A5017254617- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes Management and Education
- Substance Abuse Treatment and Outcomes
- Social Media in Health Education
- Mental Health and Patient Involvement
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- Telemedicine and Telehealth Implementation
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Health Literacy and Information Accessibility
- Medical Coding and Health Information
- Healthcare cost, quality, practices
- Diabetes Management and Research
- Mental Health Treatment and Access
- Healthcare Policy and Management
- Atrial Fibrillation Management and Outcomes
- Global Maternal and Child Health
- Inflammatory mediators and NSAID effects
- Radiation Dose and Imaging
- Mental Health and Psychiatry
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- COVID-19 and healthcare impacts
Médecins du Monde
2024
University of Luxembourg
2009-2023
World Organisation of Family Doctors
2023
University of Rwanda
2019-2022
University of Kigali
2019
Società Italiana di Medicina Generale
2012-2016
Agenzia Sanitaria e Sociale Regionale
2016
Regione Emilia-Romagna
2015
Regional Health
2015
University of Florence
2013
Background Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for holistic approach Family Medicine (FM) and long-term care. To avoid this pitfall European General Practitioners Research Network (EGPRN) designed a comprehensive of multimorbidity using systematic literature review. Objective translate that English into languages validate semantic, conceptual cultural homogeneity...
The alpha-radioactive polonium 210 (Po-210) is one of the most powerful carcinogenic agents tobacco smoke and responsible for histotype shift lung cancer from squamous cell type to adenocarcinoma. According several studies, principal source Po-210 fertilizers used in plants, which are rich polyphosphates containing radio (Ra-226) its decay products, lead (Pb-210) Po-210. Tobacco leaves accumulate Pb-210 through their trichomes, decays into over time. With combustion cigarette becomes...
Among 51 patients with adult-onset hypothyroidism, clinical examination revealed abnormal findings from the peripheral nerves in 12. The electromyogram was 18 patients, whereas abnormalities of motor conduction were observed 19 mainly as a prolonged distal latency. Electroencephalographic different types detected 30 41 studied. There is no clear-cut correlation between either EEG or EMG various metabolic indexes severity disease process. On other hand, electromyographic evidence genuine...
From a systematic literature review (SLR), it became clear that consensually validated tool was needed by European General Practitioner (GP) researchers in order to allow multi-centred collaborative research, daily practice, throughout Europe. Which diagnostic for depression, against psychiatric examination according the DSM, would GPs select as best use clinical taking into account combination of effectiveness, reliability and ergonomics? A RAND/UCLA, which combines qualities Delphi process...
Background Brief interventions (BIs) delivered in primary care have been shown to be effective reducing risky drinking, but implementation is limited. Facilitated access a digital application offers novel alternative face-to-face intervention, its relative effectiveness unknown. Methods Primary care-based, non-inferiority, randomised controlled trial comparing general practitioner (GP) facilitated an interactive alcohol reduction website (FA) with BI for drinking. Patients screening positive...
Multimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the based on systematic review literature which closely linked to patient complexity and biopsychosocial model. This was identified by European Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding issues around multimorbidity, we needed do innovative research clarify this concept. The...
Our study was aimed at comparing health behavior data collected from a Web-based self-administered questionnaire (Web SAQ) versus paper-and-pencil and assessing the feasibility of application.One hundred ninety (n = 190) pupils (ages 14-16 years) senior high schools anonymously completed questionnaire, with demographics queries about lifestyle, alcohol, tobacco use. For each class, adolescents were randomly assigned to complete either paper version or equivalent one, which used customized...
Objectives To evaluate the 12-month costs and quality-adjusted life years (QALYs) gained to Italian National Health Service of facilitated access a website for hazardous drinkers compared with standard face-to-face brief intervention (BI). Design Randomised 1:1 non-inferiority trial. Setting Practices 58 general practitioners (GPs) in Italy. Participants Of 9080 patients (>18 old) approached take part trial, 4529 (49·9%) logged on 3841 (84.8%) undertook online screening drinking. 822...
Introduction In Rwanda, diabetes mellitus prevalence is estimated between 3.1% and 4.3%. To address non-communicable diseases the shortage of health workforce, Rwandan Ministry Health has introduced home-based care practitioners (HBCPs) programme: laypeople provide longitudinal to chronic patients after receiving a six-month training. Leveraging technological mobile solutions may also help improve healthcare. The D²Rwanda study aims at: (a) determining efficacy an integrated programme for...
Introduction There is a strong body of evidence demonstrating the effectiveness brief interventions by primary care professionals for risky drinkers. However, implementation levels remain low because time constraints and other factors. Facilitated access to an alcohol reduction website offers time-saving alternative standard face-to-face intervention, but it not known whether as effective. Methods analysis A randomised controlled non-inferiority trial drinkers comparing facilitated dedicated...
Brief interventions delivered in primary health care are effective reducing excessive drinking; online behavior-changing technique may be helpful. Physicians actively encourage the use of such by helping patients access selected websites (a process known as "facilitated access"). Although therapeutic working alliance plays a significant role achievement positive outcomes face-to-face psychotherapy and its development has been shown to feasible online, little research done on impact brief...
Multimorbidity is a challenging concept for general practice. An EGPRN working group has published comprehensive definition of the multimorbidity. As multimorbidity could be way to explore complexity in practice, it was importance whether European practitioners (GPs) recognize this and they would change it.To investigate GPs it.Focus meetings semi-structured interviews as data collection techniques with purposive sample practicing from every country. Data continued until saturation reached...
Visceral hypersensitivity is considered a key symptom in inflammatory bowel disease (IBD) and irritable syndrome (IBS), both of which seriously affect health-related quality life (HrQoL). Previous findings are mostly based on invasive procedures that may interfere with the assessment visceral perception. The current study, therefore, investigates whether IBD IBS characterized by altered perception 'natural' gastric distensions ('interoception').Twenty patients remission (13 Crohn's disease,...
Objectives To report on the disease-related quality of life patients living with diabetes mellitus in Rwanda and identify its predictors. Design Cross-sectional study, part baseline assessment a cluster-randomised controlled trial. Setting Outpatient clinics for non-communicable diseases nine hospitals across Rwanda. Participants Between January August 2019, 206 were recruited as clinical Eligible participants those aged 21–80 years diagnosis at least 6 months. Illiterate patients, severe...
Abstract Background Primary Health Care (PHC) plays a crucial role in managing the COVID-19 pandemic, with only 8% of cases requiring hospitalization. However, PHC data often goes unnoticed on European government dashboards and media discussions. This project aims to examine official information patient care during pandemic Europe, specific objectives: (1) Describe PHC’s clinical pathways for acute cases, including long-term facilities, (2) indicators, (3) Develop activity (4) Explain...
Background: Social media have been used exponentially and globally, providing a means for billions of users to connect, interact, share opinions criticise, becoming one the main channels communication around world. One most popular free social networks is Twitter, with more than 100 million active per day worldwide. Purpose: The aim this study was analyse sample public conversations generated, using hashtag #MeToo, topic sexual abuse on Twitter. Methods: Using marketing software, use #MeToo...
There is a strong body of evidence demonstrating effectiveness brief interventions by primary care professionals for risky drinkers but implementation levels remain low. Facilitated access to an alcohol reduction website constitutes innovative approach intervention, offering time-saving alternative face it not known whether as effective.
Introduction: Melanoma is considered one of the most malignant cancers. Its appearance related to various factors such as ultraviolet radiation, recurrent sunburn, and phototype. During summer holidays approximately 14 million tourists from northern European countries visit Greece; this does not include local tourists. Aims: To discover extent visitors' awareness risk sunburn. explore level knowledge gained by foreign preventive campaigns harmful effects sun exposure. Participants: The...
The authors aimed at reporting on whether or not primary care doctors follow atrial fibrillation (AF) treatment protocols, and the mental distress of such patients.A total 138 patients with first detected recurrent AF were examined in a health center. Demographic data collected their lifestyle medical history for rhythm-related pathologies chronic medication investigated. Physical examination, electrocardiogram (EKG), selected cases, lab analysis carried-out. CHADS2 index was used assessing...