireless sensors, quality data transmission. Using the Internet applications such as counseling, clinical consultation support and home care monitoring and management are more and more realized, which improves access to high level medical care in underserved areas. The 23 chapters of this book present manifold examples of telemedicine treating both theoretical and practical foundations and application scenarios

Improving Oncology Worldwide

This open access book describes strategies and experiences of highly skilled professionals in improving oncology care worldwide. The book is structured into three main sections with several chapters each, reflecting the authors' individual, real-life experiences. It explores ways to improve oncology education and scientific training, how to set up and run a clinical research facility ethically and efficiently in low- and middle-income settings, addressing the challenges that the workforce encounters in the real world. The main challenges of today’s oncologists seem to be the ever-growing patient care and administrative workload and the risk of burn-out. What are the best strategies to maintain a healthy work-life for the benefit of the patients, the physicians and society, taking into account the different needs, depending on factors like peace, social and gender equality? This book addresses oncologists all over the world and their allies throughout the associated industries to highlight the importance of shared and sustainable education, clinical research and global cancer care