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2. Rare thyroid malignancies in Europe: Data from the information network on rare cancers in Europe (RARECAREnet)

Author

Locati, Laura, Cavalieri, Stefano, Dal Maso, Luigino, Busco, Susanna, Anderson, Lesley Ann, Botta, Laura, Bento, Maria José, Carulla, Marià, Chirlaque López, Maria Dolores, Fusco, Mario, Guevara, Marcela, Innos, Kaire, Børge Johannesen, Tom, Micallef, Rita, Minicozzi, Pamela, Panato, Chiara, Petrova, Dafina, Rubio-Casadevall, Jordi, Smailyte, Giedre, Francesca Vitale, Maria, and Trama, Annalisa

Published
2020
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3. A remix of doxa and phronesis : an emergent medicalised heart of the healthcare professional in primary healthcare in Malta

Author

Micallef, Rita

Subjects
362.109458
Abstract

This study explores emotional quality displayed by health care professionals (HCPs) and the factors that underpin this quality' during clinical encounters in primary health care in Malta. Healthcare has been dominated by the medical models however, with quality of care becoming upfront on people's agenda, two issues are under the microscope. The first is concerned with the contribution of the medical model and the second with the relationship between the service user (SU) and the HCP. This means that HCPs are expected to follow a hypothetical-deductive approach based on their technical knowledge whilst simultaneously including a line of enquiry that optimizes the quality of emotional display to frame their intervention. This study was conducted using the tenets of grounded theory to generate substantive theory that explains how emotional display by RCPs affects their practice. The data were derived by means of in-depth semi-structured interviews held with 20 RCPs and 7 SUs. To achieve triangulation 5 field observati6ns together with investigation ofthe customer complaint data were also undertaken. The data collected were transcribed and analyzed using the procedure outlined in Strauss and Corbin (1998) and the emergent medicalised heart surfaced as the substantive theory. This theory conceptualizes the process of the quality of emotional display by HCPs as a series of purposeful actions that lead them to articulate their emotions through their professional practice. Each experience can either lead to a liberalized or an inhibited way of emotional display. Despite the limitations of the study, the general findings support the substantive theory that a relationship exists between emotional display and the seven prime categories that emerged from the data. Research clarifying the intervention ofthe association ofthe quality of emotional display in healthcare could have vast implications for inter-group relations, SU and RCP wellbeing and organizational branding.

Published
2007

5. Skin cancer risk in outdoor workers: A European multicenter case-control study

Author

Trakatelli, Myrto Georgia, Kalokasidis, Kostantinos, Kitsou, Anastasia, Siskou, Stella, Traianou, Athina, Sotiriadis, Dimitrios, Moreno-Ramirez, David, Ferrandiz, Lara, Ruiz-De-Casas, Andres, Micallef, Rita, Ranki, Annamari, Barkitzi, K., Saksela, Olli, Pitkänen, Sari, Stockfleth, Eggert, Altsitsiadis, Efthimios, Hinrichs, Birgit, Ulrich, Martina, Magnoni, Cristina, Fiorentini, Chiara, Proby, Charlotte, Crawford, Leaca, Apap, Charmaine, Majewski, Sławomir, De Vries, Esther, Coebergh, Jan Willem, Apalla, Zoe, Ioannides, Demetrios, Kalabalikis, Dimitrios, Trakatelli, Myrto Georgia, Kalokasidis, Kostantinos, Kitsou, Anastasia, Siskou, Stella, Traianou, Athina, Sotiriadis, Dimitrios, Moreno-Ramirez, David, Ferrandiz, Lara, Ruiz-De-Casas, Andres, Micallef, Rita, Ranki, Annamari, Barkitzi, K., Saksela, Olli, Pitkänen, Sari, Stockfleth, Eggert, Altsitsiadis, Efthimios, Hinrichs, Birgit, Ulrich, Martina, Magnoni, Cristina, Fiorentini, Chiara, Proby, Charlotte, Crawford, Leaca, Apap, Charmaine, Majewski, Sławomir, De Vries, Esther, Coebergh, Jan Willem, Apalla, Zoe, Ioannides, Demetrios, and Kalabalikis, Dimitrios

Abstract

Background Exposure to ultraviolet radiation (UVR) is the most important external risk factor for skin cancer. Outdoor workers, who are exposed to high ambient UVR levels are at increased risk. Objective To compare outdoor with indoor workers in terms of: (i) skin cancer risk factors, and (ii) risk of developing skin cancer. Methods Using descriptive methods and a large multicenter European case-control study, we compared risk factor patterns between outdoor (N = 1416) and indoor workers (N = 1863). Risk of developing basal cell carcinoma (BCC), squamous cell carcinoma (SCC), melanoma and actinic keratosis (AK) were analysed by type of work using multivariate logistic regression models, for three categories of work: indoor; farming/construction; other outdoor work. Results Although skin phototype was equally distributed by type of work, significantly less outdoor than indoor workers used sunscreen in their own country (44.3% vs. 60.2%), but had more outdoor hobbies (66.2% vs. 58.2%). Outdoor workers had lower educational levels, and felt less confident in understanding medical information and filling medical forms (all P < 0.001). Outdoor workers had more signs of photodamage (78.1% vs. 65.5%) and among the skin cancer patients, 37.7% of outdoor workers vs. 28.6% of indoor workers had ≥2 skin cancers diagnosed during their lifetime. Multivariate logistic regression models showed significantly increased risk of outdoor vs. indoor work for AK (ORother outdoor = 1.55, ORfarming/construction = 2.58), SCC (ORother outdoor = 1.32, ORfarming/construction = 2.77) and BCC (ORother outdoor = 1.53, ORfarming/construction = 1.83). No significant associations were found for melanoma. The risk of all types of skin cancer and AK was significantly increased for workers with ≥5 years of outdoor work. Conclusions Outdoor workers had more risk behaviour with similar constitutional skin cancer risk factors: more UV exposure (both occupational and leisure) and less sunscreen use and low, SCOPUS: ar.j, FLWIN, info:eu-repo/semantics/published

Published
2016

6. Basal cell carcinomas without histological confirmation and their treatment : an audit in four European regions

Author

Flohil, Sophie C., Proby, Charlotte M., Forrest, Alasdair D., Tiel, Sofie van, Saksela, Olli, Pitkänen, Sari, Ahti, T., Micallef, Rita, Vries, Esther de, EPIDERM Group, and EPIDERM Group

Subjects
Basal cell carcinoma -- Patients -- Europe, Basal cell carcinoma -- Research -- Europe, Basal cell carcinoma -- Research -- Malta, Basal cell carcinoma -- Treatment, Skin -- Cancer, Basal cell carcinoma -- Diagnosis
Abstract

Summary- Background: Limited data are available on how often basal cell carcinomas (BCCs) are clinically diagnosed without histological confirmation and how they are treated. Objectives Within the framework of the EPIDERM project, an audit was conducted in four European countries to study the occurrence of clinically diagnosed BCCs without histological confirmation and to investigate how these are treated. Methods: In the Netherlands, Scotland, Finland and Malta studies were performed within different timeframes. Patients with one or more BCC(s) were selected and the number of clinically diagnosed BCCs without histological confirmation and their treatment was investigated by (manually) reviewing the (electronic) patient records and checking the (hospital) pathology databases to find evidence of histological confirmation. Results: In the Netherlands, 1089 patients with a first histologically confirmed BCC developed 1974 BCCs of which 1833 (92.9%) were histologically confirmed and 141 (7.1%) were not. A 4-month retrospective study conducted in Scotland selected 294 patients with 344 BCCs; 306 (89.0%) were histologically confirmed and 38 (11.0%) were not. A 3-month prospective study performed at the same centre in Scotland identified 44 patients who developed 58 BCCs; 44 (75.9%) of these were histologically confirmed and 14 (24.1%) were not. In Finland, there were 701 patients who developed 977 BCCs, of which 807 (82.6%) were histologically and 170 (17.4%) nonhistologically confirmed. In Malta, there were 420 patients with 477 BCCs. Only three (0.7%) of them were clinically diagnosed without histological confirmation. In the Netherlands and Finland, clinically diagnosed BCCs without histological confirmation were most often treated with cryotherapy, whereas in Scotland 5% imiquimod cream was the preferred treatment modality. Conclusions: Although the frequency of clinically diagnosed BCCs without histological confirmation differed between the four European regions (range 0.7-24.1%), this confirms that the burden of BCC in Europe is underestimated when based on data from pathology and/or cancer registries., peer-reviewed

Published
2012

8. Skin cancer risk in outdoor workers: a European multicenter case-control study.

Author

Trakatelli, M., Barkitzi, K., Apap, C., Majewski, S., De Vries, E., Coebergh, Jan Willem, Apalla, Zoe, Ioannides, Dimitrios, Kalabalikis, Dimitrios, Kalokasidis, Kostantinos, Kitsou, Anastasia, Siskou, Stella, Traianou, Athina, Sotiriadis, Dimitrios, Moreno‐Ramirez, David, Ferrandiz, Lara, Ruiz‐de‐Casas, Andres, Micallef, Rita, Ranki, Annamari, and Saksela, Olli

Subjects
RISK factors of skin cancer, ULTRAVIOLET radiation, BASAL cell carcinoma, SQUAMOUS cell carcinoma, ACTINIC keratosis, LOGISTIC regression analysis
Abstract

Background Exposure to ultraviolet radiation ( UVR) is the most important external risk factor for skin cancer. Outdoor workers, who are exposed to high ambient UVR levels are at increased risk. Objective To compare outdoor with indoor workers in terms of: (i) skin cancer risk factors, and (ii) risk of developing skin cancer. Methods Using descriptive methods and a large multicenter European case-control study, we compared risk factor patterns between outdoor ( N = 1416) and indoor workers ( N = 1863). Risk of developing basal cell carcinoma ( BCC), squamous cell carcinoma ( SCC), melanoma and actinic keratosis ( AK) were analysed by type of work using multivariate logistic regression models, for three categories of work: indoor; farming/construction; other outdoor work. Results Although skin phototype was equally distributed by type of work, significantly less outdoor than indoor workers used sunscreen in their own country (44.3% vs. 60.2%), but had more outdoor hobbies (66.2% vs. 58.2%). Outdoor workers had lower educational levels, and felt less confident in understanding medical information and filling medical forms (all P < 0.001). Outdoor workers had more signs of photodamage (78.1% vs. 65.5%) and among the skin cancer patients, 37.7% of outdoor workers vs. 28.6% of indoor workers had ≥2 skin cancers diagnosed during their lifetime. Multivariate logistic regression models showed significantly increased risk of outdoor vs. indoor work for AK ( ORother outdoor = 1.55, ORfarming/construction = 2.58), SCC ( ORother outdoor = 1.32, ORfarming/construction = 2.77) and BCC ( ORother outdoor = 1.53, ORfarming/construction = 1.83). No significant associations were found for melanoma. The risk of all types of skin cancer and AK was significantly increased for workers with ≥5 years of outdoor work. Conclusions Outdoor workers had more risk behaviour with similar constitutional skin cancer risk factors: more UV exposure (both occupational and leisure) and less sunscreen use and lower health literacy. This results in higher exposure, more photodamage and an increased risk of developing AK, BCC and SCC. [ABSTRACT FROM AUTHOR]

Published
2016
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