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Article ; Online: Valutare l’Engagement e la co-produzione dei servizi nella salute mentale

Palamenghi, Lorenzo / Barello, Serena (orcid:0000-0002-8514-2563) / Lucchi, Fabio / Graffigna, Guendalina (orcid:0000-0003-4378-7467)

insight dall’esperienza del Progetto “Recovery.Net”

2020

Abstract: n uno scenario epidemiologico dominato dalle malattie cronico-degenerative, il coinvolgimento e ... l'engagement del paziente e dei suoi familiari nella cura sono sempre più un'esigenza centrale. Le persone ... malate divengono a poco a poco esperte della propria patologia e possono gestire alcuni aspetti ...

Abstract	n uno scenario epidemiologico dominato dalle malattie cronico-degenerative, il coinvolgimento e l'engagement del paziente e dei suoi familiari nella cura sono sempre più un'esigenza centrale. Le persone malate divengono a poco a poco esperte della propria patologia e possono gestire alcuni aspetti della terapia in modo molto efficace, anche in situazioni di stress come quella legata all'emergenza sanitaria da Covid-19. Su un piano diverso, le organizzazioni dei pazienti incidono sulla gestione sia organizzativa sia clinica della salute mettendo a disposizione informazioni altrimenti difficili da captare da parte delle macrostrutture sanitarie. Il testo, oltre a soffermarsi sui confini teorici dell'engagement e sulla sua differenza/complementarietà con pratiche come l'empowerment, l'attivazione, la health literacy, riporta numerosi esempi di engagement 'in azione', molto utili per comprendere come l'engagement trovi declinazioni pratiche sempre più diffuse. Gran parte del volume, inoltre, mette in luce come l'engagement possa essere realizzato sotto forma di accrescimento della giustizia ed equità sociale, se vengono prese in considerazione le diseguaglianze di salute che tanto condizionano la vita dei malati e dei loro caregiver famigliari. L'engagement, in quest'ottica, assume al contempo un valore etico - oltreché pragmatico - e può costituire una chiave per la generazione di un cambiamento culturale e organizzativo nell'iter di gestione della salute dei cittadini dalla prevenzione alla cura delle malattie.
Keywords	coproduzione ; Settore M-PSI/06 - PSICOLOGIA DEL LAVORO E DELLE ORGANIZZAZIONI ; covid19
Language	Italian
Publisher	FRANCO ANGELI EDITORE
Publishing country	it
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Specialised crew resource management programme for non-locally trained healthcare professionals: expediting healthcare cultural adaptation.

So, E H K / Cheung, V K L / Leung, A S H / So, S S / Hung, J L K / Yau, T M L / Chia, N H / Ng, G W Y

Hong Kong medical journal = Xianggang yi xue za zhi

2024 Volume 30, Issue 1, Page(s) 80–81

MeSH term(s)	Humans ; Delivery of Health Care
Language	English
Publishing date	2024-02-08
Publishing country	China
Document type	Letter
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj2311287
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Article ; Online: Access to child developmental assessment services in culturally and linguistically diverse metropolitan Sydney: a retrospective cohort analysis.

Bentley, Sibella E / Garg, Pankaj / Gudes, Ori / Hurwitz, Romy / Vivekanandarajah, Sinthu / So, Lydia Y L

BMC health services research

2024 Volume 24, Issue 1, Page(s) 342

Abstract: Background: Despite the increasing prevalence of neurodevelopmental disorders (NDD), data regarding access to child development services have remained limited globally. Long wait times are a major barrier to developmental assessments, impacting on care ... ...

Abstract	Background: Despite the increasing prevalence of neurodevelopmental disorders (NDD), data regarding access to child development services have remained limited globally. Long wait times are a major barrier to developmental assessments, impacting on care and outcomes. The aim is to retrospectively analyse the demographic profile and prioritisation of patients seen at a child developmental assessment service (CDAS) in a vulnerable region of Sydney, and explore factors affecting wait times. Methods: Data was collated and analysed for 2354 patients from 2018 to 2022. Socio-Economic Indexes for Areas (SEIFA) were collated from the Australian Bureau of Statistics. Descriptive statistics were used for demographic data and various statistical methods were used to analyse the relationships and impact of factors likely to affect wait lists. Results: The median age was 51 months (IQR41-61) and males comprised 73.7% of the cohort. 64% of children were from culturally and linguistically diverse backgrounds (CALD) and 47% lived in the most disadvantaged suburbs. The median wait time was 302.5 days (IQR175-379) and 70% of children were seen within 12 months. CALD patients and children over 5-years had shorter wait times. Most children with Global Developmental Delay (GDD) were from the lowest four SEIFA deciles and waited longer for an appointment. 42.6% were seen within the priority allocated time or sooner. Children with ASD and/or severe GDD were prioritised to be seen earlier. Overall, the study could not demonstrate any difference in the wait times according to the prioritisation groups. Conclusion: This study provides insights into the profile, prioritisation processes and wait lists of children seen by CDAS in South Western Sydney with high rates of social vulnerability and presents an argument to discuss benchmarking targets with service providers. It identifies the need to prioritise children living in suburbs with socioeconomic disadvantage and refine prioritisation and data collection processes to improve wait times.
MeSH term(s)	Child ; Male ; Humans ; Child, Preschool ; Female ; Retrospective Studies ; Australia ; Benchmarking ; Child Development ; Data Collection
Language	English
Publishing date	2024-03-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-024-10800-y
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Article ; Online: Do orthodontic tooth movements induce pulp necrosis? A systematic review.

Weissheimer, T / Silva, E J N L / Pinto, K P / Só, G B / Rosa, R A / Só, M V R

International endodontic journal

2021 Volume 54, Issue 8, Page(s) 1246–1262

Abstract: Background: Orthodontic tooth movements are performed by applying forces on teeth, which may cause alterations within the dental pulp. Previously published systematic reviews on the subject only included a small number of studies that assessed pulp ... ...

Abstract	Background: Orthodontic tooth movements are performed by applying forces on teeth, which may cause alterations within the dental pulp. Previously published systematic reviews on the subject only included a small number of studies that assessed pulp status through reliable diagnostic methods. Since then, new evidence has been published, and a further systematic review on the subject is necessary. Objectives: To evaluate whether there is scientific evidence to support the possibility that orthodontic tooth movements could induce pulp necrosis. Methods: A systematic search of articles published until June 2020 was performed using MeSH and free terms in the PubMed, Cochrane Library, LILACS, SciELO, Web of Science, EMBASE, Open Grey and Grey Literature databases. Randomized clinical trials (RCTs), nonrandomized clinical trials (nRCTs) and longitudinal (prospective or retrospective) studies that evaluated the pulp status of teeth subjected to orthodontic movements using laser Doppler flowmetry or pulse oximetry were included. The revised Cochrane risk of bias tools for randomized trials (RoB 2) and nonrandomized interventions (ROBINS-I) were used to assess the quality of the included studies. Relevant findings were summarized and evaluated. The overall quality of evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool. Results: Initial screening of databases resulted in 353 studies. In total, 285 studies were excluded because they were duplicates. Of 68 eligible papers, fourteen met the inclusion criteria and were selected for full-text reading. Two studies were excluded due to the methods used to evaluate pulp status. Twelve studies (five RCTs, one nRCT and six prospective) were included. Four RCTs were classified as having an unclear risk of bias and one as having a high risk of bias. The nRCT was classified as having a low risk of bias. Two prospective studies were classified as having a moderate risk of bias and four as having a serious risk of bias. The GRADE analysis demonstrated a low to very low quality of evidence. Discussion: Significant limitations regarding the randomization processes within the included RCTs and a lack of control of confounders on most nonrandomized and longitudinal studies were verified. Conclusions: This systematic review indicates that orthodontic movements do not induce loss of pulp vitality with low to very low certainty of evidence.
MeSH term(s)	Dental Pulp Necrosis ; Humans ; Laser-Doppler Flowmetry ; Tooth Movement Techniques/adverse effects
Language	English
Publishing date	2021-04-28
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	603734-3
ISSN	1365-2591 ; 0143-2885
ISSN (online)	1365-2591
ISSN	0143-2885
DOI	10.1111/iej.13523
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Article ; Online: Directed Assembly of Periodic Materials from Protein and Oligonucleotide-Modified Nanoparticle Building Blocks C.A.M. acknowledges DARPA, NSF, ARO, and NIH for support of this research. R.L.L. acknowledges the NIH. The DND-CAT Synchrotron Research Center is supported by E.I. Dupont de Nemours & Co., The Dow Chemical Company, the U.S. National Science Foundation through Grant DMR-9304725, and the State of Illinois through the Department of Commerce and the Board of Higher Education Grant IBHE HECA NWU 96. Use of the Advanced Photon Source was supported by the U.S. Department of Energy, Basic Energy Sciences, Office of Energy Research under Contract No. W-31-102-Eng-38.

Park, So-Jung / Lazarides, Anne A. / Mirkin, Chad A. / Letsinger, Robert L.

Angewandte Chemie (International ed. in English)

2001 Volume 40, Issue 15, Page(s) 2909–2912

Language	English
Publishing date	2001-08-03
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2011836-3
ISSN	1521-3773 ; 1433-7851
ISSN (online)	1521-3773
ISSN	1433-7851
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Article ; Online: The catastrophic cost of motorcycle road traffic injuries: Experience from a major reference centre in a lower-middle income country.

Oladeji, E O / Ezeme, C / Baiyewu, L A / Okunola, M O / Ogunlade, S O

Injury

2024 Volume 55, Issue 5, Page(s) 111314

Abstract: Background: Motorcycle crashes are an increasing public health problem in low- and middle-income countries (LMICs). An accurate estimation of the economic burden of these crashes could be complex owing to a prevalent system of out-of-pocket (OOP) ... ...

Abstract	Background: Motorcycle crashes are an increasing public health problem in low- and middle-income countries (LMICs). An accurate estimation of the economic burden of these crashes could be complex owing to a prevalent system of out-of-pocket (OOP) payment for health care services in these countries. Our study aims to objectively evaluate the cost implication of motorcycle Road Traffic Injuries (RTIs) among road crash victims managed at a major trauma reference hospital in Nigeria. Two economic evaluation methods were used to accurately reflect the cost-of-care (C-o-C) of each victim as well as for cross-validation. Method: This is a prospective cohort study conducted between August 2020 and May 2021. All patients involved in motorcycle road traffic crashes presenting to the Emergency Department of the University College Hospital, Ibadan, Nigeria, were included in the study. For each patient, all medical expenses from the time of injury (T Results: Of the 150 consecutively managed motorcycle crashes victims during the study period, 112 had complete data. The median monthly household income for the cohort was $121 with 75% of them earning less than $180. The median cost-of-care (C-o-C), by ABC, was $242 ($143 - 828). For individual care items, expenditure on surgical intervention(s) was the highest followed by prosthesis and implant procurement, and radiological investigations. On the other hand, the estimated medical cost was $2356 (IQR $938 - 6475) by WTP. Only 14% had health insurance coverage. The overall expenditure was catastrophic for 46% of the patients. Monthly household income of < $180 (AOR=9.2; 95% CI=2.6-32.8; p < 0.001), absence of health insurance coverage (AOR=10.7; 95% CI=1.1-101.6; p = 0.040), and prolonged hospital stay above 14 days (AOR=25.1; 95% CI=5.5 -115.1; p = 0.001) were predictors of catastrophic expenditure. There was a weak positive correlation between actual cost-of-care using the ABC method and WTP (r = 0.247; p = 0.102). Conclusion: The aggregate cost of motorcycle RTIs is catastrophic for nearly half of the victims attending the University College Hospital, Ibadan. The willingness-to-pay method, though less tedious is often less reliable in these settings owing to a prevalent OOP payment system. This study identified the need to implement effective financial protection mechanisms against the high OOP expenditure faced by motorcycle crash victims in LMICs.
MeSH term(s)	Humans ; Motorcycles ; Developing Countries ; Prospective Studies ; Accidents, Traffic ; Nigeria ; Health Expenditures ; Hospitals, University
Language	English
Publishing date	2024-01-04
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2024.111314
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Article ; Online: Paranoid Thinking as a Function of Minority Group Status and Intersectionality: An International Examination of the Role of Negative Beliefs.

Kingston, J L / Schlier, B / Lincoln, T / So, S H / Gaudiano, B A / Morris, E M J / Phiri, P / Ellett, L

Schizophrenia bulletin

2023 Volume 49, Issue 4, Page(s) 1078–1087

Abstract: Background: Paranoia is higher in minority group individuals, especially those reporting intersecting aspects of difference. High negative and low positive self and other beliefs, and low social rank, are predictive of paranoia overtime; however, data ... ...

Abstract	Background: Paranoia is higher in minority group individuals, especially those reporting intersecting aspects of difference. High negative and low positive self and other beliefs, and low social rank, are predictive of paranoia overtime; however, data are typically from majority group participants. This study examined whether social defeat or healthy cultural mistrust best characterizes paranoia in minority groups. Study design: Using cross-sectional, survey design, with a large (n = 2510) international sample, moderation analyses (PROCESS) examined whether self and other beliefs, and perceived social rank, operate similarly or differently in minority vs majority group participants. Specifically, we tested whether beliefs moderated the influence of minority group, and intersecting aspects of difference, on paranoia. Study results: Paranoia was consistently higher in participants from minority vs majority groups and level of paranoid thinking was significantly higher at each level of the intersectionality index. Negative self/other beliefs were associated with elevated paranoia in all participants. However, in support of the notion of healthy cultural mistrust, low social rank, and low positive self/other beliefs were significantly associated with paranoia in majority group participants but unrelated to paranoia in respective minority group members. Conclusions: Although mixed, our findings signal the need to consider healthy cultural mistrust when examining paranoia in minority groups and bring into question whether "paranoia" accurately describes the experiences of marginalized individuals, at least at low levels of severity. Further research on paranoia in minority groups is crucial to developing culturally appropriate ways of understanding people's experiences in the context of victimization, discrimination, and difference.
MeSH term(s)	Humans ; Minority Groups ; Cross-Sectional Studies ; Intersectional Framework ; Paranoid Disorders ; Crime Victims
Language	English
Publishing date	2023-03-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	439173-1
ISSN	1745-1701 ; 0586-7614
ISSN (online)	1745-1701
ISSN	0586-7614
DOI	10.1093/schbul/sbad027
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Article: Maturation and culture affect the metabolomic profile of oocytes and follicular cells in young and old mares.

Bresnahan, D R / Catandi, G D / Peters, S O / Maclellan, L J / Broeckling, C D / Carnevale, E M

Frontiers in cell and developmental biology

2024 Volume 11, Page(s) 1280998

Abstract: Introduction: ...

Abstract	Introduction:
Language	English
Publishing date	2024-01-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2737824-X
ISSN	2296-634X
ISSN	2296-634X
DOI	10.3389/fcell.2023.1280998
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Article: Neural circuits for the adaptive regulation of fear and extinction memory.

Plas, Samantha L / Tuna, Tuğçe / Bayer, Hugo / Juliano, Vitor A L / Sweck, Samantha O / Arellano Perez, Angel D / Hassell, James E / Maren, Stephen

Frontiers in behavioral neuroscience

2024 Volume 18, Page(s) 1352797

Abstract: The regulation of fear memories is critical for adaptive behaviors and dysregulation of these processes is implicated in trauma- and stress-related disorders. Treatments for these disorders include pharmacological interventions as well as exposure-based ... ...

Abstract	The regulation of fear memories is critical for adaptive behaviors and dysregulation of these processes is implicated in trauma- and stress-related disorders. Treatments for these disorders include pharmacological interventions as well as exposure-based therapies, which rely upon extinction learning. Considerable attention has been directed toward elucidating the neural mechanisms underlying fear and extinction learning. In this review, we will discuss historic discoveries and emerging evidence on the neural mechanisms of the adaptive regulation of fear and extinction memories. We will focus on neural circuits regulating the acquisition and extinction of Pavlovian fear conditioning in rodent models, particularly the role of the medial prefrontal cortex and hippocampus in the contextual control of extinguished fear memories. We will also consider new work revealing an important role for the thalamic nucleus reuniens in the modulation of prefrontal-hippocampal interactions in extinction learning and memory. Finally, we will explore the effects of stress on this circuit and the clinical implications of these findings.
Language	English
Publishing date	2024-02-02
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2452960-6
ISSN	1662-5153
ISSN	1662-5153
DOI	10.3389/fnbeh.2024.1352797
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Article ; Online: A Comparison of Ankle Fractures Relative to Other Fragility Fractures: A Review and Analysis of the American Orthopaedic Association's

So, Eric / Juels, Christopher / Scott, Ryan T / Sietsema, Debra L

Foot & ankle international

2023 Volume 44, Issue 9, Page(s) 879–887

Abstract: Background: Ankle fragility fractures (AFX) continue to increase in the elderly population. There is limited knowledge of AFX characteristics compared to nonankle fragility fractures (NAFX). The American Orthopaedic Association's : Methods: The OTB ... ...

Abstract	Background: Ankle fragility fractures (AFX) continue to increase in the elderly population. There is limited knowledge of AFX characteristics compared to nonankle fragility fractures (NAFX). The American Orthopaedic Association's Methods: The OTB database contained 72,617 fragility fractures between January 2009 and March of 2022 and were reviewed in our secondary cohort comparative analysis. After exclusions, AFX accounted for 3229 patients and 54,772 patients were in the NAFX cohort. Bivariate analysis and logistic regression compared the AFX and NAFX groups concerning demographics, bone health factors, medication use, and prior fragility fracture. Results: AFX patients were found to have a higher likelihood to be younger (67.6 years old), female (81.4%), non-Caucasian (11.7%) and have a higher BMI (30.6) compared to NAFX. Prior AFX predicted the risk of a future AFX. The probability of an AFX increased with increased age and BMI. Conclusion: A prior AFX is independently predictive of subsequent AFX. Therefore, these fractures should be considered a sentinel event. These patients are more likely to have higher BMI, to be of female gender, non-Caucasian race, and are younger compared to patients with NAFX. Level of evidence: Level III, retrospective cohort.
MeSH term(s)	Humans ; Female ; Aged ; United States/epidemiology ; Osteoporosis/complications ; Osteoporosis/drug therapy ; Osteoporosis/epidemiology ; Osteoporotic Fractures/complications ; Osteoporotic Fractures/drug therapy ; Osteoporotic Fractures/epidemiology ; Ankle ; Bone Density Conservation Agents/therapeutic use ; Retrospective Studies ; Ankle Fractures/complications ; Orthopedics
Chemical Substances	Bone Density Conservation Agents
Language	English
Publishing date	2023-06-09
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	1183283-6
ISSN	1944-7876 ; 1071-1007
ISSN (online)	1944-7876
ISSN	1071-1007
DOI	10.1177/10711007231178536
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