T. M. Attardo, Letizia Tesei, D. Manfellotto, Federico Dentali
L’interprofessionalità tra evidenze scientifiche e best practiceT.M. Attardo, L. Tesei, A. Montagnani L’impatto della collaborazione interprofessionale nell’organizzazione e nella qualità di curaF. Dentali, G. Catania La nutrizione nei pazienti terminali: quali migliori approcciP. Gnerre, G. Riggi, G. Filannino L’iperglicemia e l’ipoglicemia: come prevenirle, come gestirleT.M. Attardo, A. Morselli La sindrome ipocinetica: cosa non ha funzionato? La collaborazione interprofessionale può fare la differenza?M. Frualdo, S. Brovarone, M. Piasentin, S. Lenti L’impatto dell’interprofessionalità sull’incidenza delle infezioni correlate all’assistenzaI. Lo Burgio, A. Toccaceli, D. Dalla Gasperina La cirrosi epatica: quali strategie clinico-assistenziali per migliorare la qualità di vita dei pazientiP. Piccolo, N. Cosentino L’interprofessionalità come strumento per un corretto management del deliriumP. Gnerre, R. Rocchi, D. Clemente Il giro visita congiunto come strumento per una migliore cogestione dei pazientiF. Dentali, A. Vitiello La dimissione dall’ospedale: percorso di condivisione del teamO. Para, R. Rapetti, S. Di Bernardino Quando l’interprofessionalità coinvolge anche il paziente: come fare buona sanità oltre la curaL. Tesei, D. Manfellotto Pillole di interprofessionalità: decalogo FADOI/ANIMO: punti comuni e rilevanti per creare collaborazioni tra professionistiT.M. Attardo, L. Tesei
科学证据与最佳实践之间的跨专业T.M. Attardo, L. Tesei, A. Montagnani跨专业合作对护理组织和质量的影响F. Dentali, G. Catania临终病人的营养：最佳方法P.Dentali, G. Catania临终患者的营养：最佳方法P.Gnerre、G. Riggi、G. Filannino高血糖症和低血糖症：如何预防，如何控制T.M. Attardo、A. Morselli运动过少综合征：什么不起作用？跨专业合作能否改变现状？Frualdo, S. Brovarone, M. Piasentin, S. Lenti跨专业对护理相关感染发生率的影响I.Lo Burgio, A. Toccaceli, D. Dalla Gasperina肝硬化：改善患者生活质量的临床辅助策略P.Piccolo, N. CosentinoL'interprofessionalità come strumento per un corretto gestione deliriumP.Gnerre, R. Rocchi, D. Clemente联合查房是更好地共同管理患者的工具F.Dentali, A. Vitiello出院：团队共享路径O.Para、R. Rapetti、S. Di Bernardino当跨专业涉及病人时：如何使良好的医疗保健超越护理L.Tesei, D. Manfellotto跨专业的药丸：FADOI/ANIMO 十诫：专业人员之间建立合作的共同点和相关点T.M. Attardo, L. Tesei
{"title":"L’interprofessionalità medico-infermieristica in Medicina Interna","authors":"T. M. Attardo, Letizia Tesei, D. Manfellotto, Federico Dentali","doi":"10.4081/itjm.q.2024.2","DOIUrl":"https://doi.org/10.4081/itjm.q.2024.2","url":null,"abstract":"\u0000L’interprofessionalità tra evidenze scientifiche e best practiceT.M. Attardo, L. Tesei, A. Montagnani\u0000L’impatto della collaborazione interprofessionale nell’organizzazione e nella qualità di curaF. Dentali, G. Catania\u0000La nutrizione nei pazienti terminali: quali migliori approcciP. Gnerre, G. Riggi, G. Filannino\u0000L’iperglicemia e l’ipoglicemia: come prevenirle, come gestirleT.M. Attardo, A. Morselli\u0000La sindrome ipocinetica: cosa non ha funzionato? La collaborazione interprofessionale può fare la differenza?M. Frualdo, S. Brovarone, M. Piasentin, S. Lenti\u0000L’impatto dell’interprofessionalità sull’incidenza delle infezioni correlate all’assistenzaI. Lo Burgio, A. Toccaceli, D. Dalla Gasperina\u0000La cirrosi epatica: quali strategie clinico-assistenziali per migliorare la qualità di vita dei pazientiP. Piccolo, N. Cosentino\u0000L’interprofessionalità come strumento per un corretto management del deliriumP. Gnerre, R. Rocchi, D. Clemente\u0000Il giro visita congiunto come strumento per una migliore cogestione dei pazientiF. Dentali, A. Vitiello\u0000La dimissione dall’ospedale: percorso di condivisione del teamO. Para, R. Rapetti, S. Di Bernardino\u0000Quando l’interprofessionalità coinvolge anche il paziente: come fare buona sanità oltre la curaL. Tesei, D. Manfellotto\u0000Pillole di interprofessionalità: decalogo FADOI/ANIMO: punti comuni e rilevanti per creare collaborazioni tra professionistiT.M. Attardo, L. Tesei","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231855","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}
V. Govori, Esra Zhubi, Pranvera Bytyci, Edita Malazogu, Rina Hoxha
Depressive disorders are common comorbidities in people living with epilepsy, and they can have a profound effect on both the course of epilepsy and the overall quality of life of those affected. A total of 125 patients diagnosed with epilepsy were recruited from the outpatient care in the Neurology Clinic at the University Clinical Centre of Kosovo, over a 3-month period (October 2023 to December 2023). The Beck Depression Inventory was used to measure the severity of depressive symptoms in these participants. In this study, we observed that 75% of women and 61.4% of men reported mild, moderate, or severe depressive symptoms. According to the severity of depressive symptoms, participants with generalized epilepsy were more likely to report severe depressive symptoms. They represented 59.0% of the participants reporting mild depressive symptoms, 61.5% of the participants reporting moderate depressive symptoms, and 47.6% of the participants reporting severe depression. Assessing and addressing depressive symptoms in individuals with epilepsy through a multidimensional approach and standardized methods is a critical aspect of providing quality care for all patients.
{"title":"The use of Beck Depression Inventory for assessment of depressive symptoms in epilepsy: a single-center experience in Kosovo","authors":"V. Govori, Esra Zhubi, Pranvera Bytyci, Edita Malazogu, Rina Hoxha","doi":"10.4081/itjm.2024.1703","DOIUrl":"https://doi.org/10.4081/itjm.2024.1703","url":null,"abstract":"Depressive disorders are common comorbidities in people living with epilepsy, and they can have a profound effect on both the course of epilepsy and the overall quality of life of those affected. A total of 125 patients diagnosed with epilepsy were recruited from the outpatient care in the Neurology Clinic at the University Clinical Centre of Kosovo, over a 3-month period (October 2023 to December 2023). The Beck Depression Inventory was used to measure the severity of depressive symptoms in these participants. In this study, we observed that 75% of women and 61.4% of men reported mild, moderate, or severe depressive symptoms. According to the severity of depressive symptoms, participants with generalized epilepsy were more likely to report severe depressive symptoms. They represented 59.0% of the participants reporting mild depressive symptoms, 61.5% of the participants reporting moderate depressive symptoms, and 47.6% of the participants reporting severe depression. Assessing and addressing depressive symptoms in individuals with epilepsy through a multidimensional approach and standardized methods is a critical aspect of providing quality care for all patients.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776904","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}
V. Govori, Esra Zhubi, Pranvera Bytyci, Edita Malazogu, Rina Hoxha
Depressive disorders are common comorbidities in people living with epilepsy, and they can have a profound effect on both the course of epilepsy and the overall quality of life of those affected. A total of 125 patients diagnosed with epilepsy were recruited from the outpatient care in the Neurology Clinic at the University Clinical Centre of Kosovo, over a 3-month period (October 2023 to December 2023). The Beck Depression Inventory was used to measure the severity of depressive symptoms in these participants. In this study, we observed that 75% of women and 61.4% of men reported mild, moderate, or severe depressive symptoms. According to the severity of depressive symptoms, participants with generalized epilepsy were more likely to report severe depressive symptoms. They represented 59.0% of the participants reporting mild depressive symptoms, 61.5% of the participants reporting moderate depressive symptoms, and 47.6% of the participants reporting severe depression. Assessing and addressing depressive symptoms in individuals with epilepsy through a multidimensional approach and standardized methods is a critical aspect of providing quality care for all patients.
{"title":"The use of Beck Depression Inventory for assessment of depressive symptoms in epilepsy: a single-center experience in Kosovo","authors":"V. Govori, Esra Zhubi, Pranvera Bytyci, Edita Malazogu, Rina Hoxha","doi":"10.4081/itjm.2024.1703","DOIUrl":"https://doi.org/10.4081/itjm.2024.1703","url":null,"abstract":"Depressive disorders are common comorbidities in people living with epilepsy, and they can have a profound effect on both the course of epilepsy and the overall quality of life of those affected. A total of 125 patients diagnosed with epilepsy were recruited from the outpatient care in the Neurology Clinic at the University Clinical Centre of Kosovo, over a 3-month period (October 2023 to December 2023). The Beck Depression Inventory was used to measure the severity of depressive symptoms in these participants. In this study, we observed that 75% of women and 61.4% of men reported mild, moderate, or severe depressive symptoms. According to the severity of depressive symptoms, participants with generalized epilepsy were more likely to report severe depressive symptoms. They represented 59.0% of the participants reporting mild depressive symptoms, 61.5% of the participants reporting moderate depressive symptoms, and 47.6% of the participants reporting severe depression. Assessing and addressing depressive symptoms in individuals with epilepsy through a multidimensional approach and standardized methods is a critical aspect of providing quality care for all patients.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139836431","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}
F. Iebba, Vera Elena Bottari, Fiorella Di Sora, M. Mallus, R. M. Manfredi, Francesco Prati
Giant cell myocarditis (GCM) is a rare and often fulminant autoimmune disease. The immune-mediated pathogenesis of GCM is also supported by animal models, association with other immunological diseases and therapeutic efficacy of immunosuppressive drugs. The diagnosis of GCM is based on endomyocardial biopsy. GCM is an orphan disease. Heart transplantation is effective but up to 25% of transplanted patients experience disease recurrence. Immunosuppressive drugs have been shown to be potential therapeutic agents for GCM. In the present case report, the prescription of cyclosporine, azathioprine and prednisone resulted in a rapid and prolonged remission in support of the role of a combined immunosuppressive regimen in improving the long-term prognosis of this cardiac pathology.
{"title":"Combined immunosuppressive treatment for giant cell myocarditis: a case report","authors":"F. Iebba, Vera Elena Bottari, Fiorella Di Sora, M. Mallus, R. M. Manfredi, Francesco Prati","doi":"10.4081/itjm.2024.1700","DOIUrl":"https://doi.org/10.4081/itjm.2024.1700","url":null,"abstract":"Giant cell myocarditis (GCM) is a rare and often fulminant autoimmune disease. The immune-mediated pathogenesis of GCM is also supported by animal models, association with other immunological diseases and therapeutic efficacy of immunosuppressive drugs. The diagnosis of GCM is based on endomyocardial biopsy. GCM is an orphan disease. Heart transplantation is effective but up to 25% of transplanted patients experience disease recurrence. Immunosuppressive drugs have been shown to be potential therapeutic agents for GCM. In the present case report, the prescription of cyclosporine, azathioprine and prednisone resulted in a rapid and prolonged remission in support of the role of a combined immunosuppressive regimen in improving the long-term prognosis of this cardiac pathology.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848409","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}
F. Iebba, Vera Elena Bottari, Fiorella Di Sora, M. Mallus, R. M. Manfredi, Francesco Prati
Giant cell myocarditis (GCM) is a rare and often fulminant autoimmune disease. The immune-mediated pathogenesis of GCM is also supported by animal models, association with other immunological diseases and therapeutic efficacy of immunosuppressive drugs. The diagnosis of GCM is based on endomyocardial biopsy. GCM is an orphan disease. Heart transplantation is effective but up to 25% of transplanted patients experience disease recurrence. Immunosuppressive drugs have been shown to be potential therapeutic agents for GCM. In the present case report, the prescription of cyclosporine, azathioprine and prednisone resulted in a rapid and prolonged remission in support of the role of a combined immunosuppressive regimen in improving the long-term prognosis of this cardiac pathology.
{"title":"Combined immunosuppressive treatment for giant cell myocarditis: a case report","authors":"F. Iebba, Vera Elena Bottari, Fiorella Di Sora, M. Mallus, R. M. Manfredi, Francesco Prati","doi":"10.4081/itjm.2024.1700","DOIUrl":"https://doi.org/10.4081/itjm.2024.1700","url":null,"abstract":"Giant cell myocarditis (GCM) is a rare and often fulminant autoimmune disease. The immune-mediated pathogenesis of GCM is also supported by animal models, association with other immunological diseases and therapeutic efficacy of immunosuppressive drugs. The diagnosis of GCM is based on endomyocardial biopsy. GCM is an orphan disease. Heart transplantation is effective but up to 25% of transplanted patients experience disease recurrence. Immunosuppressive drugs have been shown to be potential therapeutic agents for GCM. In the present case report, the prescription of cyclosporine, azathioprine and prednisone resulted in a rapid and prolonged remission in support of the role of a combined immunosuppressive regimen in improving the long-term prognosis of this cardiac pathology.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788662","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}
Anna Danise, Federica Furfaro, Gianni Gattuso, Nicola Lucio Liberato, Clara Mandelli, Giuseppe Mazzola, Bianca Osnaghi
Clostridioides difficile infection (CDI) affects the majority of hospital wards. In the context of a Continuing Medical Education Field Training course, a multidisciplinary group of expert healthcare professionals addressed the issue of CDI, producing a summary document to be submitted to the scientific community. The expert group was composed of healthcare professionals with an internal medicine background (Internal Medicine, Infectious Diseases, Nephrology, Gastroenterology, Geriatrics) with the contribution of a Microbiologist for the laboratory diagnostic aspects. During the draft of the document, various aspects of the problem were evaluated and developed.
{"title":"Clostridioides difficile infection in hospital and community settings: summary document of a multidisciplinary group","authors":"Anna Danise, Federica Furfaro, Gianni Gattuso, Nicola Lucio Liberato, Clara Mandelli, Giuseppe Mazzola, Bianca Osnaghi","doi":"10.4081/itjm.2024.1666","DOIUrl":"https://doi.org/10.4081/itjm.2024.1666","url":null,"abstract":"Clostridioides difficile infection (CDI) affects the majority of hospital wards. In the context of a Continuing Medical Education Field Training course, a multidisciplinary group of expert healthcare professionals addressed the issue of CDI, producing a summary document to be submitted to the scientific community. The expert group was composed of healthcare professionals with an internal medicine background (Internal Medicine, Infectious Diseases, Nephrology, Gastroenterology, Geriatrics) with the contribution of a Microbiologist for the laboratory diagnostic aspects. During the draft of the document, various aspects of the problem were evaluated and developed.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855026","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}
Anna Danise, Federica Furfaro, Gianni Gattuso, Nicola Lucio Liberato, Clara Mandelli, Giuseppe Mazzola, Bianca Osnaghi
Clostridioides difficile infection (CDI) affects the majority of hospital wards. In the context of a Continuing Medical Education Field Training course, a multidisciplinary group of expert healthcare professionals addressed the issue of CDI, producing a summary document to be submitted to the scientific community. The expert group was composed of healthcare professionals with an internal medicine background (Internal Medicine, Infectious Diseases, Nephrology, Gastroenterology, Geriatrics) with the contribution of a Microbiologist for the laboratory diagnostic aspects. During the draft of the document, various aspects of the problem were evaluated and developed.
{"title":"Clostridioides difficile infection in hospital and community settings: summary document of a multidisciplinary group","authors":"Anna Danise, Federica Furfaro, Gianni Gattuso, Nicola Lucio Liberato, Clara Mandelli, Giuseppe Mazzola, Bianca Osnaghi","doi":"10.4081/itjm.2024.1666","DOIUrl":"https://doi.org/10.4081/itjm.2024.1666","url":null,"abstract":"Clostridioides difficile infection (CDI) affects the majority of hospital wards. In the context of a Continuing Medical Education Field Training course, a multidisciplinary group of expert healthcare professionals addressed the issue of CDI, producing a summary document to be submitted to the scientific community. The expert group was composed of healthcare professionals with an internal medicine background (Internal Medicine, Infectious Diseases, Nephrology, Gastroenterology, Geriatrics) with the contribution of a Microbiologist for the laboratory diagnostic aspects. During the draft of the document, various aspects of the problem were evaluated and developed.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795324","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 review, we discuss the management of burn patients in the emergency room. Burn injury is characterized by a hypermetabolic response with physiological, catabolic and immune effects. The treatment of burns requires a multidisciplinary approach and a proper management able to reduce both the damage and the risk of infections. The management of a burn patient begins with a primary evaluation: i) maintaining a high index of suspicion for the presence of airway compromise following smoke inhalation and secondary to burn edema; ii) identifying and managing associated mechanical injuries; maintaining hemodynamic normality with volume resuscitation; iii) controlling temperature; iv) removing the patient from the injurious environment. Secondary evaluation holds fundamental importance and is carried out through the head-to-foot objective examination and diagnostic investigations as well as the wound dressing. Clinicians also must take measures to prevent and treat the potential complications of specific burn injuries (e.g., compartment syndromes). The role of this article is to highlight some quick and effective guidelines for the management of burn patients in the early stages, within the emergency room, before the transfer to the burn unit.
{"title":"Management of acute-phase burn patients in emergency department","authors":"Chiara Busti, Roberto Marchetti, Manuel Monti","doi":"10.4081/itjm.2024.1698","DOIUrl":"https://doi.org/10.4081/itjm.2024.1698","url":null,"abstract":"In this review, we discuss the management of burn patients in the emergency room. Burn injury is characterized by a hypermetabolic response with physiological, catabolic and immune effects. The treatment of burns requires a multidisciplinary approach and a proper management able to reduce both the damage and the risk of infections. The management of a burn patient begins with a primary evaluation: i) maintaining a high index of suspicion for the presence of airway compromise following smoke inhalation and secondary to burn edema; ii) identifying and managing associated mechanical injuries; maintaining hemodynamic normality with volume resuscitation; iii) controlling temperature; iv) removing the patient from the injurious environment. Secondary evaluation holds fundamental importance and is carried out through the head-to-foot objective examination and diagnostic investigations as well as the wound dressing. Clinicians also must take measures to prevent and treat the potential complications of specific burn injuries (e.g., compartment syndromes). The role of this article is to highlight some quick and effective guidelines for the management of burn patients in the early stages, within the emergency room, before the transfer to the burn unit.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139860403","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 review, we discuss the management of burn patients in the emergency room. Burn injury is characterized by a hypermetabolic response with physiological, catabolic and immune effects. The treatment of burns requires a multidisciplinary approach and a proper management able to reduce both the damage and the risk of infections. The management of a burn patient begins with a primary evaluation: i) maintaining a high index of suspicion for the presence of airway compromise following smoke inhalation and secondary to burn edema; ii) identifying and managing associated mechanical injuries; maintaining hemodynamic normality with volume resuscitation; iii) controlling temperature; iv) removing the patient from the injurious environment. Secondary evaluation holds fundamental importance and is carried out through the head-to-foot objective examination and diagnostic investigations as well as the wound dressing. Clinicians also must take measures to prevent and treat the potential complications of specific burn injuries (e.g., compartment syndromes). The role of this article is to highlight some quick and effective guidelines for the management of burn patients in the early stages, within the emergency room, before the transfer to the burn unit.
{"title":"Management of acute-phase burn patients in emergency department","authors":"Chiara Busti, Roberto Marchetti, Manuel Monti","doi":"10.4081/itjm.2024.1698","DOIUrl":"https://doi.org/10.4081/itjm.2024.1698","url":null,"abstract":"In this review, we discuss the management of burn patients in the emergency room. Burn injury is characterized by a hypermetabolic response with physiological, catabolic and immune effects. The treatment of burns requires a multidisciplinary approach and a proper management able to reduce both the damage and the risk of infections. The management of a burn patient begins with a primary evaluation: i) maintaining a high index of suspicion for the presence of airway compromise following smoke inhalation and secondary to burn edema; ii) identifying and managing associated mechanical injuries; maintaining hemodynamic normality with volume resuscitation; iii) controlling temperature; iv) removing the patient from the injurious environment. Secondary evaluation holds fundamental importance and is carried out through the head-to-foot objective examination and diagnostic investigations as well as the wound dressing. Clinicians also must take measures to prevent and treat the potential complications of specific burn injuries (e.g., compartment syndromes). The role of this article is to highlight some quick and effective guidelines for the management of burn patients in the early stages, within the emergency room, before the transfer to the burn unit.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139800573","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}
Gordana Dželetović, Aleksandar Jovanovic, Tatjana Novakovic, Snežana R. Markovic-Jovanovic, Emilija Novaković, Anja Dzeletovic, Milena Lukić, Biljana Kostic-Inic, Sanja Jovanovic, Miljan Jankovic
The link between obesity, diabetes and bone metabolism is quite complex and not entirely clear. Although many clinical and epidemiological studies demonstrate that obesity enhances bone mineral density, its effect on bone microarchitecture is uncertain. The objective of this study was to examine the bone microarchitecture in obese patients with and without diabetes. The study included 119 individuals with ages from 30 to 50. Participants were divided into three groups: obese patients, obese diabetic patients, and a healthy control group. Results showed that obesity has a positive effect on trabecular bone score (TBS). Diabetes and obesity have a significant interactive impact on bone microarchitecture (TBS). Furthermore, HbA1c influences TBS in both obese diabetic patients and obese non-diabetic subjects. In contrast to the majority of studies, we found that obesity positively influenced TBS. TBS was inversely related to HbA1c levels in obese type 2 diabetics. Diabetes and obesity have a significant interactive impact on bone structure, in particular on bone microarchitecture.
{"title":"Trabecular bone score in obese patients with and without diabetes","authors":"Gordana Dželetović, Aleksandar Jovanovic, Tatjana Novakovic, Snežana R. Markovic-Jovanovic, Emilija Novaković, Anja Dzeletovic, Milena Lukić, Biljana Kostic-Inic, Sanja Jovanovic, Miljan Jankovic","doi":"10.4081/itjm.2024.1696","DOIUrl":"https://doi.org/10.4081/itjm.2024.1696","url":null,"abstract":"The link between obesity, diabetes and bone metabolism is quite complex and not entirely clear. Although many clinical and epidemiological studies demonstrate that obesity enhances bone mineral density, its effect on bone microarchitecture is uncertain. The objective of this study was to examine the bone microarchitecture in obese patients with and without diabetes. The study included 119 individuals with ages from 30 to 50. Participants were divided into three groups: obese patients, obese diabetic patients, and a healthy control group. Results showed that obesity has a positive effect on trabecular bone score (TBS). Diabetes and obesity have a significant interactive impact on bone microarchitecture (TBS). Furthermore, HbA1c influences TBS in both obese diabetic patients and obese non-diabetic subjects. In contrast to the majority of studies, we found that obesity positively influenced TBS. TBS was inversely related to HbA1c levels in obese type 2 diabetics. Diabetes and obesity have a significant interactive impact on bone structure, in particular on bone microarchitecture.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862788","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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