Recenti progressi in medicina最新文献

[Patients with heart failure experience fewer hospitalizations and reduced mortality when treated with mineralocorticoid receptor antagonists.]

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43921

Alice Serafini, Linda Speer, Peter K Kurotschka

引用次数: 0

Luciano Gattinoni: medico, scienziato, innovatore, maestro. 卢西亚诺-加蒂诺尼：医生、科学家、创新者、教师。

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43938

Giuseppe R Gristina

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Può la scienza post-normale applicarsi all’oncologia radioterapica? Le incertezze della scienza nelle conoscenze disciplinari. 后常态科学能否应用于放射肿瘤学？学科知识中科学的不确定性。

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43926

Angelo Di Naro, Maurizio Portaluri, Roberta Muni, Micaela Motta, Santa Bambace, Alessandra Castelluccia, Francesco Tramacere, Michele Sala, Simonetta Cesa, Bruna De Marchi

{"title":"Può la scienza post-normale applicarsi all’oncologia radioterapica? Le incertezze della scienza nelle conoscenze disciplinari.","authors":"Angelo Di Naro, Maurizio Portaluri, Roberta Muni, Micaela Motta, Santa Bambace, Alessandra Castelluccia, Francesco Tramacere, Michele Sala, Simonetta Cesa, Bruna De Marchi","doi":"10.1701/4392.43926","DOIUrl":"https://doi.org/10.1701/4392.43926","url":null,"abstract":"Post-Normal Science (PNS) was introduced about 30 years ago to address the changing relation between science and governance when science is called upon to provide inputs to policy-related issued. Originally concerned mainly with environmental risks, in the last decades the PNS approach has been applied to a growing and diversified number of issues. It is considered particularly appropriate in situations characterized by: uncertain facts, a plurality of potentially conflicting values, high stakes, and urgent decisions. The objective of this paper is to present a survey that will test the opinions of practitioners and stakeholders on the usefulness of the PNS approach for addressing three emerging issues within the field of radiation oncology: the high and growing number of expected patients, the number of sessions per radiotherapy cycle, and treatment in old age. Respondents will also be asked to indicate which of the typical PNS intervention tools - such as extended and inclusive dialogue, the use of hybrid tools, adaptability and flexibility, and transparency in decision-making -are most suitable, and to what extent. Professionals and stakeholders from one radiotherapy center in northern Italy and two centers in southern Italy will be interviewed.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 12","pages":"616-617"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839054","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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[Effective treatment for Helicobacter pylori infection in adults: the 2024 American College of Gastroenterology guideline recommendations.] [有效治疗成人幽门螺旋杆菌感染：2024 年美国胃肠病学院指南建议]。

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43919

Viviana Forte, Henry Barry, Peter K Kurotschka

引用次数: 0

Ultra limes. 超级酸橙

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43935

Angelica Salvadori, Enrico d'Alessandro, Federico Stroppiana

{"title":"Ultra limes.","authors":"Angelica Salvadori, Enrico d'Alessandro, Federico Stroppiana","doi":"10.1701/4392.43935","DOIUrl":"https://doi.org/10.1701/4392.43935","url":null,"abstract":"In the period between March 2021 and December 2023, our Casa della Salute in Borgaretto (Torino) organized a clinic dedicated to vaccination against Covid-19 in its local and with its staff (medical, nursing and administrative). To try to inform the majority of the population about this activity, we used the social networks of the Casa della Salute (Facebook and website), the social networks of the Municipality of Beinasco and some of the local newspapers. The list of eligible subjects was shared with the ASL TO 3 and the invitation to vaccination was made via SMS from a dedicated platform, indicating the day and time of the appointment. All the actors involved participated in multiple organizational meetings to share the logistical aspect and the management of any critical events. 10.167 vaccines were administered, the vaccination sessions lasted 6 hours each, the vaccination days were 112, with an average of 90 patients per session. This vaccination campaign, albeit in an emergency context, was made possible by the good organization of all the Casa della Salute staff, integrated with the ASL TO 3 and the Municipality of Beinasco. None of the three entities, alone, would probably have been able to obtain the same result: the ability to integrate and the will to cooperate were fundamental.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 12","pages":"636-637"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839061","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}

引用次数: 0

Utilizzo dei Real World Data per definire la popolazione target di nuove indicazioni terapeutiche: l’esempio delle terapie CAR-T. 利用真实世界数据确定新治疗适应症的目标人群：以 CAR-T 疗法为例。

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43936

Michela Servadio, Valeria Belleudi, Marco Finocchietti, Ilaria Cozzi, Marina Davoli, Antonio Addis

{"title":"Utilizzo dei Real World Data per definire la popolazione target di nuove indicazioni terapeutiche: l’esempio delle terapie CAR-T.","authors":"Michela Servadio, Valeria Belleudi, Marco Finocchietti, Ilaria Cozzi, Marina Davoli, Antonio Addis","doi":"10.1701/4392.43936","DOIUrl":"https://doi.org/10.1701/4392.43936","url":null,"abstract":"CAR-T therapies are a form of innovative and personalised immunotherapy in the field of onco-haematology. Diffuse large B-cell lymphoma (DLBCL) is a very aggressive form of non-Hodgkin's lymphoma (NHL) for which CAR-T therapies are approved as 3rd-line and more recently (from 11/11/2023), as 2nd-line for patients who relapse within 12 months after 1st-line chemo-immunotherapy. This study was conducted to estimate the eligible DLBCL population for CAR-T therapies in 2024 in Lazio region. Starting with a cohort of DLBCL patients from a previous work, a series of proportions were first obtained applying the eligibility criteria for CAR-T, and then applied to the annual incident cases of NHL in Lazio region. From 1,353 NHL cases, 392 (29%) were considered DLBCL of which 82% (322) received first line chemo-immunotherapy. They were then divided into two groups: with relapse ≤12 months (Group 1) and with relapse >12 months (Group 2). Fifty percent of Group 1 (46 cases) and part of those not eligible to ASCT (35%=16 cases) constitute the eligible population for CAR-T therapy as 2nd-line. From the 29 cases of Group 2, were calculated the proportions of CAR-T eligible patients among those not eligible for ASCT (35%=5 cases) and those who did not respond to salvage chemotherapy (65%=4 cases) and with post-transplant relapse (39%=3 cases). A total of 74 DLBCL patients were found to be eligible for CAR-T therapies. This study demonstrates that the use of Real World Data is a valuable tool in defining the target population for new therapeutic indications.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 12","pages":"638-639"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839068","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}

引用次数: 0

La figura professionale del farmacista ospedaliero oltre i confini nazionali.

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43923

Agnese Bosio, Chiara Carcieri, Sixberth Bugeraha, Silvia Scalpello, Giovanna Fazzina, Maria Carmen Azzolina, Gianluca Miglio, Annalisa Gasco

{"title":"La figura professionale del farmacista ospedaliero oltre i confini nazionali.","authors":"Agnese Bosio, Chiara Carcieri, Sixberth Bugeraha, Silvia Scalpello, Giovanna Fazzina, Maria Carmen Azzolina, Gianluca Miglio, Annalisa Gasco","doi":"10.1701/4392.43923","DOIUrl":"https://doi.org/10.1701/4392.43923","url":null,"abstract":"The objective of this study is to identify the essential hard and soft skills that healthcare professionals must develop when working in a low- and middle-income country (LMIC), where the socio-economic and cultural context differs significantly from that of Italy. The analysis was conducted following a period of observation conducted by a hospital pharmacy resident at a rural hospital in southern Tanzania. In order to ascertain the role and requisite competencies for hospital pharmacists (HPs) in LMICs, an investigation was conducted based on the 24 competencies identified by EAHP. The skills identified relate to patient care and clinical pharmacy, drug skills, management skills and professional skills. HPs in LMICs play a role in the final follow-up of hospital prescriptions, requiring in-depth knowledge of drugs. Communication, therapeutic education and follow-up are very important in a setting where primary care is lacking. Moreover, given the limited availability of resources, management and professional skills are crucial. The analysis has shown how, in different working contexts, health professionals are stimulated to develop and implement mainly specific skills, the sharing of which, through field experiences, can lead to a bilateral improvement of the services and health care offered.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 12","pages":"610-611"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839045","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}

引用次数: 0

La fluidità dei confini: il diritto alla salute ha un genere? 界限的流动性：健康权有性别之分吗？

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43927

Asia Di Pietro, Daniela Di Grazia, Francesco Chiara, Maura Caudana, Francesco M A Shelton Agar, Marina Zanatta, Sarah Allegra, Giuliana Abbadessa, Silvia De Francia

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[Sacituzumab govitecan in the treatment of triple-negative metastatic breast cancer.]

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43916

Marta Perachino, Matteo Lambertini

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Ambulatorio infermieristico Casa di Comunità di Ponte di Legno. 护理门诊部 Casa di Comunità di Ponte di Legno。

Recenti progressi in medicina Pub Date : 2024-12-01 DOI: 10.1701/4392.43931

Patrizia Laffranchini, Giulia Zanini, Elena Muffolini, Fausta Omodei, Giuseppina Barcellini

{"title":"Ambulatorio infermieristico Casa di Comunità di Ponte di Legno.","authors":"Patrizia Laffranchini, Giulia Zanini, Elena Muffolini, Fausta Omodei, Giuseppina Barcellini","doi":"10.1701/4392.43931","DOIUrl":"https://doi.org/10.1701/4392.43931","url":null,"abstract":"The Asst Valcamonica faces significant challenges in providing continuity of care services due to a shortage of medical personnel, exacerbated by its location in a mountainous area and the seasonal variability of tourism. To address these needs, a temporary nursing-run clinic was developed, aimed at providing healthcare to tourists, particularly during August 2023. The Family and Community Nurse (IFeC) plays a crucial role in primary care, working in synergy with remote medical consultations to ensure an integrated care model; provide first-level healthcare during peak tourist periods. And experiment with a network organizational model with nursing management and teleconsultation between nurse and physician. The project was implemented from 7 to 25 August 2023, with an organizational network that included a nursing clinic managed by an IFeC at the Community House of Ponte di Legno, and the collaboration with the Integrated Medical Center of the Regional Emergency Agency for remote medical consultations. The service operated from Monday to Friday, from 10:00 to 17:00. During the activation period, there were 186 visits recorded. Of these, 87 were requests for information and 99 were requests for services. 86% of nursing management was deemed sufficient. Only 3% required a teleconsultation with the CMI physician, while 10% were directed to the Emergency Room. The nursing clinic model could be replicated in other Community Houses with high tourist influx. The implementation of a system based on nursing triage and teleconsultation could enhance assistance in both Tourist Continuity of Care and Primary Care.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 12","pages":"626-627"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142838863","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}

引用次数: 0