Recenti progressi in medicina最新文献_第10页

[BRCA mutations and decision regret: a comprehensive analysis of existing research through a scoping review and reflections from a nursing perspective.] [BRCA 基因突变与决策遗憾：通过范围审查对现有研究进行全面分析，并从护理角度进行反思]。

Recenti progressi in medicina Pub Date : 2024-05-01 DOI: 10.1701/4262.42401

Marta Bianchi, Alice Silvia Brera, Arianna Magon, Gianluca Conte, Marco Alfredo Arcidiacono, Cristina Di Pasquale, Silvia Belloni, Cristina Arrigoni, Rosario Caruso

{"title":"[BRCA mutations and decision regret: a comprehensive analysis of existing research through a scoping review and reflections from a nursing perspective.]","authors":"Marta Bianchi, Alice Silvia Brera, Arianna Magon, Gianluca Conte, Marco Alfredo Arcidiacono, Cristina Di Pasquale, Silvia Belloni, Cristina Arrigoni, Rosario Caruso","doi":"10.1701/4262.42401","DOIUrl":"10.1701/4262.42401","url":null,"abstract":"Introduction: Given the significance of healthcare decisions in women with BRCA1 and BRCA2 mutations and their impact on patients' lives, this study aims to map the existing literature on decision regret in women with BRCA1 and BRCA2 mutations.Methods: A scoping review was conducted in the following databases: PubMed, Embase, Scopus, CINAHL, Cochrane, and Google Scholar. Inclusion criteria focused on decision regret in the female population with BRCA1 and/or BRCA2 mutations, with no restrictions on the methodologies of the included studies, but only in the English language. The selection process led to the inclusion of 13 studies.Results: The analysis revealed a significant trend toward decision regret among patients facing complex medical choices. The quality of healthcare communication, decision support, and genetic counselling emerged as key factors influencing patients' perceptions and experiences, with direct implications for their quality of life and psychological well-being. The results suggest that these decisions considerably impact patients, both in terms of clinical outcomes and emotional experiences.Discussion: The investigation highlights the vital importance of a personalized care approach, emphasizing the critical role of managing patients' emotional and psychological complexity. Managing decision regret requires acute attention to individual needs and effective communication to mitigate emotional impact and improve patient outcomes.Conclusions: Insights from a nursing perspective in the analysis of results indicate the need for informed, empathetic, and integrated care that considers the emotional complexity of women with BRCA1 and/or BRCA2 mutations in their lives and health choices.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850363","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

[Dramatic response to encorafenib plus binimetinib in a patient with leukemoid reaction from metastatic melanoma.] [一名转移性黑色素瘤患者对安戈非尼加比尼替尼的明显反应]

Recenti progressi in medicina Pub Date : 2024-05-01 DOI: 10.1701/4262.42409

Marianna Cerro, Maria Teresa Maccallini, Michelangelo Russillo

引用次数: 0

[The declining power of the human touch in the digital world.] [数字世界中人情味的衰退]

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42229

Giampaolo Collecchia

{"title":"[The declining power of the human touch in the digital world.]","authors":"Giampaolo Collecchia","doi":"10.1701/4246.42229","DOIUrl":"10.1701/4246.42229","url":null,"abstract":"Humans are social creatures, and touch is the most primitive form of relationship. In the context of the traditional medical examination, touch, palpation, is essential to diagnose or suspect pathology. But it is not only an issue of semeiotics. The physician's ability to examine a body through his or her hands is at the heart of the doctor-patient relationship. Moreover, we have been witnessing for many years to the progressive downgrading of the objective examination in clinical practice. First, the obsolescence of interaction with the patient due to the lure of diagnostic technology, then the \"social distancing\" of Covid-19 and, finally, the expansion of telemedicine has contributed to the distancing of caregivers from patients. The same technology that tends to distance doctor and patient provides haptic wearable devices that can digitize touch and open up application scenarios that are still largely unexplored. These, however, cannot replace human interaction. What can we do to preserve the culture of physical contact in the doctor-patient relationship? As always, awareness is the first step. The technology that separates us from patients is not the real problem. It is only when it becomes an end instead of a means that we risk losing centuries of medical tradition. It is therefore necessary to strike a balance between using technology and ensuring that health care professionals maintain a central role in providing emotional support and understanding to patients. Such issues should be introduced early in the medical student's training. In the course of study, not only the mechanisms of disease should be taught, but also how to approach care with compassion, empathy and \"human touch\". In any case, even if digital culture eventually prevails, it is necessary to practice at least \"touch\" as interpersonal sensitivity, gentleness, and the ability to intercept the other's state of mind and respect it.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207483","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

[Framework for evaluating the performance of local healthcare: international experiences and prospects for Italy.] [地方医疗保健绩效评估框架：国际经验和意大利的前景]。

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42230

Antonio Fortino, Manuela Tamburo De Bella, Fulvio Trapani, Raffaele Catananti, Domenico Mantoan, Valeria Mantenuto

引用次数: 0

Distance learning in primary health care: an Italian experience among medical residents to integrate public health and primary health care. 初级卫生保健远程学习：意大利住院医师将公共卫生与初级卫生保健相结合的经验。

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42232

Alessandro Roberto Cornio, Elena Sciurpa, Walter Priano, Dario Genovese, Ambrogio Cerri, Anastasia Troia, Irene Schenone, Elisa Gabrielli, Marcello Di Pumpo, Giorgio Sessa

引用次数: 0

[Patients torn to pieces.] [病人被撕成碎片]

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42228

Lorenzo Farina

{"title":"[Patients torn to pieces.]","authors":"Lorenzo Farina","doi":"10.1701/4246.42228","DOIUrl":"10.1701/4246.42228","url":null,"abstract":"Dissecting bodies is a common practice in many cultures. But in \"big data medicine\", the art of dissecting the human body has become an obsession. Indeed, modern biotechnology allows us to see and measure the molecular components of every single cell. But how can we put this immense number of bits and pieces back together again and see the patient as a whole? The first turning point is that proposed by René Descartes, who, inspired by dreams and visions, conceived the idea of unifying all scientific disciplines through the pervasive application of mathematics. Descartes formulates four basic rules, the second (top-down method) and third (bottom-up method) of which become crucial in modern data analysis. An instructive case study considered here is that of pulmonary tuberculosis, where the Cartesian approach of decomposing problems into smaller and smaller \"pieces\" - from organism to organ and from cellular lesion to the microscopic level - has led to the cure of the disease through antibiotics. This success story inspired Paul Ehrlich who, with the concept of the \"magic bullet\", defined modern pharmacology. However, this paradigm is being challenged today by multifactorial diseases and big data medicine, where the enormous availability of clinical and molecular data must be integrated to arrive at a therapeutic decision. The Cartesian approach shows its limitations today, as witnessed by the similar difficulty in fields other than medicine, illustrated here by the case of choosing to produce a successful television series based on user profiling. The take-home message is that the amount of data collected does not automatically guarantee success but that, instead of being data-driven, a collective \"human\" overview and assessment is inevitable. That is, close collaboration between clinicians and data analysts, integrating expertise, is needed to address challenges in the diagnosis and treatment of complex diseases through imagination and not mere extrapolation.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207482","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

Ritratto di Giuseppe Di Pasquale: l’ascolto del paziente. Giuseppe Di Pasquale 肖像：倾听病人的心声。

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42233

引用次数: 0

[Recent advances in the practical management of allergic rhinitis.] [过敏性鼻炎实际治疗的最新进展]

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4264.42413

Giorgio Ciprandi

引用次数: 0

[The domino effect of drug distribution channels on the management of chronicity.] [药品分销渠道对慢性病管理的多米诺骨牌效应]

Recenti progressi in medicina Pub Date : 2024-04-01 DOI: 10.1701/4246.42227

Carlo Piccinni, Nello Martini

{"title":"[The domino effect of drug distribution channels on the management of chronicity.]","authors":"Carlo Piccinni, Nello Martini","doi":"10.1701/4246.42227","DOIUrl":"10.1701/4246.42227","url":null,"abstract":"Drug distribution channels affect all actors in the drug supply chain: healthcare institutions, healthcare professionals, patients, pharmacies, pharmaceutical companies and distributors. They should be redesigned in line with the new proximity care model planned in the Pnrr and DM 77, while avoiding a negative domino effect on the management of chronic diseases. A guide recently published by the MaCroScopio project is useful to shed light on this issue and to understand the relationship between the distribution channels present in Italy (distribuzione diretta - DD; distribuzione per conto - Dpc; distribuzione convenzionata) and the management of chronic diseases. Analysis of OsMed data showed that the majority of medicines dispensed in DD and Dpc are for chronic patients; therefore, a change in distribution channels inevitably affects chronicity management and could lead to increased expenditure. It is necessary to evaluate the transfer of drugs from one channel to another on a case-by-case basis according to the specifics of each drug. Proximity care reform requires a redesign of drug distribution channels, but this must be done with respect to the clinical, social and economic sustainability of the system.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207484","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

[Reasoning about the work of Franco Basaglia: the challenge of training new psychiatrists.] [佛朗哥-巴萨利亚作品的推理：培训新精神科医生的挑战]

Recenti progressi in medicina Pub Date : 2024-03-01 DOI: 10.1701/4211.42040

Fabrizio Starace

引用次数: 0