Recenti progressi in medicina最新文献_第3页

[Developing a subset of Nanda-I diagnosis in intensive care unit: a Delphi study]. [在重症监护室开发Nanda-I诊断子集：一项德尔菲研究]。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44817

Mattia Bozzetti, Roberta Pendoni, Federico Anni, Chiara Agosti, Ilaria Marcomini

{"title":"[Developing a subset of Nanda-I diagnosis in intensive care unit: a Delphi study].","authors":"Mattia Bozzetti, Roberta Pendoni, Federico Anni, Chiara Agosti, Ilaria Marcomini","doi":"10.1701/4480.44817","DOIUrl":"https://doi.org/10.1701/4480.44817","url":null,"abstract":"Background: The nursing process, a fundamental framework in healthcare, involves assessment, diagnosis, intervention planning, and evaluation. Standardizing nursing terminologies enhances accuracy and consistency in documentation. This study aimed to create a subset of Nanda nursing diagnoses focusing on Gordon's Functional health patterns in the Italian Intensive care unit (Icu) context.Method: A two-round Delphi survey involved 14 critical care nursing experts.Results: The panel reached consensus on 21 diagnoses out of 78 selected, emphasizing safety-related concerns like infection risk, impaired tissue integrity, and ineffective airway clearance. The subset primarily prioritized physiological issues over emotional or spiritual needs.Conclusions: The study underscores the importance of tailored nursing care through focused diagnosis subsets and highlights the challenges in considering holistic patient needs in critical care settings. Establishing a subset of diagnoses offers a targeted approach for nursing care, fostering consistency and efficiency while suggesting the need for shared subsets to comprehensively map prevalent health issues and their interactions.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 4","pages":"233-238"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026032","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

[From Chronic health center to Territorial operations center: the experience of the ASL Tuscany South East]. 从慢性健康中心到区域运营中心：托斯卡纳东南部ASL的经验。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44816

Federico Taddeini, Elena Capitani, Sandro Limaj, Gian Battista Miceli, Maria Giovanna D'Amato, Cecilia Quercioli, Roberto Turillazzi, Assunta De Luca, Antonio D'Urso, Nicola Nante

引用次数: 0

[Psychological impact of growth hormone deficiency in adolescence: an observational study in pediatric clinical practice]. [青春期生长激素缺乏的心理影响：一项儿科临床实践的观察性研究]。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44818

Federica Guerra, Jessica Ranieri, Eleonora Cilli, Serena Assetta, Maria Laura Iezzi, Maurizio Delvecchio, Vincenzo Salpietro

{"title":"[Psychological impact of growth hormone deficiency in adolescence: an observational study in pediatric clinical practice].","authors":"Federica Guerra, Jessica Ranieri, Eleonora Cilli, Serena Assetta, Maria Laura Iezzi, Maurizio Delvecchio, Vincenzo Salpietro","doi":"10.1701/4480.44818","DOIUrl":"https://doi.org/10.1701/4480.44818","url":null,"abstract":"Background: Growth problems in children and adolescents are a frequent reason for referral to pediatric endocrinologists with the most common endocrine form of short stature being growth hormone deficiency (Ghd). Health-related quality of life (HRQoL) is an important factor in adolescents with Ghd and should be considered in clinical practice by physicians and psychologists.Aim: Present observational study aimed to examine the effects of Ghd and its treatment in outpatient adolescents, during the follow-up.Methods: An observational study was conducted among 24 adolescents aged 11-18,9 years with Ghd diagnosis. The participants were approached to participate in the study at the Auxological Pediatric Ambulatory of the San Salvatore Hospital (L'Aquila). The administered psychological battery.Results: Descriptive statistical analyses showed a significant difference by the gender.Conclusion: The present study showed that psychological screening can be an effective tool in clinical practice to detect predictive factors in the health management of young patients, centered on their needs.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 4","pages":"239-244"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043147","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

[Opioid use disorder: the 2024 update of the Canadian Guidelines]. [阿片类药物使用障碍：加拿大指南2024年更新]。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44821

Alice Serafini, Mark H Ebell

引用次数: 0

[Nonseasonal depressive disorders: new evidence on bright light therapy]. [非季节性抑郁症：强光疗法的新证据]。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44819

Alice Serafini, David Slawson

引用次数: 0

[Nasal irrigation in clinical practice: therapeutic innovations]. 【鼻冲洗在临床中的应用：治疗创新】

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44814

Ignazio La Mantia, Attilio Varricchio, Carlotta Pipolo, Giorgio Ciprandi

{"title":"[Nasal irrigation in clinical practice: therapeutic innovations].","authors":"Ignazio La Mantia, Attilio Varricchio, Carlotta Pipolo, Giorgio Ciprandi","doi":"10.1701/4480.44814","DOIUrl":"https://doi.org/10.1701/4480.44814","url":null,"abstract":"Rhinitis is an extremely common disease, to the extent that it actually affects the entire population throughout its lifetime. Rhinitis can be classified according to the etiopathogenetic mechanisms involved. Regarding the cause, rhinitis can be infectious, allergic, non-allergic, secondary to other diseases and iatrogenic. In clinical practice, two main pathophysiological mechanisms cause an alteration in nasal physiology: nasal obstruction and mucus overproduction. Nasal obstruction can be due to two main causes, which are acute infection and allergy. Topical nasal therapy is the safest and most effective modality to rapidly achieve normal nasal patency. In particular, the paradigmatic modality of local therapy is nasal lavage, better defined as nasal irrigation. Nasal irrigation is an actual washing of the nasal cavity to remove excess mucus, inflammatory cells, mediators, cytokines, pathogens and all harmful substances. A recent Intersocietal Delphi Consensus was conducted in order to reach agreement on several aspects of topical nasal therapies. In this regard, a recent randomized controlled trial showed that a product containing PEG, bicarbonates and sodium chloride, administered to a group of patients with rhinitis or rhinosinusitis through a squeezable bottle was able to significantly reduce the intensity of symptoms and their impact on daily life. In conclusion, nasal irrigation can be considered a valid treatment option in the management of upper airway disorders. At the same time, it is important that more physicians become aware of the usefulness of this therapeutic method.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"116 4","pages":"211-218"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036539","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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In questo numero
2025 aprile. 2004年4月。

Recenti progressi in medicina Pub Date : 2025-04-01 DOI: 10.1701/4480.44812

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[To achieve significant weight loss, at least 150 minutes per week of moderate exercise are needed.] [要达到显著的减肥效果，每周至少需要150分钟的适度运动。]

Recenti progressi in medicina Pub Date : 2025-03-01 DOI: 10.1701/4460.44562

Mario Luciano, David Slawson, Alice Serafini

引用次数: 0

[Primary prevention of stroke: the updated guidelines from the American Heart Association and the American College of Cardiology.] [中风的初级预防：美国心脏协会和美国心脏病学会的最新指南]

Recenti progressi in medicina Pub Date : 2025-03-01 DOI: 10.1701/4460.44560

Viviana Forte, Henry Barry

引用次数: 0