Italian Journal of Medicine最新文献_第9页

La malattia da reflusso gastroesofageo nell’ambulatorio di Medicina Interna: quale gestione medica nel 2021? 内科门诊的胃食管反流病：2021年的医疗管理是什么？

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-30 DOI: 10.4081/itjm.q.2021.3

Giancarlo Parisi

引用次数: 0

Abstract Book of the XXVI Congresso Nazionale della Società Scientifica FADOI, 2-4 ottobre 2021 2021年10月2日至4日，法多伊科学协会第26届全国大会摘要书

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-27 DOI: 10.4081/itjm.2021.s1

D. Manfellotto

引用次数: 0

DRESS syndrome (drug rash with eosinophilia and systemic symptoms): sometimes, not all signs are there DRESS综合征(药物性皮疹伴嗜酸性粒细胞增多和全身症状):有时，并非所有症状都有

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1475

Fábio Murteira, Pedro Oliveira, J. Miranda, A. Moreira, Margarida Correira

引用次数: 1

Lesson learned by COVID-19 outbreak: multilevel triage strategies in patients admitted to the emergency room in southern Italy COVID-19疫情的教训:意大利南部急诊室收治患者的多级分诊策略

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1445

P. Di Micco, M. Imparato, M. Iannuzzo, A. Fontanella

{"title":"Lesson learned by COVID-19 outbreak: multilevel triage strategies in patients admitted to the emergency room in southern Italy","authors":"P. Di Micco, M. Imparato, M. Iannuzzo, A. Fontanella","doi":"10.4081/itjm.2021.1445","DOIUrl":"https://doi.org/10.4081/itjm.2021.1445","url":null,"abstract":"After identifying a novel disease inducing a severe acute respiratory syndrome-related to coronavirus 2 (SARS-CoV-2) for epidemic pneumonia in China, the diffusion of infection is ongoing around the world, and Italy has been the second country in which an epidemic has been demonstrated. Clinical features of this infection may be summarized in viral pneumonia that SARS or acute respiratory distress syndrome (ARDS) may complicate. For this reason, this epidemic has been considerably more aggressive than the previous epidemic of SARS and Middle-East respiratory syndrome. Coronavirus disease 2019 (COVID-19) showed an easy diffusion from human to human and also showed to be more contagious than other viruses. So human contact should be avoided at the emergency room and for inpatients too. The Triage should be adapted to these new features in order to speed up procedures for the care of infected patients at high risk of morbidity and mortality for SARS and ARDS and for traditional access to the emergency room. Based on our experiences, this flow chart has been designed with a multi-level triage in which patients have been divided for admission to the emergency room into patients with fever/respiratory symptoms and patients without feverrespiratory symptoms, to improve medical performances while treating COVID-19. This organized, multilevel triage permitted a good selection of patients admitted to the emergency room during the epidemic of COVID-19 in Southern Italy.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70231589","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

The side effects of the COVID-19 pandemic on key public health elements - How the global emergency has changed the acute management of myocardial infarction and stroke, the network of cancer care, and assistance to frail individuals 2019冠状病毒病大流行对关键公共卫生要素的副作用——全球紧急情况如何改变心肌梗死和中风的急性管理、癌症护理网络以及对体弱者的援助

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1462

G. Cioni, Jessica Canini

{"title":"The side effects of the COVID-19 pandemic on key public health elements - How the global emergency has changed the acute management of myocardial infarction and stroke, the network of cancer care, and assistance to frail individuals","authors":"G. Cioni, Jessica Canini","doi":"10.4081/itjm.2021.1462","DOIUrl":"https://doi.org/10.4081/itjm.2021.1462","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic is a primary health problem globally. In particular, it has caused troubles even to the advanced health systems of Western countrieswho attempted to limit the spread of the infection and manage patients with severe respiratory distress. However, this sudden contingency has had a much higher cost if we also consider the cost of suspending ordinary clinical care or delays in the emergency pathways of non-COVID-19 patients. Furthermore, the policies applied to contain the contagion have exacerbated the socio-economic disparities of the population and isolated fragile patients, making them subject to clinical relapses or aggravation of chronic diseases. For this reason, the various specialist centers have equipped themselves to guarantee an effective therapeutic path. In this brief review, we have outlined some consequent repercussions on the management of acute and chronic cardiovascular and neurovascular diseases and on oncological treatment. In particular, we have described the effects of the current health reorganization on some acute and time-dependent diseases, such as stroke and acute coronary syndromes, in which therapeutic delay is potentially disabling or fatal. Furthermore, we have focused on cancer treatments, whose essential cornerstones are early screening and follow-up. Finally, the suffering of the local health network has led to a lack of continuity of care in fragile patients, such as psychiatric, marginalized, or multiple comorbid patients.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45543379","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 sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia 从坐骨神经痛到复杂诊断：一例化脓性肌炎和慢性淋巴细胞白血病

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1386

Ottavia Magnani, Matteo Caiti, E. Cenni, P. Moscatelli

引用次数: 0

Gender differences in COVID-19 patients: a regional survey among physicians of Internal Medicine Wards 新冠肺炎患者的性别差异：内科医师的区域调查

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1443

T. Ciarambino, A. Ilardi, O. V. Giannico, A. Maffettone, F. Ciaburri, V. D. Paoli, A. Fontanella, P. Tirelli, C. Bologna, F. Gallucci, M. Visconti, D. Caruso, M. Amitrano, M. Giordano, M. D’avino

{"title":"Gender differences in COVID-19 patients: a regional survey among physicians of Internal Medicine Wards","authors":"T. Ciarambino, A. Ilardi, O. V. Giannico, A. Maffettone, F. Ciaburri, V. D. Paoli, A. Fontanella, P. Tirelli, C. Bologna, F. Gallucci, M. Visconti, D. Caruso, M. Amitrano, M. Giordano, M. D’avino","doi":"10.4081/itjm.2021.1443","DOIUrl":"https://doi.org/10.4081/itjm.2021.1443","url":null,"abstract":"Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) has infected millions of individuals around the World. Hypertension (HT), chronic heart disease (CHD), and diabetes mellitus (DM), particularly in the elderly, increase susceptibility to SARS-CoV-2 infection. However, conflicting results [such as coronavirus 2019 (COVID-19) disease vulnerability, case fatality, etc.] have been reported about the response to infection and COVID-19 outcomes in men and women. Therefore, understanding predictors of Intensive Care Unit (ICU) admission might help future planning and management of the disease. We conducted a multicenter survey about COVID-19 involving internists from Internal Medicine Wards. This survey indirectly allowed us to analyze the information of 2400 patients hospitalized in 35 wards of Internal Medicine of the Campania Region between July and October 2020. Our investigation has detected that the infection is more frequent in males, and the number of male patients hospitalized in ICU is also higher than females, with a large proportion of hypertensive patients. Extensive prospective studies are required to confirm this finding and explore the mechanisms for which hypertensive males are exposed to a higher proportion of admission to ICU and higher case fatality rates.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47161877","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: 1

Nurse coaching improves healthy conditions: an integrative review of the literature 护士指导改善健康状况：文献综述

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1297

E. Vitale, F. Germini

引用次数: 1

Meta-analysis of pharmacist-led and pharmacist-physician intervention on blood pressure control 药剂师主导和药师干预血压控制的Meta分析

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1463

M. Memişoğlu, Y. Çelik

{"title":"Meta-analysis of pharmacist-led and pharmacist-physician intervention on blood pressure control","authors":"M. Memişoğlu, Y. Çelik","doi":"10.4081/itjm.2021.1463","DOIUrl":"https://doi.org/10.4081/itjm.2021.1463","url":null,"abstract":"Effective intervention is a significant component in the improvement of blood pressure control and patient adherence. Blood pressure control includes different self-monitoring techniques, mobile health monitoring, or healthcare professionals’ interventions. This study aims to compare, analyze, and interpret the effectiveness of pharmacist-physician collaboration and pharmacist- led interventions. Meta-analysis was performed using MEDLINE via PubMed, EMBASE, EBSCO, Web of Science, Scopus, and the Cochrane Library databases between 2008-2018. Of the 51 relevant systematic reviews identified, 15 were of sufficient quality and included in the data synthesis. The breakdown of the 15 included 7 (n=2026) pharmacist and 8 pharmacist-physician interventions (n=2361). The impact of pharmacist-physician collaboration and pharmacist-led interventions on Systolic Blood Pressure was –8.22 (–11.01; –5.42) (P<0.01) and –7.68 (–9.30; –6.06) (P=0.35), respectively. On the other hand, similar correlation for Diastolic Blood Pressure for the impact of pharmacist-physician collaboration and pharmacist-led interventions was –3.55 (–4.54; –2.55) (P=0.49) and –2.58 (–3.76; –1.39) (P=0.24), respectively. These results suggest that both interventions are effective for blood pressure control. However, when two meta-analyses were compared, it was found that pharmacist-physician collaboration was more effective than pharmacist-led interventions. This finding highlights the importance of multidisciplinary approaches during blood pressure control procedures. When a holistic view is considered; especially cost-effectiveness, future studies must be diversified to encompass a broader context and impact analysis.","PeriodicalId":43715,"journal":{"name":"Italian Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44234380","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: 1

Cerebral microbleeds after COVID-19 infection: an Italian case report COVID-19感染后脑微出血:意大利1例报告

IF 0.4

Italian Journal of Medicine Pub Date : 2021-09-24 DOI: 10.4081/itjm.2021.1466

F. Manelli, M. Cotelli, G. Lodoli, S. Bonetti, M. Turla

引用次数: 1