5,466 results match your criteria Recenti Progressi in Medicina [Journal]


In ricordo di Lisa Schwartz (30 giugno 1963 - 29 novembre 2018).

Authors:

Recenti Prog Med 2019 Jan;110(1):52

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30823DOI Listing
January 2019

[Stories of foreigners].

Authors:
Rino Scuccato

Recenti Prog Med 2019 Jan;110(1):48-51

Neurologo libero professionista, Vicenza.

Immigrant foreigners who attend a public neurology clinic live in our country for a long time and they usually have a fair degree of integration into the cultural fabric. They do not seem to have pathologies or social problems different from those of the Italian users of the same service. However, many of them carry personal and collective stories of deprivation, struggle and suffering that can not be considered common. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30822DOI Listing
January 2019

[Encephalitis by type B influenza: a pediatric clinical case and literature review.]

Recenti Prog Med 2019 Jan;110(1):42-46

UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna.

We report the case of a 6-year-old girl who presented with encephalitis during type B influenza. The clinical picture was characterized by an alteration of the state of consciousness associated with focal neurological signs with electroencephalographic changes and brain MRI. Clinical improvement was rapid and without neurological outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30821DOI Listing
January 2019

[The heart failure management in Sicily: cognitive analysis of clinical features.]

Recenti Prog Med 2019 Jan;110(1):33-41

UO Cardiologia, Dipartimento per la Cura e lo Studio delle Patologie Cardiotoraciche e dei Trapianti Cardiotoracici, IRCCS - ISMETT, Palermo.

Introduction: Heart failure (HF) is a main issue of modern healthcare system. Patient affected are continuously growing in number and age; therefore, an integrated management between different parts of healthcare system is crucial to optimize outcome and sustainability. So far, little is known about clinical pathways of HF patients in Sicily. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30820DOI Listing
January 2019

[Heart failure in Apulia Region - Italy (Local Health Unit Barletta-Andria-Trani): analysis of the therapeutic pathways, healthcare resource consumption and related costs.]

Recenti Prog Med 2019 Jan;110(1):23-32

CliCon, Health Economics and Outcomes Research, Ravenna.

Background: Heart failure (HF) is commonly reported, it is estimated to affect 10% of subjects aged over 70 years. Objectives of this study were to describe clinical and demographic characteristics of patients with HF diagnosis, to analyze therapeutic pathways and to estimate healthcare resources consumption.

Methods: Data on patients aged ≥18 years with a hospitalization discharge diagnosis of HF between 01/01/2010 and 31/12/2014 and in treatment with HF-related drugs were extracted from the administrative databases of the Italian Local Health Unit of Barletta-Andria-Trani (BT). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30819DOI Listing
January 2019

[Appropriateness, self-audit and extractors in general medicine.]

Recenti Prog Med 2019 Jan;110(1):18-22

MGI Medoacus, ASL 6 Euganea, Carmignano di Brenta (Padova).

The author presents the results of a personal audit proposed to the GPs by the ASL 6 Euganea of the Veneto Region. The results obtained show significant differences between the data provided by the pharmaceutical sector and those obtained by consulting the individual database. The therapeutic adherence of antihypertensive drugs appears to be particularly discordant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30818DOI Listing
January 2019
1 Read

[To tell science. Risks, opportunities and new tools of communication.]

Authors:
Gianna Milano

Recenti Prog Med 2019 Jan;110(1):11-17

Giornalista scientifico.

The New York Times recently celebrated the 40th anniversary of its historic "Science section" with a special issue. An opportunity to reflect on the state of the art of scientific journalism. After having seen the inserts dedicated to science flourish in the '70s and '80s, in recent times the major Italian weekly and several newspapers have decided - with rare exceptions - to eliminate them. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30817DOI Listing
January 2019
2 Reads

[Adherence to chronic polytherapy in secondary prevention of myocardial infarction: limits and perspectives.]

Recenti Prog Med 2019 Jan;110(1):7-9

Dipartimento di Epidemiologia del SSR - Regione Lazio, ASL Roma 1.

Patients who have had an acute myocardial infarction (MI) are at increased risk of mortality and morbidity. International guidelines agree on the use of combination of the following drugs: platelet antiplatelets, β-blockers, ACEI⁄ARBs and statins. The benefits of chronic polytherapy in reducing cardiovascular disease have been clearly shown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30816DOI Listing
January 2019

Dalla letteratura.

Authors:

Recenti Prog Med 2019 Jan;110(1):3-5

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30815DOI Listing
January 2019

In questo numero.

Authors:

Recenti Prog Med 2019 Jan;110(1)

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3089.30814DOI Listing
January 2019

[How to implement the guidelines in clinical practice. The experiences in digestive endoscopy.]

Authors:
Emilio Di Giulio

Recenti Prog Med 2018 Dec;109(12):614-618

UOD di Endoscopia Digestiva. Azienda Ospedaliera Sant'Andrea, Sapienza Università di Roma.

The gap between the evidences produced by scientific research and its application in clinical practice has gained considerable interest in recent years. The guidelines are the best and most accessible elaboration of the evidence, but their implementation for good clinical practice requires complex and targeted interventions, often hampered by several cultural, organizational and structural barriers. The literature provides several intervention tools today to bridge this gap. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3082.30748DOI Listing
December 2018
4 Reads

[New organ allocation criteria in liver transplantation.]

Recenti Prog Med 2018 Dec;109(12):609-613

Unità Operativa di Epatologia e Trapianto, Dipartimento di Area Medica (DAME), Azienda Ospedaliero-Universitaria Integrata, Udine.

The organ allocation modality in the liver transplant represents a fundamental step for the correct success of the transplantation procedure. The practical effects deriving from the adoption of the organ allocation models do not imply only clinical repercussions but also concern important ethical aspects. Alongside the general principles of fairness, justice and transparency, the organ allocation models should be aimed at providing for each patient who waits for an organ, the possibility of accessing it, preserving and maximizing the outcome of the transplant in terms of survival and quality of life. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3082.30747DOI Listing
December 2018
1 Read

Direct-acting antiviral agents and risk of hepatocellular carcinoma: is it still a clinical dilemma?

Recenti Prog Med 2018 12;109(12):605-608

Section of Gastroenterology and Hepatology, Dipartimento Biomedico di Medicina Interna e Specialistica (DIBiMIS), University of Palermo, Italy.

Direct-acting antivirals (DAAs) revolutionised the treatment of chronic HCV-related disease achieving high rates of sustained virological response (SVR), also in more advanced patients, with a good safety profile and a proven positive effect on the reduction of risk of HCC occurrence. Nevertheless, patients with an history of successfully treated early HCC were initially excluded from pivotal trials. Although some initial retrospective studies, affected by several methodological issues, raised concerns regarding a possible harmful effect on the risk of HCC recurrence after antiviral therapy, more recent prospective studies and meta-analyses provided evidence that risk of HCC recurrence after DAA therapy is similar, or even lower, than that observed in patients treated with interferon or in DAA-untreated controls. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3082.30746DOI Listing
December 2018
1 Read

[Infections and antimicrobial stewardship in cirrhotic patients.]

Recenti Prog Med 2018 Dec;109(12):600-604

SC Malattie infettive, Dipartimento Scienze Mediche e Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Università di Pavia.

The aim of this review is to focus on the recent knowledge on antibiotic stewardship and empiric antibiotic treatment in cirrhotic patients. The application of antimicrobial stewardship (AS) rules appears to be the most appropriate strategy to globally manage cirrhotic patients with infectious complications: indeed they represent a unique way to provide both early diagnosis and appropriate therapy in order to avoid not only antibiotic over-prescription but, more importantly, selection and spread of antimicrobial resistance. Moreover, cirrhotic patients must be considered "frail" and susceptible to healthcare associated infections: applying AS policies would assure a cost reduction and thus contribute to the improvement of public health strategies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3082.30745DOI Listing
December 2018
1 Read

[Inflammatory and neoplastic cholangiopathies.]

Recenti Prog Med 2018 Dec;109(12):595-599

Dipartimento di Medicina Interna e Specialità Mediche, Policlinico Umberto I, Sapienza Università di Roma.

The biliary tree consists of mature epithelial cells called cholangiocytes and is subdivided in intra and extrahepatic bile ducts. They facilitate the secretion and modification of the bile constituents and act as transport ducts of bile to the intestine. The alteration of the normal function of cholangiocyte, can lead to the development of multiple biliary diseases, known as cholangiopathies, generally chronic, with a progressive course and which often are lacking of an effective treatment, determining a poor prognosis, even lethal, for the patient. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3082.30744DOI Listing
December 2018
5 Reads

[Clinical outcomes and hospital costs of hepatic encephalopathy: an analysis of "real life" data from Marche Region.]

Recenti Prog Med 2018 Dec;109(12):585-594

Unità Complessa di Gastroenterologia ed Epatologia, Ospedale San Filippo Neri, Roma.

Hepatic encephalopathy (HE) describes a spectrum of potentially reversible neuropsychiatric changes observed in patients with hepatic dysfunction and/or portosystemic shunt. The aim of this study is to compare data from clinical trials and observational studies with Italian real-world (RW) data as for clinical outcomes; other aim is to evaluate economic burden of hepatic encephalopathy related to hospitalization for overt HE. The work is based on data from the Health Information Systems (SIS) of Marche Region, Italy (about 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3082.30743DOI Listing
December 2018
2 Reads

[Role and clinical meaning of non-invasive tests in the evaluation of portal hypertension in patients with advanced chronic liver disease].

Recenti Prog Med 2018 Dec;109(12):574-584

Unità Operativa di Gastroenterologia, Borgo Trento, Azienda Ospedaliera Universitaria Integrata, Verona.

Portal hypertension (PH) is the main driver of complications in patients with advanced chronic liver disease (ACLD). Correctly identifying the presence and severity of PH is crucial for the management and prognosis of compensated ACLD (cACLD) patients. Over the last 20 years, several non-invasive tests (NITs) have been proposed for PH assessment; among these, liver (LSM) and spleen (SSM) stiffness measurement by transient elastography are the most validated and accurate predictors of clinically significant PH (CSPH) and its complications, such as gastroesophageal varices, clinical decompensation and hepatocellular carcinoma. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3082.30742DOI Listing
December 2018
6 Reads

[Microbiota and inflammatory bowel disease: an update.]

Recenti Prog Med 2018 Dec;109(12):570-573

UOC Medicina Interna e Gastroenterologia, Area Gastroenterologia e Oncologia Medica, Dipartimento di Scienze Gastroenterologiche, Endocrino-Metaboliche e Nefro-Urologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma - equal contributors.

Over the last few years, the gut microbiota has been the focus of countless studies conducted both on mouse models and human population, aimed at analyzing its functions and interactions with the host, including nutrition, metabolic homeostasis, protection from infections and development of systemic and mucosal immunity both in inflammatory bowel disease (IBD) as well as other intestinal and extra-intestinal diseases. In IBD microbiota is impaired in overall composition and biodiversity, stability as well as functions. Microbial signature of IBD can be considered also a decrease in F. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3082.30741DOI Listing
December 2018
5 Reads

[Immunotherapy and cancer: towards 2020.]

Recenti Prog Med 2018 Dec;109(12):566-569

Bristol-Myers Squibb Italia.

Immunotherapy is a novel treatment strategy that, even though implemented decades ago, has emerged with important clinical data in the last 10 years and is fulfilling the promise of prolonging survival in several types of cancer by restoring the immune system activity against the tumor. To understand its benefits it is necessary to correctly evaluate the right endpoints and to know and manage the toxicity profile. The two immune-checkpoint receptors that have been most actively studied in the context of clinical cancer immunotherapy are the cytotoxic T-lymphocyte-associated antigen 4 (CTLA4) and the programmed cell death protein-1 (PD-1), which are both inhibitory receptors and regulate immune responses at different levels and by different mechanisms. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3082.30740DOI Listing
December 2018
4 Reads

[Revival of evidence-based medicine in gastroenterology.]

Recenti Prog Med 2018 Dec;109(12):563-565

Senior Directors, Unità Complessa di Gastroenterologia ed Epatologia, Ospedale San Filippo Neri, Roma.

The evidence-based medicine (EBM) in gastroenterology is born with the XIII International Congress of Gastroenterology, the world congress of Gastroenterology, held in Rome in 1988. A clinical epidemiology manual was placed in the congress bag for each participant. The book contained an approach to biostatistics, interpretation of epidemiological data, clinical trials, meta-analysis and decision analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3082.30739DOI Listing
December 2018
2 Reads

[Second-line treatment with FOLFIRI plus aflibercept in a patient with right-sided, BRAF mutated metastatic colon cancer.]

Recenti Prog Med 2018 Nov;109(11):27e-29e

This is the case report of a woman with more than 70 years and good PS, with diagnosis of right sided, BRAF mutated and MSI-high colon cancer, diffusively metastatic to lymph nodes. The treatment sequencing of FOLFOXIRI bevacizumab (I line) and FOLFIRI aflibercept (II line) allowed to maximally shrink the disease burden and dramatically extend survival thanks to the treatments' intensification (due to BRAF mutation-related aggressiveness) and the immune-modulating effects of anti-angiogenic treatments (due to immune-suppressive burden associated with MSI-high status). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30304DOI Listing
November 2018
1 Read

[Perioperative treatment with FOLFIRI plus aflibercept in a patient with RAS and BRAF wild-type, left-sided colon cancer, with early relapse following adjuvant oxaliplatin- based treatment due to potentially resectable liver metastases].

Recenti Prog Med 2018 Nov;109(11):24e-26e

This is a "best practice" case report of a non-uncommon clinical scenario, referring to an early liver relapse, judged as technically resectable, following adjuvant oxaliplatin-based treatment for left-sided, RAS and BRAF wild-type colon cancer. The choice of aflibercept vs cetuximab/panitumumab relies on the need to counteract an aggressive disease, without loosing the chance of radical surgery, nor loosing treatment options in the third-line setting. Treatment decisions are evidence-based on efficacy data of neoadjuvant anti-angiogenic treatment, as well as on the detrimental effect derived from the addition of cetuximab to perioperative chemotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30303DOI Listing
November 2018
1 Read

[Treatment with FOLFIRI plus aflibercept in a patient with RAS and BRAF wild-type, right-sided colon cancer and potentially resectable liver metastases].

Recenti Prog Med 2018 Nov;109(11):20e-23e

This is the case report of a patient with right-sided, RAS and BRAF wild-type metastatic colorectal cancer, with borderline/potentially resectable liver-limited disease. Following neoadjuvant treatment with FOLFOX plus bevacizumab and radical resection, an early intra-hepatic disease relapse was observed and deemed as potentially resectable. Therefore, treatment with FOLFIRI plus aflibercept was started: a major partial response and radical re-resection were achieved. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30302DOI Listing
November 2018
1 Read

[The inhibition of angiogenic pathway in second line treatment of metastatic colorectal cancer.]

Recenti Prog Med 2018 Nov;109(11):15e-19e

The inhibition of the antiangiogenic pathway in association with chemotherapy significantly improved disease control and overall survival both in the upfront and in second line treatment of metastatic colorectal cancer patients. The VELOUR study had showed a significant improvement in overall survival with the addition of aflibercept, an antiangiogenic chimeric protein, to FOLFIRI (5-flourouracil, leucovorin, irinotecan) in patients who progressed after an oxaliplatin based chemotherapy (with or without bevacizumab) in first line treatment or within 6 months from the completion of adjuvant chemotherapy. Subgroup analyses from VELOUR trial show that the benefit of aflibercept is independent from previous exposure to bevacizumab in first line. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30301DOI Listing
November 2018
1 Read

[Treatment of persistent opioid-induced constipation in patients with hematological malignancies: case report].

Authors:

Recenti Prog Med 2018 Nov;109(11):11e-14e

Opioid-induced bowel dysfunction wich comprises several other gastrointestinal complaints; could be highly debilitating, thus significantly deteriorating patients' quality of life. In particular, opioid-induced constipation (OIC) is the most frequent symptom. Therefore patients with haematological malignances need special attention of these disabling symptoms, which should be prevented by a correct evaluation of diet, age, intestinal habits, history of prior bowel disorders as well as constipating effects of other concomitant medication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30300DOI Listing
November 2018
1 Read

[Not all pains are the same: breakthrough pain in cancer patients. A case report].

Authors:
Marco Gunnellini

Recenti Prog Med 2018 Nov;109(11):6e-10e

Between 40 and 80% of cancer patients experience breakthrough pain. Some fentanyl formulations represent a good option to handle this symptom. We report the case of one of our patients where early integration of palliative care service consented an optimal management of cancer pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30299DOI Listing
November 2018
1 Read

[Management of nausea and vomiting in cancer patients. Use of transdermal patches containing granisetron in patients affected by head and neck squamous-cell carcinoma].

Recenti Prog Med 2018 Nov;109(11):3e-5e

In the management of cancer patients, supportive therapies play a crucial role. In patients with HNSCC in particular, swallowing may be difficult or completely prevented, therefore it is necessary to resort to alternative routes of administration instead of the oral one. The use of transdermal patches containing granisetron is thereby particularly indicated for the management of nausea and vomiting in these patients, ensuring a better quality of life and better compliance to the antineoplastic therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30298DOI Listing
November 2018
1 Read

Le terapie di supporto in oncologia.

Authors:
Andrea Antonuzzo

Recenti Prog Med 2018 Nov;109(11):1e-2e

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30297DOI Listing
November 2018
1 Read

Cinema e medicina
Il verdetto.

Authors:

Recenti Prog Med 2018 Nov;109(11):561-562

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30295DOI Listing
November 2018
1 Read

[The Physician's advance directives.]

Recenti Prog Med 2018 Nov;109(11):556-559

Medico intensivista.

On December 2017 the Italian Parliament approved the law n. 219/2017 on the advance directives (ADs) and the appointment of a health care proxy (HCP). The law has been considered as a civil conquest for defending the rights of sick people. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30293DOI Listing
November 2018
1 Read

[Successfully aging elderly.]

Authors:
Rino Scuccato

Recenti Prog Med 2018 Nov;109(11):552-555

Neurologo libero professionista, Vicenza.

Only a small proportion of older people (2-5% of 80-90 years old) do not suffers from activity limitation keeping good cognitive and sensorial abilities, living an active, independent life, maintaining social relationships. Interestingly, it is possible sometime to see these "old successful elderly people" in neurology medical facility because of an overzealous practitioner or because their exuberance puts them in danger of falling. Surprisingly, most people consider this uncommon way to grow old as available to anyone, so all those who became pensioners expect to getting old in the same way. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30294DOI Listing
November 2018
1 Read

[Activity and efficacy of vinflunine in third line in patients with advanced urothelial carcinoma of the renal pelvis, progressing to immunotherapy.]

Recenti Prog Med 2018 Nov;109(11):547-550

Servizio di Oncologia, AUSL Romagna, Lugo (Ravenna).

The clinical case concerns a 72-years-old woman diagnosed with an urothelial carcinoma of the renal pelvis with hepatic and lymph node metastases. The disease was rapidly progressing to a first line of platinum-based chemotherapy and to a second line with immunotherapy; a clinical and instrumental benefit was then observed with vinflunine used as third line regimen. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30292DOI Listing
November 2018
1 Read

[Influenza vaccination in advanced cancer patients undergoing immunotherapy with anti-PD-1/PD-L1 immune checkpoint inhibitors: what data do we have for the clinical recommendation?]

Recenti Prog Med 2018 Nov;109(11):540-546

Oncologia Medica, Ospedale Cannizzaro, Catania.

Influenza vaccination is recommended by national and international guidelines in cancer patients, due to the likely compromised immune status and the risk of major complications from the infection. Nevertheless, the infectious morbidity and mortality of cancer patients treated with anti-PD-1/PD-L1 immune checkpoint inhibitors have not been explored. Currently, no solid data support the efficacy and safety of influenza vaccination in this subgroup. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3031.30291DOI Listing
November 2018
8 Reads

[Biosimilars in oncology. Focus on SB3 studies.]

Recenti Prog Med 2018 Nov;109(11):531-539

Dipartimento di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova - Dipartimento di Medicina Interna, DIMI, Università di Genova.

A phase III study compared SB3, a trastuzumab biosimilar, with trastuzumab originator in 800 HER2 positive breast cancer patients undergoing neoadjuvant chemotherapy. The aim of the study was to demonstrate the equivalence between the two drugs in terms of pathological complete responses. The total pathologic complete response rates were 51. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3031.30290DOI Listing
November 2018
6 Reads

Chemotherapy-related cognitive impairment: mechanisms, clinical features and research perspectives.

Recenti Prog Med 2018 Nov;109(11):523-530

Division of Infantile Neuropsychiatry, UOMI-Maternal and Infant Health, ASL NA3 SUD Torre del Greco, Naples, Italy.

The term chemotherapy-related cognitive impairment (CRCI), or cognitive dysfunction, or chemo fog, or chemo brain, is referred to a decline in a variety of neuropsychological tasks after chemotherapy, or following other anticancer treatments such as radiation therapy or surgery, in patients with non-central nervous system cancers. Furthermore, several pieces of evidence suggest that clinical manifestations of cognitive impairment may occur in cancer patients, prior to chemotherapy or in those not treated with cancer therapies. In these circumstances, it should be more appropriate to use the term cancer-related cognitive dysfunction. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3031.30289DOI Listing
November 2018
11 Reads

Dalla letteratura.

Authors:

Recenti Prog Med 2018 Nov;109(11):521-522

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30288DOI Listing
November 2018
1 Read

In questo numero.

Authors:

Recenti Prog Med 2018 Nov;109(11):519

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3031.30287DOI Listing
November 2018
1 Read

[Neurological contact.]

Authors:
Rino Scuccato

Recenti Prog Med 2018 Oct;109(10):513-517

Neurologo libero professionista, Vicenza.

To what extent is current clinical practice capable of gathering relevant patient data, observing them and giving them adequate information back? To what extent does the clinical pathway play a role of real care and not simply technology delivery? The neurology clinic is an excellent case study for these questions. Experience shows that the available time is often inadequate to the complexity of the clinical and human cases. In particular, the patterns of clinical history in use ignore the individuality of the patient and his existential dimension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3010.30089DOI Listing
October 2018
1 Read

[An assessment of the knowledge of school teachers on type 1 diabetes mellitus.]

Authors:
Domenico Greco

Recenti Prog Med 2018 Oct;109(10):509-512

UOC Malattie Endocrine, del Ricambio e della Nutrizione, PO "Paolo Borsellino", Marsala (Trapani).

Introduction: Type 1 Diabetes Mellitus is one of the most common chronic diseases in children. School children with diabetes may have special needs during their school attendance. Teachers are responsible for the safety of children at school, therefore, to safely manage a student with diabetes, especially in cases of emergency, they should be in possession of adequate informations and a good level of knowledge of the disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3010.30088DOI Listing
October 2018
2 Reads

[Stratification of cardiovascular risk in patients with non-traumatic chest pain in the emergency department. Perspectives of the Heart Risk Score in patients with acute coronary syndrome.]

Recenti Prog Med 2018 Oct;109(10):494-508

Unità Operativa Dipartimentale di Pronto Soccorso Medico, Azienda Ospedaliero Universitaria Policlinico Umberto I, Roma.

Introduction: Acute chest pain (CP) is a potentially related both to acute coronary syndrome and to other morbidities; this means that 2%-10% patients with cardiogenic CP are improperly discharged from the Emergency Room (ER). In order to identify risk to develop cardiovascular (CV) events in patients admitted to ER with CP, we used Heart Risk Score (HRS).

Materials And Methods: We included 165 patients referred to the ER for non-traumatic acute CP. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3010.30087DOI Listing
October 2018
14 Reads

[Adventure therapy: principles, practice, perspectives.]

Recenti Prog Med 2018 Oct;109(10):487-493

Fondazione Tender to Nave Italia ONLUS, Genova.

The high rates of psychological distress, disability and/or chronic illness reported among children, adolescents and young adults, are a recent stimulus for the development and evaluation of new initiatives. Adventure therapy, realized through sailing navigation or stay in the mountains are effective strategies to raise the welfare of the beneficiaries, implementing self-esteem, autonomy and social skills. A "Nave Italia" model is described and prospects for development in a sector not yet capable to produce high quality research and training, according to traditional gold standard criteria by medical research, are discussed. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3010.30086DOI Listing
October 2018
8 Reads

[Systematic review to evaluate the efficacy, acceptability and safety of second-generation antipsychotics for the treatment of unipolar and bipolar depression.]

Recenti Prog Med 2018 Oct;109(10):474-486

Dipartimento di Epidemiologia del SSR Lazio ASL Roma1.

Background: The World Health Organization (WHO) estimates that depression affects about 121 million people in the world and in terms of years of illness, by the year 2020 could become the second most prevalent disease in the world population after cardiovascular diseases. Second-generation antipsychotics (SGAs) seems to induce remission in depression when added to an antidepressant.

Aim: To evaluate the efficacy and safety of SGAs for the treatment of depression. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/3010.30085DOI Listing
October 2018
11 Reads

[Aging with HIV: a new challenge for the clinical psychology and the healthcare system.]

Recenti Prog Med 2018 Oct;109(10):469-473

USD Psicologia Clinica, Dipartimento di Scienze della Salute, Università di Milano.

Clinicians will have to face an increasing numbers of older HIV-infected patients in coming years. The age cut-off of 50 years often adopted to define "elderly" patients with HIV/AIDS is younger than that usually used in most other settings. The present contribution discusses the main peculiarities and new outcomes of interest of this class of patient from the clinical psychology perspective; the contribution is divided in three section exploring cognitive disorders, psycho-emotional problems and health-related quality of life proposing both a brief synthesis of the main evidence from the literature and some insights and proposals for the importance of involving a psychologist in the clinical care of these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3010.30084DOI Listing
October 2018
1 Read

[Rights at 180. Forty years after the Basaglia law.]

Authors:
Rebecca De Fiore

Recenti Prog Med 2018 Oct;109(10):459-468

Il Pensiero Scientifico Editore.

On May 13, 1978 the Italian Mental health act [Law 180] was approved, better known as the Basaglia law, named after of the psychiatrist who inspired it. It represents the basis of the Italian mental health legislation: the outdated custodial care in psychiatric hospitals was shifted away from mental hospitals to community mental health centres. Alternative community care restored dignity and rights to locked up people. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3010.30083DOI Listing
October 2018
1 Read

[Scientific professional associations and guidelines' preparation process.]

Authors:

Recenti Prog Med 2018 Oct;109(10):457-458

Clinical guidelines are a valuable tool for doctors: they are the "type of document" most downloaded from publishers' websites and the "type of article" most cited in scientific literature. They are also an important driver of health system expenditure. To avoid conflicts of interest and to overcome an overly specialized approach, guidelines should not be prepared by scientific professional associations involved in the subject addressed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/3010.30082DOI Listing
October 2018
22 Reads

Cinema e medicina
"Sulla mia pelle": tornare (non restare) umani.

Authors:

Recenti Prog Med 2018 Sep;109(9):447-448

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/2990.29931DOI Listing
September 2018
1 Read

[Dementia in the real world.]

Authors:
Rino Scuccato

Recenti Prog Med 2018 Sep;109(9):443-446

Neurologo libero professionista, Vicenza.

More than with other diseases, the diagnosis of dementia must be made carefully, as it can have a huge impact on both the patient's social and legal status and the caregiver's own health. Special attention should be put in avoiding diagnostic errors at the time of symptom onset, because a diagnosis made explicitly can affect the patient's self-esteem. If the diagnosis is uncertain, we would recommend not performing unnecessary investigation but rather waiting to get a clearer clinical picture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1701/2990.29930DOI Listing
September 2018
1 Read

[Depression in pregnancy: focus on the safety of antidepressant drugs.]

Recenti Prog Med 2018 Sep;109(9):432-442

Ambulatorio di Psichiatria e Psicofarmacologia Perinatale "DeGra", Ancona, Rimini, Verona.

Antepartum depression, frequently in comorbidity with anxiety disorders, is a severe psychopathological condition frequently reported in pregnancy and in many cases associated with obstetric and neonatal complications and potential negative consequences on child neurodevelopment. However, the pharmacological treatment of depression, during pregnancy generates a lot of concerns about the risks of such treatment for the fetus development and the neonatal health. The aim of this review is to present a selection of the latest international literature including recent original studies, systematic reviews, meta-analyses and recommendations from the guidelines, both on the risks of an untreated depressive disorders and on the risk of antidepressant therapy during gestation with drugs belonging to the SSRI and SNRI (SRI) class. Read More

View Article

Download full-text PDF

Source
http://www.recentiprogressi.it/articoli.php?archivio=yes&
Publisher Site
http://dx.doi.org/10.1701/2990.29929DOI Listing
September 2018
14 Reads