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1. European guidelines for quality assurance in colorectal cancer screening and diagnosis:overview and introduction to the full supplement publication

Author

von Karsa, L, Patnick, J, Segnan, N, Atkin, W, Halloran, S, Lansdorp-Vogelaar, I, Malila, N, Minozzi, S, Moss, S, Quirke, P, Steele, R J, Vieth, M, Aabakken, L, Altenhofen, L, Ancelle-Park, R, Antoljak, N, Anttila, A, Armaroli, P, Arrossi, S, Austoker, J, Banzi, R, Bellisario, C, Blom, J, Brenner, H, Bretthauer, M, Camargo Cancela, M, Costamagna, G, Cuzick, J, Dai, M, Daniel, J, Dekker, E, Delicata, N, Ducarroz, S, Erfkamp, H, Espinàs, J A, Faivre, J, Faulds Wood, L, Flugelman, A, Frkovic-Grazio, S, Geller, B, Giordano, L, Grazzini, G, Green, J, Hamashima, C, Herrmann, C, Hewitson, P, Hoff, G, Holten, I, Jover, R, Lynge, Elsebeth, von Karsa, L, Patnick, J, Segnan, N, Atkin, W, Halloran, S, Lansdorp-Vogelaar, I, Malila, N, Minozzi, S, Moss, S, Quirke, P, Steele, R J, Vieth, M, Aabakken, L, Altenhofen, L, Ancelle-Park, R, Antoljak, N, Anttila, A, Armaroli, P, Arrossi, S, Austoker, J, Banzi, R, Bellisario, C, Blom, J, Brenner, H, Bretthauer, M, Camargo Cancela, M, Costamagna, G, Cuzick, J, Dai, M, Daniel, J, Dekker, E, Delicata, N, Ducarroz, S, Erfkamp, H, Espinàs, J A, Faivre, J, Faulds Wood, L, Flugelman, A, Frkovic-Grazio, S, Geller, B, Giordano, L, Grazzini, G, Green, J, Hamashima, C, Herrmann, C, Hewitson, P, Hoff, G, Holten, I, Jover, R, and Lynge, Elsebeth

Abstract

Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010. They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines.

Published
2013

2. European guidelines for quality assurance in colorectal cancer screening and diagnosis: overview and introduction to the full supplement publication

Author

Von Karsa, L, Patnick, J, Segnan, N, Atkin, W, Halloran, S, Lansdorp Vogelaar, I, Malila, N, Minozzi, S, Moss, S, Quirke, P, Steele, Rj, Vieth, M, Aabakken, L, Altenhofen, L, Ancelle Park, R, Antoljak, N, Anttila, A, Armaroli, P, Arrossi, S, Austoker, J, Banzi, R, Bellisario, C, Blom, J, Brenner, H, Bretthauer, M, Camargo Cancela, M, Costamagna, Guido, Cuzick, J, Dai, M, Daniel, J, Dekker, E, Delicata, N, Ducarroz, S, Erfkamp, H, Espinàs, Ja, Faivre, J, Faulds Wood, L, Flugelman, A, Frkovic Grazio, S, Geller, B, Giordano, L, Grazzini, G, Green, J, Hamashima, C, Herrmann, C, Hewitson, P, Hoff, G, Holten, I, Jover, R, Kaminski, Mf, Kuipers, Ej, Kurtinaitis, J, Lambert, R, Launoy, G, Lee, W, Leicester, R, Leja, M, Lieberman, D, Lignini, T, Lucas, E, Lynge, E, Mádai, S, Marinho, J, Maučec Zakotnik, J, Minoli, G, Monk, C, Morais, A, Muwonge, R, Nadel, M, Neamtiu, L, Peris Tuser, M, Pignone, M, Pox, C, Primic Zakelj, M, Psaila, J, Rabeneck, L, Ransohoff, D, Rasmussen, M, Regula, J, Ren, J, Rennert, G, Rey, J, Riddell, Rh, Risio, M, Rodrigues, V, Saito, H, Sauvaget, C, Scharpantgen, A, Schmiegel, W, Senore, C, Siddiqi, M, Sighoko, D, Smith, R, Smith, S, Suchanek, S, Suonio, E, Tong, W, Törnberg, S, Villain, P, Van Cutsem, E., Costamagna, Guido (ORCID:0000-0002-8100-2731), Von Karsa, L, Patnick, J, Segnan, N, Atkin, W, Halloran, S, Lansdorp Vogelaar, I, Malila, N, Minozzi, S, Moss, S, Quirke, P, Steele, Rj, Vieth, M, Aabakken, L, Altenhofen, L, Ancelle Park, R, Antoljak, N, Anttila, A, Armaroli, P, Arrossi, S, Austoker, J, Banzi, R, Bellisario, C, Blom, J, Brenner, H, Bretthauer, M, Camargo Cancela, M, Costamagna, Guido, Cuzick, J, Dai, M, Daniel, J, Dekker, E, Delicata, N, Ducarroz, S, Erfkamp, H, Espinàs, Ja, Faivre, J, Faulds Wood, L, Flugelman, A, Frkovic Grazio, S, Geller, B, Giordano, L, Grazzini, G, Green, J, Hamashima, C, Herrmann, C, Hewitson, P, Hoff, G, Holten, I, Jover, R, Kaminski, Mf, Kuipers, Ej, Kurtinaitis, J, Lambert, R, Launoy, G, Lee, W, Leicester, R, Leja, M, Lieberman, D, Lignini, T, Lucas, E, Lynge, E, Mádai, S, Marinho, J, Maučec Zakotnik, J, Minoli, G, Monk, C, Morais, A, Muwonge, R, Nadel, M, Neamtiu, L, Peris Tuser, M, Pignone, M, Pox, C, Primic Zakelj, M, Psaila, J, Rabeneck, L, Ransohoff, D, Rasmussen, M, Regula, J, Ren, J, Rennert, G, Rey, J, Riddell, Rh, Risio, M, Rodrigues, V, Saito, H, Sauvaget, C, Scharpantgen, A, Schmiegel, W, Senore, C, Siddiqi, M, Sighoko, D, Smith, R, Smith, S, Suchanek, S, Suonio, E, Tong, W, Törnberg, S, Villain, P, Van Cutsem, E., and Costamagna, Guido (ORCID:0000-0002-8100-2731)

Abstract

Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010. They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines.

Published
2013

3. European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

Author

Von Karsa, L., Patnick, J., Segnan, N., Atkin, W., Halloran, S., Lansdorp_Vogelaar, Iris, Malila, N., Minozzi, S., Moss, S., Quirke, P., Steele, R., Vieth, M., Aabakken, L., Altenhofen, L., Ancelle-Park, R., Antoljak, N., Anttila, A., Armaroli, P., Arrossi, S., Austoker, J., Banzi, R., Bellisario, C., Blom, J., Brenner, H., Bretthauer, M., Cancela, M., Costamagna, G., Cuzick, J., Dai, M., Daniel, J., Dekker, E., Delicata, N., Ducarroz, S., Erfkamp, H., Espinàs, J., Faivre, J., Wood, L., Flugelman, A., Frkovic-Grazio, S., Geller, B., Giordano, L., Grazzini, G., Green, J., Hamashima, C., Herrmann, C., Hewitson, P., Hoff, G., Holten, I., Jover, R., Kaminski, M., Kuipers, E., Kurtinaitis, J., Lambert, R., Launoy, G., Lee, W., Leicester, R., Leja, M., Lieberman, D., Lignini, T., Lucas, E., Lynge, E., Mádai, S., Marinho, J., Zakotnik, J., Minoli, G., Monk, C., Morais, A., Muwonge, R., Nadel, M., Neamtiu, L., Tuser, M., Pignone, M., Pox, C., Primic-Zakelj, M., Psaila, J., Rabeneck, L., Ransohoff, D., Rasmussen, M., Regula, J., Ren, J., Rennert, G., Rey, J., Riddell, R., Risio, M., Rodrigues, V., Saito, H., Sauvaget, C., Scharpantgen, A., Schmiegel, W., Senore, C., Siddiqi, M., Sighoko, D., Von Karsa, L., Patnick, J., Segnan, N., Atkin, W., Halloran, S., Lansdorp_Vogelaar, Iris, Malila, N., Minozzi, S., Moss, S., Quirke, P., Steele, R., Vieth, M., Aabakken, L., Altenhofen, L., Ancelle-Park, R., Antoljak, N., Anttila, A., Armaroli, P., Arrossi, S., Austoker, J., Banzi, R., Bellisario, C., Blom, J., Brenner, H., Bretthauer, M., Cancela, M., Costamagna, G., Cuzick, J., Dai, M., Daniel, J., Dekker, E., Delicata, N., Ducarroz, S., Erfkamp, H., Espinàs, J., Faivre, J., Wood, L., Flugelman, A., Frkovic-Grazio, S., Geller, B., Giordano, L., Grazzini, G., Green, J., Hamashima, C., Herrmann, C., Hewitson, P., Hoff, G., Holten, I., Jover, R., Kaminski, M., Kuipers, E., Kurtinaitis, J., Lambert, R., Launoy, G., Lee, W., Leicester, R., Leja, M., Lieberman, D., Lignini, T., Lucas, E., Lynge, E., Mádai, S., Marinho, J., Zakotnik, J., Minoli, G., Monk, C., Morais, A., Muwonge, R., Nadel, M., Neamtiu, L., Tuser, M., Pignone, M., Pox, C., Primic-Zakelj, M., Psaila, J., Rabeneck, L., Ransohoff, D., Rasmussen, M., Regula, J., Ren, J., Rennert, G., Rey, J., Riddell, R., Risio, M., Rodrigues, V., Saito, H., Sauvaget, C., Scharpantgen, A., Schmiegel, W., Senore, C., Siddiqi, M., and Sighoko, D.

Abstract

Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010.They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines. © Georg Thieme Verlag KG Stuttgart · New York.

Published
2013

4. Homo technologicus and the Recovery of a Universal Ethic: Maximus the Confessor and Romano Guardini

Author

Delicata, N. (Nadia)

Subjects
technological human, techne, theological anthropology, Laudato Sì, natural law
Abstract

On September 1st 2017, Pope Francis and the Ecumenical Patriarch Bar¬tholomew issued a Joint Message for the World Day of Prayer for Creation. The gesture reveals the church’s efforts “to breathe with two lungs” on the urgent matter of climate change and ecological sustainability. But, the church leaders have also insisted on a philosophical and religious reflection on technology if humanity is to take respon¬sibility for the environment. In particular, they have sought to correct the wrong inter¬pretation of the biblical imperative to “have dominion over” (Gen 1:26) the creatures of the Earth and to “subdue it” (Gen 1:28) that for centuries has condoned ecological abuse, in particular in the name of technological progress. In this paper, I propose a theological reflection on Homo technologicus through the writings of the seventh century monk Maximus the Confessor and the twentieth cen¬tury Catholic priest Romano Guardini. Maximus offers a systematic account of human techne as reflecting the mark of sin, while being God’s gift to assist us in stewarding creation. Guardini offers a challenging argument for the moral nature of technology in our times. In an age where technology extends human power, even as it seemingly takes on a life of its own, Maximus’ and Guardini’s insights on the “technological human” offer a renewed Christian anthropology that, in the tradition of natural law reasoning, can ground a global ethic for a “sustainable and integral development.” (Joint Message, 2017)

Published
2018

5. Diarrhoeal episodes in travellers suffering from IBD.

Author

Ellul P, Fenech VA, Azzopardi C, Callus L, Delicata N, Muscat J, Azzopardi N, and Vassallo M

Abstract

Background and Aims: There is limited data on the risk of developing diarrhoea in travelling patients with inflammatory bowel disease (IBD). We analysed the rate of developing diarrhoea among travellers suffering from IBD and their healthy controls., Methods: We performed a retrospective case-controlled study among 78 patients with IBD and their healthy travelling companion controls, thus matching both groups to the same environmental conditions. Data was retrieved through a structured questionnaire, interview and clinical case notes review., Results: Sixteen (20.5%) patients with IBD developed diarrhoea while abroad (p -0.0001) Statistical analysis using a χ 2 test for independence (with Yates Continuity Correction). Prior to travelling, they were in clinical remission. Only one healthy control (1.3%) developed diarrhoea while abroad. In 11 patients (14.1%), the duration of diarrhoea was 3 days or less, and resolved on its own without antibiotics, any increase in their IBD medications and without a medical consultation. The other five patients had a flare-up of their disease and needed medications to put them back into remission. There was no statistically significant difference between patients having immunomodulator medications versus those having aminosalicylates only in developing diarrhoea when abroad., Conclusions: Patients with IBD have a higher rate of developing diarrhoea compared with controls when travelling. Thus, such patients must always seek a pretravel medical consultation.

Published
2013
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6. European guidelines for quality assurance in colorectal cancer screening and diagnosis: overview and introduction to the full supplement publication.

Author

von Karsa L, Patnick J, Segnan N, Atkin W, Halloran S, Lansdorp-Vogelaar I, Malila N, Minozzi S, Moss S, Quirke P, Steele RJ, Vieth M, Aabakken L, Altenhofen L, Ancelle-Park R, Antoljak N, Anttila A, Armaroli P, Arrossi S, Austoker J, Banzi R, Bellisario C, Blom J, Brenner H, Bretthauer M, Camargo Cancela M, Costamagna G, Cuzick J, Dai M, Daniel J, Dekker E, Delicata N, Ducarroz S, Erfkamp H, Espinàs JA, Faivre J, Faulds Wood L, Flugelman A, Frkovic-Grazio S, Geller B, Giordano L, Grazzini G, Green J, Hamashima C, Herrmann C, Hewitson P, Hoff G, Holten I, Jover R, Kaminski MF, Kuipers EJ, Kurtinaitis J, Lambert R, Launoy G, Lee W, Leicester R, Leja M, Lieberman D, Lignini T, Lucas E, Lynge E, Mádai S, Marinho J, Maučec Zakotnik J, Minoli G, Monk C, Morais A, Muwonge R, Nadel M, Neamtiu L, Peris Tuser M, Pignone M, Pox C, Primic-Zakelj M, Psaila J, Rabeneck L, Ransohoff D, Rasmussen M, Regula J, Ren J, Rennert G, Rey J, Riddell RH, Risio M, Rodrigues V, Saito H, Sauvaget C, Scharpantgen A, Schmiegel W, Senore C, Siddiqi M, Sighoko D, Smith R, Smith S, Suchanek S, Suonio E, Tong W, Törnberg S, Van Cutsem E, Vignatelli L, Villain P, Voti L, Watanabe H, Watson J, Winawer S, Young G, Zaksas V, Zappa M, and Valori R

Subjects
Early Detection of Cancer, Europe, Evidence-Based Medicine, Humans, Colorectal Neoplasms diagnosis, Mass Screening standards, Quality Assurance, Health Care
Abstract

Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010.  They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines.

Published
2013
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7. The implementation of the national breast screening program in the Maltese Islands.

Author

D'Anastasi M, Zrinzo S, Delicata N, and Psaila JV

Subjects
Breast Neoplasms epidemiology, Developing Countries, Female, Health Education organization & administration, Health Knowledge, Attitudes, Practice, Health Plan Implementation organization & administration, Humans, Malta, Program Development, Program Evaluation, Breast Neoplasms prevention & control, Mammography statistics & numerical data, Mass Screening organization & administration, National Health Programs organization & administration
Published
2012
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