Recenti progressi in medicina最新文献

{"title":"[Hospitalization in Tuscany after the pandemic: temporary changes or structural trends?]","authors":"Silvia Forni, Giacomo Galletti, Francesca Ierardi, Manuele Falcone, Samuele Spinella, Claudia Szasz, Francesca Collini","doi":"10.1701/4530.45319","DOIUrl":"https://doi.org/10.1701/4530.45319","url":null,"abstract":"<p><strong>Introduction: </strong>This study analyses the trend of ordinary acute hospital admissions in Tuscany from 2014 to 2023.</p><p><strong>Methods: </strong>Hospital discharge records were examined by DRG type, urgency, and period (pre-, during, and post-pandemic).</p><p><strong>Results: </strong>In 2023, scheduled surgeries exceeded 2019 volumes, while medical and urgent admissions remained below expected levels.</p><p><strong>Discussion: </strong>The limited recovery of medical and urgent admissions may suggest a structural reduction in demand.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"465-467"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601323","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":"In questo numero<br>2025 Luglio.","authors":"","doi":"10.1701/4530.45307","DOIUrl":"https://doi.org/10.1701/4530.45307","url":null,"abstract":"","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"395"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601354","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":"Feasibility of teaching critical thinking about health in Italian schools to 9-13-year-olds: a mixed-methods study across three regions.","authors":"Raffaele Rasoini, Camilla Alderighi, Maria Grazia Celani, Rebecca De Fiore, Fabio Ambrosino, Giulio Formoso, Sarah E Rosenbaum","doi":"10.1701/4530.45314","DOIUrl":"https://doi.org/10.1701/4530.45314","url":null,"abstract":"<p><strong>Introduction: </strong>The Informed Health Choices (IHC) group developed key concepts of critical health literacy, gathered them into learning resources, and evaluated them in a large, randomized study involving children aged 10 to 12. Children who were taught with IHC resources showed a greater ability to assess health claims and understand an informed health choice than children not taught with these resources. Many research groups worldwide are implementing the IHC resources in their school contexts.</p><p><strong>Methods: </strong>In Italy, after an initial contextualization of the IHC resources in a single primary school in Tuscany, we carried out a second study across three regions. Our objectives were to: 1) investigate the feasibility of introducing IHC resources in primary and secondary schools; 2) evaluate students' and teachers' experiences with these educational resources; 3) identify effects, barriers, and facilitators regarding the implementation of IHC resources in Italian primary and secondary schools. To assess these objectives, we used qualitative and quantitative methods.</p><p><strong>Results: </strong>Qualitative and quantitative analysis indicated that IHC resources integrated well into the curriculum of the participating Italian schools. Students and teachers had a highly positive experience with the IHC resources, despite varying regional socioeconomic contexts. Teachers identified logistical challenges during the pandemic as the main obstacle to the project's implementation. Students and teachers highlighted the multicultural nature of the content, support from healthcare professionals during lessons, and the interactive teaching approach as key facilitators of implementation.</p><p><strong>Conclusions: </strong>Findings from the contextualization of IHC resources indicate that these materials integrate well into the Italian school curriculum and are suitable and engaging for both students and teachers.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"442-457"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601331","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":"[Yoga is effective for reducing pain associated with knee osteoarthritis.]","authors":"Mario Luciano, David Slawson, Peter K Kurotschka","doi":"10.1701/4530.45317","DOIUrl":"https://doi.org/10.1701/4530.45317","url":null,"abstract":"","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"462"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601328","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":"[Adults with symptomatic or asymptomatic atrial fibrillation have a similar prognosis.]","authors":"Alice Serafini, David Slawson","doi":"10.1701/4530.45315","DOIUrl":"https://doi.org/10.1701/4530.45315","url":null,"abstract":"","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"458-459"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601320","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 Diamond Open Access scientific publishing model: birth, evolution and reflections on its sustainability.]","authors":"Federica Napolitani, Annarita Barbaro, Maria Cristina Barbaro","doi":"10.1701/4530.45311","DOIUrl":"https://doi.org/10.1701/4530.45311","url":null,"abstract":"<p><p>The world of scientific publishing has undergone, in recent decades, a series of profound transformations supported by continuous technological innovations and strongly motivated by the movement born to promote free access (Open Access - OA) and without restrictions to scientific information. In this still evolving context, the Diamond Open Access model emerges in which journals and platforms do not require fees from authors or readers. In this article, after a brief overview of how scientific publishing has developed from the traditional publication model to OA and how we arrived at the Diamond OA model, the authors will focus on examining the latter in particular. The aim of this contribution, in fact, is to provide an account as exhaustive as possible of the numerous projects, initiatives and organizations that currently support and promote the Diamond OA model and, at the same time, to reflect on its sustainability and on the concrete problems that hinder its greater diffusion within the varied ecosystem in which scientific information moves today.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"415-423"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601326","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":"Recensione.<br> “L’errore medico”.","authors":"","doi":"10.1701/4530.45321","DOIUrl":"https://doi.org/10.1701/4530.45321","url":null,"abstract":"","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"470"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601355","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 experience with encorafenib and cetuximab in patients with BRAFV600E-mutant metastatic colorectal cancer after early relapse following adjuvant chemotherapy.]","authors":"Vincenzo Formica, Marco Maria Germani, Giulia Piacentini, Elena Traverso, Chiara Cremolini","doi":"10.1701/4530.45323","DOIUrl":"10.1701/4530.45323","url":null,"abstract":"<p><p>Metastatic colorectal cancer (mCRC) is constituted of several biological subgroups characterized by molecular alterations activating specific proliferative pathways. These alterations have, for a long time, lacked targeted therapies capable of inactivating these signalling pathways and eventually modifying the course of the disease. This scenario has rapidly been evolving in recent years, thanks to a better understanding of mCRC biology and advances in drug development, that have turned these alternations into \"actionable\" targets. BRAFV600E is a landmark example of this process. Conceived for roughly a decade as a negative prognostic factor of outcome and as a predictor of resistance to anti-EGFRs, today it is also a predictor of response to the combination of the anti-BRAF encorafenib and of the anti-EGFR cetuximab, and a standard of care in patients with BRAFV600E-mutated mCRC, after failure of previous systemic therapy. In this work, we report three clinical scenarios where encorafenib and cetuximab are used in label as first-line of treatment, at the diagnosis of mCRC, after early relapse occurring at the end of adjuvant chemotherapy.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"e59-e66"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601321","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":"[Access to medicines and inadequate calculation of supplementary healthcare.]","authors":"Giuseppe Traversa","doi":"10.1701/4530.45310","DOIUrl":"https://doi.org/10.1701/4530.45310","url":null,"abstract":"<p><p>The claim that a universal National health service (Nhs) is unsustainable is frequently accepted as fact, yet pharmaceutical care in Italy demonstrates otherwise. Italy ranks among European Union leaders in public drug access, contradicting the narrative of Nhs unsustainability. Achievements stem from national strategies in drug evaluation, reimbursement criteria, price negotiation and the presence of a competitive context. Private pharmaceutical spending remains substantial, mainly because of lack of price negotiation. Shifting drug costs to citizens and promoting private insurance would increase both private and public expenditures. The US example shows that higher private spending correlates with higher public spending. Reducing Nhs coverage would worsen existing challenges rather than solve them.</p>","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"411-414"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601319","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":"[Undergoing an X-ray that shows signs of osteoarthritis increases patients' belief that they need knee surgery.]","authors":"Viviana Forte, Allen F Shaughnessy","doi":"10.1701/4530.45318","DOIUrl":"https://doi.org/10.1701/4530.45318","url":null,"abstract":"","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 7-8","pages":"463-464"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601327","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}