Italian Journal of Medicine最新文献

Age- and dose-independent adverse effect of venlafaxine-extended release on blood pressure: a case series of 13 normotensive psychiatric outpatients 文拉法辛缓释剂对血压的不良影响与年龄和剂量无关：13 例血压正常的精神科门诊患者的病例系列研究

Italian Journal of Medicine Pub Date : 2024-07-10 DOI: 10.4081/itjm.2024.1758

M. Khosravi

引用次数: 0

La sfida della prevenzione in medicina interna: a call for action 内科预防工作面临的挑战：呼吁采取行动

Italian Journal of Medicine Pub Date : 2024-07-09 DOI: 10.4081/itjm.q.2024.4

Francesco Dentali, Sara Rotunno

{"title":"La sfida della prevenzione in medicina interna: a call for action","authors":"Francesco Dentali, Sara Rotunno","doi":"10.4081/itjm.q.2024.4","DOIUrl":"https://doi.org/10.4081/itjm.q.2024.4","url":null,"abstract":"\u0000Presentazione. La prevenzione è curaF. Dentali, S. Rotunno\u0000La comunicazione del rischio in prevenzione primaria, secondaria e terziariaG. Pinna\u0000Perché gli internisti ospedalieri si devono occupare di prevenzione?L. Lenzi, E. Schiavetta\u0000L’aspettativa di vita in Italia: cosa sta cambiando e perchéA. Grasso, F. Tangianu\u0000Il ruolo dell’infermiere nella prevenzione delle malattie cronicheL. Tesei, E. Perri, M. Accogli\u0000Focus: le carte del rischio cardiovascolare sono adeguate per i nostri pazienti?R. Calarco, G. Vurchio, D. Carrara\u0000Sindrome metabolica: quali strategie?G. Fontana, D. Romanello\u0000Il prediabete: l’iperglicemia intermedia può diventare un fattore preventivo di patologia?T.M. Attardo, L. Fontanella, V. Della Chiara\u0000Obesità e dislipidemia: una liaison non sempre obbligataF. Lorenzi, G.M. Pontesilli\u0000Malattia epatica associata a disfunzione metabolica e steatoepatite associata a disfunzione metabolica: possibile prevenzione dei fattori di rischioM. Spadaro, A.F.M. Vainieri\u0000Sigarette elettroniche e patologie respiratorie croniche: cosa sappiamo e cosa dovremmo sapereO. Para, G. Cassataro, A. Puggioni\u0000Scompenso cardiaco. Possibile parlare di prevenzione?N. Tarquinio, M.G. Coppola\u0000Prevenzione di genere: focus sulle malattie cardiacheT. Ciarambino, D. Addesi, P. Crispino\u0000Dieta mediterranea e prevenzione cardiovascolareM. Guadagni, E. Panizon, C. Tieri\u0000Interventi di prevenzione nelle malattie muscolo-scheletricheA. Migliore, N. Iannarelli, U. Massafra\u0000Attività fisica: come, quando e perchéR. Buso, A. Abenante, C. Nardin, L. Tonon\u0000Malattie infettive, scenari antichi, nuove emergenze: la vaccinazione nella popolazione generale e nel paziente complessoE. Pistella, M. Nardi\u0000Le buone regole di prevenzione FADOI: quando la prevenzione è curaO. Para, L. Lenzi, M. Guadagni, T. Ciarambino, M.G. Coppola, S. Rotunno, P. Gnerre","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"17 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664886","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

Retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cancer: a 5-year single-center experience in resource-scare setting 治疗肾癌的腹膜后腹腔镜根治性肾切除术：在资源匮乏的环境中进行的为期五年的单中心临床实践

Italian Journal of Medicine Pub Date : 2024-07-08 DOI: 10.4081/itjm.2024.1764

Nguyen Minh An, Ngo Trung Kiên, Nguyen Van Duc, Vo Hoang Long

{"title":"Retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cancer: a 5-year single-center experience in resource-scare setting","authors":"Nguyen Minh An, Ngo Trung Kiên, Nguyen Van Duc, Vo Hoang Long","doi":"10.4081/itjm.2024.1764","DOIUrl":"https://doi.org/10.4081/itjm.2024.1764","url":null,"abstract":"Based on a retrospective hospital-based analysis, this study examines the results of retroperitoneal laparoscopic radical nephrectomy for patients with T1-T2 renal cell carcinoma (RCC) from January 2019 to December 2023. Of the 73 patients, 4.1% had TNM stage II tumors and 95.8% had TNM stage I tumors (53.4% T1a and 42.4% T1b). In terms of frequency, clear cell RCC accounted for 84.9%, with papillary RCC coming in at 9.6% and chromophobe RCC at 4.1%. Following surgery, four patients experienced fevers, one needed a blood transfusion, two had infections, and one had emergency surgery. Lumbar masses and hematuria were absent in all patients. Subsequent metastatic lesions and abnormalities of the renal fossa were not observed on follow-up ultrasounds. 4.1% of the deaths after 25.9 months were due to the disease, and 1.4% were caused by accidents. At one, two, three, and four years, the cumulative survival rates were 100%, 97.2%, and 92.8%, respectively. 48.1 months was the mean postoperative survival period. For RCC stages T1-2, retroperitoneal laparoscopic radical nephrectomy offers significant benefits and comparable results to open surgery.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"116 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666684","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 importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description 多学科康复治疗 6 个月期间认知干预对后天创伤性脑损伤的重要性：病例描述

Italian Journal of Medicine Pub Date : 2024-07-08 DOI: 10.4081/itjm.2024.1763

P. Pisanu, Nicolò Contu, Cristiana Picciau, Stefano Milighetti, Emiliano Deiana, Valeria Vannucci, Benedetta Centonze, Sara Pirastru, Sinai Del Carmen Fabriani Sanchez, Dario Lucchetti

{"title":"The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description","authors":"P. Pisanu, Nicolò Contu, Cristiana Picciau, Stefano Milighetti, Emiliano Deiana, Valeria Vannucci, Benedetta Centonze, Sara Pirastru, Sinai Del Carmen Fabriani Sanchez, Dario Lucchetti","doi":"10.4081/itjm.2024.1763","DOIUrl":"https://doi.org/10.4081/itjm.2024.1763","url":null,"abstract":"Planning an immediate and multidisciplinary rehabilitation is crucial to reduce the significant physical, cognitive, and psychosocial impact resulting from head trauma. This study highlights the importance of ongoing cognitive rehabilitation in conjunction with other rehabilitation therapies, such as motor, occupational, and speech therapy, for a 19-year-old woman who suffered an acquired traumatic brain injury in a high-energy vehicle accident. When the patient was admitted to the hospital, their cognitive functioning (LCF) was 4 (confused-agitated state), their Barthel index was 0, their Glasgow coma scale (GCS) was 7, and their disability rating scale (DRS) was 7. The patient’s cognitive functioning improved to LCF 8 (purposeful-appropriate), numerical rating scale: 0/10, Barthel index: 53, GCS:15, and DRS: 5 at the time of discharge from the neurorehabilitation unit. In conclusion, early cognitive intervention in a multidisciplinary rehabilitation program is essential to maximizing the patient’s potential and improving the rehabilitation’s outcome.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"123 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667699","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

A rare case of multiple myeloma with several atypical manifestations 伴有多种非典型表现的多发性骨髓瘤罕见病例

Italian Journal of Medicine Pub Date : 2024-07-04 DOI: 10.4081/itjm.2024.1760

Clelia Nasti, Raffaele Natale, Annadora Morena, Roberta Della Pepa, Fabrizio Pasanisi, L. Santarpia

引用次数: 0

Outcomes of middle meningeal artery embolization for treating chronic subdural hematoma 脑膜中动脉栓塞治疗慢性硬膜下血肿的疗效

Italian Journal of Medicine Pub Date : 2024-07-03 DOI: 10.4081/itjm.2024.1759

Dao Xuan Hai, P. M. Thong, Dong-Van He, L. Dung, Duong Duc Hung, Nguyen-Thi Huyen, Nguyen Minh Duc

{"title":"Outcomes of middle meningeal artery embolization for treating chronic subdural hematoma","authors":"Dao Xuan Hai, P. M. Thong, Dong-Van He, L. Dung, Duong Duc Hung, Nguyen-Thi Huyen, Nguyen Minh Duc","doi":"10.4081/itjm.2024.1759","DOIUrl":"https://doi.org/10.4081/itjm.2024.1759","url":null,"abstract":"The study evaluates chronic subdural hematoma (cSDH) middle meningeal artery (MMA) embolization efficacy and safety. A prospective interventional study was conducted in Viet Duc Hospital from November 2021 to April 2024. All consecutive cSDH MMA embolization patients were included. Clinical and imaging data were collected before and one month after treatment. The study included 31 42-cSDH patients. Of these, 25.8% had hematoma evacuation, 83.9% were treated with surgery and embolization, and 16.1% with embolization alone. 92.9% of procedures used polyvinyl alcohol particles. The success rate was 92.9% and complications 7.1%. Asymptomatic external carotid artery vasospasm and MMA rupture occurred. Functional improvement occurred in 91.7% of patients one month after treatment. Significantly lower mean modified Rankin Scale (mRS) score (0.2±0.7 vs. 1.7±0.9; P=0.000) and higher proportion of patients with ≤2 mRS score (95.8% vs. 74.1%) were observed after treatment. Hematoma thickness decreased significantly (P=0.00) from 21.5±7.9 mm to 8.3±4.1 mm. The midline shift decreased significantly from 7.4±5.0 mm to 0.7±1.2 mm (P=0.00). Just one patient (4.2%) needed surgery. MMA embolization alone or with surgery appears to treat cSDH safely and effectively.","PeriodicalId":508241,"journal":{"name":"Italian Journal of Medicine","volume":"217 S708","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141681560","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

Area of admission and short-term care: is it still possible after the COVID pandemic? 入院区域和短期护理：在 COVID 大流行之后还有可能吗？

Italian Journal of Medicine Pub Date : 2024-06-11 DOI: 10.4081/itjm.2024.1746

Francesco Serafini, Elia Vettore, Fabio Presotto

引用次数: 0

Primary prevention of cardiovascular diseases in the elderly population 老年人群心血管疾病的初级预防

Italian Journal of Medicine Pub Date : 2024-05-17 DOI: 10.4081/itjm.2024.1730

Roberta Panarelli, Cosima Caputo, Giovanna Cavino, Antonio Scarpa, Lucia Giordano, Pasquale Palmiero

引用次数: 0

Acquired hemophilia A in a case of purple urine bag syndrome 紫色尿袋综合征病例中的后天性血友病 A

Italian Journal of Medicine Pub Date : 2024-05-16 DOI: 10.4081/itjm.2024.1713

Vittoria Gammaldi, Anna Guida, C. Bologna, Antonietta De Sena, M. Lugará, Claudio De Luca, Fabio Granato Corigliano, Mariavittoria Guerra, Gabriella Oliva, Luca Mocerino, A. Zarrella, Maria Gabriella Coppola, Vincenzo Nuzzo, Paolo Tirelli, P. Madonna

引用次数: 0

Uso degli antibiotici nel fine vita 生命末期抗生素的使用

Italian Journal of Medicine Pub Date : 2024-05-16 DOI: 10.4081/itjm.q.2024.3

M. Moroni, Massimo Melo, Raffaella Antonione, Massimo Fantoni, Roberto Luzzati, Massimiliano Lanzafame, Rita Murri, Fabio Gilioli, Francesco Dentali, Dario Manfellotto, Biancamaria Fraccaro, Luigi Patil

引用次数: 0