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Search Results: 1 - 10 of 417 matches for " Judit; Gris "
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Prospective analysis of clinician accuracy in the diagnosis of benign anorectal pathology: the value of clinical information
Jimeno,Jaime; Vallverdú,Helena; Tubella,Jaume; Sánchez-Pradell,Cristina; Comajuncosas,Jordi; Orbeal,Rolando; Hermoso,Judit; Gris,Pere; López-Negre,José Luis; Urgellés,Joan; Parés,David;
Revista Espa?ola de Enfermedades Digestivas , 2012, DOI: 10.4321/S1130-01082012000300004
Abstract: aim: the prevalence of anorectal disorders in general population is high. the aim of this study was to analyze the influence of clinical symptoms on diagnostic accuracy for benign anorectal pathology among different specialists and evaluate the relationship between diagnostic accuracy and years of professional experience. methods: seven typical cases were selected. in a first interview, participants were shown images and asked to make a diagnosis. afterwards, images with additional information (clinical symptoms) were used. two groups (group 1 = general surgeons and group 2 = medical specialists who attended emergency department) completed both phases of the study to analyze the influence of clinical symptoms on the final diagnosis. results: forty four specialists were interviewed. the percentage of participants making a correct diagnosis in groups 1 and 2, respectively, was as follows: case 1 (perianal abscess): 100 vs. 80.6%, (p = 0.157); case 2 (fissure): 92.3 vs. 51.6% (p = 0.015); case 3 (thrombosed hemorrhoid): 92.3 vs. 74.2% (p = 0.321); case 4 (anal condyloma): 100 vs. 87.1% (p = 0.302); case 5 (rectal prolapse): 100 vs. 83.9% (p = 0.301); case 6 (prolapsed hemorrhoid): 92.3 vs. 29% (p = 0.001), and case 7 (fistula): 100 vs. 67.7% (p = 0.021). there were significant differences in the number of correctly diagnosed cases between groups (p < 0.001). information about clinical symptoms significantly increased overall and specific accuracy. there was no correlation between experience and accuracy. conclusions: clinical symptoms are important for diagnostic accuracy in anorectal pathology. training in anorectal pathology in medical specialists is warranted.
Results of implementation of a fast track pathway for diagnosis of colorectal cancer
Vallverdú Cartié,Helena; Comajuncosas Camp,Jordi; Orbeal Sáenz,Rolando A.; López Negre,José Luis; Gris Garriga,Pedro J.; Jimeno Fraile,Jaime; Hermoso Bosch,Judit; Sánchez Pradell,Cristina; Torra Alsina,Sandra; Urgellés Bosch,Joan; Parés,David;
Revista Espa?ola de Enfermedades Digestivas , 2011, DOI: 10.4321/S1130-01082011000800003
Abstract: introduction: fast track pathways for diagnosis of cancer intend to decrease delays in diagnosis and treatment of cancer. it is recommended to initiate treatment in a period no longer than 30 days since admission in these circuits. aims: to know the characteristics and fluency of our fast track diagnostic pathway (ftdp) for colorectal cancer (crc), with special attention to those patients selected for surgical treatment as a first choice. material and method: all patients who entered the ftdp for crc during a period of 2 years (2008-2009) were analyzed as well as the rest of patients also diagnosed with crc but never seen in the ftdp. results: of the 316 patients referred to the ftdp only 78 (24.7%) were diagnosed as having some kind of cancer derived from the digestive system. at the end 61 patients (19.3%) were diagnosed with ccr. the time interval from entry into the ftdp to the first hospital visit was 3 days (range 1-8), and the interval until colonoscopy was performed was 11.5 days (range 1-41). 14 (41.1%) of those patients chosen for surgery were operated on in a period lesser than 30 days while 28 patients (82.3%) underwent surgery before day 45 since admission into the circuit. conclusions: though the functioning of the ftdp is acceptable, any increase in number of patients can generate delays. for this reason it is advisable to have a team to assure a good functioning of the ftdp. a proper follow-up of the whole process will possibly avoid unnecessary delays and it will improve coordination of the different phases of the fast track pathway and treatment. as the diagnostic outcome is poor it is mandatory to implement alternatives programs like screening of asymptomatic population, allowing an early detection of this condition.
Ciudadanía, procesos de globalización y democracia
Judit Bokser
Revista Enfoques : Ciencia Política y Administración Pública , 2006,
Abstract: The present work proposes an analysis of the development of the concept of citizenship from a philosophical and politological approach. In order to do this, the author situates herself within the process of globalization and its implications for the democratic consolidation and the challenges that this new scene implies. From this perspective, citizenship is seen as a line of debate subject to constant construction due to the transformations that other theoretical and institutional devices -like the Nation-State and democratic regimes- are undergoing, developing an interesting perspective about the relationship established between the communitarianism, liberalism and republicanism and its articulations with the cultural, institutional, and political dimensions.
"The Search for Identity in the Art of Ana Mendieta and Arnaldo Roche-Rabell"
Judit Gera
Americana : E-Journal of American Studies in Hungary , 2010,
El antisemitismo: recurrencias y cambios históricos
Judit Bokser
Revista mexicana de ciencias políticas y sociales , 2001,
Abstract: En este artículo, la autora realiza un análisis histórico de la permanencia del antisemitismo como el fenómeno paradigmático por excelencia de las distintas formas de discriminación y exclusión que la modernidad ha producido. El trabajo aborda, así, el racismo y el odio antijudío desde la época clásica hasta los tiempos actuales poniendo énfasis en cuatro grandes rubros: la caracterización del fenómeno racismo-antisemitismo; su desarrollo histórico y consecuencias; México y el problema de la inclusión-exclusión del extranjero y, finalmente, un breve panorama actual del antisemitismo.
Frans H. van Eemeren & Rob Grootendorst: A Systematic Theory of Argumentation. The pragma-dialectical approach
Bihari, Judit
Argumentum , 2011,
Frans H. van Eemeren, Bart Garssen & Bert Meuffels: Fallacies and Judgments of Reasonableness. Empirical Research Concerning the Pragma-Dialectical Discussion Rules
Bihari, Judit
Argumentum , 2011,
Reflexiones sobre un "fenómeno difuso" a partir de la Primera Encuesta Nacional sobre Discriminación en México
Judit Bokser
Revista mexicana de ciencias políticas y sociales , 2007,
Abstract: En este artículo, la autora analiza la discriminación como proceso social a partir de la Primera Encuesta Nacional sobre Discriminación en México. Los procesos discriminatorios fluyen a través de los discursos y las prácticas sociales y culturales, por lo cual deben ser vistos tanto en su dimensión individual como colectiva. En este marco, la autora propone la reflexión sociológica como instrumento teórico que puede lograr una mejor comprensión de los alcances y limitaciones de los datos arrojados por la encuesta y sugiere atender la multidimensionalidad de los procesos discriminatorios, sus denominadores comunes así como sus especificidades.
Some impacts of the EU accession on the new member states’ agriculture
Judit KISS
Eastern Journal of European Studies , 2011,
Abstract: The main aim of the paper is to analyse the impact of the EU accession on the New Member States’ agriculture with special regard to production, employment, farmers’ income and intra-EU trade in agricultural goods on the basis of the latest statistical data of Eurostat. According to our findings, accession has provided incentives to agricultural production and to utilize natural endowments (mainly agricultural land); however, agricultural employment decrease could not be halted. Nevertheless, the economic situation of the farmers improved due to increasing incomes. Though the enlarged EU provided markets for the NMS agricultural products, the competition on their domestic markets increased significantly, resulting in massive import penetration. Consequently, most of the NMS agricultural trade balance deteriorated considerably. Concerning future prospects, it highly depends on the reformulation of the Common Agricultural Policy, the new budget of the EU and the domestic economic and agricultural situation of the NMS.
Environmental and genetic influences on early attachment
Gervai Judit
Child and Adolescent Psychiatry and Mental Health , 2009, DOI: 10.1186/1753-2000-3-25
Abstract: Attachment theory predicts and subsequent empirical research has amply demonstrated that individual variations in patterns of early attachment behaviour are primarily influenced by differences in sensitive responsiveness of caregivers. However, meta-analyses have shown that parenting behaviour accounts for about one third of the variance in attachment security or disorganisation. The exclusively environmental explanation has been challenged by results demonstrating some, albeit inconclusive, evidence of the effect of infant temperament. In this paper, after reviewing briefly the well-demonstrated familial and wider environmental influences, the evidence is reviewed for genetic and gene-environment interaction effects on developing early attachment relationships. Studies investigating the interaction of genes of monoamine neurotransmission with parenting environment in the course of early relationship development suggest that children's differential susceptibility to the rearing environment depends partly on genetic differences. In addition to the overview of environmental and genetic contributions to infant attachment, and especially to disorganised attachment relevant to mental health issues, the few existing studies of gene-attachment interaction effects on development of childhood behavioural problems are also reviewed. A short account of the most important methodological problems to be overcome in molecular genetic studies of psychological and psychiatric phenotypes is also given. Finally, animal research focusing on brain-structural aspects related to early care and the new, conceptually important direction of studying environmental programming of early development through epigenetic modification of gene functioning is examined in brief.
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