Acta bio-medica : Atenei Parmensis最新文献

{"title":"Recurrent reactive non-sexually related acute genital ulcers: a risk factor for Behcet’s disease?","authors":"I. Brambilla, Alice Moiraghi, Carmen Guarracino, C. Pistone, Enrico Tondina, G. Riccipetitoni, A. Raffaele, S. Cavaiuolo, M. Bertozzi, V. Brazzelli","doi":"10.23750/abm.v93iS3.13077","DOIUrl":"https://doi.org/10.23750/abm.v93iS3.13077","url":null,"abstract":"Background and aim: Lipschutz ulcers (LU) are idiopathic genital lesions characterized by the sudden appearance of painful, usually symmetric vulvar ulcers, typically occurring in sexually inactive adolescents. LU is a diagnosis of exclusion. As these lesions heal spontaneously, in the absence of tissue scarring, the therapy is mainly symptomatic and focuses on pain relief. Recurrence of LU associated with oral ulcers describes the clinical picture of complex aphthosis, which belongs to Behçet’s disease (BD) pathological spectrum. Our work aims to analyze the correct diagnostic approach to recurrent aphthous, focusing on the importance of a multidisciplinary assessment and immunogenetic investigation to identify the subjects at risk of progression towards BD. Methods: We present the case of a 12-year-old non sexually active Italian girl who was diagnosed with LU. After 15 months, she presented recurrent reactive non sexually related acute genital ulcer associated with a history of oral aphthous. According to clinical features and anamnesis, complex aphthosis was diagnosed. For diagnostic purposes, she underwent an immunogenetic analysis that showed HLA-B51 positivity. Results: In the absence of clinical and laboratory criteria to define the risk of progression of complex aphtosis towards BD, we think that besides a strict follow-up, in pediatric patients with a suggestive clinical history, it is crucial to adopt a multidisciplinary approach, comprehensive of HLA investigation, in order to guarantee an early diagnosis and a prompt therapeutic intervention. Conclusions: In children and adolescents with genital ulcers, it is essential to consider all the possible differential diagnoses to undertake a timely and correct course of treatment. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79898998","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}

{"title":"Combined spinal-epidural anesthesia for renal transplant in a lung transplant recipient: a case report.","authors":"Valentina Bellini,&nbsp;Cristiana Madoni,&nbsp;Marco Badino,&nbsp;Paolo Del Rio,&nbsp;Maurizio Iaria,&nbsp;Carmelo Puliatti,&nbsp;Elena Bignami","doi":"10.23750/abm.v93iS1.12328","DOIUrl":"https://doi.org/10.23750/abm.v93iS1.12328","url":null,"abstract":"<p><p>A 67-year-old lung transplant recipient with severe comorbidities was admitted for renal transplant. As anesthesia technique, combined spinal-epidural at the T11-T12 level was chosen, associated with intravenous sedation. Graft's function initially results altered, bringing to pulmonary fluid overload. Beginning from the postoperative day 5 there was a slow but constant gain-of-function of the graft, proven by an improvement of renal function indexes and by the resolution of the pulmonary edema. Conclusions: Whereas general anesthesia remains the gold standard anesthesia technique for kidney transplant, a locoregional anesthesia, could be a feasible and effective option in patients at high risk of respiratory complications. (www.actabiomedica.it).</p>","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022205"},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/67/ACTA-93-205.PMC10510993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family assistants’ living and working conditions and their interaction with patient and family caregiver variables: a study protocol","authors":"S. Simeone, G. Pucciarelli, Elisa Dal Lago, S. Botti, G. Gargiulo, E. Vellone, R. Alvaro","doi":"10.23750/abm.v93iS2.12719","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12719","url":null,"abstract":"Background and aim: The progressive and constant aging of the global population together with the economy crises and the social variations within family contexts increasingly leads to the use of external resources (Home Care Workers, HCWs) for health care within one’s own family of origin. Purpose of the study is to describe Italian Home Care Workers’ (HCWs) living and working conditions and understand the interactions with outcomes of the patients and informal caregiver. Methods: Observational study with cross sectional design to evaluate the interaction of HCWs without specific training on patients and informal caregivers’ outcomes. Results: understand Italian HCWs’ condition and interaction between these conditions and outcomes of patients and informal caregiver. Conclusions: understanding how HCWs’ conditions can affect outcome about patient and informal caregivers, represents a fundamental step in order to increase QoL of these families. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82874008","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}

{"title":"The Impact of a Training Intervention on Detection of Patient-Ventilator Asynchronies in Nursing Students","authors":"Francesco Gravante, F. Crisci, Luigi Palmieri, L. Cecere, Cristiano Fusi, Enrico Bulleri, L. Pisani, S. Bambi","doi":"10.23750/abm.v93iS2.12716","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12716","url":null,"abstract":"Background and aim of the work: Patient-ventilator asynchronies (PVA) are associated to negative outcomes for patients: increased respiratory work, mechanical ventilation time and ICU length of stay, and mortality. Some studies described the positive impact of a training intervention on the knowledge and attitudes of nurses in detecting PVA. The aim of this study was to evaluate the efficacy of a training intervention focused on detection of PVA. Methods: A before-after design on a single group of nursing students (University “L. Vanvitelli” in Naples) was used. The training intervention about detection of the correct respiratory waveform through graphic monitoring was conducted in a single edition live course of 2 hours, for 25 participants. Measurements of correct detection of PVA through specific competency assessment tool (closed-ended question) were performed before (T0), immediately after (T1) and at 1 month (T2) from the training intervention between January and February 2020. Results: 19 Nurse students completed the training. A total of 50 questionnaires were distributed (T0; n=19; T1; n=19; T2; n=12). PVA were correctly detected in 67.5% (77) of cases. Statistically significant difference There were differences in trainees’ performance between T0 and T1 [77,2% (CI 95%: 68,7% - 85,8%; p=0.001)] and between T0 and T2 [75% (CI 95%: 65,3% - 84,7%; p=0.001]. No significant difference was recorded between T1 and T2 (p=0.83). Conclusions: Nursing students increased their performance on analysis of the graphic monitoring of the respiratory waveforms and detection of asynchronies after a basic training intervention. These skills were retained after 1 month. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77780485","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}

{"title":"The impact of COVID-19 pandemic on family caregivers’ mental health: a rapid systematic review of the current evidence","authors":"F. Dellafiore, C. Arrigoni, T. Nania, R. Caruso, I. Baroni, Ida Vangone, Sara Russo, S. Barello","doi":"10.23750/abm.v93iS2.12979","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12979","url":null,"abstract":"Background and aim of the work. Older adults, especially in isolation and with cognitive decline/dementia, can become more anxious and stressed during the quarantine. All these symptoms negatively affect the psycho-physical health of their caregivers. This study aimed to synthesize the current evidence on the impact of the COVID-19 pandemic on caregivers’ mental health. Methods. A rapid systematic review was conducted using the following databases: Pubmed/Medline, CINAHL, Scopus, and PsycInfo (PROSPERO registration number: CRD42020215485). The ‘PRISMA’ flow chart guided the selection of articles. The search was entirely performed up to September 15th, 2021. Results. The narrative synthesis has brought out two main themes that represent the current debate in literature: “Family caregivers COVID-19 related stress”, and “(Mal)adaptive strategies to the “new” normality”. Conclusions. This study provides an evidence synthesis of the negative mental health impact experienced by caregivers of older adults during the COVID-19 pandemic. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81570234","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}

{"title":"Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients","authors":"Chrisoula Marinaki, T. Kapadochos, T. Katsoulas, Ivan Rubbi, Athanasia Liveri, A. Stavropoulou, Antonio Bonacaro, D. Papageorgiou","doi":"10.23750/abm.v93iS2.12998","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12998","url":null,"abstract":"Background and aim of the study: The time interval between the patients’ intubation and the performance of a tracheostomy has been considered as critical for the disease prognosis and outcome. The aim of the present study was to compare and contrast the outcomes of early vs late tracheostomy with regard to intensive care unit (ICU) patients’ weaning from respiratory support. Methods: This retrospective observational study, involved patients who were hospitalized in two general and one Covid-19 ICUs of two tertiary hospitals in Athens and were subjected to tracheostomy. Data were collected from the patients’ medical records in order to estimate the duration of patient weaning and the number of days from the patients’ intubation until the time of tracheostomy. In the present study the term early tracheostomy denotes tracheostomy performed within 14 days from patient intubation and late tracheostomy defines the tracheostomy carried out after 14 days. For Covid-19 patients, guidelines suggested that tracheostomies should be performed 21 days following intubation, due to the high risk of virus transmission. Results: One hundred and thirty-one patients who underwent tracheostomy participated in the study. Most tracheostomies were performed using the percutaneous technique. The group of patients tracheostomized within 14 days after their admission in ICU weaned faster from respiratory support compared to ones who were tracheostomized after 14 days. Conclusions: The most common distinction between early and late tracheostomy is 14 days, with early tracheostomy being more beneficial in terms of patients’ outcomes, and specifically ICU patients’ weaning. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"464 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77036268","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}

{"title":"What can we learn from retracted studies in the nursing field in the last 20 years? Findings from a scoping review.","authors":"Silvania Joaquim, Jessica Longhini, Alvisa Palese","doi":"10.23750/abm.v93iS2.12954","DOIUrl":"10.23750/abm.v93iS2.12954","url":null,"abstract":"<p><strong>Background and aim of the work: </strong>Literature reviews have summarised the number of retracted studies and guidelines have been developed to prevent this issue. However, available data are scarce in the nursing field. Learning from other experiences may be able to increase awareness of the issue and prevent avoidable errors. Therefore, the intent of this study was to map retracted articles in the nursing field by investigating the reasons for retractions in order to elicit strategies to prevent their occurrence.</p><p><strong>Methods: </strong>A scoping review was performed by searching PubMed and Cumulative Index to Nursing and Allied Health (CINAHL) for articles published from 2001 to 2021. Quantitative primary and secondary studies related to the nursing field and written in English, with a \"retracted article\" message and/or presenting a retraction notice, have been included. The main reasons for retraction have been recorded, as well as the main features of the studies retracted.</p><p><strong>Results: </strong>Out of 274 studies, we detected 26 retractions, of which eight were literature reviews and seven were experimental studies. Editors were the most frequent party requiring retraction. The retracted studies originated from 11 countries and were mostly published (n = 19) in general nursing journals. Scientific misconduct was the main cause of retraction (n = 18), while the remaining retractions were due to other types of errors.</p><p><strong>Conclusions: </strong>Most of the study retractions were issued by editors and originated mostly from high-scientific output countries. Scientific misconduct represented the principal cause of retraction; from these failures, educational strategies have been identified in order to prevent issues and to increase awareness among researchers and healthcare professionals.</p>","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"23 1","pages":"e2022193"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81462287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing students’ attitudes on caring for people living with HIV/AIDS. A European Multicentre Study","authors":"Antonio Bonacaro, T. Stroumpouki, A. Stavropoulou, Carmela Triglia, Emanuele Vizilio, D. Papageorgiou, Ivan Rubbi","doi":"10.23750/abm.v93iS2.12999","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12999","url":null,"abstract":"Background and aim: Caring for people with HIV/AIDS is a challenging issue for nursing students, involving sometimes misconceptions due to different cultural, political and religious views. The aim of this project was to investigate nursing students’ attitudes on caring for people with HIV/AIDS. Methods: A convenient sample of undergraduate nursing students enrolled in four European universities was recruited. Data were collected by administering the AIDS Attitude Scale (AAS). Statistical analysis included the ANOVA test, the t–test for independent variables, and the Kruskal-Wallis test with a confidence level P <0.05. Results: The sample consisted of 594 students of which 162 (27.3%) were English, 246 (41.4%) Italian and 186 (31.3%) Greek. Study findings demonstrated that students’ attitudes toward HIV/AIDS patients were relatively positive, although the majority of them indicated fear of contracting HIV through clinical practice. Nursing students’ positive feelings for HIV/AIDS patients were also correlated with the strong willingness to take care of them. Conclusions: Despite being exposed to different teaching and learning experiences, a significant part of the participants believe that HIV/AIDS make nursing a high-risk profession. Furthermore, students’ misconceptions are not limited to clinical practice areas as they expressed concerns in sending their children in a class along with a child affected by AIDS and/or in dining in a restaurant where a chef affected by AIDS works. Students are in general well-disposed towards this patients’ population but there is still stigma associated with this condition. A new teaching and learning approach may help redefining students’ attitudes and in limiting the negative impact of misconceptions on the quality of nursing care. Further investigation in this area would help in shading light on the reasons why students are still biased in approaching AIDS/HIV patients. The use of a qualitative approach based on semi-structured interviews and/or focus group would be recommended. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86712433","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}

{"title":"The satisfaction level perceived by Italians during the first phase of the Covid-19 pandemic phase","authors":"E. Vitale, R. Lupo, G. Artioli, Mariarosaria De Vito, A. Calabró, Cosimo Caldararo, Maurizio Ercolani, A. Lezzi, M. Carvello, L. Conte, M. Carriero","doi":"10.23750/abm.v93iS2.12467","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12467","url":null,"abstract":"Aim of the work: To survey the degree of satisfaction of the Italian population in reference to the health care provided throughout the national territory in the period of emergency COVID-19. Methods: Observational, cross sectional, multicenter study conducted during the first phase of the pandemic (May-June 2020) involving the national population (n=889) subjects, through an online survey. Results: 889 people participated in the study. Among the greatest satisfaction perceived about the assistance received during the first pandemic wave, there are those towards the health assistance received in general (p=.049), towards people hospitalized (p=.046), and the treatment received for the COVID-19 test (p=.002). Among the greatest difficulties encountered there is also that of contacting the general practitioner (p=.032), to the treatment received from Local Health Authority (p=.006), to the treatment received from the call center numbers activated during the pandemic, as the toll-free number (p<.001) and the “1500” number (p<.001) and to the treatment received for relative (p<.001). The greatest difficulty for all detected was finding surgical masks to protect themselves from infection, in fact 56.14% pf participants declared this difficulty. Conclusions: The COVID-19 pandemic has restored the value of our own public and free health system, showing - in a violent way - many of the challenges that have been looking for some time in health services (and not only in Italy) and, for these reasons, it is necessary starting from what has been learned in recent months and drawing new guidelines for the future. (www.actabiomedica.it)","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78838541","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}

{"title":"The first Italian validation of the Nurse-Nurse Collaboration Scale","authors":"Ilaria Marcomini, Roberta Pendoni, Debora Rosa, Giulia Locatelli, Laura Milani, S. Terzoni, Serpil ÇELİK DURMUŞ","doi":"10.23750/abm.v93iS2.12353","DOIUrl":"https://doi.org/10.23750/abm.v93iS2.12353","url":null,"abstract":"Background and aim of the work: Collaboration between colleagues is an essential element of clinical nursing care because it helps to ensure patient safety. This study aimed to evaluate the psychometric properties of the Italian version of the Nurse-Nurse Collaboration Scale (NNCS). The secondary goal of this study was to assess the degree of collaboration between nurses in Italy. Methods: First, the cultural adaptation of the NNCS tool was performed. The face and content validity of the tool were assessed through the involvement of nursing experts. To test construct validity, a cross-sectional web-based study was conducted on a sample of 362 clinical nurses. Results: The Italian version of the NNCS was composed of 23 items distributed across the original five domains. Ten items were removed from the original instrument because they showed several cross-loadings on more than one factor. The five-dimensional model showed an adequate model goodness of fit (RMSEA=0.075, CFI=0.883, SRMR=0.072). The NNCS dimension with the highest average score was Professionalism (M=3.10 ± 0.45), while Conflict Management (M=2.14 ± 0.47) exhibited the lowest score. Conclusions: The Italian version of the NNCS is a valid and reliable tool. More effort should be made to ensure the proper management of conflicts in healthcare environments.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77525313","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}