Journal of Advanced Health Care最新文献

{"title":"Implementation of the 2015 Guidelines on the standardization of protocols in Radiological Diagnostics in the ASL BT","authors":"Claudia Ferraro, Samantha Cornacchia, Giuseppe Walter Antonucci, Maria Urbano, Giuseppe Guglielmi","doi":"10.36017/jahc202351131","DOIUrl":"https://doi.org/10.36017/jahc202351131","url":null,"abstract":"Drafting of standardized protocols referring to standard patients according to the 2015 National Guidelines, each of which will be associated with a dose index (“dose class”), pursuant to Legislative Decree 101/2020, article 161, paragraph No. 6.study, data were collected from the execution on at least 5 patients of the practices admitted to standardization, for each hospital belonging to the ASL BT, using a CR detector and the values of the set parameters were recorded (kV, mA, exposure time, fi e-bed distance, focus-detector distance, field size, SEV, use or not of the AEC, possible use of the anti-diffusion grid). For each protocol, the associated effective dose was then calculated and the corresponding dose class assigned.Starting from the analysis of the data, 33 standard protocols were proposed for the execution of bone densitometric radiographic examinations, with a single densitometric model, and traditional radiology with two different OPT equipment and a remote-controlled model, installed in the ASL BT facilities.The study represents the proposal of 33 standard protocols for the execution of radiological examinations on the examined equipment, for each of which the associated dose class has been verified, which agrees with the reference one. Starting from the protocols obtained, it has been shown that the use of AEC involves a dose saving for the patient. In the ASL BT it is therefore possible to proceed with the implementation of the Guidelines.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950970","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}

{"title":"Comparison of two pre-treatment verification methods for arc – IMRT plans","authors":"Marianna Aromando, Samantha Cornacchia, Marialuisa Doronzo, Maria Urbano, Giuseppe Guglielmi","doi":"10.36017/jahc202351127","DOIUrl":"https://doi.org/10.36017/jahc202351127","url":null,"abstract":"In radiotherapy, the application of the IMRT arc technique, a special technique of external beam irradiation, while providing greater ballistic accuracy and personalization of treatment, as well as better speed of execution, requires special attention to the development of the treatment plan and its verification.Therefore, tools and methods of physical-health analysis that allow verification of the accuracy of the delivery of the radiant beam in the stages prior to treatment are essential. At the unit of Medical Physics at Dimiccoli Hospital Barletta, a prospective experimental study was conducted based on the comparison of two different methods of pre-treatment verification in patients treated for prostate cancer with the aim of increasing the performance of the treatment workflow.A comparative evaluation of gamma analysis results on images acquired with a 2D flat panel detector EPID (Electronic Portal Imaging Device) on the one hand and a 2D ionizing chambers detector on the other hand was conducted. The study sample included 38 patients undergoing radiotherapy with IMRT between December 2021 and October 2022, and each subject was studied and verified with both methods.The results of gamma analysis conducted with the two methods of pre-treatment verification of patients with prostate cancer are superimposable. In addition, with EPID we have a significant saving of machine time and thus allows an increase in the number of patients undergoing daily radiotherapy.In light of internationally accepted dosimetric and radiation protection accuracy standards according to Decree 101/2020, pre-treatment verification of dose distributions, using a 2D flat panel detection system (EPID), was found to be in line with waiting list reduction goals.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950966","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}

{"title":"Development of an organisational model for the preparation of the mRNA-bnt162B2 vaccine: the experience of the Clinical Galenics Laboratory of the Hospital Pharmacy of the Mauriziano Hospital, Turin","authors":"Eleonora Chiaramonte, Kristela Bushkolaj, Paola Aluffi, Rosanna Borello, G. Galota, Annalisa Luchin, Emma Miotto, Antonietta Smaldone, Domenico Tripodi, Mario Michelotti, M. Bellero, Alessandra Bianco, G. Fazzina, M. Marcato, S. Masucci, Danilo Pennetta, M. Azzolina, A. Gasco","doi":"10.36017/jahc2302-02","DOIUrl":"https://doi.org/10.36017/jahc2302-02","url":null,"abstract":"The centralised preparation of the mRNA-bnt162B2 vaccine at the Clinical Galenics Laboratory of the Hospital Pharmacy of the Mauriziano Hospital in Turin is an organisational model designed to guarantee the quality of the drug to be administered, the safety of both the vaccinee and the vaccinating personnel, and the traceability of all operations performed. The preparation in ready-for-use syringes individually packaged and labelled, according to the Good Manufacturing Practice (GMP) of the Official Pharmacopoeia, was entrusted to the Biomedical Laboratory Technician (BLT) under the responsibility of the Hospital Pharmacist. In compliance with the GMP, the model was developed through dedicated premises, specific staff training and written procedures concerning the handling of vaccines. The entire production process was guaranteed by: a Hospital Pharmacist and two interchangeable BLTs, one preparer and one assistant. They were necessary to maintain the aseptic technique and the cross-checking of all operations. Labels were prepared showing qualitative-quantitative composition, batch and expiry date, validity of the preparation, pharmacist's signature. The label applied to each syringe, together with the daily work plan, ensured traceability of the process at every stage. The efficient model proposed has always proved adaptable to the changes that characterised the vaccination campaign. From 27/12/2020 to 31/03/2022 a total of 48.017 doses were prepared. The centralisation of the vaccine preparation in the Clinical Galenics Laboratory of the Hospital Pharmacy also reduced handling errors, as well as the waste from unused residues, which proved to be only 0.08%.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75858139","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}

{"title":"Development of an organisational model for the preparation of the mRNA-bnt162B2 vaccine: the experience of the Clinical Galenics Laboratory of the Hospital Pharmacy of the Mauriziano Hospital, Turin","authors":"Eleonora Chiaramonte, Kristela Bushkolaj, Paolo Aluffi, Rosanna Borello, Giusi Galota, Annalisa Luchin, Emma Miotto, Antonietta Smaldone, Domenico Tripodi, Mario Michelotti, Marco Bellero, Alessandra Bianco, Giovanna Fazzina, Maddalena Marcato, Simona Masucci, Danilo Pennetta, Maria Carmen Azzolina, Annalisa Gasco","doi":"10.36017/jahc202351137","DOIUrl":"https://doi.org/10.36017/jahc202351137","url":null,"abstract":"The centralised preparation of the mRNA-bnt162B2 vaccine at the Clinical Galenics Laboratory of the Hospital Pharmacy of the Mauriziano Hospital in Turin is an organisational model designed to guarantee the quality of the drug to be administered, the safety of both the vaccinee and the vaccinating personnel, and the traceability of all operations performed. The preparation in ready-for-use syringes individually packaged and labelled, according to the Good Manufacturing Practice (GMP) of the Official Pharmacopoeia, was entrusted to the Biomedical Laboratory Technician (BLT) under the responsibility of the Hospital Pharmacist.In compliance with the GMP, the model was developed through dedicated premises, specific staff training and written procedures concerning the handling of vaccines. The entire production process was guaranteed by: a Hospital Pharmacist and two interchangeable BLTs, one preparer and one assistant. They were necessary to maintain the aseptic technique and the cross-checking of all operations. Labels were prepared showing qualitative-quantitative composition, batch and expiry date, validity of the preparation, pharmacist’s signature. The label applied to each syringe, together with the daily work plan, ensured traceability of the process at every stage.The efficient model proposed has always proved adaptable to the changes that characterised the vaccination campaign. From 27/12/2020 to 31/03/2022 a total of 48.017 doses were prepared. The centralisation of the vaccine preparation in the Clinical Galenics Laboratory of the Hospital Pharmacy also reduced handling errors, as well as the waste from unused residues, which proved to be only 0.08%.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135683270","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}

{"title":"Training: implementation of laboratory tests for molecular, antigenic and serological diagnostics of SARS CoV2 and reorganization of work activities","authors":"Claudia Corinaldesi, Rosa Maria Oliverio, L. Mitello, Marina Macari, Marina Bertolini","doi":"10.36017/jahc2302-01","DOIUrl":"https://doi.org/10.36017/jahc2302-01","url":null,"abstract":"The U.O.C. of Microbiology and Virology experienced a disruption of work activity in the year 2020 due to the COVID 19 emergency .. On 3 April 2020 the U.O.C. of Microbiology and Virology of the San Camillo-Forlanini Company is included in the network of CORONET laboratories for molecular, antigenic and serological diagnostics of SARS CoV2. To cope with this emergency it was necessary to reorganize the entire laboratory activity, so as to be able to carry out both the routine activities and those concerning the diagnosis of SARS CoV2, coming not only from the San Camillo-Forlanini company, but also from the territorial ASL, Case di Cira, RSA, Drive in and Walk in. The complex and unexpected scenario brought out the need to quickly create an organizational model that could guarantee the execution of routine exams, but also provide a diagnostic priority for SARS-Cov2. The initial phases were difficult on various fronts: in a very short time the laboratory technicians had to learn the most sophisticated molecular techniques indispensable for the diagnosis of SARS CoV2, moreover, it was necessary to face the serious shortage of reagents difficult to find on the market. Europe. However, the biggest challenge was managing the hundreds of daily samples. Thanks to the reorganization implemented, the U.O.C. of Microbiology and Virology is able to carry out surveys on increasingly large population samples, in compliance with regional and national guidelines.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83806482","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}

{"title":"Training: implementation of laboratory tests for molecular, antigenic and serological diagnostics of SARS CoV2 and reorganization of work activities","authors":"Claudia Corinaldesi, Rosa Maria Oliverio, Lucia Mitello, Marina Macari, Marina Bertolini","doi":"10.36017/jahc202351140","DOIUrl":"https://doi.org/10.36017/jahc202351140","url":null,"abstract":"The U.O.C. of Microbiology and Virology experienced a disruption of work activity in the year 2020 due to the COVID 19 emergency .On 3 April 2020 the U.O.C. of Microbiology and Virology of the San Camillo-Forlanini Company is included in the network of CORONET laboratories for molecular, antigenic and serological diagnostics of SARS CoV2.To cope with this emergency it was necessary to reorganize the entire laboratory activity, so as to be able to carry out both the routine activities and those concerning the diagnosis of SARS CoV2, coming not only from the San Camillo-Forlanini company, but also from the territorial ASL, Case di Cira, RSA, Drive in and Walk in.The complex and unexpected scenario brought out the need to quickly create an organizational model that could guarantee the execution of routine exams, but also provide a diagnostic priority for SARS-Cov2.The initial phases were difficult on various fronts: in a very short time the laboratory technicians had to learn the most sophisticated molecular techniques indispensable for the diagnosis of SARS CoV2, moreover, it was necessary to face the serious shortage of reagents difficult to find on the market. Europe.However, the biggest challenge was managing the hundreds of daily samples.Thanks to the reorganization implemented, the U.O.C. of Microbiology and Virology is able to carry out surveys on increasingly large population samples, in compliance with regional and national guidelines.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135837841","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}

{"title":"The activity of the speech therapist at the time of COVID 19: survey of the Campania region","authors":"Girolamo Verlanti, Tiziana Sivo, Maria Francesca Zupi, Federica Brancati, Sara Panizzolo","doi":"10.36017/jahc2211-02","DOIUrl":"https://doi.org/10.36017/jahc2211-02","url":null,"abstract":"Our government has enacted restrictive and isolation measures, also in the field of rehabilitation, to combat and contain the spread of the SARS-CoV-2 virus. These have had a major impact on the working methods and activities performed by the Speech Therapist. The Board of Speech Therapists of the Interprovincial Order of NA-AV-BN-CE conducted an anonymous survey to observe the phenomenon. The study aimed to assess how and to what extent the health measures in place influenced occupational activities and work-related discomfort. A questionnaire was structured to investigate, anonymously, different areas of professional interest (how therapeutic activities are carried out, work-related stress management, changes in human relations, specific needs), disseminated via the web thanks to the Google platform, and available from 15/06/2020 to 15/11/2022 for all speech therapists belonging to the interprovincial order of NA-AV-BN-CE. 161 Speech Therapists, aged between 21 and 40 years (73.9 per cent), took part in the survey. They worked mainly in a combined telerehabilitation and outpatient setting (64.12 per cent), and were provided with appropriate PPE for the treatment (65.8 per cent). Speech and language therapists reported a low to medium level of frustration (63.9%) and work-related stress (63.4%) for telerehabilitation treatment, to a high level for outpatient or home treatment (69.6%). Medium to high values (81.4%) of anxiety, worry and work-related distress are reported, favoured by social isolation and a perception of less support among colleagues, with a perceived need for psychological support from specialised figures to manage the emotional burden. The results suggest a medium to high level of work-related discomfort during the pandemic period, mainly for speech therapists who performed outpatient/domiciliary activities, entailing the risk of developing psychological distress. Further research should be undertaken, with multicentre and larger sample size studies, to define the relationships between the working methods promoted, work-related stress and the need to manage it.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76232944","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}

{"title":"Clinical risk management in the 99m-Tc-MIBI quality control procedure in nuclear medicine. Case study.","authors":"Rossetti Filippo, Rizzo Vincenzo, De Francesco Leonardo, Spirito Marco, Farese Raffaele, Pastore Simone, Frasca Carmine","doi":"10.36017/jahc2211-01","DOIUrl":"https://doi.org/10.36017/jahc2211-01","url":null,"abstract":"The work is based on daily work protocols used within a Nuclear Medicine Operating Unit in which all modern radiopharmaceuticals are used and quality control procedures are applied to the latter. It is essential to underline, also with the production of this article, the importance of quality controls and the collaboration of the various figures in the field in order to avoid inappropriate injection of radiopharmaceuticals and to guarantee the safety and appropriateness of the procedures with an effective clinical risk management in contrast and prevent technical errors and penalizing the injection and acquisition of diagnostic tests, sometimes urgent, and indispensable for the diagnosis of even delicate pathologies.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86922129","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}

{"title":"4D Free-Breathing Sequence For The Study Of Pancreatic Lesions In MRI 3 Tesla","authors":"Curatolo Calogero, Siino Manfredi, Cannella Roberto, Loverro Giuseppe, Brancatelli Giuseppe","doi":"10.36017/jahc2210-01","DOIUrl":"https://doi.org/10.36017/jahc2210-01","url":null,"abstract":"Pancreatic cancer is the fourth leading cause of cancer death in both the United States and Europe. A fundamental role in the characterization, early diagnosis, and staging of pancreatic cancer is played by Magnetic Resonance. An innovative and recently implemented sequence, the 4D Free-Breathing sequence, is demonstrating remarkable efficiency in the characterization of pancreatic lesions, as it allows to obtain images with high temporal resolution on the arterial phase, maintaining high spatial and temporal resolution, with the patient free breathing and with compensation of respiratory movement artifacts. The aim of this study was to analyze the 4D Free-Breathing sequence technique and to evaluate its advantages in terms of image quality and diagnostic value in the characterization of pancreatic lesions. The 4D Free Breathing sequence replaces the acquisition of the classic arterial post-contrast phase obtained with the 3D-THRIVE sequence: after a first acquisition of the k-space data in the non-contrast phase (lasting 58 seconds), multiple arterial subphases, each one lasting about 5 seconds, will be acquired with a complete coverage of the post-contrast phase of about 90 seconds. This sequence exploits the k-space sampling technique called \"Stack of Stars\", based on a radial sampling in the XY plane. In detail, along the slice phase-encoding direction (kz), uniform Cartesian-grid sampling is maintained. Within each kz-encoded plane, radial data is collected with consecutive views (1 per sequence repetition time TR) rotated by a golden-angle of 111.25°, allowing the sampling of a complete circle, also determining a considerably reduced presence of breath artifacts.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90510941","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}

{"title":"Refocus flip angle modulation on the pd tse sequences in the magnetic resonance imaging of the knee, for the evaluation of meniscal injuries","authors":"Curatolo Calogero, Lisanti Sara, Daricello Marco, Caruso Virginia, Candela Fabrizio, Cimino Pietro, Spoto Italia, Cutaia Giuseppe, Loverro Giuseppe, Galia Massimo","doi":"10.36017/jahc2207-06","DOIUrl":"https://doi.org/10.36017/jahc2207-06","url":null,"abstract":"The Radiofrequency Refocused Echo Spin-Echo Echo-Train Rapid-Acquisition sequences, known as Turbo Spin Echo or Fast Spin Echo are the most commonly used sequences in Magnetic Resonance as they provide a notable contribution in morphological and anatomical terms, thanks to their high spatial and contrast resolution. Furthermore, they allow a higher signal noise ratio than the other families of sequences thanks to the numerous refocusing pulses and thanks to a TR so long as to allow sampling as many K-space phase encodings as possible and with a complete recovery of the Longitudinal Magnetization. Finally, the multiple 180 ° pulses of these sequences reduce the inhomogeneities of the Magnetic Field by minimizing the phenomena of magnetic susceptibility. However, their application, especially in scanners with a high intensity of static magnetic field B0(1.5T and/or 3T)is prevented by the deposition of RF due to the long echo trains, which sometimes involve exceeding the limits of the specific absorption rate for patient safety. Over time, a common solution to the SAR problem has been the use of refocusing angles smaller than 180°(160°-140°-120°),which lead to its reduction at the cost, however, of an obvious penalty in terms of signal-to-noise ratio. In this study we present a modulation method of the Refocus Flip-Angle applied to the DP-TSE sequences in the evaluation of meniscal lesions in the study protocol of the Magnetic Resonance of the Knee, which exploits the phenomenon of the Pseudo-Steady-State(PSS), leading to a noticeable SARreduction without loss of SNR and also providing excellent contrast resolution","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72684392","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}