Recenti progressi in medicina最新文献_第9页

[Use of sacituzumab govitecan in frail patients with skin disease.] [在患有皮肤病的体弱患者中使用萨希珠单抗戈维替康]。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43615

Eugenia Arrivas Bajardi

引用次数: 0

Innovazione tecnologica e organizzativa nella gestione ospedaliera delle transizioni di cura. 医院护理过渡管理中的技术和组织创新。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43593

Chiara Carcieri, Silvia Scalpello, Agnese Bosio, Pier Luigi Armano, Silvia Torrengo, Andrea Bo, Piergiuseppe Savant Levet, Giovanna Fazzina, Maria Carmen Azzolina, Annalisa Gasco

{"title":"Innovazione tecnologica e organizzativa nella gestione ospedaliera delle transizioni di cura.","authors":"Chiara Carcieri, Silvia Scalpello, Agnese Bosio, Pier Luigi Armano, Silvia Torrengo, Andrea Bo, Piergiuseppe Savant Levet, Giovanna Fazzina, Maria Carmen Azzolina, Annalisa Gasco","doi":"10.1701/4365.43593","DOIUrl":"10.1701/4365.43593","url":null,"abstract":"Hospital logistics automation applied to the dispensing of medicines to patients in care transition (hospital discharge or outpatient visit) offers significant opportunities to improve risk management and ensure the quality of healthcare. The adoption of technological innovation in hospital requires organizational changes, development of new workflows, collaboration between different professionals and acquisition of new skills. The logistics automation system was analyzed using NOISE analysis, as a strategic planning tool, in order to assess the impact of this innovation. The analysis highlighted the consistency of the innovation with local health policies, the assessment of feasibility in the hospital context and the reorganization focused on process optimization. As a result, operational steps were initiated leading to the acquisition of the new technology in February 2023. The application of strategic planning techniques to healthcare processes is crucial to ensure technological advancement in healthcare, the maximization of public investments and the development of a new professional culture capable of optimising innovations.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 11","pages":"541-542"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644618","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

[Climate crisis and mental health.] [气候危机与心理健康]

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43584

Paola Michelozzi, Simona Vecchi

引用次数: 0

per conoscere, per riflettere, per costruire reti. 学习、反思、建立网络。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43582

引用次数: 0

Sacituzumab govitecan nel trattamento di popolazioni speciali di pazienti con tumore mammario metastatico triplo negativo. 萨妥珠单抗戈维替康在治疗转移性三阴性乳腺癌特殊人群中的应用。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43610

Marta Perachino, Matteo Lambertini

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ChatGPT e il suo utilizzo nel supporto decisionale clinico: una scoping review. ChatGPT 及其在临床决策支持中的应用：范围综述。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43602

Pierpaolo Giordano, Melissa D'Ambrosio, Mateo Banushaj, Chiara Pizzolo, Letizia Maria Iotti, Roberta Voci

{"title":"ChatGPT e il suo utilizzo nel supporto decisionale clinico: una scoping review.","authors":"Pierpaolo Giordano, Melissa D'Ambrosio, Mateo Banushaj, Chiara Pizzolo, Letizia Maria Iotti, Roberta Voci","doi":"10.1701/4365.43602","DOIUrl":"10.1701/4365.43602","url":null,"abstract":"The aim of this scoping review is to shed light on the current state of the art regarding ChatGPT's potential applications in clinical decision support, as well as its accuracy, sensitivity, speed, and reliability in different clinical contexts (diagnosis, differential diagnosis, treatment, triage, surgical support). Most of the articles found were original research articles, with a few reviews and commentaries. A total of 225 articles were found, of which 50 were included based on retrieval and eligibility. ChatGPT performs well in diagnosis with complete data but struggles with incomplete or ambiguous information. Its differential diagnosis is inconsistent, especially in complex cases. It shows good sensitivity in treatment recommendations but lacks personalization and requires human oversight. In triage, ChatGPT is accurate, with high sensitivity for hospitalization decisions but lower specificity for safe discharges. For surgical support, it aids in planning but cannot adapt to intraoperative changes without human input. The results indicate that ChatGPT has potential in supporting clinical decisions but also highlights significant current limitations; that include the need for medical-specific adaptation, the risk of generating false (artificial hallucinations), incomplete, or misleading information, and ethical and legal issues that need to be addressed.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 11","pages":"560-561"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644583","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

[Sacituzumab govitecan in a triple-negative breast cancer patient journey: a cutting-edge story.] [萨妥珠单抗-戈维替康在三阴性乳腺癌患者治疗过程中的应用：一个前沿故事。］

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43613

Simona Frezzini

引用次数: 0

Le Pause Attive per la promozione dell’attività motoria: adesione degli istituti scolastici nel Lazio. 促进运动的课间休息：拉齐奥地区学校的坚持情况。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43595

Martina Culasso, Lilia Biscaglia, Alessandra Barca, Giulia Cairella, Silvia Iacovacci, Simona Livrieri, Daniela Porta, Rosella Saulle, Maria Alessandra Brandimarte, Luca Casagni, Maura Coia, Stefania Corradi, Flora De Angelis, Clorinda De Sbrocchi, Francesco Di Cesare, Emanuele Fabrizi, Matteo Ferri, Massimo Grandi, Simona Guida, Melissa Luzza, Lucio Maciocia, Federica Mascagna, Francesca Michienzi, Chiara Quartieri, Lorena Rossetti, Gianna Spaziani, Maria Lorena Vincenzo Spina, Serena Tavani, Alessandra Vallone

{"title":"Le Pause Attive per la promozione dell’attività motoria: adesione degli istituti scolastici nel Lazio.","authors":"Martina Culasso, Lilia Biscaglia, Alessandra Barca, Giulia Cairella, Silvia Iacovacci, Simona Livrieri, Daniela Porta, Rosella Saulle, Maria Alessandra Brandimarte, Luca Casagni, Maura Coia, Stefania Corradi, Flora De Angelis, Clorinda De Sbrocchi, Francesco Di Cesare, Emanuele Fabrizi, Matteo Ferri, Massimo Grandi, Simona Guida, Melissa Luzza, Lucio Maciocia, Federica Mascagna, Francesca Michienzi, Chiara Quartieri, Lorena Rossetti, Gianna Spaziani, Maria Lorena Vincenzo Spina, Serena Tavani, Alessandra Vallone","doi":"10.1701/4365.43595","DOIUrl":"https://doi.org/10.1701/4365.43595","url":null,"abstract":"Scuole che promuovono salute (Sps) is a model promoted by the World Health Organization and recognized at the European and national levels for promoting health and well-being at school. Pause Attive is an effective and evidence-based intervention to promote physical activity and reduce sedentary behaviour of children in the school setting. In the 2023-2024 school year, 348 schools joined the \"Rete Lazio Sps\" of which 99 joined the intervention Pause Attive for a total of 1.200 classes, more than 21.200 children involved and 1.500 teachers trained by health professionals of Asl. Pause Attive is a sustainable intervention for local health authority and effective in increasing movement and promoting attention and learning of children in the school setting.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 11","pages":"545-546"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644620","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

Telefarmacia e transizioni di cura: esiti, limiti e prospettive dell’innovazione digitale in sanità. 远程药学和护理过渡：医疗保健领域数字创新的成果、局限性和前景。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43599

Silvia Scalpello, Chiara Carcieri, Agnese Bosio, Silvia Torrengo, Giovanna Fazzina, Maria Carmen Azzolina, Annalisa Gasco

{"title":"Telefarmacia e transizioni di cura: esiti, limiti e prospettive dell’innovazione digitale in sanità.","authors":"Silvia Scalpello, Chiara Carcieri, Agnese Bosio, Silvia Torrengo, Giovanna Fazzina, Maria Carmen Azzolina, Annalisa Gasco","doi":"10.1701/4365.43599","DOIUrl":"https://doi.org/10.1701/4365.43599","url":null,"abstract":"Purpose: Telepharmacy (TF) represents a tool to manage the complexity related to drug therapies and to guarantee continuity of patient empowerment in transitions of care. The aim of this work is to analyze the critical issues related to the implementation of the TF service, in order to enhance its application.Results: Over 27 months, the TF service was offered to 60 patients. 48% of patients used the service (mean age=38 years; N=13 (45%) M). Although they accepted the service, 17% of patients (mean age=56 years; N=2 (20%) M) were unable to access the platform once they returned home. Poor digital skills and lack of a caregiver were barriers to service acceptance for 35% of patients (mean age=63 years; N=13 (62%) M). Overall, patients with a mean age ≥56 years did not use the service.Conclusions: TF represents an opportunity in care transitions to identify early critical issues related to drug therapy and to contribute to the integration of different levels of care. The analysis highlights that only the youngest patients (with an average age of 38 years), being more skilled in IT, have actually had access to the TF service. It will be necessary in the near future to make health teleconsultations increasingly widespread and accessible.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 11","pages":"554-555"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644635","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

Vero o falso? La salute a portata di emoticon. 真还是假？健康就在表情符号的指尖。

Recenti progressi in medicina Pub Date : 2024-11-01 DOI: 10.1701/4365.43604

Mariasilvia Como, Ludovica Cannas, Mariateresa Dacquino, Gabriele De Giovanni, Antonio Maconi

{"title":"Vero o falso? La salute a portata di emoticon.","authors":"Mariasilvia Como, Ludovica Cannas, Mariateresa Dacquino, Gabriele De Giovanni, Antonio Maconi","doi":"10.1701/4365.43604","DOIUrl":"https://doi.org/10.1701/4365.43604","url":null,"abstract":"After the normalization of social media in the Public Administration, they have become crucial to increasing citizen satisfaction. Alexandria Hospital has created a compliant website and an active presence on Facebook, Instagram, LinkedIn, X and YouTube. The main objectives of the \"True or False\" campaign are to educate the public on health issues, fight misinformation and evaluate knowledge on prevention. It was born from the evolution of the inclusion of polls in Instagram stories to increase streaming engagement. The campaign addressed topics such as breastfeeding and antibiotic resistance with true/false posts, followed by explanations from Aou AL health professionals. In 2023, the format became more interactive: followers were invited to answer true/false questions on topics such as breastfeeding and antibiotic resistance through the sentiments proposed by Facebook posts, awaiting responses from healthcare professionals published the next day. On World Cancer Day, the hospital asked eight questions, receiving 60 to 200 responses per post. Participants answered an average of six questions correctly, with accuracy ranging from 99% on UV exposure to 59% on post-surgery driving. These interactive campaigns foster trust and improve dialogue between PA and citizens.","PeriodicalId":20887,"journal":{"name":"Recenti progressi in medicina","volume":"115 11","pages":"564-565"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644662","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