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Wyświetlanie 1-7 z 7
Tytuł:
Personal health budgets – should patients be able to manage their care in a way that suits them? A concise narrative review.
Autorzy:
Tomaszewski, Krzysztof Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/1197950.pdf
Data publikacji:
2018-02-01
Wydawca:
Akademia Ignatianum w Krakowie
Tematy:
personalized medicine
personal heath budgets
cost effectiveness
social care
Opis:
RESEARCH OBJECTIVE: The aim of this concise review is to both demonstrate the pros and cons in regards to personal health budgets (PHBs), as well as critically evaluate their performance and possibilities. Another purpose of this paper is to familiarize the wider public with the concept of PHBs. THE RESEARCH PROBLEM AND METHODS: The reason behind introducing PHBs and direct payments was to bring social care and long-term healthcare “closer” to the patients in order to personalize treatment and support. By “personalization” we understand the possibility of choosing services that best meet the unique and individual needs of a specific person. However, the tempting concept of PHBs carries with itself both pros and cons. This qualitative, comprehensive narrative review brings to light the current state of knowledge and different parties’ opinions on PHBs. THE PROCESS OF ARGUMENTATION: A PHB is an allocation of public/private financial resources used to identify and meet the health-related needs of a specific person. Such a resolution should potentially lead to new and innovative ways of spending the available funds, outside what traditional services offer, in order to personalize healthcare, increase its effectivity, and decrease the cost/benefit ratio. However, PHB’s are not all-inclusive but cater to needs easily overlooked in the traditional healthcare system. RESEARCH RESULTS: The described PHB organization combines the best available clinical experience with the cumulated health- and care-related experience of the patients. This way both long-term and new short-term needs can be addressed and the intervention that has begun can last as long as the patient needs it. CONCLUSIONS, INNOVATIONS AND RECOMMENDATIONS: The healthcare system faces difficult times, and PHBs may be a potential solution to at least a part of the problems. The only question is will they be implemented correctly becoming a positive driver of change or will they become the anchor that pulls down a sinking ship?
Źródło:
Horyzonty Wychowania; 2017, 16, 40; 147-157
1643-9171
2391-9485
Pojawia się w:
Horyzonty Wychowania
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Large prospective validation and cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire for patients with lumbar spinal stenosis
Autorzy:
Tomaszewski, Krzysztof Andrzej
Kłosiński, Michał
Henry, Brandon Michael
Skinningsrud, Bendik
Kucharska, Ewa
Dudkiewicz, Zbigniew
Chrzanowski, Robert
Mikos, Marcin
Głowacki, Roman
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/986690.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
quality of life
lumbar spinal stenosis
swiss spinal stenosis questionnaire
polish validation study
Opis:
Objective. The aim of this prospective cohort study was to translate, validate and perform a cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire (P-SSSQ), a disease-specific questionnaire for assessing symptom severity, physical function and satisfaction with treatment in patients with lumbar spinal stenosis (LSS). Materials and method. Patients were prospectively recruited at two orthopedic centres in Krakow, Poland, between January 2011 – October 2016. During the interview, each patient completed the P-SSSQ, SF-36 Health Survey, and a demographic data questionnaire. After translation, cross-cultural adaptation, and pilot testing, assessment was made of the internal consistency, test–retest reliability, construct validity, and responsiveness of the P-SSSQ subscales. Results. Finally, 171 consecutive patients were included in the study. Cronbach’s alpha and ICC values were above 0.8 for all three subscales of the P-SSSQ. The symptom severity domain was highly negatively correlated with physical functioning and bodily pain of SF-36, with Pearson correlation coefficients of -0.68 and -0.63, respectively. The physical function domain was highly negatively correlated with physical functioning (r = -0.62). The satisfaction subscale was also highly negatively correlated with the change in the symptom severity (r = −0.61) and physical function scale (r = −0.65). Conclusions. The proposed version of the P-SSSQ showed excellent measurement properties and can be considered validated for use in Polish. It is easy to understand, quick to complete, and the psychometric properties of the original version are maintained.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Realization of logic integrated circuits in VeSTIC process - design, fabrication, and characterization
Autorzy:
Domański, Krzysztof
Głuszko, Grzegorz
Sierakowski, Andrzej
Tomaszewski, Daniel
Szmigiel, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/397763.pdf
Data publikacji:
2018
Wydawca:
Politechnika Łódzka. Wydział Mikroelektroniki i Informatyki
Tematy:
VeSTIC
VeSFET
logic cell
logic integrated circuit
ring oscillator
parasitic element
oscillation frequency
compact modeling
komórka logiczna
logiczny układ scalony
generator pierścieniowy
częstotliwość oscylacji
kompaktowe modelowanie
Opis:
A design and manufacturing of test structures for characterization of logic integrated circuits in a VeSTIC process developed in ITE, are described. Two variants of the VeSTIC processs have been described. A role and sources of the process variability have been discussed. The VeSFET I-V characteristics, the logic cell static characteristics, and waveforms of the 53-stage ring oscillator are presented. Basic parameters of the VeSFETs have been determined. The role of the process variability and of the parasitic elements introduced by the conservative circuit design, e.g. wide conductive lines connecting the devices in the circuits, have been discussed. Based on the inverter layout and on the process specification, the parasitic elements of the inverter equivalent circuit have been extracted. The inverter propagation times, the ring oscillator frequency, and their dependence on the supply bias have been determined.
Źródło:
International Journal of Microelectronics and Computer Science; 2018, 9, 3; 123-132
2080-8755
2353-9607
Pojawia się w:
International Journal of Microelectronics and Computer Science
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The application of digital image correlation to investigate the heterogeneity of Achilles tendon deformation and determine its material parameters
Autorzy:
Kohut, Piotr
Holak, Krzysztof
Ekiert, Martyna
Młyniec, Andrzej
Tomaszewski, Krzysztof A.
Uhl, Tadeusz
Powiązania:
https://bibliotekanauki.pl/articles/1839687.pdf
Data publikacji:
2021
Wydawca:
Polskie Towarzystwo Mechaniki Teoretycznej i Stosowanej
Tematy:
digital image correlation
full-field displacement
strain measurement
vision systems
human Achilles tendon
Young’s modulus
Opis:
The challenge for researchers is to develop measurement techniques that can deal with biological specimens (e.g. the human Achilles tendon) characterized by high deformation during examination. The relevant quantity which has to be investigated in laboratory experiments is the deformation or strain field of the specimen subjected to a given load. In experimental mechanics, the most remarkable technique used for strain field computation is the Digital Image Correlation (DIC) method. In the paper, the DIC method is employed to study biomaterial parameters of human Achilles tendons (AT) subjected to tensile uniaxial loadings. The application of DIC allows the heterogeneity of tendon deformation to be taken into consideration. Young’s modulus of AT based on the strain field obtained from a vision-based measurement is estimated and the results are discussed. A map of Young’s modulus (YM) is demonstrated as well.
Źródło:
Journal of Theoretical and Applied Mechanics; 2021, 59, 1; 43-52
1429-2955
Pojawia się w:
Journal of Theoretical and Applied Mechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Interstitial Cajal-Like Cells and Bile Lithogenicity in the Pathogenesis of Gall-Stone Disease
Autorzy:
Pasternak, Artur
Matyja, Andrzej
Gil, Krzysztof
Gajda, Mariusz
Tomaszewski, Krzysztof A.
Matyja, Maciej
Walocha, Jerzy A.
Kulig, Jan
Powiązania:
https://bibliotekanauki.pl/articles/1396274.pdf
Data publikacji:
2013-06-01
Wydawca:
Index Copernicus International
Tematy:
bile lithogenecity
interstitial Cajal-like cells
gall-stone disease
c-Kit
mast cells
Opis:
Gall-stone disease constitutes a serious clinical problem and is the most frequent cause of elective cholecystectomies. There are many etiopatogenic factors however; lithogenic bile and its stasis due to gall-bladder hypomotility seem to be the most important. In recent years discovery of pacemaker function of Interstitial Cells of Cajal changed our understanding of smooth muscle physiology and helped to disclose many gastrointestinal motility disorders. The aim of the study was identification and quantification of interstitial Cajal-like cells (ICLCs) in gall-bladder muscle wall from patients with cholelithiasis and in gall-stone-free controls, as well as determination of the relationship between the number of ICLCs and Cholesterol Saturation Index (CSI) of bile in both analyzed groups. Material and methods. 20 patients operated for symptomatic cholelithiasis were enrolled into the study group. The control group consisted of 20 patients operated for pancreatic head tumors, with no pre- and intraoperative signs of gall-stones. Identification of ICLCs in the gall-bladder was performed by means of double immunofluorescence technique with anti c-Kit and anti-mast cell tryptase antibodies. Quantitative analysis was carried out under fluorescence microscopy conjoined with image analysis software. Bile samples were used for calculation of CSI. Results. ICLCs were detected within gall-bladder muscle wall. Number of ICLCs was statistically significantly lower in patients from the study group as compared to control. The study also revealed statistically significantly higher CSI in the study group. Conclusions. The quantity of ICLCs is diminished in the gall-bladder from patients with cholelithiasis and there is negative correlation between the number of ICLCs and CSI of bile. Regarding the role of ICCs in regulation of GI tract motility, it appears that reduction in their number may be important etiopatogenic factor of cholelithiasis.
Źródło:
Polish Journal of Surgery; 2013, 85, 6; 311-316
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Primary Adenocarcinoma of the Appendix – A Case Report
Autorzy:
Pasternak, Artur
Pach, Radosław
Szura, Mirosław
Solecki, Rafał
Tomaszewski, Krzysztof A.
Szczepański, Wojciech
Matyja, Andrzej
Kulig, Jan
Powiązania:
https://bibliotekanauki.pl/articles/1395798.pdf
Data publikacji:
2014-07-01
Wydawca:
Index Copernicus International
Tematy:
adenocarcinoma
appendix
laparoscopic appendectomy
right hemicolectomy
Opis:
Primary adenocarcinoma of the vermiform appendix is a rare clinical condition. It usually presents as an acute abdominal process or as a mass in the right lower quadrant. The gross pathologic and microscopic characteristics of this disease are the same as for colon carcinoma and carry a serious prognosis. We report a case of a 64-year old male patient presenting symptoms of acute appendicitis. The patient underwent laparoscopic appendectomy that revealed a severely inflamed appendix. Histopathological examination has shown that it was a poorly differentiated, high grade adenocarcinoma invading the periappendicular fat. According to the histopathological findings, a right hemicolectomy was further advised and performed. Right hemicolectomy is the generally recommended method of treatment for invasive adenocarcinoma of the appendix
Źródło:
Polish Journal of Surgery; 2014, 86, 7; 333-336
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-7 z 7

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