Decorato Giuseppina, Barrasso Giuseppe, Lattanzio Antonio, L. Giuseppina
In recent years, REMS 19 of the city of Spinazzola (Bari, Italy) has built an intervention model oriented towards "care" and "taking care" because the guest subjected to a security measure co-participates in the construction and implementation of his own Individual Residential Rehabilitation Program, starting thus the path of discharge at the time of his entry. Targets Evaluate the impact, in terms of psycho-social functioning, of the proposed model that adopts specific EBM interventions, on the therapeutic-rehabilitation path of a group of 7 users diagnosed with personality disorder. A 12-month observational study was conducted on a group of 7 male patients. At the beginning (T0) during (T1) and at the end of the study (T2) the following assessment scales were administered for precise outcomes: BPRS for clinical recovery and psychosocial functioning; VGF for subjective well-being and interpersonal relationships; I GO for autonomy, self-esteem, self-awareness, resocialization and taking care of oneself; SAMI and BHS for positive expectations and confidence in the future. It is possible to note the trend over time of the results obtained during the three administrations of the evaluation scales. In particular, there was a positive change in the identified outcomes, the main targets of the EBM interventions of the proposed intervention model. Conclusions The study highlighted how the proposed intervention model records an improvement in terms of not only clinical but also personal recovery.
{"title":"The intervention model for offenders in the Residence for the Enforcement of Security Measures","authors":"Decorato Giuseppina, Barrasso Giuseppe, Lattanzio Antonio, L. Giuseppina","doi":"10.36017/jahc2204-06","DOIUrl":"https://doi.org/10.36017/jahc2204-06","url":null,"abstract":"In recent years, REMS 19 of the city of Spinazzola (Bari, Italy) has built an intervention model oriented towards \"care\" and \"taking care\" because the guest subjected to a security measure co-participates in the construction and implementation of his own Individual Residential Rehabilitation Program, starting thus the path of discharge at the time of his entry.\u0000Targets\u0000Evaluate the impact, in terms of psycho-social functioning, of the proposed model that adopts specific EBM interventions, on the therapeutic-rehabilitation path of a group of 7 users diagnosed with personality disorder.\u0000A 12-month observational study was conducted on a group of 7 male patients. At the beginning (T0) during (T1) and at the end of the study (T2) the following assessment scales were administered for precise outcomes: BPRS for clinical recovery and psychosocial functioning; VGF for subjective well-being and interpersonal relationships; I GO for autonomy, self-esteem, self-awareness, resocialization and taking care of oneself; SAMI and BHS for positive expectations and confidence in the future.\u0000It is possible to note the trend over time of the results obtained during the three administrations of the evaluation scales. In particular, there was a positive change in the identified outcomes, the main targets of the EBM interventions of the proposed intervention model.\u0000Conclusions\u0000The study highlighted how the proposed intervention model records an improvement in terms of not only clinical but also personal recovery.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88562132","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}
Tako-Tsubo Cardiomyopathy (TTC) is an acute syndrome, identified in the early 1990s by Japanese researchers, which mimics an acute myocardial infarction. Cardiomyopathy is transient and begins with a clinical picture similar to that of an acute myocardial infarction. This pathology seems to be related to intense psychological and physical stress with a prevalence in the female sex (95%) in post-menopause. The term Tako-Tsubo means 'octopus trap' in Japanese: the left ventricle takes on a peculiar appearance in systole, similar to a narrow-necked amphora, morphologically identical to the vessel (tsubo) that Japanese fishermen use to catch octopuses (tako). The appearance of the left ventricle (tako-tsubo shape) is due to a 'complete' depletion of cardiac muscle activity (myocardial stunning), a kind of 'stunning' or paralysis of the middle and apical portions of the heart. Coronarography and ventriculography are an essential step in the diagnosis of TTC. The mere demonstration of a coronary tree free of angiographically significant stenosis is not sufficient for the diagnosis of TTC. The other key diagnostic element is, in fact, the demonstration of left ventricular hypokinesia or akinesia. Since left ventricular wall motility disorders change rapidly, ventriculography performed immediately after coronary examination is the gold standard examination to allow the characteristic appearance of the syndrome to be verified and, consequently, to distinguish it from an acute coronary syndrome with uninjured coronary arteries, thus avoiding a diagnostic error.
{"title":"Ventriculography for the study of TAKO-TSUBO Syndrome","authors":"Grazioli Fabio, Magliacane Domenico, Marino Ornella, Pecoraro Carmine","doi":"10.36017/jahc2204-05","DOIUrl":"https://doi.org/10.36017/jahc2204-05","url":null,"abstract":"Tako-Tsubo Cardiomyopathy (TTC) is an acute syndrome, identified in the early 1990s by Japanese researchers, which mimics an acute myocardial infarction. Cardiomyopathy is transient and begins with a clinical picture similar to that of an acute myocardial infarction. This pathology seems to be related to intense psychological and physical stress with a prevalence in the female sex (95%) in post-menopause. The term Tako-Tsubo means 'octopus trap' in Japanese: the left ventricle takes on a peculiar appearance in systole, similar to a narrow-necked amphora, morphologically identical to the vessel (tsubo) that Japanese fishermen use to catch octopuses (tako). The appearance of the left ventricle (tako-tsubo shape) is due to a 'complete' depletion of cardiac muscle activity (myocardial stunning), a kind of 'stunning' or paralysis of the middle and apical portions of the heart. Coronarography and ventriculography are an essential step in the diagnosis of TTC. The mere demonstration of a coronary tree free of angiographically significant stenosis is not sufficient for the diagnosis of TTC. The other key diagnostic element is, in fact, the demonstration of left ventricular hypokinesia or akinesia. Since left ventricular wall motility disorders change rapidly, ventriculography performed immediately after coronary examination is the gold standard examination to allow the characteristic appearance of the syndrome to be verified and, consequently, to distinguish it from an acute coronary syndrome with uninjured coronary arteries, thus avoiding a diagnostic error.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87352947","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 December 2019 in China, after a pneumonia outbreak of unknown etiology, a new RNA virus has been identified and called Sars-CoV-2. Sars-CoV-2 induced severe respiratory infections, with global and rapid epidemic diffusion, designated coronavirus disease 2019 (Covid-19). Sars-CoV-2 infection can lead to severe complications, such as acute respiratory distress syndrome (ARDS) with progression to pulmonary fibrosis. Recent clinical studies described that in patients with severe Covid-19, MSC infusions, promote regenerative and reparative effects with anti-inflammatory and anti-fibrotic action. MSCs do not express ACE2 and TMPRSS2, the two main human receptors for host-pathogen interaction, and are not permissive to in vitro Sars-CoV-2 infection, making them suitable for clinical application. The aim of our study was to evaluate the safety and efficacy of MSCs as cellular therapy in ARDS secondary to Sars-CoV-2 in patients undergoing mechanical ventilation, in order to prevent pulmonary fibrosis. MSCs for infusions are thawed at 2x106/ml cellular concentration. The intravenous infusion protocol consists of two doses of third party allogenic MSCs at 1x106/Kg, 15 day apart. From April 2020, six adult patients median age 65 years, median body weight 80 Kg, in mechanical ventilation for ARDS secondary to Sars-CoV-2 infection have been treated. Early or late adverse events were not recorded. Four out six patients showed a significant gas exchange improvement with extubation within seven days from the first infusion. Our results underline the safety and efficacy of MSC infusions for ARDS patients in mechanical ventilation, supporting the need of a phase I/II clinical trial.
{"title":"Acute respiratory distress syndrome secondary to Sars-COV-2 infection: treatment with mesenchymal stromal cells (mscs) to prevent pulmonary complications","authors":"Lenta Elisa, Avanzini Maria Antonietta, Belliato Mirko, Zecca Marco, Croce Stefania, Valsecchi Chiara, Moretta Antonia, Comoli Patrizia","doi":"10.36017/jahc2204-04","DOIUrl":"https://doi.org/10.36017/jahc2204-04","url":null,"abstract":"In December 2019 in China, after a pneumonia outbreak of unknown etiology, a new RNA virus has been identified and called Sars-CoV-2. Sars-CoV-2 induced severe respiratory infections, with global and rapid epidemic diffusion, designated coronavirus disease 2019 (Covid-19).\u0000Sars-CoV-2 infection can lead to severe complications, such as acute respiratory distress syndrome (ARDS) with progression to pulmonary fibrosis.\u0000Recent clinical studies described that in patients with severe Covid-19, MSC infusions, promote regenerative and reparative effects with anti-inflammatory and anti-fibrotic action. MSCs do not express ACE2 and TMPRSS2, the two main human receptors for host-pathogen interaction, and are not permissive to in vitro Sars-CoV-2 infection, making them suitable for clinical application.\u0000The aim of our study was to evaluate the safety and efficacy of MSCs as cellular therapy in ARDS secondary to Sars-CoV-2 in patients undergoing mechanical ventilation, in order to prevent pulmonary fibrosis.\u0000MSCs for infusions are thawed at 2x106/ml cellular concentration. The intravenous infusion protocol consists of two doses of third party allogenic MSCs at 1x106/Kg, 15 day apart.\u0000From April 2020, six adult patients median age 65 years, median body weight 80 Kg, in mechanical ventilation for ARDS secondary to Sars-CoV-2 infection have been treated. Early or late adverse events were not recorded. Four out six patients showed a significant gas exchange improvement with extubation within seven days from the first infusion.\u0000Our results underline the safety and efficacy of MSC infusions for ARDS patients in mechanical ventilation, supporting the need of a phase I/II clinical trial.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73595580","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}
D’Arrigo Angela, Costanza Agnese Maria, Drago Giuseppe, Algieri Giuseppe, Di Natale Giovanni
The infections at work from Covid-19 reported to Inail as of August 31 are 52,209. Information relating to harmful events was obtained from the analysis of the INAIL files and from the certificates of the competent doctor. In the period from April 2020 to January 2021, 72 accidents involving employees of the P.O. Guzzardi di Vittoria, infected with coronavirus (SARS-CoV-2). The beginning of the epidemiological wave among employees was found in a crescendo that goes from the middle of which goes from mid-October 2020 to the end of November 2020, divided as follows: 43% with the beginning of an injury in the second half of October 2020, 33.3% in the first ten days of November, and significant reduction of 15.27% in the first ten days of December to then witness a further reduction in the number of cases in January 2021, equal to 5.5%. The days of illness attributable to the COVID infection gave an average of no. 32 days with a disastrous outcome only by chance. The observational analysis is aimed at studying the incidence of COVID-19 accidents among employees who have served in the COVID assistance modules, specifically U.O. Medicine-COVID, U.O. First Aid, Pre-triage Area, U.O. Radiology, equal to 29 injuries (40.3%). The percentage indicators that emerged from the epidemiological survey, essential for arriving at assessments on containment measures relating to the world of hospital work, made it possible to highlight not a few points for reflection and appropriate, if not due, changes to the work organization.
{"title":"Incidence of COVID-19 accidents among healthcare workers OO.RR. Vittoria Comiso","authors":"D’Arrigo Angela, Costanza Agnese Maria, Drago Giuseppe, Algieri Giuseppe, Di Natale Giovanni","doi":"10.36017/jahc2204-03","DOIUrl":"https://doi.org/10.36017/jahc2204-03","url":null,"abstract":"The infections at work from Covid-19 reported to Inail as of August 31 are 52,209. Information relating to harmful events was obtained from the analysis of the INAIL files and from the certificates of the competent doctor.\u0000In the period from April 2020 to January 2021, 72 accidents involving employees of the P.O. Guzzardi di Vittoria, infected with coronavirus (SARS-CoV-2).\u0000The beginning of the epidemiological wave among employees was found in a crescendo that goes from the middle of which goes from mid-October 2020 to the end of November 2020, divided as follows:\u000043% with the beginning of an injury in the second half of October 2020,\u000033.3% in the first ten days of November,\u0000and significant reduction of 15.27% in the first ten days of December to then witness a further reduction in the number of cases in January 2021, equal to 5.5%.\u0000The days of illness attributable to the COVID infection gave an average of no. 32 days with a disastrous outcome only by chance. The observational analysis is aimed at studying the incidence of COVID-19 accidents among employees who have served in the COVID assistance modules, specifically U.O. Medicine-COVID, U.O. First Aid, Pre-triage Area, U.O. Radiology, equal to 29 injuries (40.3%).\u0000The percentage indicators that emerged from the epidemiological survey, essential for arriving at assessments on containment measures relating to the world of hospital work, made it possible to highlight not a few points for reflection and appropriate, if not due, changes to the work organization.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81377012","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}
Lateral elbow tendinopathy is the most common cause of pain in this joint. Although it is also widely known as 'tennis elbow' as it affects 50% of tennis players, especially beginners who learn the one-handed backhand, LET often develops as a work-related condition and therefore constitutes a serious public health problem: only 10% of all affected patients play tennis. The typical clinical presentation is characterized by pain and reduction of strength and function with considerable repercussions on daily activities. Although signs and symptoms of LET are clear, as well as the definition of the diagnosis, to date no ideal treatment has yet emerged; clinicians advocate a conservative approach as the first choice of management and physiotherapy, with its wide range of treatments, is commonly recommended: therapeutic exercise has shown good clinical results and the goal of this review is to evaluate its effectiveness in the management of the aforementioned clinical picture. for the realization of this revision was made reference to the guidelines for reporting systematic reviews PRISMA Statement (PRISMA-P checklist). Randomized clinical trials were identified using strings, which were specifically constituted on each used database: MEDLINE, Cochrane Library and PEDro. After the elimination of repeated articles from the search in the various databases and studies that did not meet the inclusion criteria, the selection took place by reading the title, abstract and full text. Subsequently, the evaluation of the internal validity of the studies was carried out with the Rob 2.0 of the Cochrane Collaboration. The strings produced a total of 1418 items. After reading the title, abstract and full text, only 12 works were really relevant to the research question and containing the pre-established inclusion criteria. Therapeutic exercise has been found to be the safest, cheapest and most effective means in the management of lateral elbow tendinopathy; all the included trials have precisely outlined the dosage, type and principle of application in different populations without restrictions of the time of onset of symptoms. Unsupervised isometric exercise demonstrated a considerable reduction in pain and disability in the short term. Eccentric exercise, the most contemplated type, was effective in reducing the painful symptom and increasing the grip strength. Stretching, a valid therapeutic strategy often associated with other modes of intervention, has recorded significant benefits related to painless grip strength, function and VAS, overlapping with the results obtained in the comparison groups. However, the heterogeneity of the trials included for the type administered, the size of the samples examined and the type of outcomes considered, makes it difficult to extract an objective and clear answer to the clinical question. Better targeting clinical practice in LET management is the goal of future research, defining exercise programs with statistically and/or
{"title":"Therapeutic exercise in the management of lateral elbow tendinopathy","authors":"Tozza Claudia","doi":"10.36017/jahc2204-02","DOIUrl":"https://doi.org/10.36017/jahc2204-02","url":null,"abstract":"Lateral elbow tendinopathy is the most common cause of pain in this joint.\u0000Although it is also widely known as 'tennis elbow' as it affects 50% of tennis players, especially beginners who learn the one-handed backhand, LET often develops as a work-related condition and therefore constitutes a serious public health problem: only 10% of all affected patients play tennis.\u0000The typical clinical presentation is characterized by pain and reduction of strength and function with considerable repercussions on daily activities. Although signs and symptoms of LET are clear, as well as the definition of the diagnosis, to date no ideal treatment has yet emerged; clinicians advocate a conservative approach as the first choice of management and physiotherapy, with its wide range of treatments, is commonly recommended: therapeutic exercise has shown good clinical results and the goal of this review is to evaluate its effectiveness in the management of the aforementioned clinical picture.\u0000for the realization of this revision was made reference to the guidelines for reporting systematic reviews PRISMA Statement (PRISMA-P checklist).\u0000Randomized clinical trials were identified using strings, which were specifically constituted on each used database: MEDLINE, Cochrane Library and PEDro. After the elimination of repeated articles from the search in the various databases and studies that did not meet the inclusion criteria, the selection took place by reading the title, abstract and full text. Subsequently, the evaluation of the internal validity of the studies was carried out with the Rob 2.0 of the Cochrane Collaboration.\u0000The strings produced a total of 1418 items. After reading the title, abstract and full text, only 12 works were really relevant to the research question and containing the pre-established inclusion criteria.\u0000Therapeutic exercise has been found to be the safest, cheapest and most effective means in the management of lateral elbow tendinopathy; all the included trials have precisely outlined the dosage, type and principle of application in different populations without restrictions of the time of onset of symptoms. Unsupervised isometric exercise demonstrated a considerable reduction in pain and disability in the short term. Eccentric exercise, the most contemplated type, was effective in reducing the painful symptom and increasing the grip strength. Stretching, a valid therapeutic strategy often associated with other modes of intervention, has recorded significant benefits related to painless grip strength, function and VAS, overlapping with the results obtained in the comparison groups.\u0000However, the heterogeneity of the trials included for the type administered, the size of the samples examined and the type of outcomes considered, makes it difficult to extract an objective and clear answer to the clinical question. Better targeting clinical practice in LET management is the goal of future research, defining exercise programs with statistically and/or","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74142478","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}
Numerous scientific evidences show that the social skills deficit is one of the main sources of discomfort for a psychotic patient, as it compromises the individual's ability to actively participate in society and to effectively manage different situations, be they personal, family or social. As reported by scientific research, all social behaviors can be learned and then modified thanks to experience and training. The approach centered on the enhancement of social skills, social skills training, includes a range of interventions aimed at acquiring and training the social skills necessary in interpersonal situations to communicate with others in an appropriate and effective way over time. This study therefore aims to detect the usefulness and effectiveness of Social Skills Training (SST) on adaptive social functions and on the personal and social functioning of the subjects examined. The sample is represented by 10 patients with psychotic syndromes belonging to the housing community "Borgo Sociale Regionale Roccabascerana", who participated in SST meetings. The "Social Skills Training for the treatment of schizophrenia" manual (A.S. Belleck, K.T. Mueser, S.Gingerich, J.Agresta) was used for the intervention. In order to assess the achievement of the intervention objectives, the FPS and S.A.F.E scales were administered at the beginning and end of treatment.
{"title":"Implementation of social skills training for patients with psychotic syndromes at the regional social Borgo Roccabascerana","authors":"Aquino Marilena, Serelli Anna Agnese","doi":"10.36017/jahc2204-01","DOIUrl":"https://doi.org/10.36017/jahc2204-01","url":null,"abstract":"Numerous scientific evidences show that the social skills deficit is one of the main sources of discomfort for a psychotic patient, as it compromises the individual's ability to actively participate in society and to effectively manage different situations, be they personal, family or social. As reported by scientific research, all social behaviors can be learned and then modified thanks to experience and training. The approach centered on the enhancement of social skills, social skills training, includes a range of interventions aimed at acquiring and training the social skills necessary in interpersonal situations to communicate with others in an appropriate and effective way over time. This study therefore aims to detect the usefulness and effectiveness of Social Skills Training (SST) on adaptive social functions and on the personal and social functioning of the subjects examined. The sample is represented by 10 patients with psychotic syndromes belonging to the housing community \"Borgo Sociale Regionale Roccabascerana\", who participated in SST meetings. The \"Social Skills Training for the treatment of schizophrenia\" manual (A.S. Belleck, K.T. Mueser, S.Gingerich, J.Agresta) was used for the intervention. In order to assess the achievement of the intervention objectives, the FPS and S.A.F.E scales were administered at the beginning and end of treatment.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90056118","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 spinal cord injury in the acute phase, pulmonary complications are the most common cause of death and often affect the outcome even during the chronic phase. In the initial acute phase, the person is assisted in ICU and the management of the airways can be guaranteed in two ways: invasive by subjecting the patient to tracheotomy and invasive ventilation, non-invasive by extubating the patient early, supporting him with Non-Invasive Ventilation ( NIV). Both approaches have their advantages and disadvantages. For about 6 years in the Intensive Therapy of the Neuromotor Pole (Sod neuroanesthesia and Reanimation) Careggi hospital in Florence has been strengthened 54 patients with complete or incomplete spinal cord injury, resulting from trauma, have been hospitalized only 23 patients (less than 43%) have needed tracheostomy. Those who did not have the tracheostomy performed NIV in the early stages, and then moved on to more autonomous ventilatory modes. All patients were treated with a mechanical cough assistant. From the retrospective investigation it appears that NIV can be considered a valid alternative to invasive ventilation in the bone marrow patient. However, it is necessary to specify that the desired objectives can only be achieved with solid knowledge of the health professionals involved and above all by close collaboration within the multidisciplinary team. The non-invasive approach has reduced complications for the patient, hospitalization times with a consequent reduction in treatment costs. In light of the data that emerged and the considerations made, we can think that this is only the beginning of a multidisciplinary path that reduces the invasive approach on our clients as much as possible.
{"title":"The respiratory approach to the medullary patient in the acute stage, from literature to experience","authors":"Montigiani Giulia, Papi Davide, Meucci Beatrice, Innocenti Pietro, Bertarelli Daisy, O. Vanni, Bucciardini Luca","doi":"10.36017/jahc2203-03","DOIUrl":"https://doi.org/10.36017/jahc2203-03","url":null,"abstract":"In spinal cord injury in the acute phase, pulmonary complications are the most common cause of death and often affect the outcome even during the chronic phase.\u0000In the initial acute phase, the person is assisted in ICU and the management of the airways can be guaranteed in two ways: invasive by subjecting the patient to tracheotomy and invasive ventilation, non-invasive by extubating the patient early, supporting him with Non-Invasive Ventilation ( NIV).\u0000Both approaches have their advantages and disadvantages.\u0000For about 6 years in the Intensive Therapy of the Neuromotor Pole (Sod neuroanesthesia and Reanimation) Careggi hospital in Florence has been strengthened 54 patients with complete or incomplete spinal cord injury, resulting from trauma, have been hospitalized only 23 patients (less than 43%) have needed tracheostomy. Those who did not have the tracheostomy performed NIV in the early stages, and then moved on to more autonomous ventilatory modes. All patients were treated with a mechanical cough assistant.\u0000From the retrospective investigation it appears that NIV can be considered a valid alternative to invasive ventilation in the bone marrow patient. However, it is necessary to specify that the desired objectives can only be achieved with solid knowledge of the health professionals involved and above all by close collaboration within the multidisciplinary team.\u0000The non-invasive approach has reduced complications for the patient, hospitalization times with a consequent reduction in treatment costs.\u0000In light of the data that emerged and the considerations made, we can think that this is only the beginning of a multidisciplinary path that reduces the invasive approach on our clients as much as possible.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88794424","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}
Cassano Vito Michele, Parra Cecilia, Griguoli Francesca, Bonino Giovanni, Di Carlo Alberto
Ingrown toenail (also onychocryptosis) is one of the most frequent nail pathologies in diabetic population. Neurological and vascular complications can increase painful symptoms and suffering of tissue which can lead to ulceration, therefore surgical matricectomy is not recommended. In this research we aim to evaluate the effectiveness of a 40% urea cream treatment associated whit nail acrylic resin brace (ortonixia) versus traditional cut and resin nail’s recostruction. Diameter of nail and NRS scale were used to evaluate change of nail plate and pain before and after treatment. 32 subjects with 52 treated nails were included. About 20 nails of 13 subject were recruited in experimental group. Differential final and initial diameter was 4.67±1,55 mm in experimental group and 3.01±1.26 mm in control group ( p<0.0001) and recurrence rate was 15% and 75% respectively ( p<0.0001). Also days of absence of pain, in experimental group there was a mean of 319.05±113.18 days, instead in control group there was a mean of 208.31±119.84 days (p<0.0002). This statistical analysis shows that effectiveness of new conservative approach is greater than in nail reconstruction method and a valid alternative to surgical treatment in diabetic patients.
内生趾甲是糖尿病人群中最常见的趾甲病变之一。神经和血管并发症可增加疼痛症状和组织的痛苦，可导致溃疡，因此不建议手术基质切除术。在这项研究中，我们的目的是评估40%尿素乳膏治疗与白色指甲丙烯酸树脂支架(ortonixia)相比传统切割和树脂指甲重建的有效性。采用甲直径及NRS量表评价治疗前后甲板变化及疼痛程度。纳入32名受试者，52根处理过的指甲。实验组13例，取20枚左右。试验组末初径差为4.67±1.55 mm，对照组为3.01±1.26 mm (p<0.0001)，复发率分别为15%和75% (p<0.0001)。无痛天数，实验组平均为319.05±113.18天，对照组平均为208.31±119.84天(p<0.0002)。统计分析表明新保守入路的有效性大于甲重建术，是糖尿病患者手术治疗的有效替代方法。
{"title":"Ingrown toenails treatment in diabetic patients: a Pilot Study of a new conservative treatment of orthonyxia.","authors":"Cassano Vito Michele, Parra Cecilia, Griguoli Francesca, Bonino Giovanni, Di Carlo Alberto","doi":"10.36017/jahc2203-02","DOIUrl":"https://doi.org/10.36017/jahc2203-02","url":null,"abstract":"Ingrown toenail (also onychocryptosis) is one of the most frequent nail pathologies in diabetic population. Neurological and vascular complications can increase painful symptoms and suffering of tissue which can lead to ulceration, therefore surgical matricectomy is not recommended. In this research we aim to evaluate the effectiveness of a 40% urea cream treatment associated whit nail acrylic resin brace (ortonixia) versus traditional cut and resin nail’s recostruction. Diameter of nail and NRS scale were used to evaluate change of nail plate and pain before and after treatment. 32 subjects with 52 treated nails were included. About 20 nails of 13 subject were recruited in experimental group.\u0000Differential final and initial diameter was 4.67±1,55 mm in experimental group and 3.01±1.26 mm in control group ( p<0.0001) and recurrence rate was 15% and 75% respectively ( p<0.0001). Also days of absence of pain, in experimental group there was a mean of 319.05±113.18 days, instead in control group there was a mean of 208.31±119.84 days (p<0.0002). This statistical analysis shows that effectiveness of new conservative approach is greater than in nail reconstruction method and a valid alternative to surgical treatment in diabetic patients.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75082108","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}
Ferrari Gianmarco, Panariello Fabio, De Ronchi Diana, Sacchetti Cleta, Atti Anna Rita, Scudellari Paolo
Background: The quality and effectiveness of therapeutic rehabilitative interventions represent a landmark in the field of mental health. The respect of human rights is strictly linked to health in general, and these two aspects depend on how mental health services guarantee the treatment pathway. Methods: The focus of this study is on the international success of Open Dialogue (OD), once designed for those affected by schizophrenia, since it questions the traditional structure of mental health services. From the study of theoretical principles and the scientific evidences of the benefits of dialogic approach on Services, the core of this contribution consists of how much dialogue can be found inside Services themselves. The field of work was characterised by the operators of two MHCs: Modena Polo Est and Pavullo. The inquiry focused on operators’ behaviours and dispositions towards OD, regardless of the occupation of the workers, but selecting those with direct experience of Open Dialogue. Results: Results highlight that dialogic approach is, in most cases, already adopted by operators, and that it positively affects their dispositions. Conclusion: Despite arduous to undertake, it can be inferred that tolerating uncertainty in its practical application and the reject of a medical-centred approach are extremely necessary. Indeed, not only are they coherent with the dialogic approach, but they also bring improvement aside from the selected approach.
背景:治疗性康复干预的质量和效果是心理健康领域的一个里程碑。尊重人权与一般健康密切相关，这两个方面取决于精神卫生服务如何保证治疗途径。方法:本研究的重点是开放对话(OD)的国际成功，曾经为精神分裂症患者设计，因为它质疑传统的精神卫生服务结构。从对服务上对话方法的好处的理论原理和科学证据的研究来看，这一贡献的核心是在服务本身内部可以找到多少对话。该领域的工作主要由两家mhc运营商组成:Modena Polo Est和Pavullo。调查的重点是操作员对OD的行为和倾向，而不考虑工人的职业，但选择那些有直接开放对话经验的人。结果:结果强调，对话方法，在大多数情况下，已经被运营商采用，并积极影响他们的处置。结论:尽管工作艰巨，但可以推断，在实际应用中容忍不确定性和拒绝以医疗为中心的方法是非常必要的。事实上，它们不仅与对话方法相一致，而且除了选定的方法之外，还带来了改进。
{"title":"The dialogic approach. An effective model for mental health services.","authors":"Ferrari Gianmarco, Panariello Fabio, De Ronchi Diana, Sacchetti Cleta, Atti Anna Rita, Scudellari Paolo","doi":"10.36017/jahc2203-01","DOIUrl":"https://doi.org/10.36017/jahc2203-01","url":null,"abstract":"Background: The quality and effectiveness of therapeutic rehabilitative interventions represent a landmark in the field of mental health. The respect of human rights is strictly linked to health in general, and these two aspects depend on how mental health services guarantee the treatment pathway.\u0000Methods: The focus of this study is on the international success of Open Dialogue (OD), once designed for those affected by schizophrenia, since it questions the traditional structure of mental health services. From the study of theoretical principles and the scientific evidences of the benefits of dialogic approach on Services, the core of this contribution consists of how much dialogue can be found inside Services themselves. The field of work was characterised by the operators of two MHCs: Modena Polo Est and Pavullo.\u0000The inquiry focused on operators’ behaviours and dispositions towards OD, regardless of the occupation of the workers, but selecting those with direct experience of Open Dialogue.\u0000Results: Results highlight that dialogic approach is, in most cases, already adopted by operators, and that it positively affects their dispositions.\u0000Conclusion: Despite arduous to undertake, it can be inferred that tolerating uncertainty in its practical application and the reject of a medical-centred approach are extremely necessary. Indeed, not only are they coherent with the dialogic approach, but they also bring improvement aside from the selected approach.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87451732","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}
The purpose of our study is to evaluate the T2 weighted sequence with multishot radial sampling (Radial Acquisition Multi-shot) also known as Multivane sequence in Philips Healthcare, introduced by J.Pipe with the aim to minimize motion artifacts in Magnetic Resonance Imaging (MRI). In the field of prostate MRI the Multivane sequence is useful in non-cooperating patients and/or patients who, due to their clinical conditions (such as glaucoma, arrhythmia, and severe benign prostatic hypertrophy), have not been receiving intravenous antispasmodic agents, administered for limiting the motility of intestinal loops, particularly rectum. The Multivane sequence is based on the collection of data throughout parallel multiple lines in periodic rotation around the center of k-space and advanced mathematical reconstruction. As the data at the center of k-space (low frequency) containing signals with maximum amplitude will be continuously sampled, this trajectory will provide an excellent contrast-noise ratio (CNR) and spatial resolution, without motion artifacts responsible of "blurring" in the final image. Specifically, each given point of the periphery of the k-space will be sampled by a certain line and the next one and so on, and for the final image reconstruction, once multiple data will be estimated, different algorithms will be used to compensate for motion artifacts. In this study we compared the Radial Acquisition Multishot TSE Multivane (Philips Healthcare) with the classic T2W TSE sequences with linear Cartesian sampling. Multivane sequences have proven to be superior and therefore of greater utility compared to sequences with linear Cartesian data sampling, in patients who can not receiving spasmolytic agents.
{"title":"Application of Radial Acquisition Multishot sequence in Multiparametric MRI of prostate","authors":"Curatolo Calogero, Pizzolato Mariangela, Daricello Marco, Caruso Virginia, Loverro Giuseppe, Salvaggio Giuseppe, Galia Massimo","doi":"10.36017/jahc2202-07","DOIUrl":"https://doi.org/10.36017/jahc2202-07","url":null,"abstract":"The purpose of our study is to evaluate the T2 weighted sequence with multishot radial sampling (Radial Acquisition Multi-shot) also known as Multivane sequence in Philips Healthcare, introduced by J.Pipe with the aim to minimize motion artifacts in Magnetic Resonance Imaging (MRI).\u0000In the field of prostate MRI the Multivane sequence is useful in non-cooperating patients and/or patients who, due to their clinical conditions (such as glaucoma, arrhythmia, and severe benign prostatic hypertrophy), have not been receiving intravenous antispasmodic agents, administered for limiting the motility of intestinal loops, particularly rectum.\u0000The Multivane sequence is based on the collection of data throughout parallel multiple lines in periodic rotation around the center of k-space and advanced mathematical reconstruction. As the data at the center of k-space (low frequency) containing signals with maximum amplitude will be continuously sampled, this trajectory will provide an excellent contrast-noise ratio (CNR) and spatial resolution, without motion artifacts responsible of \"blurring\" in the final image. Specifically, each given point of the periphery of the k-space will be sampled by a certain line and the next one and so on, and for the final image reconstruction, once multiple data will be estimated, different algorithms will be used to compensate for motion artifacts.\u0000In this study we compared the Radial Acquisition Multishot TSE Multivane (Philips Healthcare) with the classic T2W TSE sequences with linear Cartesian sampling. Multivane sequences have proven to be superior and therefore of greater utility compared to sequences with linear Cartesian data sampling, in patients who can not receiving spasmolytic agents.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74634129","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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