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Medicina Narrativa Digitale
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Content Creation. Biography Creating. Handbook Analysis. Content creation is amongst the most demanding challenges of virtually all university students.

Content Creation. Biography Creating. Handbook Analysis. Content creation is amongst the most demanding challenges of virtually all university students.

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Biography publishing will mean publishing a people scenario. Biographical to our lives runs are typically accurate to reality, on the other hand stories can furthermore be applied to show a man’s existence. A particular in and out form of accurate to our lives breadth is termed legacy composing. Functions in various marketing, from composing to movie, form the category recognized as daily life storyline.The Scholastic EssayThe most important part of creating a biography is, the biography do not determine lay, signifies despite the fact that crafting a biography write down correct report. Just before begin composing a biography aim to know concerning person who you pick out and then try to research their lifetime.

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Building a handbook examine is not only regarding compressing; it’s in addition a wide open doorstep that you should indicate a straightforward speak with the e-book. Being an analyst, you must combine a accurate, rational perusing along with a rock solid, single response. A high manual analysis depicts what content and articles with the site, investigates how a e-book tried to attain its determination, and in addition conveys any answers likewise contentions coming from a completely unique standpoint.

Crafting a guide critique? The chosen handbook browse frequently and usually takes critical information. In case you are checking out often times you can aquire more details in the guide. Also check out affiliated subject matter textbooks, it is rather beneficial to contrast. The most important meaning and quotations are has to be recognized and look at writers publishing design. Take into consideration how good the author grows the particular varieties or concentrates during the guide. Choosing areas inside time allotment or charm growth of the publication can help you presume mainly.Thesis Technique ChapterAlso, noticing any a lot produced parts of the publication will allow you to are actually excellent centers on your analysis. The literature set up, text message, colors, referencing supplies, and photographs has to be famous. If you happen to chosen sci-fi arrange, range from the resources and representations, and symptom discussions within your evaluate. Believe the publication is different the ones are agreed on. The key aspect is summarize to your examine. Build a very first write and commence with headline. Generate release and brief summary next thing is determining also study it. Covered the potency and disadvantages about manual and create your idea and comments. When the composing proofread the critique to get opinions your associates and buddies, then send in it.

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Pay for Contribute to And Benefit Essay. Obtain Vital Essay. The root cause and consequence essay was created to demonstrate how 1 factor can consequence an alternative.

Pay for Contribute to And Benefit Essay. Obtain Vital Essay. The root cause and consequence essay was created to demonstrate how 1 factor can consequence an alternative.

Therefore it may be tough to recognize the habits, much less stick them into phrases in a fashion that is each intriguing and personal narrative essay Each of which are critical materials to generating a great contribute to and results essay.

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Understanding How to Write a Good Research Paper

Understanding How to Write a Good Research Paper What You Don’t Know About How to Write a Good Research Paper

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Thus, a thesis statement states the assumption of one’s whole research paper. Drafting is among the exact previous stages within the practice of producing a research paper.

During novel, writers possess a distinguishing chance to create on prior discoveries and boost the lore of mathematics . Explain briefly the essential things that you want to cover in your paper and why subscribers ought to be more interested on your own topic. Our writers will supply you with an informative article which matches all your requirements and demands.

The Basics of How to Write a Good Research Paper

Whatever you opt to market following your newspaper is complete is all your choice! You want to know how exactly to handle it even before you commence writing your paper. Writing a analysis paper can be actually a task as a result of the larger interest in custom research papers.

Typically, the deadline supplied for the pupils to finish the homework isn’t sufficient. It’s critical for the student to remember an initial issue that you simply come up with may possibly function as the precise topic of that which you wind up writing. So they must comprehend every portion of term paper arrangement therefore that they could manage to write their mathematics word paper directly now.

You will indicate the parameters of choice for all those themes of study and also the variety of subjects which are a portion of the study. Even though it’s an effective anti oxidant it also the capability to revive the efficacy of distinct antioxidants. On consideration of the wide works by using this kind of analysis could provide, a lot of individuals are inclined to be likely to construct their own projects determined on the MLA style guidelines.

When it could decidedly be challenging to use inside the beginning, the prevalence of this arrangement helps authors detect it’s really a ton a lot easier to know with these guides to pick from. Along with this, you will need to abide with the guidelines of qualitative origin citations. You would come to bear in mind that the format isn’t whatsoever tough to follow as well.

The Meaning of How to Write a Good Research Paper

In the event you locate a cheap Kindle book in the subject, you might need to receive it. You just have to be mindful and attempt to remember that perhaps not all online is true or trustworthy. You want to describe how you’re very likely to approach the topic.

Research-paper tips additionally demand having organizational introduction of advice. Scientific research enables the scientists to do an extensive study and produce a better consciousness of the world and nature as it truly is. Research papers aren’t accepted in the event your project is not incomplete.

There certainly are a major amount of apparatus that are utilized in most laboratory for each and every categories. While at it, make sure that each of those essential factors are included. You have to consider many elements and factors just before you’re ready to create a well-written study endeavor.

The next thing to think about could be the grade of the material which is clicked on your resume. Much more easy to delve deeper to some subject you prefer than to should re Search through research to some thing that’s of no attention personally. A fantastic discussion ought to take the consequences in turn, and set them in the total context of the region, and also reveal their significance.

How to Write a Good Research Paper Help!

For most appraised reports you’re going to be told just how much time it will be, generally by the total amount of phrases. If you attempt to read a brand new post from beginning to finish, you are certain to get bogged down in more detail. An intriguing debate cloaked in impenetrable prose is not of any use for anybody.

Measure No 2 Locate Resources You will look for producing sources using the card catalogue or personal database in library to locate a publication related into the subject of one’s study. Our practice producing business stipulates the ideal custom search proposals online at the cheapest price ranges. You need an issue with a excellent retailer of documentation readily available.

When it is potential to outline the exact advice in inch paragraph, the table or graph is not very important. For this reason, you’ll use citations on the document. Today you’re prepared to create from your own outline.

It really is therefore crucial for pupils to run a research or study on the creating businesses online to be able to decide on the most trustworthy company that could provide superior customized search documents. There many steps which you need to check out so as to make a exact great research paper. Making it challenging for the professors to reevaluate exactly what you mean to mean assignment baron wont help you secure your high grades.

Assist in Procedure of Writing a College Term Paper

Assist in Procedure of Writing a College Term Paper

All titles are marked as such. On the other hand, the text of any discharge is certainly not marked. Italic, bold or underline only exists for many who can not bright enough express their thoughts. The utmost that may be is within the introduction to allocate the word “relevance, purpose, objectives, novelty, practical importance, informational, methodological framework. Within the essay it is unnecessary, the recommendation for an award.

By the end point of this title is certainly not assigned.

Contents, introduction, conclusion, bibliography, main part, the application form always begin with a unique sheet. You don’t need to put extra paragraphs – it is far better to insert a typical page break, then the title is certainly not exactly jump at the wrong place.

In coursework and diplomas of each and every chapter also begin the primary section of a unique page. In some universities it is necessary that each part of the paper on a unique page – the contrary demand because have to artificially increase or reduce the text which was not half-empty pages.

If you choose the headings and subheadings built-in styles Heading 1, Heading 2, etc., is easily formed professional content. Naturally, there must be specified page. In cases like this, automatic content allows it to easily update, if you add or remove items or replace the text size. By the way, in the event that you removed a sizable little bit of text, but the content remained the old pages it really is enough to switch to viewing the document additionally the content is updated relative to the new number of pages.

On every page except the initial should be the page number. Most often require the top middle or bottom right corner.

From the application numbered only the first page, that will be the term APPLICATIONS absolutely justified on the page. Other application pages are not numbered and not submitted towards the content. And their value just isn’t contained in the quantity of work, so it’s a sensible way to cut work without having to sacrifice quality – relegate most of the graphs, drawings, diagrams and tables into the application.

Most of the usual text must certanly be decorated by one plagiarism checker by style (preferably not an everyday, and specially created a method or your author’s style, as an ordinary built various other styles). Design: Times New Roman font 14, one and a half spacing, justified. Exactly why is it necessary? For instance, if teachers need to fix all of the text, reducing it to 13 or 12, then it is carried out in three seconds with the help of specific changes our style 1.

Some suggestions on Writing Geography Papers

When writing geography papers you need to know that Geography is single collection of sciences, studying the geographical span of the planet earth and is focused on identifying spatial and temporal patterns. The primary objects of study of Geography would be the geosphere (biosphere, atmosphere, lithosphere, hydrosphere and soil), and Geosystems (landscapes, natural areas, biogeocenoses)

Geography is a body of knowledge about the spatial and temporal characteristics of any area, object, phenomenon or process.

Object of study of geography is the laws and regularities of distribution and interaction of the different parts of the geographical environment and their combinations at different levels. The complexity of the object of research and breadth of this subject area led to the differentiation of a single location on a number of specialized (industry), academic disciplines, forming a system of geographical sciences. Geography is divided into the natural (physiographic) and social (socio-economic) geography. Sometimes geographical mapping is being separated, as a different geographic discipline.

Geography is one of the oldest sciences. Several of its foundations were laid in the Hellenistic era. This experience was generalized by the outstanding geographer Claudius Ptolemy in the 1 B.C. The flowering of western geographical tradition is the reason the Renaissance, which celebrated the achievements of reinterpretation of the Late Hellenistic and significant achievements in cartography, that will be usually from the name of Gerhard Mercator. Foundations of modern academic geography within the 1st 1 / 2 of the XIX century, laid the Alexander von Humboldt and Karl Ritter.

The machine of geography sciences looks as follows:

  • Physical geography;

The object of study of physical geography may be the geographical span as a whole, its constituent natural systems and components.

Fundamentals of Physical Geography are common geography and landscape. The general geography is studying patterns of geographic shell in general, landscape study examines landscape complexes.

Branches of science:

Biogeography, Climatology, Geomorphology, Hydrology, Oceanology, Glaciology, Geography of Soils, Paleogeography, Cartography, Topography, Surveying, Geo-information system.

  • Socio-economic geography;

Socio-economic geography examines the territorial organization associated with society and it’s also split into four branch blocks (having its sections: Economic Geography, Social Geography, Political Geography, Cultural Geography, Historical geography).

Country study and Geo urban study are disciplines from the integrated description of this individual territories, and also the study of problems of their development.

No matter what branch of geography you study, you ought to write different assignments, write geography papers, conduct researches, make case studies, etc. our professionals will allow you to with any task.

How to pick a systematic manager for writing program work and diploma task?

How to pick a systematic manager for writing program work and diploma task?

Every pupil whom seeks to acquire a diploma in greater educational organization, is needed to write a systematic work consisting of theoretical and practical components. For the writing regarding the thesis, the pupil has just half a year, when he has to learn the literature regarding the chosen topic and conduct the mandatory studies and calculations. So the pupil faces a significant question: how to choose a supervisor?

The way the distribution of supervisor/students is arranged?

Each greater institution establishes its tiny, tacit rules, so that it hinges on a case-by-case basis. According to the rules, frequently a medical supervisor is appointed because of the department. For every single future graduate, his very own curator is fixed.

In any case, you are able to choose your very own manager if he agrees. For this, you’ll want to write a statement asking you to definitely appoint a certain teacher to your manager. After such actions, the instructor you decide on is the supervisor.

If you fail to like to remain those types of that are choosing the approach to distributing all of those other teachers, it really is worth hurrying. For every teacher having the ability to oversee diploma projects there is certainly a small quantity of pupils. This is exactly why, despite having a mutual decision regarding the area of the student and instructor, having the desired manager can be hard. Make an effort to determine from the choice as soon as the beginning of the college 12 months because other pupils may be faster than you.

How come you will need a clinical frontrunner?

Often pupils genuinely believe that a instructor should compose a diploma for them, or at the very least, be diligent to support training, re solving most of the difficulties which can be experienced from the course. This concept is wrong.

The manager is fond of students for the following purposes:

  • To manage writing of a diploma for the whole time allocated with this task. This product supplies a step-by-step check of work. A student writes one area, after which shows it to his scientific supervisor.
  • For prompt detection of gross mistakes, in both theoretical knowledge of the student, plus in practical area of the paper.
  • Your head assists within the choice of literary sources, provides advice on writing a thesis and offers a great assist in the research.
  • Develops a theme for future work leadership essay topics aided by the student.
  • Writes overview of the finished paper, in which recommends an initial evaluation.
  • The caliber of the investigation carried out additionally the protection regarding the topic rely greatly from the student himself. Your commitment, knowledge, fascination with the subject, enthusiasm directly influence the writing of this thesis.
As to the you should take notice whenever composing diploma?

Responsibilities and rights in this situation exist not merely for the teacher, also for the student.

Future alumni should:

  • Select a subject for the graduation task. Such subjects is likely to be supplied by the department or medical supervisor. If not one of them interested you, you are able to provide your own personal. In case the university together with division decide that the ensemble of research is helpful from a medical point of view, you’ll be able to to compose on your topic.
  • Get advice from the scientist appointed to your student.
  • Replace the theme of the work by very first discussing it with an instructor. At exactly the same time, the regards to composing a diploma needs to be inside the permissible limitations. If the time is still sufficient to work, you will see no problems with the modifications made.
  • A beneficial clinical leader can pay focus on your potential, interest, involvement in the process, responsibility and knowledge.

Study Finds Med Students Who Make Time for Art Have More Empathy


Casey Lesser, Artsy

A new study published today, conducted across five universities in the United States, has confirmed that medical students with greater exposure to the arts and humanities tend to have significantly better empathy, emotional intelligence, and wisdom—and they are less likely to develop symptoms of burnout. The findings could affect not only medical school curricula, but also admissions and recruitment, and professional development among practicing doctors.

This research, published in the Journal of Internal Medicine, comes at a time when it has become more common for medical schools to offer arts and humanities courses—from required workshops to electives and seminars in subjects like writing, painting, dance, and jazz. These programs are designed to foster well-rounded physicians with good observational skills and bedside manner, and to counter the depression and burnout that many in the profession experience. full article

Malattie croniche, quel racconto che porta alla cura

Storie di vita in salute e in malattia: il dualismo che caratterizza il vissuto dei pazienti con malattie croniche

Di Alessandra Sidoti, infermiera

Malattie croniche, lasciare che il paziente si racconti

Queste patologie sono invalidanti e causa di morte per 40 milioni di persone ogni anno (circa il 70% di tutti i decessi a livello globale), secondo quanto riportato dall’Organizzazione Mondiale della Sanità nel rapporto 2017.

Il passaggio da una vita in salute, nel senso olistico del termine, a una in malattia porta con sé tanti interrogativi e ripercussioni sia a livello psico-fisico che relazionale. Lo stigma sociale può divenire un fantasma da combattere e rischia di condurre il soggetto verso l’isolamento.

Il ruolo dell’infermiere nelle malattie croniche

L’intervento infermieristico è una sorta di pillola che induce un effetto placebo, non certo equivalente al nulla, ma all’atto del curare che cura. Come evidenziato in diversi studi clinici, infatti, l’effetto placebo può essere più forte di quello farmacologico: l’atto di affidarsi è il motore del rilascio nel proprio organismo delle endorfine, gli ormoni proteici del benessere.

Accogliere l’unicità della storia della persona assistita lasciando che si racconti significa creare la fiducia

Prendere in carico un cliente, come afferma C. Rogers (1902-1987), noto psicologo statunitense, vuol dire lasciare che egli sia il protagonista del suo stesso processo di cura, riconoscere i bisogni reali inerenti anche la sfera psichica.

Prima stavo bene, non riesco ad accettarlo è una frase spesso usata dai pazienti durante un’intervista o un colloquio. È l’espressione del malessere e del bisogno di essere ascoltato. Ogni paziente ha una storia unica che non può essere identificata a quella di altre del gruppo con la stessa patologia. “La narrazione è lo strumento fondamentale per acquisire, comprendere e integrare i diversi punti di vista di quanti intervengono nella malattia e nel processo di cura. Il fine è la costruzione condivisa di un percorso di cura personalizzato, la storia di cura” afferma l’Istituto Superiore di Sanità.

Tradurre il racconto in bisogni assistenziali vuol dire:

– rafforzare il rapporto di fiducia tra l’infermiere e il paziente;

– orientare il cliente verso comportamenti sani e il raggiungimento di un’adeguata aderenza terapeutica;

– rafforzare il self-empowerment;

– sviluppare le capacità residue.

Questa tecnica clinico-assistenziale di ascolto attivo rivolto al paziente e a tutti gli attori del processo di cura, prende il nome di medicina narrativa: termine preso in prestito dall’inglese Narrative Medicine – conosciuto con l’acronimo NBM – e diffuso negli anni Novanta grazie a Rachel Naomi Remen e Rita Charon, e si pone come obiettivo quello di comprendere e integrare tutte le narrazioni, per questo è necessario acquisire competenze comunicative specifiche.

Differenza tra medicina narrativa e storytelling

Avete mai sentito parlare di storytelling, letteralmente l’atto del narrare?

Questa scienza della narrazione viene applicata in vari ambiti: da quello politico, al marketing, alla medicina. Narrare storie di vita tocca le corde dell’empatia e instaura relazioni profonde tra il racconta storie e il fruitore del messaggio.

È facile confondere la medicina narrativa con lo storytelling applicato alla salute, il confine tra le due discipline infatti è molto sottile. Facciamo un po’ di chiarezza: continua a leggere

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I will be not enthusiastic about judging people. I am neutral plenty of to uncover the fact that men and women just like these online websites, as a result they obviously supply a useful want to some. Instead of judging, I’d preferably consider the position of advising you in a handful of the pros, cons, risks and rewards with this number of going out with site, to be able to improved organized should you settle on adult dating is in your case.

Techniques for People Who Are Married Looking For A Recreational Affair

To somewhat of a degree, it’s typical. After all, were looking for Mr. Right and constantly hope that he is the extremely next guy we get in touch with. We may brag about your new boyfriends to your friends and as well perform signing our signature applying his last name! Without any matter just how often people made get burned, expectation within the dating foreign girls services community springs eternal.

Significant Details For free xxx webcam sites Regretably neither Norwich nor Kings Lynn get usual, commercially operated adult get together venues or swingers clubs. Great Yarmouth nevertheless can. This popular seaside vacation resort on East Anglia’s north coast is however not really the best of locations for this type of venture along with the tavern is usually at stake to being required to close down as a result of not enough sustain.

There is free dating services serving several interests including adult personal ads. But when you would like personal dating, you are more joyful preventing no cost sites. For one, do not connect with many quality, serious many people. You will have to take away a lot of time wasters whom are truth be told there just to meet their curiosity.

You’ll be able to forget, that with the cultural worlds of clubbing, firing lights and also the endless sea of beautiful lover standing and walking on with sites and shopping at bookstores that individuals are, with reference downward it: biological beings. Should always bear in mind that facet, that next built, once we remove back the veneers in social conditioning, of technological advancements, material possessions as well as the strings and strands of trend – that other people are natural beings, most people inclusive.

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Inside Rapid Plans Of Laws by way of example, “I make no apologies! Inches and “You can’t influence me! ” happen to be meant to develop a gentleman seem masculine and psychologically attractive. When you break a lot of these attitudes down logically, they may not be definitely that deep. Rather, these represent stereotypical male habit, a large number of gals still adore within a post-feminist age.

A Background In Straightforward Programs The gender chart you DO want? Let the set off for everyday life provide that on your behalf. Glance at the contrast only for a specified duration to achieve that clarity. If you’re contrasting your life experience is “not enough money, ” now you’ve got a very obvious idea about what we DO NOT want and for that reason you have an extremely clear idea about anything you ACCOMPLISH want. You want “more than enough money”. That’s the making clear benefit of set off!

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Angriness is a most normal concern of each individual party. Each is angry and blames an additional to get destroying marriage. See it like this. Person do not likely try to find several other women if his darling fulfills his needs. Lover won’t drop totally out of love if his person attempts to become the ideal husband. In every relationship, it needs to be a synergy. Partnership breaks for several arguments and one common cause isn’t providing. In time, all wounds might just heal. Both get-togethers will be taught to help you forgive the other. Men can soon that they doesn’t have a hate and anger anymore inside middle.


This is my first post

Quale ruolo della persona in cura? Relazioni di cura, innovazione digitale e cura di sé nel continuum di salute

Da tempo esistono proposte teoriche, spesso avallate da ricerche ed esperienze locali, che indicano la necessità e l’utilità di sviluppare l’empowerment e l’engagement dei curati (definiti in modo eclettico come “pazienti”, “clienti”, “assistiti”, “cittadini”, “care-receiver”, “cared-for person”, ecc). Si parla, a tal proposito, di “consenso informato”, di “cittadinanza attiva”, di “scelte condivise di cura” e di molte altre proposte che vanno nella direzione di assegnare un nuovo ruolo al curato e di mutare i concetti, la terminologia, i comportamenti ancora oggi prevalenti nel mondo sanitario.

Il convegno, promosso dal Laboratorio Paracelso e programmato nelle giornate del 4-5 Maggio 2018 (Ferrara),  si propone, in primo luogo, di essere un luogo di incontro di diverse proposte che, potenzialmente, vanno in una direzione convergente al fine di una conoscenza e comunicazione reciproca.

In secondo luogo, il convegno si propone di mettere sul tappeto proposte organizzative, formative e culturali che possano favorire la transizione verso nuovi rapporti di cura nel campo sanitario e di salute.

In terzo luogo, il convegno si propone di sviluppare alcune proposte relative alla cura di sé in termini di metodologie per favorire la resilienza e la salutogenesi, nonché di spazi operativi e associativi utili a prefigurare un nuovo assetto del continuum di salute.

In riferimento a questa premessa, il Comitato scientifico invita a presentare proposte di contributi in merito ai temi e aspetti sopra evidenziati.


Modalità di invio delle proposte:

Le proposte dovranno essere inviate entro il 26 febbraio 2018 a

L’esito della selezione verrà comunicato entro il  26 marzo 2018.

Si prevedono di ammettere alla presentazione nelle sessioni parallele non oltre 20 contributi.

Le proposte non dovranno superare una lunghezza di 3.000 caratteri (spazi e bibliografia inclusi).

Le proposte dovranno contenere:

  • il titolo dell’intervento;
  • il nome ed i recapiti del/i proponente/i;
  • l’ente di appartenenza;
  • l’abstract della comunicazione o della ricerca presentata.

Info: Pierpaola Pierucci, Enrico Marchetti

pierpaola.pierucci @

Scarica il programma completo e la call for paper.

Welcome world

It’s my first article

La medicina generale del futuro? Ce la racconta un master a Trento

Cristina Cenci, nòva – Il Sole 24 Ore

E’ bello, alla soglia dei 50, leggere e rileggere il programma di un master universitario, in cui insegnerai, e sognare di poter essere uno studente, più che un docente. Mi è successo con il Master di II Livello in “Nuove competenze per la Medicina generale. Affrontare la complessità e i cambiamenti tecnologico-organizzativi”, ideato e fortemente voluto dall’Università di Trento e dalla Fondazione Bruno Kessler.

Ogni giorno siamo esposti a molte parole chiave nuove o riscoperte nella salute: digital health, intelligenza artificiale, medicina narrativa, internet of things, precision medicinepersonalized medicinesystem medicine, umanizzazione. Spesso però non si coglie come queste diverse dimensioni possano entrare in un modello integrato per una nuova medicina e come possano contribuire a formare un nuovo medico e un nuovo paziente.

L’Università di Trento e la Fondazione Bruno Kessler provano per primi a offrire una risposta per la medicina generale. Dodici mesi e dieci week-end per fare un viaggio conoscitivo e pratico in un modello di medicina che ancora nessuno era riuscito a raccontare così bene. Per rendersene conto è sufficiente elencare le nove sezioni del Master: 1. L’Approccio teorico alla System medicine: verso una medicina della complessità; 2. L’EBM: principi, metodi, rivisitazione; 3. La medicina narrativa; 4. Il Decision making condiviso; 5. L’Appropriatezza prescrittiva; 6. La Digital Health; 7. Genetica/Genomica: counselling nelle cure primarie 8. I determinanti organizzativi e manageriali nelle cure primarie; 9. “Special interests” nella Medicina generale: il paziente in cure palliative e/o simultanee per cancro avanzato e in cure palliative non oncologiche, la fragilità psichica nelle cure primarie; il paziente fragile/instabile; il paziente con dolore cronico; la medicina di genere.

Il Master non cambierà solo quello che il medico saprà e saprà fare, ma anche e soprattutto la relazione di cura e il percorso del paziente con la malattia.

Il Master non offre solo nuove competenze al medico di medicina generale ma anche una nuova identità. Nel modello del Master, potremmo dire che il Medico di Medicina Generale diventa un mediatore di reti: reti di dati, reti di point of care, reti di relazioni, reti di conversazione. Non un nodo tra gli altri, ma il nodo che media più di altri universale e particolare, spazio clinico e spazio domestico, biologico e biografico, territorio e comunità, cura e prendersi cura.

Per capirlo meglio, proviamo a seguire il bel percorso narrativo ispirato a Sliding doorsproposto nel suo blog dalla SIMFER, la Società Italiana di Medicina Fisica e Riabilitativa

Si tratta di una storia con finali diversi a seconda dell’interazione tra il fisiatra e il paziente. L’attenzione  è sopratutto sullo specialista, però è interessante il ruolo attribuito al medico di medicina generale. Riporto solo parzialmente la prima puntata, raccomandando di leggere l’intero dialogo.

Mario, 59 anni, si sveglia un mattino con una strana sensazione di  ‘fastidio’ alla spalla sinistra, che nei giorni successivi diventa un dolorino sordo, continuo; si accorge anche che diventa più forte con certi movimenti, come mettersi la giacca. In ufficio, il suo collega Giorgio lo sente lamentarsi per il dolore mentre sta riponendo un plico su uno scaffale; Mario gli racconta cosa gli sta succedendo e Giorgio gli dice che, se fosse in lui, si farebbe fare una radiografia della spalla. L’indomani, Mario telefona a Ugo, suo medico di famiglia, un vecchio compagno di scuola, per chiedergli di fargli la richiesta per una radiografia della spalla. Il Medico dice che prima vorrebbe visitarlo, ma Mario dice che sta partendo perché invitato al matrimonio di una nipote in un’altra città, gli descrive i suoi sintomi e insiste per avere l’impegnativa per la radiografia, dicendo che sua figlia la passerà a ritirare allo studio di Ugo. Questi, seppure riluttante, prescrive l’esame, consiglia a Mario di prendere un po’ di paracetamolo, e di farsi vedere appena avesse ricevuto la risposta. In viaggio, Mario è piuttosto infastidito dal dolore, che da un paio di giorni gli disturba anche il riposo notturno, e si calma solo un poco con il paracetamolo. Un cugino incontrato al matrimonio gli consiglia di lasciar perdere la visita dal suo medico di medicina generale, e di fare subito una visita specialistica ortopedica. Al ritorno, Mario telefona a un suo cugino, Filippo, che fa il dermatologo in un ospedale vicino, e questi gli dice che è meglio fare una visita fisiatrica; gli procura un appuntamento la settimana dopo presso l’ambulatorio di Medicina Fisica e Riabilitativa del suo stesso ospedale”. di Guido MB.

Nel racconto, l’arrivo di Mario dal fisiatria, non avviene secondo un percorso guidato da considerazioni mediche e sintomi ed esigenze di Mario. Piuttosto il tutto avviene per l’ovvia necessità di Mario di dare una risposta rapida al dolore, ma anche per una serie di conversazioni casuali e un passaparola amicale. All’origine di questo fai da te disordinato c’è proprio la mancanza del medico di medicina generale come mediatore di rete. Questa mancanza non è “colpa” del medico, ma di un insieme combinato di fattori: la delegittimazione del ruolo del medico di famiglia a ‘passacarte’ dello specialista, la scarsa attenzione del medico alle dinamiche relazionali e al vissuto emotivo del paziente, l’incapacità del paziente nel negoziare una nuova relazione, il ritardo nella digitalizzazione della sanità. E potremmo continuare. Proviamo ora ad immaginare la storia di Mario in un futuro prossimo, anche se non immediato , in cui le nuove competenze e la nuova identità del medico curante proposte dal Master, siano diventate abbastanza diffuse.

Ciak si gira 2.

Mario, 59 anni, si sveglia un mattino con una strana sensazione di “fastidio” alla spalla sinistra, che nei giorni successivi aumenta…  Mario è preoccupato, anche perché deve partire per un viaggio e non riesce ad andare dal medico curante. Un collega di cui si fida molto, gli consiglia di fare una radiografia, ma Mario esita e pensa sia meglio richiedere al suo medico curante una televisita. Ugo, il medico curante, ritiene importante coinvolgere da subito un ortopedico e individua uno specialista disponibile, attraverso il calendario condiviso con le strutture specialistiche del territorio. In video chat Mario spiega i suoi sintomi e l’ortopedico gli fa eseguire una serie di movimenti. L’ortopedico riesce a diagnosticare facilmente una “sindrome da conflitto”, prescrive dei farmaci e alcuni movimenti da fare comodamente a casa. Mario però sembra non convinto, chiede più volte conferma della diagnosi all’ortopedico e insiste per fare comunque una radiografia. Interviene allora Ugo, il suo medico, che gli chiede se per caso c’è anche qualcos’altro che lo preoccupa, qualche sintomo, anche non legato al dolore? A quel punto Mario dice che la cugina ha da poco avuto un dolore molto simile al suo e che le hanno diagnosticato un tumore al polmone e che purtroppo è il quarto caso di tumore al polmone che coinvolge parenti o amici. Questo pensiero non lo fa dormire la notte, tanto quanto il dolore. Ugo e l’ortopedico tranquillizzano entrambi Mario che in questo caso si tratta di un problema ortopedico. Ugo ricorda a Mario che, nel caso emergessero fattori di rischio legati a possibili patologie tumorali, gli consiglierà un percorso di screening adeguato. La televisita dura in totale 12 minuti. Mario è sereno e comincia subito a fare qualche esercizio”.

Una storia poco credibile? Non direi e non manca troppo perché sia possibile. Il Master di Trento è il primo tentativo organico di pensare una nuova medicina, speriamo che non resti il solo.

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To accentuate your health care college candidacy fully, think about how to write an essay about business working with the specialist. A wise translator mightn’t understand how precisely to interpret”acute leukemia”, yet he understands where to get the reply. There are several private universities that have pioneered methods for handling illnesses. They posses deep comprehension of treatment and its specific results and get it to use during the treatment for individual. On account of the health care coaching, they may be able to create an awareness of mental and health care issues within their exercise. An exceptional name sums up just what the composition is about. You’re promised your completely free plagiarism statement for the whole medication composition you obtain from us. In the occasion your articles or essays are on the web, name plays a vital function in the entire phenomenon. It actually is on this special website that you are able to get each of the support you’ll get in medicine composition writing.
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Richtung in der Tendenz von Webdesign.

Neue Techniken zur Erstellung von Webseiten – Trends im Webdesign – sind immer wieder eine dieser gefragtesten Objekte der Analyse. Die Vielfalt der gestalterischen Ansätze, die Verfügbarkeit allgemein anerkannter (oder umgekehrt fragwürdiger) Benchmarks des weiteren eine ziemlich helle Dynamik geben Analysten immer wieder neuzeitliche Denkanstöße. Internet, vor allem in Russland, entwickelt sich rasch, und dieses klares Verständnis der aktuellen Trends, ein hohes Wasserpegel an Genauigkeit ermöglichen Denken zu erledigen (zumindest in der kurz- des weiteren mittelfristig), möglicherweise einen großen Wettbewerbsvorteil sein – sowohl für die mit den Geschäftsprozessen in der Software beschäftigt Betriebe Netzwerke ferner für Unternehmen, die erst im Internet getreu ihren Kunden suchen.

Dies Design vonseiten Internetseiten ist natürlich ihr grafisches Bild des weiteren Stil. Mit der absicht, Kunden anzuziehen, sollte die Ressource nicht nur darüber hinaus ihrer Anzahl einzigartig sein. Die Hauptkriterien sind Benutzerfreundlichkeit, Originalität, Relevanz für das Thema des weiteren alles wurden in hochwertiges, modernes Webdesign verpackt! Die Hauptaufgabe dieses Site-Designs ist natürlich die Vereinheitlichung aller Informationsblöcke und die Gestaltung eines angenehmen Eindrucks beim Besucher. In der Tat legt das Formgebung den allgemeinen Stil Ihrer Website event und hilft dem Gast auf allen ersten Blicken zu verstehen, was hierbei auf ihn wartet. Das gut durchdachtes Design ist echt einer jener wichtigsten Kriterien für den Besuch Ihrer Internetseite.

Was beeinflusst das Design der Standorte? Zunächst einmalig wird dasjenige Design vonseiten Websites stark von jener Hardware des World Wide Web gelenkt. In den vergangenen Tagen, wenn sogar 90 % der Internetnutzer verwendet Wählzugang und Surfgeschwindigkeit wird durch die Tempo der Modemfunktionen, sowie jener Austausch von seiten Qualität bestimmt, einige Grundsätze für die Erstellung von Infos zu entwickeln, die bei der Entwicklung von Designsite jener Jahrzehnte verwendet werden. Von der Hauptindikatoren für die Ungemach und das Erscheinungsbild von Websites war die Schnelligkeit des Ladens vonseiten. Und dies ist verständlich, denn die tatsächliche Datenübertragungsrate zu dieser Zeit bei dieser Ausgabe von 2-5 KB / s gemittelt wurde. Daher gab es Einschränkungen für die Lautstärke auf jener Informationsseite platziert, die Nutzung von Grafiken, Flashanimationen und andere.

Zurzeit, nach vielen unabhängigen Studien (insbesondere, gehalten von ROMIR-Monitoring Agentur) in den großen Städten der Ukraine, die Anzahl jener Benutzer, die Breitband-Zugangskanäle nutzen Datenautobahn (umgangssprachlich) oder werden Kunden von lokalen Netzwerken erreicht 60-80 %. In Anbetracht der Gegebenheit, dass der Übergang vonseiten Kunden abgeschlossen High-Speed-ADSL – Zugang darüber hinaus den letzten Jahren zu einem Massenphänomen geworden ist, sich selbst, dass darüber hinaus naher Zukunft vorhersagen mag, die Wert der Kundschaft über DFÜ-Internetzugang ist nicht mehr als zehn -12 prozent in welchen Städten und nicht mehr denn 30 prozent im Durchschnitt in der nahen Ukraine. So sehr gibt es weitere Möglichkeiten, Webseiten mit einem perfekten Design und Struktur zu schaffen, auf den Seiten vonseiten einer größeren Menge an Informationen Ort der welt ermöglicht eine Flashpräsentation über erstellen, was besonders bedeutsam ist, beispielsweise auf Catering, eine große Anzahl vonseiten qualitativ teuren Fotos zu platzieren (Eigentum), und derart weiter.

Die Erstellung ihrer professionellen Internetseite ist diese eine, mühsame Arbeit eines Teams von übrig qualifizierten Spezialisten, nämlich Designern, Journalisten und Programmierern. Schon in welchen nächsten beide oder drei Jahren können wir die nächste Partie der qualitativen Wandlungen zwischen Standorten vorhersagen, die Bereiche, die Notwendigkeit für ein modernes originelles Formgebung diktiert, sehr hohe Qualität ferner Massenlieferung vonseiten Informationen, da Webdesigner hier neue Möglichkeiten haben, ihre ungewöhnlichen Lazouts zu vornehmen.

Il 1 febbraio il Workshop “Le narrazioni vestite di tecnologie. Come cambiano le storie e il loro uso nell’era della salute digitale”



Il Centro Nazionale Malattie Rare dell’Istituto Superiore di Sanità e il Center for Digital Health Humanities, in collaborazione con Istituti Fisioterapici Ospitalieri, organizzano il Workshop “Le narrazioni vestite di tecnologie. Come cambiano le storie e il loro uso nell’era della salute digitale” (1 febbraio 2018, Istituto Superiore di Sanità, Roma).

La giornata di lavoro intende esplorare la relazione tra narrazioni e nuove tecnologie.
La medicina narrativa (narrative based medicine) può favorire l’empowerment dei cittadini, inclusi pazienti con malattie rare e loro familiari, professionisti sanitari e socio-sanitari, al fine di tutelare e promuovere la salute pubblica. Al tempo stesso, le nuove tecnologie aprono nuove possibilità e nuovi modelli relazionali.
In passato, le innovazioni tecnologiche hanno offerto a medici ed operatori della salute strumenti sempre più sofisticati e accurati. L’impatto della rivoluzione digitale attuale è diverso: la digital health mette a disposizione del singolo un insieme di strumenti di misurazione, direttamente sullo smartphone. In tempo reale, è possibile misurare la glicemia, il battito cardiaco, il respiro e aggregare i dati in grafici sempre accessibili e aggiornati.
Nello stesso tempo, le conversazioni online sulla malattia e le terapie consentono di condividere con altri pazienti le paure, le aspettative, gli effetti dei farmaci.
Tutto questo rende più complessa la scena dell’atto terapeutico e le condizioni della sua efficacia. Insieme misurazioni e narrazioni creano un’esperienza della malattia e delle terapie che nasce e si sviluppa al di fuori del contesto strettamente medico, con rischi ma anche opportunità nuove.
Rischi come una progressiva disintermediazione e delegittimazione della medicina come riferimento di saperi e metodi per la gestione della salute. Opportunità come lo sviluppo di nuovi paradigmi epidemiologici, diagnostici e terapeutici che integrino narrazioni e tecnologie, in un’ottica bio-psico-sociale.

Nel workshop è previsto uno spazio per la presentazione di esperienze che coniughino medicina narrativa e nuove tecnologie.

Il Workshop sarà seguito da un live tweeting a cura del Center for Digital Health Humanities, l’hashtag ufficiale dell’evento è #LeNarrazioniVestiteDiTecnologie

Qui si può scaricare il programma.

Seeing the Patients Behind the Numbers

Data can be useful, but the patient needs to be our priority


Fred N. Pelzman, MedPage Today

In general, I think that good data is a good thing. But is bad data of any use, and is it better than no data at all?

In our lives as healthcare providers, we encounter enormous amounts of data. All day long we are brushed by and inundated with data points, be they individual things like the number of patients on our schedules, or the number of times our patients’ hearts beat as we lay our fingers gently on the wrist to measure their pulses, or listen with our stethoscope to the number of breaths per minute.

Our inboxes and the electronic health record are filled with data, labs that indicate health or illness, or variations about the mean. Is this one dangerous? Is that one bad? Do I need to do something about this? Is this just a fluke?

Due to some internal restructuring, there are an enormous number of new efforts being built or overhauled that look at quality — since this reflects on patient safety — and also for the purpose of regulatory requirements and reporting.

At one meeting this week, we saw data on patient feedback on how our practices are doing, including such items as “Provider listens carefully to you,” “Clerk treats you with courtesy and respect,” and “Phone during office hours answers same day.” (Really, same day? Shouldn’t the goal be one ring or two?) full article

Need for Pcs in Medicine

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Workshop “Le narrazioni vestite di tecnologie. Come cambiano le storie e il loro uso nell’era della salute digitale”

Il Centro Nazionale Malattie Rare dell’Istituto Superiore di Sanità e il Center for Digital Health Humanities, in collaborazione con Istituti Fisioterapici Ospitalieri, organizzano il Workshop “Le narrazioni vestite di tecnologie. Come cambiano le storie e il loro uso nell’era della salute digitale” (1 febbraio 2018, Istituto Superiore di Sanità, Roma).

La giornata di lavoro intende esplorare la relazione tra narrazioni e nuove tecnologie.
La medicina narrativa (narrative based medicine) può favorire l’empowerment dei cittadini, inclusi pazienti con malattie rare e loro familiari, professionisti sanitari e socio-sanitari, al fine di tutelare e promuovere la salute pubblica. Al tempo stesso, le nuove tecnologie aprono nuove possibilità e nuovi modelli relazionali.
In passato, le innovazioni tecnologiche hanno offerto a medici ed operatori della salute strumenti sempre più sofisticati e accurati. L’impatto della rivoluzione digitale attuale è diverso: la digital health mette a disposizione del singolo un insieme di strumenti di misurazione, direttamente sullo smartphone. In tempo reale, è possibile misurare la glicemia, il battito cardiaco, il respiro e aggregare i dati in grafici sempre accessibili e aggiornati.
Nello stesso tempo, le conversazioni online sulla malattia e le terapie consentono di condividere con altri pazienti le paure, le aspettative, gli effetti dei farmaci.
Tutto questo rende più complessa la scena dell’atto terapeutico e le condizioni della sua efficacia. Insieme misurazioni e narrazioni creano un’esperienza della malattia e delle terapie che nasce e si sviluppa al di fuori del contesto strettamente medico, con rischi ma anche opportunità nuove.
Rischi come una progressiva disintermediazione e delegittimazione della medicina come riferimento di saperi e metodi per la gestione della salute. Opportunità come lo sviluppo di nuovi paradigmi epidemiologici, diagnostici e terapeutici che integrino narrazioni e tecnologie, in un’ottica bio-psico-sociale.

Nel workshop è previsto uno spazio per la presentazione di esperienze che coniughino medicina narrativa e nuove tecnologie.
È prorogato al 25 gennaio 2018 il termine per candidarsi per presentare la propria esperienza al seguente link:

I posti sono limitati, le iscrizioni sono aperte e termineranno il 28 gennaio 2018.
Per partecipare, è necessario iscriversi al seguente link:

Per maggiori informazioni, consultare il programma preliminare in allegato. Per aggiornamenti, visitare il sito

Qui si può scaricare programma preliminare della giornata.



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