The group represents the social element in which every individual can experience them-selves after the achievement of the main stages of the neuro-psychomotor development, particularly in the affective-relational, neuropsychological and cognitive areas, and is thus identified as a fundamental device to support rehabilitation therapy. Early in a child’s development, social skills begin to maturate and their development path-way merges with different groups with a specific architecture which modifies and increases these skills over time. As a result, it is necessary to identify the process that leads from the exclusive belonging to the family-group to the need to prioritize comparison with peers to finally arrive at the interdependent social groups in the collectivity/community. Each group has distinct characteristics that move from its social dimension to the cross-sectional com-ponent of its matrix, where individuals’ desires and beliefs are based. The group’s evolution will allow the initial dimensional plan to be expanded, resulting in participants sharing inten-tions and goals. The group is a powerful tool at the therapist's disposal who is capable of monitoring variables that can quickly change the intra/interpersonal dynamics of patients undergoing treatment. The groupal therapy underlies clear rules within it, which ensure the observance of normative and setting parameters and the identification of the parameters of effectiveness to assess its progress.
{"title":"The Groupal Device: Value And Usage In Neuro And Psychomotor Therapy Of Developmental Age","authors":"Cerroni Francesco, Carotenuto Marco, Bonifacio Andrea, Della Corte Giuseppina, Nocerino Ludovica Cira, Martino Federica, Bianco Enza, Salatiello Raffaella, Albano Paola Alessandra","doi":"10.36017/jahc2207-07","DOIUrl":"https://doi.org/10.36017/jahc2207-07","url":null,"abstract":"The group represents the social element in which every individual can experience them-selves after the achievement of the main stages of the neuro-psychomotor development, particularly in the affective-relational, neuropsychological and cognitive areas, and is thus identified as a fundamental device to support rehabilitation therapy.\u0000Early in a child’s development, social skills begin to maturate and their development path-way merges with different groups with a specific architecture which modifies and increases these skills over time. As a result, it is necessary to identify the process that leads from the exclusive belonging to the family-group to the need to prioritize comparison with peers to finally arrive at the interdependent social groups in the collectivity/community. Each group has distinct characteristics that move from its social dimension to the cross-sectional com-ponent of its matrix, where individuals’ desires and beliefs are based. The group’s evolution will allow the initial dimensional plan to be expanded, resulting in participants sharing inten-tions and goals. The group is a powerful tool at the therapist's disposal who is capable of monitoring variables that can quickly change the intra/interpersonal dynamics of patients undergoing treatment. The groupal therapy underlies clear rules within it, which ensure the observance of normative and setting parameters and the identification of the parameters of effectiveness to assess its progress.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85870938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the last decade, breast MRI has played a role of primary importance, as a "gold standard" method in the early diagnosis of breast cancer in high-risk women, in assessing the extent of the disease and the response to neoadjuvant chemotherapy. Currently, the 3D GRE Rapid-Acquisition sequence in dynamic acquisition without and with endovenous administration of contrast medium, is fundamental for the breast MRI protocol, as the current diagnostic approaches in Magnetic Resonance are based precisely on this sequence, able to guarantee accurate diagnostic performances detecting pathological mass and non-mass-enhancement. Ultrafast sequences are modern sequences based on the 4D Time-Resolved technique with k-space sampling modalities which allow the evaluation of post-contrast images with very high temporal resolution. The purpose of our work is to illustrate in particular the use of the 4D-THRIVE sequence implemented in our breast MRI study protocol.
{"title":"Application of the ultrafast sequence in the dynamic contrastographic study in the magnetic resonance imaging of the breast: our experience","authors":"Curatolo Calogero, D’Amato Elisa, Daricello Marco, Caruso Virginia, Orlando Alessia Angela Maria, Loverro Giuseppe, Galia Massimo","doi":"10.36017/jahc2207-05","DOIUrl":"https://doi.org/10.36017/jahc2207-05","url":null,"abstract":"In the last decade, breast MRI has played a role of primary importance, as a \"gold standard\" method in the early diagnosis of breast cancer in high-risk women, in assessing the extent of the disease and the response to neoadjuvant chemotherapy. Currently, the 3D GRE Rapid-Acquisition sequence in dynamic acquisition without and with endovenous administration of contrast medium, is fundamental for the breast MRI protocol, as the current diagnostic approaches in Magnetic Resonance are based precisely on this sequence, able to guarantee accurate diagnostic performances detecting pathological mass and non-mass-enhancement. Ultrafast sequences are modern sequences based on the 4D Time-Resolved technique with k-space sampling modalities which allow the evaluation of post-contrast images with very high temporal resolution. The purpose of our work is to illustrate in particular the use of the 4D-THRIVE sequence implemented in our breast MRI study protocol.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84121311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Curatolo Calogero, Amato Maria Chiara, Daricello Marco, Caruso Virginia, Loverro Giuseppe, Galia Massimo, LorenteJose Antonio
Compressed Sense (CS) is a technological innovation in the field of Parallel Imaging (PI) that allows to reduce up to 50% the acquisition time per single sequence, reducing the whole duration of the MRI examination, and is based on the application of 3 principles: Incoherent k-space subsampling, sparsification transform and nonlinear iterative reconstruction. The purpose of our work was to evaluate the application of CS to the MRI protocol of the female pelvis performed for infertility, evaluating its Temporal Resolution and Signal/Noise Ratio (SNR) compared to the classic PI technique SENSE. MRI exams were performed with RM 3T scanners (Philips Ingenia, Philips Healthcare, Netherlands Eindhoven). The female pelvis MRI protocol included the following sequences: 3D PelvisView T2, 3D PelvisView T1, DWI (b0 and b1000), mDixon 3D THRIVE with ev. contrast media. The parameters of each sequence, with the exception of DWI in which the CS is not applicable, are shown in comparison between the application of Sense and Compressed Sense. The CS allows to obtain at the same spatial resolution, a protocol with faster acquisition times, correcting the effect of aliasing from data subsampling compared to conventional SENSE. In conclusion, the application of CS could bring multiple advantages in the field of MR imaging in the diagnosis of infertility in women, optimizing the image quality and the duration of each individual examination.
压缩感(CS)是并行成像(PI)领域的一项技术创新，它可以将每个序列的采集时间减少50%，减少MRI检查的整个持续时间，它基于3个原则的应用:非相干k空间子采样、稀疏化变换和非线性迭代重建。我们的工作目的是评估CS在女性骨盆不孕症MRI方案中的应用，与经典PI技术SENSE相比，评估其时间分辨率和信噪比(SNR)。MRI检查采用RM 3T扫描仪(Philips Ingenia, Philips Healthcare，荷兰埃因霍温)。女性骨盆MRI方案包括以下序列:3D PelvisView T2, 3D PelvisView T1, DWI (b0和b1000)， mDixon 3D THRIVE with ev。对比媒体。除了不适用CS的DWI外，每个序列的参数都是通过对Sense和Compressed Sense应用的比较来显示的。与传统的SENSE相比，CS允许在相同的空间分辨率下获得更快的采集时间，纠正数据子采样产生的混叠影响。综上所述，CS的应用可以为女性不孕症的磁共振成像领域带来多重优势，优化图像质量和每次检查的时间。
{"title":"Application of the compressed sense in the study of female pelvi in magnetic resonance 3 Tesla for the diagnosis of infertility in women","authors":"Curatolo Calogero, Amato Maria Chiara, Daricello Marco, Caruso Virginia, Loverro Giuseppe, Galia Massimo, LorenteJose Antonio","doi":"10.36017/jahc2207-04","DOIUrl":"https://doi.org/10.36017/jahc2207-04","url":null,"abstract":"Compressed Sense (CS) is a technological innovation in the field of Parallel Imaging (PI) that allows to reduce up to 50% the acquisition time per single sequence, reducing the whole duration of the MRI examination, and is based on the application of 3 principles: Incoherent k-space subsampling, sparsification transform and nonlinear iterative reconstruction. The purpose of our work was to evaluate the application of CS to the MRI protocol of the female pelvis performed for infertility, evaluating its Temporal Resolution and Signal/Noise Ratio (SNR) compared to the classic PI technique SENSE. MRI exams were performed with RM 3T scanners (Philips Ingenia, Philips Healthcare, Netherlands Eindhoven). The female pelvis MRI protocol included the following sequences: 3D PelvisView T2, 3D PelvisView T1, DWI (b0 and b1000), mDixon 3D THRIVE with ev. contrast media. The parameters of each sequence, with the exception of DWI in which the CS is not applicable, are shown in comparison between the application of Sense and Compressed Sense. The CS allows to obtain at the same spatial resolution, a protocol with faster acquisition times, correcting the effect of aliasing from data subsampling compared to conventional SENSE. In conclusion, the application of CS could bring multiple advantages in the field of MR imaging in the diagnosis of infertility in women, optimizing the image quality and the duration of each individual examination.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84008107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.36017/https://doi.org/10.36017/jahc2206-05
Cimmino Olimpia, Cacace Simona, Falconio Lucio Marcello, Marzocco Adele Maria, Capasso Giusy, Cecere Nunzia, De Benedictis Andrea
Oncological screenings: The screening program consists of the free and active offer (personal invitation) to the population, at risk by age, of practices that have proved to be able to significantly affect the natural history of the disease (reduction of morbidity and mortality) maintaining A convenient relationship between costs (economic, psychological, social) and the benefits (Omswilson, 1968). Oncological screenings organized currently active in our country are: The objective of oncological screening programs is the reduction of mortality. According to the national guidelines (PNLG) "the assumptions that are the basis of the offer of an oncological screening test to a hypothetically healthy population are: 1. that it is possible to identify the neoplasm, if present, when still asymptomatic; 2. that this anticipation of the diagnosis translates into a concrete benefit, first of all in terms of survival extension. Always the PNLG in the document at the evaluation of services stresses that: "Screening by nature is a tool that requires caution, because it proposes to asymptomatic people, who have a perception of their positive health, a diagnostic test that can reveal the presence of a cancer in its latency period". For this reason, another professional figure represented by the "psycho-oncologist" has also become part of the last decade. As we see below the screening of the uterus's neck cancer falls more than others in the two requirements (A and (B first mentioned. Tumors that affect the uterus must be distinguished in cervix cancers and body tumors based on the segment that comes Struck by neoplasm. This work will pay attention to the first group, which by natural history, risk factors, incidence, clinical trend, therapy and finally survival. For many years, it has been the subject of public health interventions aimed at its Primary and secondary prevention.
{"title":"Implementation In The Campania Region Of The Screening For Cancer Of The Uterine Cervix Using HR-HPV","authors":"Cimmino Olimpia, Cacace Simona, Falconio Lucio Marcello, Marzocco Adele Maria, Capasso Giusy, Cecere Nunzia, De Benedictis Andrea","doi":"10.36017/https://doi.org/10.36017/jahc2206-05","DOIUrl":"https://doi.org/10.36017/https://doi.org/10.36017/jahc2206-05","url":null,"abstract":"Oncological screenings:\u0000The screening program consists of the free and active offer (personal invitation) to the population, at risk by age, of practices that have proved to be able to significantly affect the natural history of the disease (reduction of morbidity and mortality) maintaining A convenient relationship between costs (economic, psychological, social) and the benefits (Omswilson, 1968). Oncological screenings organized currently active in our country are:\u0000The objective of oncological screening programs is the reduction of mortality.\u0000According to the national guidelines (PNLG) \"the assumptions that are the basis of the offer of an oncological screening test to a hypothetically healthy population are:\u00001. that it is possible to identify the neoplasm, if present, when still asymptomatic;\u00002. that this anticipation of the diagnosis translates into a concrete benefit, first of all in terms of survival extension. Always the PNLG in the document at the evaluation of services stresses that:\u0000\"Screening by nature is a tool that requires caution, because it proposes to asymptomatic people, who have a perception of their positive health, a diagnostic test that can reveal the presence of a cancer in its latency period\". For this reason, another professional figure represented by the \"psycho-oncologist\" has also become part of the last decade. As we see below the screening of the uterus's neck cancer falls more than others in the two requirements (A and (B first mentioned. Tumors that affect the uterus must be distinguished in cervix cancers and body tumors based on the segment that comes Struck by neoplasm. This work will pay attention to the first group, which by natural history, risk factors, incidence, clinical trend, therapy and finally survival. For many years, it has been the subject of public health interventions aimed at its Primary and secondary prevention.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84410264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.36017/https://doi.org/10.36017/jahc2206-04
Cimmino Olimpia, Mele Maria, Falconio Lucio Marcello, Pezzella Agata, Ruocco Vincenzo, Dell'Isola Antonio, Coppola Ciro, Di Cintio Mattia
The subject of this paper concerns fundamental aspects of complications, management and education of the diabetic patient, especially the patient with macroangiopathic complications . The increase in the prevalence of diabetes mellitus is now exponential and its impact on cardiovascular diseases is increasingly evident. In fact, the patient with diabetes has a significantly increased risk of developing major cardiovascular events. This is due to the particular aggressiveness of atherosclerotic disease at the level of the vessels, favored by endothelial dysfunction linked to the hyperglycemic state. Diabetes is a chronic disease with very widespread diffusion all over the world, destined to increase in the near future with the progressive aging of the population and the increasing occurrence of risk conditions that precede its onset. We are in fact in the presence of a real pandemic confirmed by epidemiological data, which indicate that more than 300 million people in the world are affected by diabetes. In Italy, the treatment for diabetes absorbs 6.65% of the overall health expenditure, with a cost per patient that is more than double the national average. Given the significant burden diabetes places on public health, preventing and improving the care of people with diabetes should be a primary goal for most communities and health systems. The consequences for individuals are due to the complications that the person with diabetes can develop, in terms of a reduction in both the expectation and the quality of life, with significant repercussions, including economic ones. The organizational quality and efficiency of diabetic care 4 are correlated with better disease control, with a better prognosis of complications, leading to a lower diabetes-related mortality rate. Reducing morbidity and mortality and improving the quality of life of people with diabetes mellitus represent one of the current challenges for healthcare professionals, healthcare organizations and medical staff working in public healthcare facilities. The selection and subsequent implementation of therapeutic education interventions, whose efficacy and congruence with needs have been demonstrated, are essential steps towards improving the conditions of people with diabetes. Diabetes is a chronic disease and as such requires responsible management by those affected. Often people with diabetes forget to live with a silent disease which, in addition to acute complications, also manifests long-term complications which can become fatal. A structured intervention is therefore necessary that increases the motivation and adherence of patients to the therapeutic plan, thus leading to a good metabolic control, to an acquisition of knowledge that allows them an adequate management of the disease and a consequent better quality of life. The aim of this thesis is to research the results of lifestyle modification among the most important scientific evidence, taking into consideration aspects such
{"title":"Macroangiopathy In Diabetic Patients. Role Of The Nurse In The Prevention Of Cardiovascular Complications","authors":"Cimmino Olimpia, Mele Maria, Falconio Lucio Marcello, Pezzella Agata, Ruocco Vincenzo, Dell'Isola Antonio, Coppola Ciro, Di Cintio Mattia","doi":"10.36017/https://doi.org/10.36017/jahc2206-04","DOIUrl":"https://doi.org/10.36017/https://doi.org/10.36017/jahc2206-04","url":null,"abstract":"The subject of this paper concerns fundamental aspects of complications, management and education of the diabetic patient, especially the patient with macroangiopathic complications .\u0000The increase in the prevalence of diabetes mellitus is now exponential and its impact on cardiovascular diseases is increasingly evident.\u0000In fact, the patient with diabetes has a significantly increased risk of developing major cardiovascular events.\u0000This is due to the particular aggressiveness of atherosclerotic disease at the level of the vessels, favored by endothelial dysfunction linked to the hyperglycemic state.\u0000Diabetes is a chronic disease with very widespread diffusion all over the world, destined to increase in the near future with the progressive aging of the population and the increasing occurrence of risk conditions that precede its onset.\u0000We are in fact in the presence of a real pandemic confirmed by epidemiological data, which indicate that more than 300 million people in the world are affected by diabetes.\u0000In Italy, the treatment for diabetes absorbs 6.65% of the overall health expenditure, with a cost per patient that is more than double the national average.\u0000Given the significant burden diabetes places on public health, preventing and improving the care of people with diabetes should be a primary goal for most communities and health systems.\u0000The consequences for individuals are due to the complications that the person with diabetes can develop, in terms of a reduction in both the expectation and the quality of life, with significant repercussions, including economic ones.\u0000The organizational quality and efficiency of diabetic care 4 are correlated with better disease control, with a better prognosis of complications, leading to a lower diabetes-related mortality rate.\u0000Reducing morbidity and mortality and improving the quality of life of people with diabetes mellitus represent one of the current challenges for healthcare professionals, healthcare organizations and medical staff working in public healthcare facilities.\u0000The selection and subsequent implementation of therapeutic education interventions, whose efficacy and congruence with needs have been demonstrated, are essential steps towards improving the conditions of people with diabetes.\u0000Diabetes is a chronic disease and as such requires responsible management by those affected. Often people with diabetes forget to live with a silent disease which, in addition to acute complications, also manifests long-term complications which can become fatal.\u0000A structured intervention is therefore necessary that increases the motivation and adherence of patients to the therapeutic plan, thus leading to a good metabolic control, to an acquisition of knowledge that allows them an adequate management of the disease and a consequent better quality of life.\u0000The aim of this thesis is to research the results of lifestyle modification among the most important scientific evidence, taking into consideration aspects such ","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78699864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hydrogen sulfide is a toxic gas but is naturally produced in human tissues and is referred to as the “third gaseous signaling molecule”. Little is known about the metabolic pathways of hydrogen sulfide and its endogenous natural production in humans. Thiosulfate is the currently used biomarker for hydrogen sulfide but its utility has been shown to be limited to exposure to high levels of inhaled hydrogen sulfide rather than probing low levels of environmental exposure or as a biomarker for the endogenously produced third gaseous signaling molecule. We recently identified a new metabolite in human urine, trimethylsulfonium. In the present review, we discuss the little information known about trimethylsulfonium production in humans, its potential to serve as a biomarker for hydrogen sulfide, and its utility as a biomarker under various settings.
{"title":"Trimethylsulfonium: a promising new biomarker for hydrogen sulfide?","authors":"Lajin Bassam, Somma Renato","doi":"10.36017/jahc2207-01","DOIUrl":"https://doi.org/10.36017/jahc2207-01","url":null,"abstract":"Hydrogen sulfide is a toxic gas but is naturally produced in human tissues and is referred to as the “third gaseous signaling molecule”. Little is known about the metabolic pathways of hydrogen sulfide and its endogenous natural production in humans. Thiosulfate is the currently used biomarker for hydrogen sulfide but its utility has been shown to be limited to exposure to high levels of inhaled hydrogen sulfide rather than probing low levels of environmental exposure or as a biomarker for the endogenously produced third gaseous signaling molecule. We recently identified a new metabolite in human urine, trimethylsulfonium. In the present review, we discuss the little information known about trimethylsulfonium production in humans, its potential to serve as a biomarker for hydrogen sulfide, and its utility as a biomarker under various settings.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80995495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this treatise we intend to deepen the theme of Acute Myocardial Infarction (AMI), one of its main risk factors at the cardiovascular level, namely smoking, and in particular, deepen the role of the nurse in patient education. after the ischemic event and implement strategies aimed at smoking cessation. If we look at the data from the World Health Organization (WHO), it is striking that the main cause of mortality in the modern world is heart ischemia which alone causes 7 million and 400 thousand deaths; while in second place we find stroke and cerebral vasculopathies with 6 million and 700 thousand deaths (Cesta 2014). Having established that tobacco plays a primary role in our society and that its active or passive use has a negative impact on the health of the individual (WHO 2014), we will first briefly mention the anatomy and physiology of the cardiovascular system, then we will discuss the implications between heart and smoking and, in particular, between heart attack and smoking, trying to understand - through authoritative sources such as the WHO and databases - where the roots of such a widespread habit lie and its impact on the system cardiovascular. Later we will address the educational issue of secondary prevention, we will examine the strategies implemented for smoking cessation. By dealing directly with patients, acquaintances and friends we realized how, despite the widespread information on the dangers of smoking, several people, even knowing the possible consequences, not only do not try to quit smoking, but almost underestimate the damage that can be caused by this “dangerous” habit of theirs is paradoxical. We believe that the role of the nurse in the post-heart attack moment is of extreme importance not only to provide specific direct assistance, also because that relationship of trust is created and to make him understand the risks to the patient in case he decides to continue smoking, but also because a correct education and the use of some strategies, personalized to each patient, to quit smoking, are essential in reducing the risk of a relapse. The choice of the topic dealt with in this work was dictated by a strong SOCIAL motivation. Although I am a smoker, noting the importance and the close relationship between health and a habit such as smoking, I have always been interested in being able to deepen my knowledge on the effects of the cardiovascular system and the problems that orbit around it. We still believe that an in-depth study on an issue so debated today and which will still be discussed for a long time can give the opportunity to approach smoking patients in a more conscious, personalized and adequate way and thus making treatment a better means. comprehensive within the health sector. We believe that this work can enhance our personal and professional background, allowing us in the near future to prevent, identify and deal more effectively with clinical problems involving both doctors and nurses. Finally, the
{"title":"Nursing Assistance To The Patient With Acute Myocardial Infarction; Nursing Implications","authors":"Cimmino Olimpia, Falconio Lucio Marcello, Ruocco Vincenzo, Sanselmo Salvatore, Cacace Simona, Sanselmo Mirko, Pontillo Ermelinda, Addeo Domenico","doi":"10.36017/jahc2206-01","DOIUrl":"https://doi.org/10.36017/jahc2206-01","url":null,"abstract":"In this treatise we intend to deepen the theme of Acute Myocardial Infarction (AMI), one of its main risk factors at the cardiovascular level, namely smoking, and in particular, deepen the role of the nurse in patient education. after the ischemic event and implement strategies aimed at smoking cessation.\u0000If we look at the data from the World Health Organization (WHO), it is striking that the main cause of mortality in the modern world is heart ischemia which alone causes 7 million and 400 thousand deaths; while in second place we find stroke and cerebral vasculopathies with 6 million and 700 thousand deaths (Cesta 2014).\u0000Having established that tobacco plays a primary role in our society and that its active or passive use has a negative impact on the health of the individual (WHO 2014), we will first briefly mention the anatomy and physiology of the cardiovascular system, then we will discuss the implications between heart and smoking and, in particular, between heart attack and smoking, trying to understand - through authoritative sources such as the WHO and databases - where the roots of such a widespread habit lie and its impact on the system cardiovascular.\u0000Later we will address the educational issue of secondary prevention, we will examine the strategies implemented for smoking cessation. By dealing directly with patients, acquaintances and friends we realized how, despite the widespread information on the dangers of smoking, several people, even knowing the possible consequences, not only do not try to quit smoking, but almost underestimate the damage that can be caused by this “dangerous” habit of theirs is paradoxical. We believe that the role of the nurse in the post-heart attack moment is of extreme importance not only to provide specific direct assistance, also because that relationship of trust is created and to make him understand the risks to the patient in case he decides to continue smoking, but also because a correct education and the use of some strategies, personalized to each patient, to quit smoking, are essential in reducing the risk of a relapse.\u0000The choice of the topic dealt with in this work was dictated by a strong SOCIAL motivation.\u0000Although I am a smoker, noting the importance and the close relationship between health and a habit such as smoking, I have always been interested in being able to deepen my knowledge on the effects of the cardiovascular system and the problems that orbit around it. We still believe that an in-depth study on an issue so debated today and which will still be discussed for a long time can give the opportunity to approach smoking patients in a more conscious, personalized and adequate way and thus making treatment a better means. comprehensive within the health sector.\u0000We believe that this work can enhance our personal and professional background, allowing us in the near future to prevent, identify and deal more effectively with clinical problems involving both doctors and nurses. Finally, the","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76433900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A new Heart-Lung Machine that integrated hardware systems of highest technological level and software that processes patient data provided by advanced non-invasive monitoring was born to improve the quality of care and the outcome of patients undergoing extracorporeal circulation. We are in era of "Goal Directed Perfusion” and the care of clinicians no longer based on theoretical calculations but on measured parameters whose values are limited to a very narrow therapeutic range (determined by scientific evidence) indexed for each patient in each particular clinical condition.
{"title":"The new frontiers of Extracorporeal Perfusion","authors":"Pinto Giovanni","doi":"10.36017/jahc2205-08","DOIUrl":"https://doi.org/10.36017/jahc2205-08","url":null,"abstract":"A new Heart-Lung Machine that integrated hardware systems of highest technological level and software that processes patient data provided by advanced non-invasive monitoring was born to improve the quality of care and the outcome of patients undergoing extracorporeal circulation. We are in era of \"Goal Directed Perfusion” and the care of clinicians no longer based on theoretical calculations but on measured parameters whose values are limited to a very narrow therapeutic range (determined by scientific evidence) indexed for each patient in each particular clinical condition.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76106670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
One of the most significant challenges that the COVID-19 pandemic has created is the intervetional radiology practice. In order to guarantee the best patient care and avoid contamination of the operators, it was necessary to carry out specific management of the complex angiographic rooms. This work aims to guide healthcare professionals in the safe execution of interventional radiology procedures on COVID-19 patients using suitable management strategies, guidelines and recommendations available, creating an appropriate work environment. Research and revision work, targeted at COVID-19 patients, made use the main scientific literature databases of guidelines and scientific articles promoted or edited by international scientific societies. After identifying and separating the pathways for infected patients and defining the dressing and undressing areas of the operators, a check-list was created to prepare the angiographic room and the surrounding spaces. The set-up includes removal of all non-essential mobile devices for the expected procedure and preparation of the sterile angiographic table with the necessary material and drugs. It is also necessary placement of containers for infected waste inside the room; cover of contrast injector, angiographic controls and patient monitoring devices; finally covering with clean sheets everything that cannot be moved. The standardization of operating procedures, staff training and the analysis of critical issues encountered lay the foundations for definition of best practices adaptable to different work environments.
{"title":"COVID-19 in interventional radiology: management of the angiography room","authors":"N. Irene, Dore Antonio","doi":"10.36017/jahc2205-07","DOIUrl":"https://doi.org/10.36017/jahc2205-07","url":null,"abstract":"One of the most significant challenges that the COVID-19 pandemic has created is the intervetional radiology practice. In order to guarantee the best patient care and avoid contamination of the operators, it was necessary to carry out specific management of the complex angiographic rooms.\u0000This work aims to guide healthcare professionals in the safe execution of interventional radiology procedures on COVID-19 patients using suitable management strategies, guidelines and recommendations available, creating an appropriate work environment.\u0000Research and revision work, targeted at COVID-19 patients, made use the main scientific literature databases of guidelines and scientific articles promoted or edited by international scientific societies.\u0000After identifying and separating the pathways for infected patients and defining the dressing and undressing areas of the operators, a check-list was created to prepare the angiographic room and the surrounding spaces. The set-up includes removal of all non-essential mobile devices for the expected procedure and preparation of the sterile angiographic table with the necessary material and drugs. It is also necessary placement of containers for infected waste inside the room; cover of contrast injector, angiographic controls and patient monitoring devices; finally covering with clean sheets everything that cannot be moved. The standardization of operating procedures, staff training and the analysis of critical issues encountered lay the foundations for definition of best practices adaptable to different work environments.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81307938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Telerehabilitation (TR) represents a new opportunity for physiotherapists to provide acceptable and high quality healthcare to their service users. The emerging evidence in the literature suggests the opportunity to integrate TR into the physiotherapy professional practice, even beyond the COVID-19 emergency, to ensure continuity of care up to the patient’s home and increase access to rehabilitation. One of the areas of application of TR is the management of non-specific low back pain (NLBP). NLBP has a high prevalence rate in the global population and it represents approximately 90% of low back pain cases. It is associated with the risk of chronicization, if not adequately managed, and extremely high costs associated with the treatment. Objective: to develop a proposal for a diagnostic-therapeutic care path (DTCP) on the use of TR in the management of patients with low back pain, taking into consideration the Italian legislation and the best scientific evidence available in the literature. Materials and methods: the bibliographical research in the literature was carried out on the electronic databases MEDLINE, PEDro, Embase, Trip database and Google Scholar was used to access the full-text of some articles. Discussion: the proposed DTCP for the management of the patient with low back pain takes into account the strengths and limitations of TR described in the literature and may represent a national reference model for the application of TR in patients with NLBP who access the outpatient territorial rehabilitation service. However, this proposal needs to be adapted to the specific socio-legislative regional context. The integration of TR to traditional clinic
{"title":"Telerehabilitation As An Opportunity In Physiotherapy:","authors":"Collebrusco Luca, Tesauri Daniele","doi":"10.36017/jahc2205-06","DOIUrl":"https://doi.org/10.36017/jahc2205-06","url":null,"abstract":"Telerehabilitation (TR) represents a new opportunity for physiotherapists to provide acceptable and high quality healthcare to their service users. The emerging evidence in the literature suggests the opportunity to integrate TR into the physiotherapy professional practice, even beyond the COVID-19 emergency, to ensure continuity of care up to the patient’s home and increase access to rehabilitation. One of the areas of application of TR is the management of non-specific low back pain (NLBP). NLBP has a high prevalence rate in the global population and it represents approximately 90% of low back pain cases. It is associated with the risk of chronicization, if not adequately managed, and extremely high costs associated with the treatment. Objective: to develop a proposal for a diagnostic-therapeutic care path (DTCP) on the use of TR in the management of patients with low back pain, taking into consideration the Italian legislation and the best scientific evidence available in the literature. Materials and methods: the bibliographical research in the literature was carried out on the electronic databases MEDLINE, PEDro, Embase, Trip database and Google Scholar was used to access the full-text of some articles. Discussion: the proposed DTCP for the management of the patient with low back pain takes into account the strengths and limitations of TR described in the literature and may represent a national reference model for the application of TR in patients with NLBP who access the outpatient territorial rehabilitation service. However, this proposal needs to be adapted to the specific socio-legislative regional context. The integration of TR to traditional clinic","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85490671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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