Dear Editor, the first antidepressant medication of the serotonin-norepinephrine reuptake inhibitor class is venlafaxine (effexor), which is taken orally with a half-life of 5 hours; however, its effective and chief metabolite (i.e., O-desmethylvenlafaxine) owns a half-life of 11 hours. [...]
{"title":"Age- and dose-independent adverse effect of venlafaxine-extended release on blood pressure: a case series of 13 normotensive psychiatric outpatients","authors":"M. Khosravi","doi":"10.4081/itjm.2024.1758","DOIUrl":"https://doi.org/10.4081/itjm.2024.1758","url":null,"abstract":"Dear Editor, the first antidepressant medication of the serotonin-norepinephrine reuptake inhibitor class is venlafaxine (effexor), which is taken orally with a half-life of 5 hours; however, its effective and chief metabolite (i.e., O-desmethylvenlafaxine) owns a half-life of 11 hours. [...]","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"84 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662883","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}
Presentazione. La prevenzione è curaF. Dentali, S. Rotunno La comunicazione del rischio in prevenzione primaria, secondaria e terziariaG. Pinna Perché gli internisti ospedalieri si devono occupare di prevenzione?L. Lenzi, E. Schiavetta L’aspettativa di vita in Italia: cosa sta cambiando e perchéA. Grasso, F. Tangianu Il ruolo dell’infermiere nella prevenzione delle malattie cronicheL. Tesei, E. Perri, M. Accogli Focus: le carte del rischio cardiovascolare sono adeguate per i nostri pazienti?R. Calarco, G. Vurchio, D. Carrara Sindrome metabolica: quali strategie?G. Fontana, D. Romanello Il prediabete: l’iperglicemia intermedia può diventare un fattore preventivo di patologia?T.M. Attardo, L. Fontanella, V. Della Chiara Obesità e dislipidemia: una liaison non sempre obbligataF. Lorenzi, G.M. Pontesilli Malattia epatica associata a disfunzione metabolica e steatoepatite associata a disfunzione metabolica: possibile prevenzione dei fattori di rischioM. Spadaro, A.F.M. Vainieri Sigarette elettroniche e patologie respiratorie croniche: cosa sappiamo e cosa dovremmo sapereO. Para, G. Cassataro, A. Puggioni Scompenso cardiaco. Possibile parlare di prevenzione?N. Tarquinio, M.G. Coppola Prevenzione di genere: focus sulle malattie cardiacheT. Ciarambino, D. Addesi, P. Crispino Dieta mediterranea e prevenzione cardiovascolareM. Guadagni, E. Panizon, C. Tieri Interventi di prevenzione nelle malattie muscolo-scheletricheA. Migliore, N. Iannarelli, U. Massafra Attività fisica: come, quando e perchéR. Buso, A. Abenante, C. Nardin, L. Tonon Malattie infettive, scenari antichi, nuove emergenze: la vaccinazione nella popolazione generale e nel paziente complessoE. Pistella, M. Nardi Le buone regole di prevenzione FADOI: quando la prevenzione è curaO. Para, L. Lenzi, M. Guadagni, T. Ciarambino, M.G. Coppola, S. Rotunno, P. Gnerre
发言。预防就是治疗F.Dentali, S. Rotunno一级、二级和三级预防中的风险交流G.L.Lenzi、E.Schiavetta意大利人的预期寿命：什么是预防？Lenzi, E. Schiavetta意大利人的预期寿命：正在发生的变化及原因A.Grasso，F. Tangianu护士在慢性病预防中的作用L.Tesei、E. Perri、M. Accogli焦点：心血管风险图对我们的病人来说足够吗？Calarco、G. Vurchio、D. Carrara代谢综合征：哪些策略？T.M. Attardo、L. Fontanella、V. Della Chiara肥胖和血脂异常：并非总是必须的联系F.Lorenzi, G.M. Pontesilli与代谢功能障碍相关的肝病和与代谢功能障碍相关的脂肪性肝炎：风险因素的可能预防M.Spadaro, A. F. M. Vainieri电子香烟与慢性呼吸系统疾病：我们知道什么，我们应该知道什么O.Para、G. Cassataro、A. Puggioni心脏失代偿。是否可以谈论预防？Tarquinio、M.G. Coppola性别预防：关注心脏病T.Ciarambino, D. Addesi, P. Crispino地中海饮食与心血管预防M.Guadagni、E. Panizon、C. Tieri肌肉骨骼疾病的预防干预A.Migliore、N. Iannarelli、U. Massafra体力活动：如何、何时和为何R.Buso、A. Abenante、C. Nardin、L. Tonon传染病、旧情景、新紧急情况：普通人群和复杂病人的疫苗接种E.Pistella, M. Nardi良好预防规则 FADOI：预防就是治疗O.Para, L. Lenzi, M. Guadagni, T. Ciarambino, M.G. Coppola, S. Rotunno, P. Gnerre
{"title":"La sfida della prevenzione in medicina interna: a call for action","authors":"Francesco Dentali, Sara Rotunno","doi":"10.4081/itjm.q.2024.4","DOIUrl":"https://doi.org/10.4081/itjm.q.2024.4","url":null,"abstract":"\u0000Presentazione. La prevenzione è curaF. Dentali, S. Rotunno\u0000La comunicazione del rischio in prevenzione primaria, secondaria e terziariaG. Pinna\u0000Perché gli internisti ospedalieri si devono occupare di prevenzione?L. Lenzi, E. Schiavetta\u0000L’aspettativa di vita in Italia: cosa sta cambiando e perchéA. Grasso, F. Tangianu\u0000Il ruolo dell’infermiere nella prevenzione delle malattie cronicheL. Tesei, E. Perri, M. Accogli\u0000Focus: le carte del rischio cardiovascolare sono adeguate per i nostri pazienti?R. Calarco, G. Vurchio, D. Carrara\u0000Sindrome metabolica: quali strategie?G. Fontana, D. Romanello\u0000Il prediabete: l’iperglicemia intermedia può diventare un fattore preventivo di patologia?T.M. Attardo, L. Fontanella, V. Della Chiara\u0000Obesità e dislipidemia: una liaison non sempre obbligataF. Lorenzi, G.M. Pontesilli\u0000Malattia epatica associata a disfunzione metabolica e steatoepatite associata a disfunzione metabolica: possibile prevenzione dei fattori di rischioM. Spadaro, A.F.M. Vainieri\u0000Sigarette elettroniche e patologie respiratorie croniche: cosa sappiamo e cosa dovremmo sapereO. Para, G. Cassataro, A. Puggioni\u0000Scompenso cardiaco. Possibile parlare di prevenzione?N. Tarquinio, M.G. Coppola\u0000Prevenzione di genere: focus sulle malattie cardiacheT. Ciarambino, D. Addesi, P. Crispino\u0000Dieta mediterranea e prevenzione cardiovascolareM. Guadagni, E. Panizon, C. Tieri\u0000Interventi di prevenzione nelle malattie muscolo-scheletricheA. Migliore, N. Iannarelli, U. Massafra\u0000Attività fisica: come, quando e perchéR. Buso, A. Abenante, C. Nardin, L. Tonon\u0000Malattie infettive, scenari antichi, nuove emergenze: la vaccinazione nella popolazione generale e nel paziente complessoE. Pistella, M. Nardi\u0000Le buone regole di prevenzione FADOI: quando la prevenzione è curaO. Para, L. Lenzi, M. Guadagni, T. Ciarambino, M.G. Coppola, S. Rotunno, P. Gnerre","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"17 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664886","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}
Nguyen Minh An, Ngo Trung Kiên, Nguyen Van Duc, Vo Hoang Long
Based on a retrospective hospital-based analysis, this study examines the results of retroperitoneal laparoscopic radical nephrectomy for patients with T1-T2 renal cell carcinoma (RCC) from January 2019 to December 2023. Of the 73 patients, 4.1% had TNM stage II tumors and 95.8% had TNM stage I tumors (53.4% T1a and 42.4% T1b). In terms of frequency, clear cell RCC accounted for 84.9%, with papillary RCC coming in at 9.6% and chromophobe RCC at 4.1%. Following surgery, four patients experienced fevers, one needed a blood transfusion, two had infections, and one had emergency surgery. Lumbar masses and hematuria were absent in all patients. Subsequent metastatic lesions and abnormalities of the renal fossa were not observed on follow-up ultrasounds. 4.1% of the deaths after 25.9 months were due to the disease, and 1.4% were caused by accidents. At one, two, three, and four years, the cumulative survival rates were 100%, 97.2%, and 92.8%, respectively. 48.1 months was the mean postoperative survival period. For RCC stages T1-2, retroperitoneal laparoscopic radical nephrectomy offers significant benefits and comparable results to open surgery.
{"title":"Retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cancer: a 5-year single-center experience in resource-scare setting","authors":"Nguyen Minh An, Ngo Trung Kiên, Nguyen Van Duc, Vo Hoang Long","doi":"10.4081/itjm.2024.1764","DOIUrl":"https://doi.org/10.4081/itjm.2024.1764","url":null,"abstract":"Based on a retrospective hospital-based analysis, this study examines the results of retroperitoneal laparoscopic radical nephrectomy for patients with T1-T2 renal cell carcinoma (RCC) from January 2019 to December 2023. Of the 73 patients, 4.1% had TNM stage II tumors and 95.8% had TNM stage I tumors (53.4% T1a and 42.4% T1b). In terms of frequency, clear cell RCC accounted for 84.9%, with papillary RCC coming in at 9.6% and chromophobe RCC at 4.1%. Following surgery, four patients experienced fevers, one needed a blood transfusion, two had infections, and one had emergency surgery. Lumbar masses and hematuria were absent in all patients. Subsequent metastatic lesions and abnormalities of the renal fossa were not observed on follow-up ultrasounds. 4.1% of the deaths after 25.9 months were due to the disease, and 1.4% were caused by accidents. At one, two, three, and four years, the cumulative survival rates were 100%, 97.2%, and 92.8%, respectively. 48.1 months was the mean postoperative survival period. For RCC stages T1-2, retroperitoneal laparoscopic radical nephrectomy offers significant benefits and comparable results to open surgery.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"116 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666684","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}
P. Pisanu, Nicolò Contu, Cristiana Picciau, Stefano Milighetti, Emiliano Deiana, Valeria Vannucci, Benedetta Centonze, Sara Pirastru, Sinai Del Carmen Fabriani Sanchez, Dario Lucchetti
Planning an immediate and multidisciplinary rehabilitation is crucial to reduce the significant physical, cognitive, and psychosocial impact resulting from head trauma. This study highlights the importance of ongoing cognitive rehabilitation in conjunction with other rehabilitation therapies, such as motor, occupational, and speech therapy, for a 19-year-old woman who suffered an acquired traumatic brain injury in a high-energy vehicle accident. When the patient was admitted to the hospital, their cognitive functioning (LCF) was 4 (confused-agitated state), their Barthel index was 0, their Glasgow coma scale (GCS) was 7, and their disability rating scale (DRS) was 7. The patient’s cognitive functioning improved to LCF 8 (purposeful-appropriate), numerical rating scale: 0/10, Barthel index: 53, GCS:15, and DRS: 5 at the time of discharge from the neurorehabilitation unit. In conclusion, early cognitive intervention in a multidisciplinary rehabilitation program is essential to maximizing the patient’s potential and improving the rehabilitation’s outcome.
{"title":"The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description","authors":"P. Pisanu, Nicolò Contu, Cristiana Picciau, Stefano Milighetti, Emiliano Deiana, Valeria Vannucci, Benedetta Centonze, Sara Pirastru, Sinai Del Carmen Fabriani Sanchez, Dario Lucchetti","doi":"10.4081/itjm.2024.1763","DOIUrl":"https://doi.org/10.4081/itjm.2024.1763","url":null,"abstract":"Planning an immediate and multidisciplinary rehabilitation is crucial to reduce the significant physical, cognitive, and psychosocial impact resulting from head trauma. This study highlights the importance of ongoing cognitive rehabilitation in conjunction with other rehabilitation therapies, such as motor, occupational, and speech therapy, for a 19-year-old woman who suffered an acquired traumatic brain injury in a high-energy vehicle accident. When the patient was admitted to the hospital, their cognitive functioning (LCF) was 4 (confused-agitated state), their Barthel index was 0, their Glasgow coma scale (GCS) was 7, and their disability rating scale (DRS) was 7. The patient’s cognitive functioning improved to LCF 8 (purposeful-appropriate), numerical rating scale: 0/10, Barthel index: 53, GCS:15, and DRS: 5 at the time of discharge from the neurorehabilitation unit. In conclusion, early cognitive intervention in a multidisciplinary rehabilitation program is essential to maximizing the patient’s potential and improving the rehabilitation’s outcome.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"123 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667699","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}
Clelia Nasti, Raffaele Natale, Annadora Morena, Roberta Della Pepa, Fabrizio Pasanisi, L. Santarpia
A 75-year-old woman presented asthenia and anemia after recurrent intestinal bleeding. Colonoscopy showed the presence of blood clots in the ascending colon, without active bleeding. During hospitalization, right toe cyanosis progressed to ischemic necrosis and was resistant to analgesics and vasodilators. The positron emission tomography-computed tomography scan showed a nodular thickening in the midfield of the right lung. Blood chemistry evidenced an Immunoglobulin (Ig) G-λ monoclonal peak. Multiple myeloma (MM) was diagnosed by bone marrow biopsy and serum/urine Ig-free chain dosage. The patient no longer had intestinal bleeding after the first MM chemotherapy (CHT). After 6 months of CHT, a partial hematological response and peripheral vascular improvement occurred. Extremely rare conditions may result in MM. In this case report, seemingly unrelated atypical manifestations co-existed and responded to hematological CHT for MM, confirming their association with the disease.
一名 75 岁的妇女在反复肠道出血后出现气喘和贫血。结肠镜检查显示升结肠有血凝块，但没有活动性出血。住院期间，右脚趾发绀发展为缺血性坏死，对止痛药和血管扩张剂产生耐药性。正电子发射计算机断层扫描显示，患者右肺中场有结节状增厚。血液生化检查显示免疫球蛋白（Ig）G-λ单克隆峰。通过骨髓活检和血清/尿液无Ig链剂量，确诊为多发性骨髓瘤（MM）。首次 MM 化疗（CHT）后，患者不再出现肠道出血。6 个月的 CHT 后，患者出现了部分血液学反应和外周血管改善。极其罕见的情况也可能导致 MM。在本病例报告中，看似无关的非典型表现同时存在，并对 MM 的血液学 CHT 有反应，证实了它们与该疾病的关联。
{"title":"A rare case of multiple myeloma with several atypical manifestations","authors":"Clelia Nasti, Raffaele Natale, Annadora Morena, Roberta Della Pepa, Fabrizio Pasanisi, L. Santarpia","doi":"10.4081/itjm.2024.1760","DOIUrl":"https://doi.org/10.4081/itjm.2024.1760","url":null,"abstract":"A 75-year-old woman presented asthenia and anemia after recurrent intestinal bleeding. Colonoscopy showed the presence of blood clots in the ascending colon, without active bleeding. During hospitalization, right toe cyanosis progressed to ischemic necrosis and was resistant to analgesics and vasodilators. The positron emission tomography-computed tomography scan showed a nodular thickening in the midfield of the right lung. Blood chemistry evidenced an Immunoglobulin (Ig) G-λ monoclonal peak. Multiple myeloma (MM) was diagnosed by bone marrow biopsy and serum/urine Ig-free chain dosage. The patient no longer had intestinal bleeding after the first MM chemotherapy (CHT). After 6 months of CHT, a partial hematological response and peripheral vascular improvement occurred. Extremely rare conditions may result in MM. In this case report, seemingly unrelated atypical manifestations co-existed and responded to hematological CHT for MM, confirming their association with the disease.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141677525","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}
Dao Xuan Hai, P. M. Thong, Dong-Van He, L. Dung, Duong Duc Hung, Nguyen-Thi Huyen, Nguyen Minh Duc
The study evaluates chronic subdural hematoma (cSDH) middle meningeal artery (MMA) embolization efficacy and safety. A prospective interventional study was conducted in Viet Duc Hospital from November 2021 to April 2024. All consecutive cSDH MMA embolization patients were included. Clinical and imaging data were collected before and one month after treatment. The study included 31 42-cSDH patients. Of these, 25.8% had hematoma evacuation, 83.9% were treated with surgery and embolization, and 16.1% with embolization alone. 92.9% of procedures used polyvinyl alcohol particles. The success rate was 92.9% and complications 7.1%. Asymptomatic external carotid artery vasospasm and MMA rupture occurred. Functional improvement occurred in 91.7% of patients one month after treatment. Significantly lower mean modified Rankin Scale (mRS) score (0.2±0.7 vs. 1.7±0.9; P=0.000) and higher proportion of patients with ≤2 mRS score (95.8% vs. 74.1%) were observed after treatment. Hematoma thickness decreased significantly (P=0.00) from 21.5±7.9 mm to 8.3±4.1 mm. The midline shift decreased significantly from 7.4±5.0 mm to 0.7±1.2 mm (P=0.00). Just one patient (4.2%) needed surgery. MMA embolization alone or with surgery appears to treat cSDH safely and effectively.
该研究评估了慢性硬膜下血肿（cSDH）脑膜中动脉（MMA）栓塞的有效性和安全性。这项前瞻性介入研究于 2021 年 11 月至 2024 年 4 月在越德医院进行。研究纳入了所有连续接受 cSDH 脑膜中动脉栓塞治疗的患者。收集了治疗前和治疗后一个月的临床和影像学数据。研究共纳入 31 42 例 cSDH 患者。其中，25.8%的患者进行了血肿清除，83.9%的患者接受了手术和栓塞治疗，16.1%的患者仅接受了栓塞治疗。92.9%的手术使用了聚乙烯醇颗粒。成功率为 92.9%，并发症为 7.1%。无症状的颈外动脉血管痉挛和MMA破裂时有发生。91.7%的患者在治疗一个月后功能得到改善。治疗后，平均改良Rankin量表（mRS）评分显著降低（0.2±0.7 vs. 1.7±0.9；P=0.000），mRS评分≤2分的患者比例增加（95.8% vs. 74.1%）。血肿厚度从 21.5±7.9 mm 显著降至 8.3±4.1 mm（P=0.00）。中线移位从 7.4±5.0 mm 明显降低到 0.7±1.2 mm（P=0.00）。只有一名患者（4.2%）需要手术治疗。单用 MMA 栓塞或配合手术似乎能安全有效地治疗 cSDH。
{"title":"Outcomes of middle meningeal artery embolization for treating chronic subdural hematoma","authors":"Dao Xuan Hai, P. M. Thong, Dong-Van He, L. Dung, Duong Duc Hung, Nguyen-Thi Huyen, Nguyen Minh Duc","doi":"10.4081/itjm.2024.1759","DOIUrl":"https://doi.org/10.4081/itjm.2024.1759","url":null,"abstract":"The study evaluates chronic subdural hematoma (cSDH) middle meningeal artery (MMA) embolization efficacy and safety. A prospective interventional study was conducted in Viet Duc Hospital from November 2021 to April 2024. All consecutive cSDH MMA embolization patients were included. Clinical and imaging data were collected before and one month after treatment. The study included 31 42-cSDH patients. Of these, 25.8% had hematoma evacuation, 83.9% were treated with surgery and embolization, and 16.1% with embolization alone. 92.9% of procedures used polyvinyl alcohol particles. The success rate was 92.9% and complications 7.1%. Asymptomatic external carotid artery vasospasm and MMA rupture occurred. Functional improvement occurred in 91.7% of patients one month after treatment. Significantly lower mean modified Rankin Scale (mRS) score (0.2±0.7 vs. 1.7±0.9; P=0.000) and higher proportion of patients with ≤2 mRS score (95.8% vs. 74.1%) were observed after treatment. Hematoma thickness decreased significantly (P=0.00) from 21.5±7.9 mm to 8.3±4.1 mm. The midline shift decreased significantly from 7.4±5.0 mm to 0.7±1.2 mm (P=0.00). Just one patient (4.2%) needed surgery. MMA embolization alone or with surgery appears to treat cSDH safely and effectively.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"217 S708","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141681560","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}
Dear Editor, Since 2011, the Internal Medical Unit of Ospedale dell’Angelo, Mestre, has been equipped with an area of eight beds which served as a short-stay unit called area di accoglimento e degenza breve (area of admission and short-term care, ADB). All patients coming from the emergency room (99%) passed through the ADB area. Here, doctors and nurses carried out an initial clinical care triage to identify patients with features that made the discharge possible within 72 hours. [...]
亲爱的编辑，自 2011 年起，梅斯特雷德尔安杰洛医院（Ospedale dell'Angelo，Mestre）的内科医疗室配备了一个拥有八张病床的区域，作为一个名为 "入院和短期护理区"（area di accoglimento e degenza breve，ADB）的短期病房。所有来自急诊室的病人（99%）都要经过 ADB 区。在这里，医生和护士进行初步的临床护理分流，以确定患者是否具备在 72 小时内出院的特征。[...]
{"title":"Area of admission and short-term care: is it still possible after the COVID pandemic?","authors":"Francesco Serafini, Elia Vettore, Fabio Presotto","doi":"10.4081/itjm.2024.1746","DOIUrl":"https://doi.org/10.4081/itjm.2024.1746","url":null,"abstract":"Dear Editor, Since 2011, the Internal Medical Unit of Ospedale dell’Angelo, Mestre, has been equipped with an area of eight beds which served as a short-stay unit called area di accoglimento e degenza breve (area of admission and short-term care, ADB). All patients coming from the emergency room (99%) passed through the ADB area. Here, doctors and nurses carried out an initial clinical care triage to identify patients with features that made the discharge possible within 72 hours. [...]","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"17 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141355818","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}
Roberta Panarelli, Cosima Caputo, Giovanna Cavino, Antonio Scarpa, Lucia Giordano, Pasquale Palmiero
The epidemic of chronic cardiovascular diseases must be managed and prevented. We examine if a sample of 65-75-yearolds knows and practices the right lifestyles to prevent chronic cardiovascular diseases, their habits and risk levels, and whether the paradigm of cardiovascular prevention needs to change. We recruited 153 men (50.2%) and 152 women (49.8%), aged 65- 70 for 55% and 71-75 for 45%. Most were overweight (38.2%), obese (28.2%), and normal (33.6%). 67.1% trusted to eat right, and only 20.6% always ate low-salt. 54.4% of our population considers their exercise sufficient, but 83% do not practice it, and 72.3% know the importance of daily exercise. 54.3% consider themselves healthy, but 51% have chronic diseases, including arterial hypertension (37.2%), diabetes (23.1%), heart failure (20.5%), and chronic obstructive bronchopathy (21.8%). Understanding the disease, its effects, and complications, and taking care of one’s health can help people live longer and prevent cardiovascular events.
{"title":"Primary prevention of cardiovascular diseases in the elderly population","authors":"Roberta Panarelli, Cosima Caputo, Giovanna Cavino, Antonio Scarpa, Lucia Giordano, Pasquale Palmiero","doi":"10.4081/itjm.2024.1730","DOIUrl":"https://doi.org/10.4081/itjm.2024.1730","url":null,"abstract":"The epidemic of chronic cardiovascular diseases must be managed and prevented. We examine if a sample of 65-75-yearolds knows and practices the right lifestyles to prevent chronic cardiovascular diseases, their habits and risk levels, and whether the paradigm of cardiovascular prevention needs to change. We recruited 153 men (50.2%) and 152 women (49.8%), aged 65- 70 for 55% and 71-75 for 45%. Most were overweight (38.2%), obese (28.2%), and normal (33.6%). 67.1% trusted to eat right, and only 20.6% always ate low-salt. 54.4% of our population considers their exercise sufficient, but 83% do not practice it, and 72.3% know the importance of daily exercise. 54.3% consider themselves healthy, but 51% have chronic diseases, including arterial hypertension (37.2%), diabetes (23.1%), heart failure (20.5%), and chronic obstructive bronchopathy (21.8%). Understanding the disease, its effects, and complications, and taking care of one’s health can help people live longer and prevent cardiovascular events.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140963363","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}
Vittoria Gammaldi, Anna Guida, C. Bologna, Antonietta De Sena, M. Lugará, Claudio De Luca, Fabio Granato Corigliano, Mariavittoria Guerra, Gabriella Oliva, Luca Mocerino, A. Zarrella, Maria Gabriella Coppola, Vincenzo Nuzzo, Paolo Tirelli, P. Madonna
The rare hemorrhagic disorder known as acquired hemophilia A (AHA) is brought on by the spontaneous development of autoantibodies against coagulation factor VIII (FVIII). It may be secondary to autoimmune diseases or cancers, or it may be idiopathic. Less than 10% of cases may have an infection as a secondary cause. We present the case of a 90-year-old anemic woman who was admitted to the hospital. She contracted a urinary tract infection (UTI) while in the hospital, and her urine took on a distinct purple hue. She had poor hemorrhagic manifestations and a prolonged partial thromboplastin time. After ruling out autoimmune and neoplastic causes, we diagnosed AHA as a result of a UTI caused by Enterococcus faecalis.
获得性血友病 A（AHA）是一种罕见的出血性疾病，是由针对凝血因子 VIII（FVIII）的自身抗体自发形成的。它可能继发于自身免疫性疾病或癌症，也可能是特发性的。不到 10%的病例可能继发于感染。我们为您介绍一例入院的 90 岁贫血妇女的病例。她在住院期间感染了尿路感染（UTI），尿液呈明显的紫色。她的出血性表现不佳，部分凝血活酶时间延长。在排除了自身免疫性疾病和肿瘤性疾病的病因后，我们诊断出 AHA 是由粪肠球菌引起的尿路感染所致。
{"title":"Acquired hemophilia A in a case of purple urine bag syndrome","authors":"Vittoria Gammaldi, Anna Guida, C. Bologna, Antonietta De Sena, M. Lugará, Claudio De Luca, Fabio Granato Corigliano, Mariavittoria Guerra, Gabriella Oliva, Luca Mocerino, A. Zarrella, Maria Gabriella Coppola, Vincenzo Nuzzo, Paolo Tirelli, P. Madonna","doi":"10.4081/itjm.2024.1713","DOIUrl":"https://doi.org/10.4081/itjm.2024.1713","url":null,"abstract":"The rare hemorrhagic disorder known as acquired hemophilia A (AHA) is brought on by the spontaneous development of autoantibodies against coagulation factor VIII (FVIII). It may be secondary to autoimmune diseases or cancers, or it may be idiopathic. Less than 10% of cases may have an infection as a secondary cause. We present the case of a 90-year-old anemic woman who was admitted to the hospital. She contracted a urinary tract infection (UTI) while in the hospital, and her urine took on a distinct purple hue. She had poor hemorrhagic manifestations and a prolonged partial thromboplastin time. After ruling out autoimmune and neoplastic causes, we diagnosed AHA as a result of a UTI caused by Enterococcus faecalis.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"16 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140966767","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}
M. Moroni, Massimo Melo, Raffaella Antonione, Massimo Fantoni, Roberto Luzzati, Massimiliano Lanzafame, Rita Murri, Fabio Gilioli, Francesco Dentali, Dario Manfellotto, Biancamaria Fraccaro, Luigi Patil
Introduzione Survey intersocietaria SICP-SIMIT-FADOI-SIMG La febbre in un contesto clinico di fine vita Peculiarità dei principali setting di cura Principali quadri sindromici nei pazienti a fine vita e indicazioni terapeutiche Antibiotici in infusione continua endovena o per via sottocutanea Bibliografia
{"title":"Uso degli antibiotici nel fine vita","authors":"M. Moroni, Massimo Melo, Raffaella Antonione, Massimo Fantoni, Roberto Luzzati, Massimiliano Lanzafame, Rita Murri, Fabio Gilioli, Francesco Dentali, Dario Manfellotto, Biancamaria Fraccaro, Luigi Patil","doi":"10.4081/itjm.q.2024.3","DOIUrl":"https://doi.org/10.4081/itjm.q.2024.3","url":null,"abstract":"\u0000Introduzione \u0000Survey intersocietaria SICP-SIMIT-FADOI-SIMG \u0000La febbre in un contesto clinico di fine vita \u0000Peculiarità dei principali setting di cura \u0000Principali quadri sindromici nei pazienti a fine vita e indicazioni terapeutiche \u0000Antibiotici in infusione continua endovena o per via sottocutanea \u0000Bibliografia","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"34 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140968809","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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