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6. Multidisciplinary approach to obesity

Author

Donini, M. L., Savina, C., Castellaneta, E., Coletti, C., Paolini, M., Scavone, L., Civale, C., Ceccarelli, P., Zaninotto, S., Tineri, M., Grossi, G., De Felice, M. R., and Cannella, C.

Published
2009
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7. Measuring health equity in the ASEAN region: conceptual framework and assessment of data availability

Author

Capucine Barcellona, Yzabel Bryanna Mariñas, Si Ying Tan, Gabriel Lee, Khin Chaw Ko, Savina Chham, Chhea Chhorvann, Borwornsom Leerapan, Nam Pham Tien, and Jeremy Lim

Subjects
Public Health, Health Equity, Data availability, ASEAN, Health systems, Global Health, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Existing research on health equity falls short of identifying a comprehensive set of indicators for measurement across health systems. Health systems in the ASEAN region, in particular, lack a standardised framework to assess health equity. This paper proposes a comprehensive framework to measure health equity in the ASEAN region and highlights current gaps in data availability according to its indicator components. Methods A comprehensive literature review was undertaken to map out a core set of indicators to evaluate health equity at the health system level. Secondary data collection was subsequently conducted to assess current data availability for ASEAN states in key global health databases, national health accounts, and policy documents. Results A robust framework to measure health equity was developed comprising 195 indicators across Health System Inputs and Processes, Outputs, Outcomes, and Contextual Factors. Total indicator data availability equated to 72.9% (1423/1950). Across the ASEAN region, the Inputs and Processes sub-component of Health Financing had complete data availability for all indicators (160/160, 100%), while Access to Essential Medicine had the least data available (6/30, 20%). Under Outputs and Outcomes, Coverage of Selected Interventions (161/270, 59.63%) and Population Health (350/350, 100%) respectively had the most data available, while other indicator sub-components had little to none (≤ 38%). 72.145% (384/530) of data is available for all Contextual Factors. Out of the 10 ASEAN countries, the Philippines had the highest data availability overall at 77.44% (151/195), while Brunei Darussalam and Vietnam had the lowest data availability at 67.18% (131/195). Conclusions The data availability gaps highlighted in this study underscore the need for a standardised framework to guide data collection and benchmarking of health equity in ASEAN. There is a need to prioritise regular data collection for overlooked indicator areas and in countries with low levels of data availability. The application of this indicator framework and resulting data availability analysis could be conducted beyond ASEAN to enable cross-regional benchmarking of health equity.

Published
2023
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10. Probing Hadronic Interactions with Measurements at Ultra-High Energies with the Pierre Auger Observatory

Author

nbsp;, D., Schmidt, A. undefined, Aab, P. undefined, Abreu, M. undefined, Aglietta, J. M. undefined, Albury, I. undefined, Allekotte, A. undefined, Almela, J. undefined, Alvarez-Muñiz, R. undefined, Alves Batista, G. A. undefined, Anastasi, L. undefined, Anchordoqui, B. undefined, Andrada, S. undefined, Andringa, C. undefined, Aramo, P. R. undefined, Araújo Ferreira, H. undefined, Asorey, P. undefined, Assis, G. undefined, Avila, A. M. undefined, Badescu, A. undefined, Bakalova, A. undefined, Balaceanu, F. undefined, Barbato, R. J. undefined, Barreira Luz, K. H. undefined, Becker, J. A. undefined, Bellido, C. undefined, Berat, M. E. undefined, Bertaina, X. undefined, Bertou, P. L. undefined, Bierman, T. undefined, Bister, J. undefined, Biteau, J. undefined, Blazek, C. undefined, Bleve, M. undefined, Boháčová, D. undefined, Boncioli, C. undefined, Bonifazi, L. undefined, Bonneau Arbeletche, N. undefined, Borodai, A. M. undefined, Botti, J. undefined, Brac, T. undefined, Bretz, F. L. undefined, Briechle, P. undefined, Buchholz, A. undefined, Bueno, S. undefined, Buitink, M. undefined, Buscemi, K. S. undefined, Caballero-Mora, L. undefined, Caccianiga, A. undefined, Cancio, F. undefined, Canfora, I. undefined, Caracas, J. M. undefined, Carceller, R. undefined, Caruso, A. undefined, Castellina, F. undefined, Catalani, G. undefined, Cataldi, L. undefined, Cazon, M. undefined, Cerda, J. A. undefined, Chinellato, K. undefined, Choi, J. undefined, Chudoba, L. undefined, Chytka, R. W. undefined, Clay, A. C. undefined, Cobos Cerutti, R. undefined, Colalillo, A. undefined, Coleman, M. R. undefined, Coluccia, R. undefined, Conceição, A. undefined, Condorelli, Consolati, G., undefined, F., Contreras, F. undefined, Convenga, C. E. undefined, Covault, S. undefined, Dasso, K. undefined, Daumiller, B. R. undefined, Dawson, J. A. undefined, Day, R. M. undefined, de Almeida, J. undefined, de Jesús, S. J. undefined, de Jong, G. undefined, De Mauro, J. R. T. undefined, de Mello Neto, I. undefined, De Mitri, J. undefined, de Oliveira, D. undefined, de Oliveira Franco, V. undefined, de Souza, E. undefined, De Vito, J. undefined, Debatin, M. undefined, del Río, O. undefined, Deligny, N. undefined, Dhital, A. undefined, Di Matteo, C. undefined, Dobrigkeit, J. C. undefined, D'Olivo, R. C. undefined, dos Anjos, M. T. undefined, Dova, J. undefined, Ebr, R. undefined, Engel, I. undefined, Epicoco, M. undefined, Erdmann, C. O. undefined, Escoba, A. undefined, Etchegoyen, H. undefined, Falcke, J. undefined, Farmer, G. undefined, Farrar, A. C. undefined, Fauth, N. undefined, Fazzi, F. undefined, Feldbusch, F. undefined, Fenu, B. undefined, Fick, J. M. undefined, Figueira, A. undefined, Filipčič, T. undefined, Fodran, M. M. undefined, Freire, T. undefined, Fujii, A. undefined, Fuster, C. undefined, Galea, C. undefined, Galelli, B. undefined, García, A. L. undefined, Garcia Vegas, H. undefined, Gemmeke, F. undefined, Gesualdi, A. undefined, Gherghel-Lascu, P. L. undefined, Ghia, U. undefined, Giaccari, M. undefined, Giammarchi, M. undefined, Giller, J. undefined, Glombitza, F. undefined, Gobbi, F. undefined, Gollan, G. undefined, Golup, M. undefined, Gómez Berisso, P. F. undefined, Gómez Vitale, J. P. undefined, Gongora, N. undefined, González, I. undefined, Goos, D. undefined, Góra, A. undefined, Gorgi, M. undefined, Gottowik, T. D. undefined, Grubb, F. undefined, Guarino, G. P. undefined, Guedes, E. undefined, Guido, S. undefined, Hahn, R. undefined, Halliday, M. R. undefined, Hampel, P. undefined, Hansen, D. undefined, Harari, V. M. undefined, Harvey, A. undefined, Haungs, T. undefined, Hebbeker, D. undefined, Heck, G. C. undefined, Hill, C. undefined, Hojvat, J. R. undefined, Hörandel, P. undefined, Horvath, M. undefined, Hrabovský, T. undefined, Huege, J. undefined, Hulsman, A. undefined, Insolia, P. G. undefined, Isar, J. A. undefined, Johnsen, J. undefined, Jurysek, A. undefined, Kääpä, K. H. undefined, Kampert, B. undefined, Keilhauer, J. undefined, Kemp, H. O. undefined, Klages, M. undefined, Kleifges, J. undefined, Kleinfeller, M. undefined, Köpke, G. undefined, Kukec Mezek, B. L. undefined, Lago, D. undefined, Lahurd, R. G. undefined, Lang, N. undefined, Langner, M. A. undefined, Leigui de Oliveira, V. undefined, Lenok, A. undefined, Letessier-Selvon, I. undefined, Lhenry-Yvon, D. undefined, Lo Presti, L. undefined, Lopes, R. undefined, López, R. undefined, Lorek, Q. undefined, Luce, A. undefined, Lucero, J. P. undefined, Lundquist, A. undefined, Machado Payeras, G. undefined, Mancarella, D. undefined, Mandat, B. C. undefined, Manning, J. undefined, Manshanden, P. undefined, Mantsc, S. undefined, Marafico, A. G. undefined, Mariazzi, I. C. undefined, Mariş, G. undefined, Marsella, D. undefined, Martello, H. undefined, Martinez, O. undefined, Martínez Bravo, M. undefined, Mastrodicasa, H. J. undefined, Mathes, J. undefined, Matthews, G. undefined, Matthiae, E. undefined, Mayotte, P. O. undefined, Mazu, G. undefined, Medina-Tanco, D. undefined, Melo, A. undefined, Menshikov, K. -D. undefined, Merenda, S. undefined, Michal, M. I. undefined, Micheletti, L. undefined, Miramonti, S. undefined, Mollerach, F. undefined, Montanet, C. undefined, Morello, M. undefined, Mostafá, A. L. undefined, Müller, M. A. undefined, Muller, K. undefined, Mulrey, R. undefined, Mussa, M. undefined, Muzio, W. M. undefined, Namasaka, L. undefined, Nellen, M. undefined, Niculescu-Oglinzanu, M. undefined, Niechciol, D. undefined, Nitz, D. undefined, Nosek, V. undefined, Novotny, L. undefined, Nožka, Nucita, A., undefined, L. A., Núñez, M. undefined, Palatka, J. undefined, Pallotta, P. undefined, Papenbreer, G. undefined, Parente, A. undefined, Parra, M. undefined, Pech, F. undefined, Pedreira, J. undefined, Pękala, R. undefined, Pelayo, J. undefined, Peña-Rodriguez, J. undefined, Perez Armand, M. undefined, Perlin, L. undefined, Perrone, S. undefined, Petrera, T. undefined, Pierog, M. undefined, Pimenta, V. undefined, Pirronello, M. undefined, Platino, B. undefined, Pont, M. undefined, Pothast, P. undefined, Privitera, M. undefined, Prouza, A. undefined, Puyleart, S. undefined, Querchfeld, J. undefined, Rautenberg, D. undefined, Ravignani, M. undefined, Reininghaus, J. undefined, Ridky, F. undefined, Riehn, M. undefined, Risse, P. undefined, Ristori, V. undefined, Rizi, W. undefined, Rodrigues de Carvalho, J. undefined, Rodriguez Rojo, M. J. undefined, Roncoroni, M. undefined, Roth, E. undefined, Roulet, A. C. undefined, Rovero, P. undefined, Ruehl, S. J. undefined, Saffi, A. undefined, Saftoiu, F. undefined, Salamida, H. undefined, Salazar, G. undefined, Salina, J. D. undefined, Sanabria Gomez, F. undefined, Sánchez, E. M. undefined, Santos, E. undefined, Santos, F. undefined, Sarazin, R. undefined, Sarmento, C. undefined, Sarmiento-Cano, R. undefined, Sato, P. undefined, Savina, C. M. undefined, Schäfer, V. undefined, Scherini, H. undefined, Schieler, M. undefined, Schimassek, M. undefined, Schimp, F. undefined, Schlüter, O. undefined, Scholten, P. undefined, Schovánek, F. G. undefined, Schröder, S. undefined, Schröder, J. undefined, Schulte, S. J. undefined, Sciutto, M. undefined, Scornavacche, R. C. undefined, Shellard, G. undefined, Sigl, G. undefined, Silli, O. undefined, Sima, R. undefined, Šmída, P. undefined, Sommers, J. F. undefined, Soriano, J. undefined, Souchard, R. undefined, Squartini, M. undefined, Stadelmaier, D. undefined, Stanca, S. undefined, Stanič, J. undefined, Stasielak, P. undefined, Stassi, A. undefined, Streich, M. undefined, Suárez-Durán, T. undefined, Sudholz, T. undefined, Suomijärvi, A. D. undefined, Supanitsky, J. undefined, Šupík, Z. undefined, Szadkowski, A. undefined, Taboada, A. undefined, Tapia, C. undefined, Timmermans, O. undefined, Tkachenko, P. undefined, Tobiska, C. J. undefined, Todero Peixoto, B. undefined, Tomé, A. undefined, Travaini, P. undefined, Travnicek, C. undefined, Trimarelli, M. undefined, Trini, M. undefined, Tueros, R. undefined, Ulrich, M. undefined, Unger, L. undefined, Vaclavek, M. undefined, Vacula, J. F. undefined, Valdés Galicia, L. undefined, Valore, E. undefined, Varela, V. undefined, Varma K. C., A. undefined, Vásquez-Ramírez, D. undefined, Veberič, C. undefined, Ventura, I. D. undefined, Vergara Quispe, V. undefined, Verzi, J. undefined, Vicha, J. undefined, Vink, S. undefined, Vorobiov, H. undefined, Wahlberg, A. A. undefined, Wat, M. undefined, Weber, A. undefined, Weindl, L. undefined, Wiencke, H. undefined, Wilczyński, T. undefined, Winchen, M. undefined, Wirtz, D. undefined, Wittkowski, B. undefined, Wundheiler, A. undefined, Yushkov, O. undefined, Zapparrata, E. undefined, Zas, D. undefined, Zavrtanik, M. undefined, Zavrtanik, L. undefined, Zehrer, A. undefined, and Zepeda

Published
2020

11. The Radio Detection of Inclined Showers at the Pierre Auger Observatory

Author

S. de Jong, A. &nbsp, Aab, P. undefined, Abreu, M. undefined, Aglietta, J. M. undefined, Albury, I. undefined, Allekotte, A. undefined, Almela, J. undefined, Alvarez-Muñiz, R. undefined, Alves Batista, G. A. undefined, Anastasi, L. undefined, Anchordoqui, B. undefined, Andrada, S. undefined, Andringa, C. undefined, Aramo, P. R. undefined, Araújo Ferreira, H. undefined, Asorey, P. undefined, Assis, G. undefined, Avila, A. M. undefined, Badescu, A. undefined, Bakalova, A. undefined, Balaceanu, F. undefined, Barbato, R. J. undefined, Barreira Luz, K. H. undefined, Becker, J. A. undefined, Bellido, C. undefined, Berat, M. E. undefined, Bertaina, X. undefined, Bertou, P. L. undefined, Bierman, T. undefined, Bister, J. undefined, Biteau, J. undefined, Blazek, C. undefined, Bleve, M. undefined, Boháčová, D. undefined, Boncioli, C. undefined, Bonifazi, L. undefined, Bonneau Arbeletche, N. undefined, Borodai, A. M. undefined, Botti, J. undefined, Brac, T. undefined, Bretz, F. L. undefined, Briechle, P. undefined, Buchholz, A. undefined, Bueno, S. undefined, Buitink, M. undefined, Buscemi, K. S. undefined, Caballero-Mora, L. undefined, Caccianiga, A. undefined, Cancio, F. undefined, Canfora, I. undefined, Caracas, J. M. undefined, Carceller, R. undefined, Caruso, A. undefined, Castellina, F. undefined, Catalani, G. undefined, Cataldi, L. undefined, Cazon, M. undefined, Cerda, J. A. undefined, Chinellato, K. undefined, Choi, J. undefined, Chudoba, L. undefined, Chytka, R. W. undefined, Clay, A. C. undefined, Cobos Cerutti, R. undefined, Colalillo, A. undefined, Coleman, M. R. undefined, Coluccia, R. undefined, Conceição, A. undefined, Condorelli, Consolati, G., undefined, F., Contreras, F. undefined, Convenga, C. E. undefined, Covault, S. undefined, Dasso, K. undefined, Daumiller, B. R. undefined, Dawson, J. A. undefined, Day, R. M. undefined, de Almeida, J. undefined, de Jesús, G. undefined, De Mauro, J. R. T. undefined, de Mello Neto, I. undefined, De Mitri, J. undefined, de Oliveira, D. undefined, de Oliveira Franco, V. undefined, de Souza, E. undefined, De Vito, J. undefined, Debatin, M. undefined, del Río, O. undefined, Deligny, N. undefined, Dhital, A. undefined, Di Matteo, C. undefined, Dobrigkeit, J. C. undefined, D'Olivo, R. C. undefined, dos Anjos, M. T. undefined, Dova, J. undefined, Ebr, R. undefined, Engel, I. undefined, Epicoco, M. undefined, Erdmann, C. O. undefined, Escoba, A. undefined, Etchegoyen, H. undefined, Falcke, J. undefined, Farmer, G. undefined, Farrar, A. C. undefined, Fauth, N. undefined, Fazzi, F. undefined, Feldbusch, F. undefined, Fenu, B. undefined, Fick, J. M. undefined, Figueira, A. undefined, Filipčič, T. undefined, Fodran, M. M. undefined, Freire, T. undefined, Fujii, A. undefined, Fuster, C. undefined, Galea, C. undefined, Galelli, B. undefined, García, A. L. undefined, Garcia Vegas, H. undefined, Gemmeke, F. undefined, Gesualdi, A. undefined, Gherghel-Lascu, P. L. undefined, Ghia, U. undefined, Giaccari, M. undefined, Giammarchi, M. undefined, Giller, J. undefined, Glombitza, F. undefined, Gobbi, F. undefined, Gollan, G. undefined, Golup, M. undefined, Gómez Berisso, P. F. undefined, Gómez Vitale, J. P. undefined, Gongora, N. undefined, González, I. undefined, Goos, D. undefined, Góra, A. undefined, Gorgi, M. undefined, Gottowik, T. D. undefined, Grubb, F. undefined, Guarino, G. P. undefined, Guedes, E. undefined, Guido, S. undefined, Hahn, R. undefined, Halliday, M. R. undefined, Hampel, P. undefined, Hansen, D. undefined, Harari, V. M. undefined, Harvey, A. undefined, Haungs, T. undefined, Hebbeker, D. undefined, Heck, G. C. undefined, Hill, C. undefined, Hojvat, J. R. undefined, Hörandel, P. undefined, Horvath, M. undefined, Hrabovský, T. undefined, Huege, J. undefined, Hulsman, A. undefined, Insolia, P. G. undefined, Isar, J. A. undefined, Johnsen, J. undefined, Jurysek, A. undefined, Kääpä, K. H. undefined, Kampert, B. undefined, Keilhauer, J. undefined, Kemp, H. O. undefined, Klages, M. undefined, Kleifges, J. undefined, Kleinfeller, M. undefined, Köpke, G. undefined, Kukec Mezek, B. L. undefined, Lago, D. undefined, Lahurd, R. G. undefined, Lang, N. undefined, Langner, M. A. undefined, Leigui de Oliveira, V. undefined, Lenok, A. undefined, Letessier-Selvon, I. undefined, Lhenry-Yvon, D. undefined, Lo Presti, L. undefined, Lopes, R. undefined, López, R. undefined, Lorek, Q. undefined, Luce, A. undefined, Lucero, J. P. undefined, Lundquist, A. undefined, Machado Payeras, G. undefined, Mancarella, D. undefined, Mandat, B. C. undefined, Manning, J. undefined, Manshanden, P. undefined, Mantsc, S. undefined, Marafico, A. G. undefined, Mariazzi, I. C. undefined, Mariş, G. undefined, Marsella, D. undefined, Martello, H. undefined, Martinez, O. undefined, Martínez Bravo, M. undefined, Mastrodicasa, H. J. undefined, Mathes, J. undefined, Matthews, G. undefined, Matthiae, E. undefined, Mayotte, P. O. undefined, Mazu, G. undefined, Medina-Tanco, D. undefined, Melo, A. undefined, Menshikov, K. -D. undefined, Merenda, S. undefined, Michal, M. I. undefined, Micheletti, L. undefined, Miramonti, S. undefined, Mollerach, F. undefined, Montanet, C. undefined, Morello, M. undefined, Mostafá, A. L. undefined, Müller, M. A. undefined, Muller, K. undefined, Mulrey, R. undefined, Mussa, M. undefined, Muzio, W. M. undefined, Namasaka, L. undefined, Nellen, M. undefined, Niculescu-Oglinzanu, M. undefined, Niechciol, D. undefined, Nitz, D. undefined, Nosek, V. undefined, Novotny, L. undefined, Nožka, Nucita, A., undefined, L. A., Núñez, M. undefined, Palatka, J. undefined, Pallotta, P. undefined, Papenbreer, G. undefined, Parente, A. undefined, Parra, M. undefined, Pech, F. undefined, Pedreira, J. undefined, Pękala, R. undefined, Pelayo, J. undefined, Peña-Rodriguez, J. undefined, Perez Armand, M. undefined, Perlin, L. undefined, Perrone, S. undefined, Petrera, T. undefined, Pierog, M. undefined, Pimenta, V. undefined, Pirronello, M. undefined, Platino, B. undefined, Pont, M. undefined, Pothast, P. undefined, Privitera, M. undefined, Prouza, A. undefined, Puyleart, S. undefined, Querchfeld, J. undefined, Rautenberg, D. undefined, Ravignani, M. undefined, Reininghaus, J. undefined, Ridky, F. undefined, Riehn, M. undefined, Risse, P. undefined, Ristori, V. undefined, Rizi, W. undefined, Rodrigues de Carvalho, J. undefined, Rodriguez Rojo, M. J. undefined, Roncoroni, M. undefined, Roth, E. undefined, Roulet, A. C. undefined, Rovero, P. undefined, Ruehl, S. J. undefined, Saffi, A. undefined, Saftoiu, F. undefined, Salamida, H. undefined, Salazar, G. undefined, Salina, J. D. undefined, Sanabria Gomez, F. undefined, Sánchez, E. M. undefined, Santos, E. undefined, Santos, F. undefined, Sarazin, R. undefined, Sarmento, C. undefined, Sarmiento-Cano, R. undefined, Sato, P. undefined, Savina, C. M. undefined, Schäfer, V. undefined, Scherini, H. undefined, Schieler, M. undefined, Schimassek, M. undefined, Schimp, F. undefined, Schlüter, D. undefined, Schmidt, O. undefined, Scholten, P. undefined, Schovánek, F. G. undefined, Schröder, S. undefined, Schröder, J. undefined, Schulte, S. J. undefined, Sciutto, M. undefined, Scornavacche, R. C. undefined, Shellard, G. undefined, Sigl, G. undefined, Silli, O. undefined, Sima, R. undefined, Šmída, P. undefined, Sommers, J. F. undefined, Soriano, J. undefined, Souchard, R. undefined, Squartini, M. undefined, Stadelmaier, D. undefined, Stanca, S. undefined, Stanič, J. undefined, Stasielak, P. undefined, Stassi, A. undefined, Streich, M. undefined, Suárez-Durán, T. undefined, Sudholz, T. undefined, Suomijärvi, A. D. undefined, Supanitsky, J. undefined, Šupík, Z. undefined, Szadkowski, A. undefined, Taboada, A. undefined, Tapia, C. undefined, Timmermans, O. undefined, Tkachenko, P. undefined, Tobiska, C. J. undefined, Todero Peixoto, B. undefined, Tomé, A. undefined, Travaini, P. undefined, Travnicek, C. undefined, Trimarelli, M. undefined, Trini, M. undefined, Tueros, R. undefined, Ulrich, M. undefined, Unger, L. undefined, Vaclavek, M. undefined, Vacula, J. F. undefined, Valdés Galicia, L. undefined, Valore, E. undefined, Varela, V. undefined, Varma K. C., A. undefined, Vásquez-Ramírez, D. undefined, Veberič, C. undefined, Ventura, I. D. undefined, Vergara Quispe, V. undefined, Verzi, J. undefined, Vicha, J. undefined, Vink, S. undefined, Vorobiov, H. undefined, Wahlberg, A. A. undefined, Wat, M. undefined, Weber, A. undefined, Weindl, L. undefined, Wiencke, H. undefined, Wilczyński, T. undefined, Winchen, M. undefined, Wirtz, D. undefined, Wittkowski, B. undefined, Wundheiler, A. undefined, Yushkov, O. undefined, Zapparrata, E. undefined, Zas, D. undefined, Zavrtanik, M. undefined, Zavrtanik, L. undefined, Zehrer, A. undefined, and Zepeda

Published
2020

12. Multi-Messenger Studies with the Pierre Auger Observatory

Author

nbsp;, L., Zehrer, A. undefined, Aab, P. undefined, Abreu, M. undefined, Aglietta, J. M. undefined, Albury, I. undefined, Allekotte, A. undefined, Almela, J. undefined, Alvarez-Muniz, R. undefined, Alves Batista, G. A. undefined, Anastasi, L. undefined, Anchordoqui, B. undefined, Andrada, S. undefined, Andringa, C. undefined, Aramo, P. R. undefined, Araújo Ferreira, H. undefined, Asorey, P. undefined, Assis, G. undefined, Avila, A. M. undefined, Badescu, A. undefined, Bakalova, A. undefined, Balaceanu, F. undefined, Barbato, R. J. undefined, Barreira Luz, K. H. undefined, Becker, J. A. undefined, Bellido, C. undefined, Berat, M. E. undefined, Bertaina, X. undefined, Bertou, P. L. undefined, Bierman, T. undefined, Bister, J. undefined, Biteau, J. undefined, Blazek, C. undefined, Bleve, M. undefined, Bohácová, D. undefined, Boncioli, C. undefined, Bonifazi, L. undefined, Bonneau Arbeletche, N. undefined, Borodai, A. M. undefined, Botti, J. undefined, Brac, T. undefined, Bretz, F. L. undefined, Briechle, P. undefined, Buchholz, A. undefined, Bueno, S. undefined, Buitink, M. undefined, Buscemi, K. S. undefined, Caballero-Mora, L. undefined, Caccianiga, A. undefined, Cancio, F. undefined, Canfora, I. undefined, Caracas, J. M. undefined, Carceller, R. undefined, Caruso, A. undefined, Castellina, F. undefined, Catalani, G. undefined, Cataldi, L. undefined, Cazon, M. undefined, Cerda, J. A. undefined, Chinellato, K. undefined, Choi, J. undefined, Chudoba, L. undefined, Chytka, R. W. undefined, Clay, A. C. undefined, Cobos Cerutti, R. undefined, Colalillo, A. undefined, Coleman, M. R. undefined, Coluccia, R. undefined, Conceicao, A. undefined, Condorelli, Consolati, G., undefined, F., Contreras, F. undefined, Convenga, C. E. undefined, Covault, S. undefined, Dasso, K. undefined, Daumiller, B. R. undefined, Dawson, J. A. undefined, Day, R. M. undefined, de Almeida, J. undefined, de Jesús, S. J. undefined, de Jong, G. undefined, De Mauro, J. R. T. undefined, de Mello Neto, I. undefined, De Mitri, J. undefined, de Oliveira, D. undefined, de Oliveira Franco, V. undefined, de Souza, E. undefined, De Vito, J. undefined, Debatin, M. undefined, del Río, O. undefined, Deligny, N. undefined, Dhital, A. undefined, Di Matteo, C. undefined, Dobrigkeit, J. C. undefined, D'Olivo, R. C. undefined, dos Anjos, M. T. undefined, Dova, J. undefined, Ebr, R. undefined, Engel, I. undefined, Epicoco, M. undefined, Erdmann, C. O. undefined, Escoba, A. undefined, Etchegoyen, H. undefined, Falcke, J. undefined, Farmer, G. undefined, Farrar, A. C. undefined, Fauth, N. undefined, Fazzi, F. undefined, Feldbusch, F. undefined, Fenu, B. undefined, Fick, J. M. undefined, Figueira, A. undefined, Filipcic, T. undefined, Fodran, M. M. undefined, Freire, T. undefined, Fujii, A. undefined, Fuster, C. undefined, Galea, C. undefined, Galelli, B. undefined, García, A. L. undefined, Garcia Vegas, H. undefined, Gemmeke, F. undefined, Gesualdi, A. undefined, Gherghel-Lascu, P. L. undefined, Ghia, U. undefined, Giaccari, M. undefined, Giammarchi, M. undefined, Giller, J. undefined, Glombitza, F. undefined, Gobbi, F. undefined, Gollan, G. undefined, Golup, M. undefined, Gómez Berisso, P. F. undefined, Gómez Vitale, J. P. undefined, Gongora, N. undefined, González, I. undefined, Goos, D. undefined, Góra, A. undefined, Gorgi, M. undefined, Gottowik, T. D. undefined, Grubb, F. undefined, Guarino, G. P. undefined, Guedes, E. undefined, Guido, S. undefined, Hahn, R. undefined, Halliday, M. R. undefined, Hampel, P. undefined, Hansen, D. undefined, Harari, V. M. undefined, Harvey, A. undefined, Haungs, T. undefined, Hebbeker, D. undefined, Heck, G. C. undefined, Hill, C. undefined, Hojvat, J. R. undefined, Horandel, P. undefined, Horvath, M. undefined, Hrabovsky, T. undefined, Huege, J. undefined, Hulsman, A. undefined, Insolia, P. G. undefined, Isar, J. A. undefined, Johnsen, J. undefined, Jurysek, A. undefined, Kaapa, K. H. undefined, Kampert, B. undefined, Keilhauer, J. undefined, Kemp, H. O. undefined, Klages, M. undefined, Kleifges, J. undefined, Kleinfeller, M. undefined, Köpke, G. undefined, Kukec Mezek, B. L. undefined, Lago, D. undefined, Lahurd, R. G. undefined, Lang, N. undefined, Langner, M. A. undefined, Leigui de Oliveira, V. undefined, Lenok, A. undefined, Letessier-Selvon, I. undefined, Lhenry-Yvon, D. undefined, Lo Presti, L. undefined, Lopes, R. undefined, López, R. undefined, Lorek, Q. undefined, Luce, A. undefined, Lucero, J. P. undefined, Lundquist, A. undefined, Machado Payeras, G. undefined, Mancarella, D. undefined, Mandat, B. C. undefined, Manning, J. undefined, Manshanden, P. undefined, Mantsc, S. undefined, Marafico, A. G. undefined, Mariazzi, I. C. undefined, Mariş, G. undefined, Marsella, D. undefined, Martello, H. undefined, Martinez, O. undefined, Martínez Bravo, M. undefined, Mastrodicasa, H. J. undefined, Mathes, J. undefined, Matthews, G. undefined, Matthiae, E. undefined, Mayotte, P. O. undefined, Mazu, G. undefined, Medina-Tanco, D. undefined, Melo, A. undefined, Menshikov, K. -D. undefined, Merenda, S. undefined, Michal, M. I. undefined, Micheletti, L. undefined, Miramonti, S. undefined, Mollerach, F. undefined, Montanet, C. undefined, Morello, M. undefined, Mostafá, A. L. undefined, Muller, M. A. undefined, Muller, K. undefined, Mulrey, R. undefined, Mussa, M. undefined, Muzio, W. M. undefined, Namasaka, L. undefined, Nellen, M. undefined, Niculescu-Oglinzanu, M. undefined, Niechciol, D. undefined, Nitz, D. undefined, Nosek, V. undefined, Novotny, L. undefined, Nožka, Nucita, A., undefined, L. A., Nunez, M. undefined, Palatka, J. undefined, Pallotta, P. undefined, Papenbreer, G. undefined, Parente, A. undefined, Parra, M. undefined, Pech, F. undefined, Pedreira, J. undefined, Pękala, R. undefined, Pelayo, J. undefined, Pena-Rodriguez, J. undefined, Perez Armand, M. undefined, Perlin, L. undefined, Perrone, S. undefined, Petrera, T. undefined, Pierog, M. undefined, Pimenta, V. undefined, Pirronello, M. undefined, Platino, B. undefined, Pont, M. undefined, Pothast, P. undefined, Privitera, M. undefined, Prouza, A. undefined, Puyleart, S. undefined, Querchfeld, J. undefined, Rautenberg, D. undefined, Ravignani, M. undefined, Reininghaus, J. undefined, Ridky, F. undefined, Riehn, M. undefined, Risse, P. undefined, Ristori, V. undefined, Rizi, W. undefined, Rodrigues de Carvalho, J. undefined, Rodriguez Rojo, M. J. undefined, Roncoroni, M. undefined, Roth, E. undefined, Roulet, A. C. undefined, Rovero, P. undefined, Ruehl, S. J. undefined, Saffi, A. undefined, Saftoiu, F. undefined, Salamida, H. undefined, Salazar, G. undefined, Salina, J. D. undefined, Sanabria Gomez, F. undefined, Sánchez, E. M. undefined, Santos, E. undefined, Santos, F. undefined, Sarazin, R. undefined, Sarmento, C. undefined, Sarmiento-Cano, R. undefined, Sato, P. undefined, Savina, C. M. undefined, Schafer, V. undefined, Scherini, H. undefined, Schieler, M. undefined, Schimassek, M. undefined, Schimp, F. undefined, Schluter, D. undefined, Schmidt, O. undefined, Scholten, P. undefined, Schovánek, F. G. undefined, Schroder, S. undefined, Schroder, J. undefined, Schulte, S. J. undefined, Sciutto, M. undefined, Scornavacche, R. C. undefined, Shellard, G. undefined, Sigl, G. undefined, Silli, O. undefined, Sima, R. undefined, Smída, P. undefined, Sommers, J. F. undefined, Soriano, J. undefined, Souchard, R. undefined, Squartini, M. undefined, Stadelmaier, D. undefined, Stanca, S. undefined, Stanic, J. undefined, Stasielak, P. undefined, Stassi, A. undefined, Streich, M. undefined, Suárez-Durán, T. undefined, Sudholz, T. undefined, Suomijärvi, A. D. undefined, Supanitsky, J. undefined, Supík, Z. undefined, Szadkowski, A. undefined, Taboada, A. undefined, Tapia, C. undefined, Timmermans, O. undefined, Tkachenko, P. undefined, Tobiska, C. J. undefined, Todero Peixoto, B. undefined, Tomé, A. undefined, Travaini, P. undefined, Travnicek, C. undefined, Trimarelli, M. undefined, Trini, M. undefined, Tueros, R. undefined, Ulrich, M. undefined, Unger, L. undefined, Vaclavek, M. undefined, Vacula, J. F. undefined, Valdés Galicia, L. undefined, Valore, E. undefined, Varela, V. undefined, Varma K. C., A. undefined, Vásquez-Ramírez, D. undefined, Veberic, C. undefined, Ventura, I. D. undefined, Vergara Quispe, V. undefined, Verzi, J. undefined, Vicha, J. undefined, Vink, S. undefined, Vorobiov, H. undefined, Wahlberg, A. A. undefined, Wat, M. undefined, Weber, A. undefined, Weindl, L. undefined, Wiencke, H. undefined, Wilczynski, T. undefined, Winchen, M. undefined, Wirtz, D. undefined, Wittkowski, B. undefined, Wundheiler, A. undefined, Yushkov, O. undefined, Zapparrata, E. undefined, Zas, D. undefined, Zavrtanik, M. undefined, Zavrtanik, A. undefined, and Zepeda

Published
2020

15. Contributor contact details

Author

Raats, Monique M., primary, de Groot, Lisette, additional, van Staveren, Wija, additional, Dean, Moira, additional, Raats, Monique M., additional, Grunert, Klaus G., additional, Wahlqvist, Mark L., additional, Lee, Meei-Shyuan, additional, Kouris-Blazos, A., additional, Donini, L.M., additional, Cannella, C., additional, Savina, C., additional, Nordin, S., additional, Fjellstrom, C., additional, Davidson, Kate, additional, Arber, Sara, additional, Marshall, Helen, additional, Morais, C., additional, Afonso, C., additional, Vaz de Almeida, M., additional, Morley, J., additional, Deurenberg, Paul, additional, Deurenberg-Yap, Mabel, additional, Kemper, Han C.G., additional, Abellan van Kan, G., additional, Vellas, Bruno, additional, Bourre, J.M., additional, Cederholm, T., additional, Lesourd, Bruno, additional, Ferry, Monique, additional, Ouwehand, Arthur, additional, Tiihonen, Kirsti, additional, Mäkeläinen, Henna, additional, Lahtinen, Sampo, additional, Rautonen, Nina, additional, Johnson, E., additional, Buchwald-Werner, Sybille, additional, Gärtner, Christine, additional, Mehling, Annette, additional, Feskens, Edith J. M, additional, Rock, E., additional, Tucker, K.L., additional, van der Schouw, Yvonne T., additional, Witkamp, Renger F., additional, Brownie, Sonya, additional, Gettings, M.A., additional, Sahyoun, N.R., additional, Anderson, A.L., additional, Simmons, Sandra F., additional, Rahman, A., additional, Pfau, Cornelie, additional, Saba, Anna, additional, and de Almeida Costa, Ana Isabel, additional

Published
2009
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19. L’orgie des sens pour l’amour de Dieu

Author

Savina, C

Abstract

Le Jardin parfumé du Cheikh Nefzâwî est certes un manuel d’une crudité inouïe. Mais il n’outrepasse jamais les limites de l’interdit en islam. Mieux, il puise sa légitimité dans les hadith eux-mêmes: le Prophète n’a-t-il pas affirmé que faire l’amour, pourvu que l’on se cantonne à des pratiques licites, vaut charité et sera récompensé ?

Published
2019

20. Evaluation of the Implementation of Integrated Primary Care for Patients with Type 2 Diabetes and Hypertension in Belgium, Cambodia, and Slovenia

Author

Nataša Stojnić, Monika Martens, Edwin Wouters, Savina Chham, Josefien van Olmen, Katrien Danhieux, Nina Ružić Gorenjec, Ir Por, Antonija Poplas-Susič, and Zalika Klemenc-Ketiš

Subjects
integrated care package, primary care, cross country comparison, diabetes, hypertension, Medicine (General), R5-920
Abstract

Introduction: Integrated care of chronic patients improves quality of their management, but there is scarce evidence of its implementation in different healthcare settings. With this article, we wanted to determine the level of integrated care implementation in the management of T2D (diabetes) and HT (hypertension) in three different settings: Belgium, Slovenia, and Cambodia. Methods: This was an observational study with integrated approach. It was conducted in primary health care organisations in three countries. In each primary health care organisation, we aimed to include primary care workers that worked with Type 2 Diabetes (T2D) and hypertension (HT) patients. Data was collected with the Integrated Care Package (ICP) grid (consisting of six elements: identification, treatment, health education, self-management, caregiver collaboration, and care organisation). Results: ICP is almost completely implemented without major differences within Slovenia. There is a considerable variability across practice types in Belgium. Implementation is constrained by health system resources in Cambodia. Some elements, especially identification, are better implemented then others, across health systems. Conclusion: Countries can enhance integrated care for chronic diseases by implementing central policies, standardized protocols, and local adaptation, addressing resource constraints, promoting systematic screening and health education, and providing training for healthcare workers, tailored to community needs, to improve patient outcomes and healthcare delivery.

Published
2024
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21. Everolimus-eluting stents or bypass surgery for left main coronary artery disease

Author

Stone, Gw, Sabik, Jf, Serruys, Pw, Simonton, Ca, Généreux, P, Puskas, J, Kandzari, De, Morice, Mc, Lembo, N, Brown WM 3rd, Taggart, Dp, Banning, A, Merkely, B, Horkay, F, Boonstra, Pw, van Boven AJ, Ungi, I, Bogáts, G, Mansour, S, Noiseux, N, Sabaté, M, Pomar, J, Hickey, M, Gershlick, A, Buszman, P, Bochenek, A, Schampaert, E, Pagé, P, Dressler, O, Kosmidou, I, Mehran, R, Pocock, Sj, Kappetein, Ap, van Es GA, Leon, Mb, Gersh, B, Chaturvedi, S, Kint, Pp, Valgimigli, M, Colombo, A, Costa, M, Di Mario, C, Ellis, S, Fajadet, J, Fearon, W, Kereiakes, D, Makkar, R, Mintz, Gs, Moses, Jw, Teirstein, P, Ruel, M, Sergeant, P, Mack, M, Fontana, G, Mohr, Fw, Nataf, P, Smith, C, Boden, B, Fox, K, Maron, D, Steg, G, Blackstone, E, Juni, P, Parise, H, Wallentin, L, Bertrand, M, Krucoff, M, Turina, M, Ståhle, E, Tijssen, J, Brill, D, Atkins, C, Applegate, B, Argenziano, M, Faly, Rc, Dauerman, H, Davidson, C, Griffith, B, Reisman, M, Rizik, D, Sakwa, M, Shemin, R, Romano, M, Hamm, C, Gummert, J, Tamburino, C, Alfieri, O, Savina, C, de Bruyne, B, Machado, Fp, Uva, S, Moccetti, T, Siclari, F, Hildick Smith, D, Szekely, L, Erglis, A, Stradins, P, Abizaid, A, Bento Sousa LC, Belardi, J, Navia, D, Park, Sj, Lee, Jw, Meredith, I, Smith, J, Yehuda, Ob, Schneijdenberg, R, Ronden, J, Jonk, J, Jonkman, A, van Remortel, E, de Zwart, I, Elshout, L, de Vries, T, Andreae, R, Tol van, J, Teurlings, E, Balachandran, S, Breazna, A, Jenkins, P, Mcandrew, T, Marx, So, Connolly, Mw, Hong, Mk, Weinberger, J, Wong, Sc, Dizon, J, Biviano, A, Morrow, J, Wang, D, Corral, M, Alfonso, M, Sanchez, R, Wright, D, Djurkovic, C, Lustre, M, Jankovic, I, Sanidas, E, Lasalle, L, Maehara, A, Matsumura, M, Sun, E, Iacono, S, Greenberg, T, Jacobson, J, Pullano, A, Gacki, M, Liu, S, Cohen, Dj, Magnuson, E, Baron, Sj, Wang, K, Traylor, K, Worthley, S, Stuklis, R, Barbato, E, Stockman, B, Dubois, C, Meuris, B, Vrolix, M, Dion, R, Bento de Souza LC, Costantini, C, Woitowicz, V, Hueb, W, Stolf, N, Beydoun, H, Baskett, R, Curtis, M, Kieser, T, Doucet, S, Pellerin, M, Hamburger, J, Cook, R, Kutryk, M, Peterson, M, Madan, M, Fremes, S, Mehta, S, Cybulsky, I, Prabhakar, M, Peniston, C, Welsh, R, Macarthur, R, Berland, J, Bessou, Jp, Carrié, D, Glock, Y, Darremont, O, Deville, C, Grimaud, Jp, Soula, P, Lefèvre, T, Maupas, E, Durrleman, N, Silvestri, M, Houel, R, Pratt, A, Francis, J, Van Belle, E, Vicentelli, A, Luchner, A, Hilker, M, Endemann, Dh, Felix, S, Wollert, Hg, Walther, T, Erbel, R, Jacob, H, Kahlert, P, Kupatt, C, Näbauer, M, Schmitz, C, Scholtz, W, Börgermann, J, Schuler, G, Borger, M, Davierwala, P, Fontos, G, Székely, L, Bedogni, F, Panisi, P, Berti, S, Glauber, M, Marzocchi, A, Di Bartolomeo, R, Merlo, M, Guagliumi, G, Fenili, F, Napodano, M, Gerosa, G, Ribichini, F, Faggian, Giuseppe, Saccà, S, Giacomin, A, Mignosa, C, Tumscitz, C, Savini, C, Van Mieghem, N, von Birgelen, C, Grandjean, J, Kubica, J, Anisimowicz, L, Zmudka, K, Sadowski, J, Hernández García, J, Such, M, Macaya, C, Rodríguez Hernández JE, Maroto, L, Serra, A, Padro, J, Tenas, Ms, De Souza, A, Egred, M, Clark, S, Trivedi, U, Jain, A, Uppal, R, Redwood, S, Young, C, Stables, Rh, Pullan, M, Uren, N, Pessotto, R, Abu Fadel, M, Peyton, M, Allaqaband, S, O’Hair, D, Bachinsky, W, Mumtaz, M, Blankenship, J, Casale, A, Brott, B, Davies, J, Brown, D, Cannon, L, Talbott, J, Chang, G, Macheers, S, Choi, J, Henry, C, Cutlip, D, Khabbaz, K, Das, G, Liao, K, Diver, D, Thayer, J, Dobies, D, Fliegner, K, Fischbein, M, Feldman, T, Pearson, P, Foster, M, Briggs, R, Giugliano, G, Engelman, D, Gordon, P, Ehsan, A, Grantham, J, Allen, K, Grodin, J, Jessen, M, Gruberg, L, Taylor JR Jr, Gupta, S, Hermiller J., Jr, Heimansohn, D, Iwaoka, R, Chan, B, Kander, Nh, Duff, S, Brown, W, Karmpaliotis, D, Kini, A, Filsoufi, F, Kong, D, Lin, S, Kutcher, M, Kincaid, E, Leya, F, Bakhos, M, Liberman, H, Halkos, M, Lips, D, Eales, F, Mahoney, P, Rich, J, Barreiro, C, Cheng, W, Metzger, C, Greenfield, T, Moses, J, Palacios, I, Macgillivray, T, Perin, E, Del Prete, J, Pompili, V, Kilic, A, Ragosta, M, Kron, I, Rashid, J, Mueller, D, Riley, R, Reimers, C, Patel, N, Resar, J, Shah, A, Schneider, J, Landvater, L, Reardon, M, Shavelle, D, Baker, C, Singh, J, Maniar, H, Wei, L, Strain, J, Zapolanski, A, Taheri, H, Ad, N, Tannenbaum, M, Prabhakar, G, Waksman, R, Corso, P, Wang, J, Fiocco, M, Wilson, Bh, Steigel, Rm, Chadwick, S, Zidar, F, Oswalt, J., Stone, Gregg W., Sabik, Joseph F., Serruys, Patrick W., Simonton, Charles A., Généreux, Philippe, Puskas, John, Kandzari, David E., Morice, Marie Claude, Lembo, Nichola, Brown, W. Morri, Taggart, David P., Banning, Adrian, Merkely, Béla, Horkay, Ferenc, Boonstra, Piet W., Van Boven, Ad J., Ungi, Imre, Bogáts, Gabor, Mansour, Samer, Noiseux, Nicola, Sabaté, Manel, Pomar, José, Hickey, Mark, Gershlick, Anthony, Buszman, Pawel, Bochenek, Andrzej, Schampaert, Erick, Pagé, Pierre, Dressler, Ovidiu, Kosmidou, Ioanna, Mehran, Roxana, Pocock, Stuart J., Kappetein, A. Pieter, for the EXCEL Trial Investigators:, [. . ., Antonio, Marzocchi, DI BARTOLOMEO, Roberto, ], . ., and Cardiothoracic Surgery

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Coronary Artery Disease, Kaplan-Meier Estimate, 030204 cardiovascular system & hematology, law.invention, Coronary artery disease, 03 medical and health sciences, 0302 clinical medicine, Percutaneous Coronary Intervention, Randomized controlled trial, law, Internal medicine, medicine, Clinical endpoint, Drug-Eluting Stent, Humans, Everolimus, 030212 general & internal medicine, cardiovascular diseases, Coronary Artery Bypass, Aged, Female, Middle Aged, Drug-Eluting Stents, business.industry, Coronary Artery Bypa, Medicine (all), Percutaneous coronary intervention, General Medicine, medicine.disease, Surgery, Cardiac surgery, Everolimu, surgical procedures, operative, Bypass surgery, Conventional PCI, Cardiology, business, medicine.drug, Human
Abstract

BACKGROUND: Patients with obstructive left main coronary artery disease are usually treated with coronary-artery bypass grafting (CABG). Randomized trials have suggested that drug-eluting stents may be an acceptable alternative to CABG in selected patients with left main coronary disease. METHODS: We randomly assigned 1905 eligible patients with left main coronary artery disease of low or intermediate anatomical complexity to undergo either percutaneous coronary intervention (PCI) with fluoropolymer-based cobalt-chromium everolimus-eluting stents (PCI group, 948 patients) or CABG (CABG group, 957 patients). Anatomic complexity was assessed at the sites and defined by a Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score of 32 or lower (the SYNTAX score reflects a comprehensive angiographic assessment of the coronary vasculature, with 0 as the lowest score and higher scores [no upper limit] indicating more complex coronary anatomy). The primary end point was the rate of a composite of death from any cause, stroke, or myocardial infarction at 3 years, and the trial was powered for noninferiority testing of the primary end point (noninferiority margin, 4.2 percentage points). Major secondary end points included the rate of a composite of death from any cause, stroke, or myocardial infarction at 30 days and the rate of a composite of death, stroke, myocardial infarction, or ischemia-driven revascularization at 3 years. Event rates were based on Kaplan-Meier estimates in time-to-first-event analyses. RESULTS: At 3 years, a primary end-point event had occurred in 15.4% of the patients in the PCI group and in 14.7% of the patients in the CABG group (difference, 0.7 percentage points; upper 97.5% confidence limit, 4.0 percentage points; P=0.02 for noninferiority; hazard ratio, 1.00; 95% confidence interval, 0.79 to 1.26; P=0.98 for superiority). The secondary end-point event of death, stroke, or myocardial infarction at 30 days occurred in 4.9% of the patients in the PCI group and in 7.9% in the CABG group (P

Published
2017

22. SIRT1 Serum Concentrations in Lipodystrophic Syndromes

Author

Luisa Salvatori, Silvia Magno, Giovanni Ceccarini, Rossella Tozzi, Savina Contini, Caterina Pelosini, Ferruccio Santini, Lucio Gnessi, and Stefania Mariani

Subjects
lipodystrophy, SIRT1, adipose tissue, adipokines, Biology (General), QH301-705.5, Chemistry, QD1-999
Abstract

Lipodystrophies (LDs) are rare, complex disorders of the adipose tissue characterized by selective fat loss, altered adipokine profile and metabolic impairment. Sirtuins (SIRTs) are class III NAD+-dependent histone deacetylases linked to fat metabolism. SIRT1 plays a critical role in metabolic health by deacetylating target proteins in tissue types including liver, muscle, and adipose. Circulating SIRT1 levels have been found to be reduced in obesity and increased in anorexia nervosa and patients experiencing weight loss. We evaluated circulating SIRT1 levels in relation to fat levels in 32 lipodystrophic patients affected by congenital or acquired LDs compared to non-LD subjects (24 with anorexia nervosa, 22 normal weight, and 24 with obesity). SIRT1 serum levels were higher in LDs than normal weight subjects (mean ± SEM 4.18 ± 0.48 vs. 2.59 ± 0.20 ng/mL) and subjects with obesity (1.7 ± 0.39 ng/mL), whereas they were close to those measured in anorexia nervosa (3.44 ± 0.46 ng/mL). Our findings show that within the LD group, there was no relationship between SIRT1 levels and the amount of body fat. The mechanisms responsible for secretion and regulation of SIRT1 in LD deserve further investigation.

Published
2024
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23. Development of a Qualitative Data Analysis Codebook for Arterial Hypertension and Type-2-Diabetes Integrated Care Evaluation

Author

Črt Zavrnik, Nataša Stojnić, Majda Mori Lukančič, Monika Martens, Katrien Danhieux, Savina Chham, Matic Mihevc, Tina Virtič Potočnik, Zalika Klemenc Ketiš, Josefien van Olmen, and Antonija Poplas Susič

Subjects
arterial hypertension, type-2-diabetes, codebook, qualitative analysis, Medicine (General), R5-920
Abstract

Introduction: Non-communicable diseases, such as arterial hypertension (HTN) and type-2 diabetes (T2D), pose a global public health problem. Integrated care with focus on person-centred principles aims to enhance healthcare quality and access. Previous qualitative research has identified facilitators and barriers for scaling-up integrated care, however the lack of standardized terms and measures hinder cross-country comparisons. This paper addresses these gaps by presenting a generic codebook for qualitative research on integrated care implementation for HTN and T2D. Description: The codebook serves as a tool for deductive or deductive-inductive qualitative analysis, organizing concepts and themes from qualitative data. It consists of nine first level and 39 second level themes. First level codes cover core issues; and second level codes provide detailed insights into facilitators and barriers. Discussion: This codebook is more widely applicable than previously developed tools because it includes a broader scope of stakeholders across micro, meso, and macro levels, and the themes being derived from highly diverse health systems across high- and low-income countries. Conclusion: The codebook is a useful tool for implementation research on integrated care for HTN and T2D at global scale. It facilitates cross-country learning, contributing to improved implementation, scale-up and outcomes.

Published
2024
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24. Scaling-up integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers to health system performance?

Author

Savina Chham, Josefien Van Olmen, Wim Van Damme, Srean Chhim, Veerle Buffel, Edwin Wouters, and Por Ir

Subjects
Cambodia, health system, scale-up, barriers, type-2 diabetes, hypertension, Public aspects of medicine, RA1-1270
Abstract

BackgroundNon-communicable diseases (NCDs) such as type-2 diabetes (T2D) and hypertension (HTN) pose a massive burden on health systems, especially in low- and middle-income countries. In Cambodia, to tackle this issue, the government and partners have introduced several limited interventions to ensure service availability. However, scaling-up these health system interventions is needed to ensure universal supply and access to NCDs care for Cambodians. This study aims to explore the macro-level barriers of the health system that have impeded the scaling-up of integrated T2D and HTN care in Cambodia.MethodsUsing qualitative research design comprised an articulation between (i) semi-structured interviews (33 key informant interviews and 14 focus group discussions), (ii) a review of the National Strategic Plan and policy documents related to NCD/T2D/HTN care using qualitative document analysis, and (iii) direct field observation to gain an overview into health system factors. We used a health system dynamic framework to map macro-level barriers to the health system elements in thematic content analysis.ResultsScaling-up the T2D and HTN care was impeded by the major macro-level barriers of the health system including weak leadership and governance, resource constraints (dominantly financial resources), and poor arrangement of the current health service delivery. These were the result of the complex interaction of the health system elements including the absence of a roadmap as a strategic plan for the NCD approach in health service delivery, limited government investment in NCDs, lack of collaboration between key actors, limited competency of healthcare workers due to insufficient training and lack of supporting resources, mis-match the demand and supply of medicine, and absence of local data to generate evidence-based for the decision-making.ConclusionThe health system plays a vital role in responding to the disease burden through the implementation and scale-up of health system interventions. To respond to barriers across the entire health system and the inter-relatedness of each element, and to gear toward the outcome and goals of the health system for a (cost-)effective scale-up of integrated T2D and HTN care, key strategic priorities are: (1) Cultivating leadership and governance, (2) Revitalizing the health service delivery, (3) Addressing resource constraints, and (4) Renovating the social protection schemes.

Published
2023
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27. The cascade of hypertension care in Cambodia: evidence from a cross-sectional population-based survey

Author

Savina Chham, Veerle Buffel, Josefien Van Olmen, Srean Chhim, Por Ir, and Edwin Wouters

Subjects
Hypertension, Cascade of Care, Health System Intervention, Dropping out, Cambodia, Health Equities, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Hypertension (HTN) is a leading cause of cardiovascular diseases and deaths globally. To respond to the high HTN prevalence (23.5% among adults aged 40–69 years in 2016) in Cambodia, the government (and donors) established innovative interventions to improve access to screening, care, and treatment at different public health system and community levels. We assessed the effectiveness of these interventions and resulting health outcomes through a cascade of HTN care and explored key determinants. Methods We performed a population-based survey among 5070 individuals aged ≥ 40 years to generate a cascade of HTN care in Cambodia. The cascade, built with conditional approach, shows the patients’ flow in the health system and where they are lost (dropped out) along the steps: (i) prevalence, (ii) screening, (iii) diagnosis, (iv) treatment in the last twelve months, (v) treatment in the last three months, and (vi) HTN being under control. The profile of people dropping out from each bar of the cascade was determined by multivariate logistic regression. Results The prevalence of HTN (i) among study participants was 35.2%, of which 81.91% had their blood pressure (BP) measured in the last three years (ii). Over 63.72% of those screened were diagnosed by healthcare professionals as hypertensive patients (iii). Among these, 56.19% received treatment in the last twelve months (iv) and 54.26% received follow-up treatment in the last three months (v). Only 35.8% of treated people had their BP under control (vi). Males, those aged ≥ 40 years, and from poorer households had lower odds to receive screening, diagnosis, and treatment. Lower odds to have their BP under-control were found in males, those from poor and rich quintiles, having HTN

Published
2022
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28. SENILE ANOREXIA IN DIFFERENT GERIATRIC SETTINGS IN ITALY

Author

Donini, LM, Savina, C, Piredda, M, Cucinotta, D, Fiorito, A, Inelmen, EM, Sergi, G, Cannella, C., DOMINGUEZ RODRIGUEZ, Ligia Juliana, BARBAGALLO, Mario, Donini, LM, Dominguez Rodriguez, LJ, Barbagallo, M, Savina, C, Piredda, M, Cucinotta, D, Fiorito, A, Inelmen, EM, Sergi, G, and Cannella, C

Subjects
aging, malnutrition, anorexia, functional decline, adl, iadl, Settore MED/09 - Medicina Interna
Published
2010

29. Obesity and eating disorders. Indications for the different levels of care. An Italian Expert Consensus Document

Author

Lm, Donini, Cuzzolaro M, Spera G, Badiali M, Basso N, Bollea MR, Bosello O, Brunani A, Busetto L, Cairella G, Cannella C, Capodaglio P, Mg, Carbonelli, Castellaneta E, Castra R, Clini E, Contaldo F, Dalla Ragione L, Dalle Grave R, D'Andrea F, Del Balzo V, De Cristofaro P, Di Flaviano E, Fassino S, Am, Ferro, Forestieri P, Franzoni E, Mg, Gentile, Giustini A, Jacoangeli F, Lubrano C, Lucchin L, Manara F, Marangi G, Marcelli M, Marchesini G, Marri G, Marrocco W, Melchionda N, Mezzani B, Migliaccio P, Muratori F, Nizzoli U, Ostuzzi R, Panzolato G, Pasanisi F, Persichetti P, Ml, Petroni, Pontieri V, Prosperi E, Renna C, Rovera G, Ferruccio Santini, Saraceni V, Savina C, Scuderi N, Silecchia G, Strollo F, Todisco P, Tubili C, Ugolini G, Zamboni M, Donini, Lm, Cuzzolaro, M, Spera, G, Badiali, M, Basso, N, Bollea, Mr, Bosello, O, Brunani, A, Busetto, L, Cairella, G, Cannella, C, Capodaglio, P, Carbonelli, Mg, Castellaneta, E, Castra, R, Clini, E, Contaldo, Franco, Dalla Ragione, L, Dalle Grave, R, D'Andrea, Francesco, Del Balzo, V, De Cristofaro, P, Di Flaviano, E, Fassino, S, Ferro, Am, Forestieri, Pietro, Franzoni, E, Gentile, Mg, Giustini, A, Jacoangeli, F, Lubrano, C, Lucchin, L, Manara, F, Marangi, G, Marcelli, M, Marchesini, G, Marri, G, Marrocco, W, Melchionda, N, Mezzani, B, Migliaccio, P, Muratori, F, Nizzoli, U, Ostuzzi, R, Panzolato, G, Pasanisi, Fabrizio, Persichetti, P, Petroni, Ml, Pontieri, V, Prosperi, E, Renna, C, Rovera, G, Santini, F, Saraceni, V, Savina, C, Scuderi, N, Silecchia, G, Strollo, F, Todisco, P, Tubili, C, Ugolini, G, Zamboni, M., D'Andrea, F, Contaldo, F, Forestieri, P, and Pasanisi, F

Subjects
obesity, Anorexia Nervosa, Consensus, National Health Programs, Day Care, Nutritional Status, Walking, Comorbidity, eating disorders, therapy, rehabilitation, Motor Activity, Social Environment, Feeding and Eating Disorders, Disability Evaluation, Risk Factors, Ambulatory Care, Humans, Settore MED/49 - Scienze Tecniche Dietetiche Applicate, Bulimia Nervosa, Expert Testimony, Residential Treatment, Patient Care Team, consensus document, Hospitalization, Italy, Practice Guidelines as Topic, Guideline Adherence, Day Care, Medical, Binge-Eating Disorder, Obesity, Eating Disorders, Algorithms
Abstract

This paper is an Italian Expert Consensus Document on multidimensional treatment of obesity and eating disorders. The Document is based on a wide survey of expert opinion. It presents, in particular, considerations regarding how clinicians go about choosing the most appropriate site of treatment for a given patient suffering from obesity and/or eating disorders: outpatient, partial hospitalization, residential rehabilitation centre, inpatient hospitalization. In a majority of instances obesity and eating disorders are long-term diseases and require a multiprofessional team-approach. In determining an initial level of care or a change to a different level of care, it is essential to consider together the overall physical condition, medical complications, disabilities, psychiatric comorbidity, psychology, behaviour, family, social resources, environment, and available services. We first created a review manuscript, a skeleton algorithm and two rating scales, based on the published guidelines and the existing research literature. As the second point we highlighted a number of clinical questions that had to be addressed in the specific context of our National Health Service and available specialized care units. Then we submitted eleven progressive revisions of the Document to the experts up to the final synthesis that was approved by the group. Of course, from point to point, some of the individual experts would differ with the consensus view. The document can be viewed as an expert consultation and the clinical judgement must always be tailored to the particular needs of each clinical situation. We will continue to revise the Document periodically based on new research information and on reassessment of expert opinion to keep it up-to-date. The Document was not financially sponsored.

Published
2010

30. Prevalenza dell’anoressia nel paziente anziano in ospedale

Author

Donini, LM, Savina, C, Piredda, M, Cucinotta, D, Fiorito, A, Inelmen, EM, Sergi, G, Cannella, C., DOMINGUEZ RODRIGUEZ, Ligia Juliana, BARBAGALLO, Mario, Donini, LM, Savina, C, Piredda, M, Cucinotta, D, Fiorito, A, Inelmen, EM, Sergi, G, Dominguez Rodriguez, LJ, Barbagallo, M, and Cannella, C

Subjects
Settore MED/09 - Medicina Interna, anoressia, invecchiamento, depressione, malnutrizione
Published
2009

31. Process evaluation of the scale-up of integrated diabetes and hypertension care in Belgium, Cambodia and Slovenia (the SCUBY Project): a study protocol

Author

Josefien van Olmen, Kerstin Klipstein-Grobusch, Por Ir, Wim Van Damme, Roy Remmen, Edwin Wouters, Veerle Buffel, Srean Chhim, Grace Marie V Ku, Daniel Boateng, Monika Martens, Zalika Klemenc Ketiš, Savina Chham, Katrien Danhieux, Nataša Stojnić, Črt Zavrnik, and Antonija Poplas Susič

Subjects
Medicine
Abstract

Introduction Integrated care interventions for type 2 diabetes (T2D) and hypertension (HT) are effective, yet challenges exist with regard to their implementation and scale-up. The ‘SCale-Up diaBetes and hYpertension care’ (SCUBY) Project aims to facilitate the scale-up of integrated care for T2D and HT through the co-creation and implementation of contextualised scale-up roadmaps in Belgium, Cambodia and Slovenia. We hereby describe the plan for the process and scale-up evaluation of the SCUBY Project. The specific goals of the process and scale-up evaluation are to (1) analyse how, and to what extent, the roadmap has been implemented, (2) assess how the differing contexts can influence the implementation process of the scale-up strategies and (3) assess the progress of the scale-up.Methods and analysis A comprehensive framework was developed to include process and scale-up evaluation embedded in implementation science theory. Key implementation outcomes include acceptability, feasibility, relevance, adaptation, adoption and cost of roadmap activities. A diverse range of predominantly qualitative tools—including a policy dialogue reporting form, a stakeholder follow-up interview and survey, project diaries and policy mapping—were developed to assess how stakeholders perceive the scale-up implementation process and adaptations to the roadmap. The role of context is considered relevant, and barriers and facilitators to scale-up will be continuously assessed.Ethics and dissemination Ethical approval has been obtained from the Institutional Review Board (ref. 1323/19) at the Institute of Tropical Medicine (Antwerp, Belgium). The SCUBY Project presents a comprehensive framework to guide the process and scale-up evaluation of complex interventions in different health systems. We describe how implementation outcomes, mechanisms of impact and scale-up outcomes can be a basis to monitor adaptations through a co-creation process and to guide other scale-up interventions making use of knowledge translation and co-creation activities.

Published
2022
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32. SENILE ANOREXIA IN ACUTE WARD AND REHABILITATION SETTINGS

Author

DONINI LM, SAVINA C, PIREDDA M, CUCINOTTA D, FIORITO A, INELMEN EM, SERGI G, CANNELLA C., DOMINGUEZ RODRIGUEZ, Ligia Juliana, BARBAGALLO, Mario, DONINI LM, SAVINA C, PIREDDA M, CUCINOTTA D, FIORITO A, INELMEN EM, SERGI G, DOMINGUEZ LJ, BARBAGALLO M, and CANNELLA C

Subjects
ANOREXIA, aging
Published
2008

33. Determinants of the continuum of maternal health care in Cambodia: an analysis of the Cambodia demographic health survey 2014

Author

Savina Chham, Emma Radovich, Veerle Buffel, Por Ir, and Edwin Wouters

Subjects
Maternal Health Care, Optimal, Continuum of Care, Determinant, Dropping Out, Demographic Health Survey, Gynecology and obstetrics, RG1-991
Abstract

Abstract Introduction Cambodia has achieved significant progress in maternal health, yet remains in the group of countries with the highest maternal mortality ratio in South-East Asia. Extra efforts are needed to improve maternal health through assessing the coverage of maternal health services as a continuum of care (CoC) and identifying the gaps. Our study aims to explore the coverage level of the Optimal CoC by (1) measuring the continuity of optimal antenatal care (ANC), skilled birth attendance (SBA) and optimal post-natal care (PNC), (2) identifying the determinants of dropping out from one service to another and (3) of not achieving the complete CoC. Method The study employed data from the Cambodia Demographic Health Survey 2014. We restricted our analysis to married women who had a live birth in the five years preceding the survey (n = 5678). Bi-variate and multivariate logistic regression were performed using STATA version 14. Results Almost 50% of women had achieved the complete optimal CoC, while the remaining have used only one or two of the services. The result shows that the level of women’s education was positively associated with the use of optimal ANC, the continuation to using optimal PNC and achieving the complete CoC. More power of women in household decision making was also positively associated with receiving the complete CoC. The birth order was negatively associated with achieving the complete CoC, while exposure to the mass media and having health insurance increased the odds of achieving the complete CoC. Household wealth consequently emerged as an influential predictor of dropping out and not achieving the complete CoC. Receiving all different elements of ANC care improved the continuity of care from optimal ANC to SBA and from SBA to optimal ANC. Conclusion The findings urge policy makers to approach maternal health care as a continuum of care with different determinants at each step. Household wealth was found to be the most influential factor, yet the study discovered also other barriers to optimal maternal health care which need to be addressed: future intervention should thus not only aim to increase wealth or health insurance coverage but also stimulate the education of women and empower women to claim power in household decision-making.

Published
2021
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40. Anoressia nell’anziano: prevalenza, patogenesi ed impatto clinico

Author

Molfino, Alessio, Muscaritoli, Maurizio, Cascino, Antonia, Logorelli, F., Piredda, M., Savina, C., Fiorito, A., Cucinotta, D., Strocchi, E., Enzi, G., Inelmen, E. M., Sergi, G., Barbagallo, M., Dominguez, L. J., Di Bella, G., De Leo, M., Ramaccini, C., Donini, Lorenzo Maria, ROSSI FANELLI, Filippo, and Laviano, Alessandro

Published
2009

44. Pathogenesis, prevalence and impact of anorexia in the elderly

Author

Molfino, Alessio, Savina, C., Piredda, M., Cucinotta, D., Fiorito, A., Strocchi, E., Enzi, G., Inelmen, E., Sergi, G., Barbagallo, M., Dominguez, L., Di Bella, G., De Leo, M., Laviano, Alessandro, Cascino, Antonia, Ramaccini, C., and ROSSI FANELLI, Filippo

Published
2008

47. Nutrition in aging

Author

Donini, Lorenzo Maria, Castellaneta, E, Savina, C, and Cannella, Carlo

Subjects
nutrition, elderly
Published
2008

50. Diet and Sport

Author

Savina, C. and Donini, Lorenzo Maria

Published
2008

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