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Acta Bio-medica: Atenei Parmensis

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https://read.qxmd.com/read/30977751/pre-operative-pediatric-cardiac-surgery-enema-versus-not-enema
#1
Angela Prendin, Vincenza Sansone, Luca Brugnaro, Ilaria De Barbieri
BACKGROUND AND AIM OF THE WORK: There is evidence in adult literature that the enema in the preoperative of thoracic surgery can be dismissed without disadvantage. However, there is a gap of articles about enema in childhood for thoracic surgeries. The aim of the work is  to investigate whether the administration of enema in the preparation for cardiac surgery, the use of different analgosedation drugs and the Extracorporeal Circulation influence the children's intestinal motility in the post-operative period...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977750/evalutation-of-the-perceived-quality-in-the-orthopedics-traumatology-unit-at-carlo-poma-hospital-in-mantova
#2
Daniela Pasquali, Andrea Pizzoli, Marco Venturini, Elena Miglioli
The background and the aim of the work: The Department of Orthopedics and Traumatology of the "Carlo Poma" Hospital (Social Territorial Health Authority of Mantova), has pointed out in 2017, through the questionnaires survey over the citizens satisfaction, an appreciation decrease compared to the previous years. The obtained data were not sufficiently explanatory of the reasons for that kind of deterioration and also not enough specific to define possible corrective measures. The aim of this work was to identify the patients' perception regarding the hospitalization phases (from booking to follow up), taking into account five kind of operations and pathologies: 1st knee, shoulder and tibio-talar arthroscopy; 2nd hip and knee prosthesis; 3rd upper limb traumatology; 4th lower limb traumatology and 5th orthogeriatrics...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977749/breastfeeding-pathologies-analysis-of-prevalence-risk-and-protective-factors
#3
Laura Govoni, Alba Ricchi, Maria Teresa Molinazzi, Maria Cristina Galli, Angela Putignano, Giovanna Artioli, Chiara Foà, Elisabetta Palmieri, Isabella Neri
BACKGROUND AND AIM OF THE STUDY: Breastfeeding is essential for the health of mothers and newborns, and it is recommended by WHO-UNICEF as the sole source of nutrition and protection for the first 6 months of life and beyond. In order to fully promote this practice, it is important to recognize early conditions that can lead to pathological breastfeeding. AIM: The study aims to analyze the prevalence and the possible risk or protective factors concerning the pathology of breastfeeding...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977748/spiritual-care-in-nursing-an-overview-of-the-measures-used-to-assess-spiritual-care-provision-and-related-factors-amongst-nurses
#4
Rachel Harrad, Chiara Cosentino, Robert Keasley, Francesco Sulla
BACKGROUND AND AIM OF THE WORK: Spiritual wellbeing has important implications for an individual's health and wellbeing. Whilst the provision of spiritual care and assessment of spiritual needs is a vital part of the nurse's role, literature suggests that nurses do not always engage in spiritual care with their patients or assess their spiritual needs. This review aims to ascertain wider reasons for this inconsistent spiritual care delivery by nurses to their patients. METHODS: A review of the literature was conducted to identify instruments available relating to nursing professionals spiritual care and assessment...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977747/emotional-intelligence-empathy-and-alexithymia-a-cross-sectional-survey-on-emotional-competence-in-a-group-of-nursing-students
#5
Rosaria Di Lorenzo, Giulia Venturelli, Giulia Spiga, Paola Ferri
BACKGROUND: Emotional intelligence (EI) is the ability to recognize and manage one's own and others' emotions, empathy is the ability to understand how others feel, whereas alexithymia represents the difficulty in feeling and verbally expressing emotions.  Emotional competences are important requirements for positive outcomes in nursing profession. THE AIM OF THE STUDY: To analyze EI, empathy and alexithymia in nursing students. METHODS: We conducted a cross-sectional survey in a sample of 237 students (53 males, 184 females), attending both the 1st and 3rd year of the University Nursing Course in Modena...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977746/association-between-burnout-and-sense-of-coherence-among-speech-and-language-therapists-an-exploratory-study-in-italy
#6
Maura Galletta, Igor Portoghese, Nicola Frau, Marco Pau, Federico Meloni, Gabriele Finco, Paolo Contu, Marcello Campagna
BACKGROUND AND AIM: Job burnout has been recognized as a serious occupational hazard among professionals, such as health care professionals. The sense of coherence (SoC) is deemed to be a personal resource capable of reducing the impact of job stressors and, consequently, the experience of job burnout. The purpose of this study was to investigate the relationship between SoC and job burnout among speech and language therapists. MATERIALS AND METHODS: A descriptive and cross-sectional analysis was carried out through an online self-reported questionnaire...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977745/the-use-of-blended-learning-to-improve-health-professionals-communication-skills-a-literature-review
#7
Valentina Cappi, Giovanna Artioli, Erika Ninfa, Silvia Ferrari, Maria Cristina Guarnieri, Gianfranco Martucci, Leopoldo Sarli
BACKGROUND AND AIM OF THE WORK: In recent years, health professionals' education has moved towards the increasing use of blended learning. One of the most widespread blended formulas is the mix of face-to-face and online learning, which combines the advantages of distance learning, both in training provision and in training fruition, with the maintenance of socialization goals and application to practice activities. This literature review aims to find out whether blended-learning is employed for improving health professionals' communication skills and which are its outcomes...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977744/inter-professionalism-in-health-care-post-graduate-specialization-an-innovative-laboratory
#8
Giovanna Artioli, Chiara Cosentino, Chiara Foà, Leopoldo Sarli
BACKGROUND AND AIM: Inter- professional Collaboration (IPC) is an important component of a well-functioning healthcare system. It is linked to improvements in patient safety and case management, optimal use of the skills of each healthcare team member and provision of better health services. Inter- professional Education (IPE), is one key factor in the development of positive behaviors useful for IPC: the basic and post-basic training are key moments to raise awareness, train and help implement the IPC...
March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30977743/editorial-a-focus-on-post-graduate-specializations
#9
Giovanna Artioli, Chiara Foà, Leopoldo Sarli
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March 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30889171/pros-and-cons-in-general-medicine-and-geriatrics-2018
#10
Domenico Cucinotta
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February 7, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830067/pediatric-drug-hypersensitivity-which-diagnostic-tests
#11
Francesca Saretta, Francesca Mori, Fabio Cardinale, Lucia Liotti, Fabrizio Franceschini, Giuseppe Crisafulli, Silvia Caimmi, Paolo Bottau, Roberto Bernardini, Carlo Caffarelli
Along with the anamnesis and clinical evaluation, diagnostic tests are one of the mainstream key points in the evaluation and management of drug hypersensitivity reactions (DHR). A wide knowledge gap, both in diagnosis and management of pediatric DHR, must be filled.  Only a few published studies evaluated sensitivity and specificity of skin and in vitro tests in children. However, selected case series show that diagnostic work-up for adults could be useful, with some limitations, in pediatric age. Indeed, despite improvement in in vivo and in vitro diagnosis, drug provocation test remains the gold standard in pediatric age, too...
January 30, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830059/drug-induced-anaphylaxis-in-children
#12
Fabio Cardinale, Doriana Amato, Maria Felicia Mastrototaro, Carlo Caffarelli, Giuseppe Crisafulli, Fabrizio Franceschini, Lucia Liotti, Silvia Caimmi, Paolo Bottau, Francesca Saretta, Francesca Mori, Roberto Bernardini
Anaphylaxis represents one of the most frequent medical emergencies in childhood. However, as compared to adults, drugs are less common triggers of anaphylaxis in children, with a frequency which is increasing  from infancy to adolescence. Deaths seldom occur, maybe because of the paucity of comorbidities in children.  Antibiotics and non-steroidal anti-inflammatory drugs  (NSAIDs) are the main elicitors in drug-induced anaphylaxis in children. Both immune-mediated (mainly IgE-mediated) and non immune-mediated may be involved...
January 30, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830066/allergic-reactions-to-cow-s-milk-proteins-in-medications-in-childhood
#13
Angelica Santoro, Laura Andreozzi, Giampaolo Ricci, Carla Mastrorilli, Carlo Caffarelli
Cow's milk is a frequent trigger of allergic reactions in childhood. Cow's milk proteins can be present in pharmaceutical excipients. METHODS: We have analyzed paediatric literature on allergic reactions to cow's milk proteins in medication, focusing on the different routes of administration (inhaled, parental and oral). RESULTS: Dry-powder inhalers may contain lactose as excipient. Lactose can be rarely contaminated with milk proteins and it may induce allergic reactions in patients with cow's milk allergy...
January 29, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830065/hypersensitivity-reactions-to-food-and-drug-additives-problem-or-myth
#14
Laura Andreozzi, Arianna Giannetti, Francesca Cipriani, Carlo Caffarelli, Carla Mastrorilli, Giampaolo Ricci
BACKGROUND AND AIM OF THE WORK: The possibility of an allergic reaction or an intolerance to additives is frequently suspected by parents, especially for chronic illness with frequent exacerbations such as atopic dermatitis or chronic urticaria. For more than 50 years, potential adverse reactions to additives have been suggested, but to date data are conflicting. The purpose of this article is to provide the clinicians with general information about additives and adverse reactions to them and to suggest a practical approach to children suspected to have reactions to food additives...
January 29, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830064/drug-reaction-with-eosinophilia-and-systemic-symptoms-dress-in-children
#15
Francesca Mori, Carlo Caffarelli, Silvia Caimmi, Paolo Bottau, Lucia Liotti, Fabrizio Franceschini, Fabio Cardinale, Roberto Bernardini, Giuseppe Crisafulli, Francesca Saretta, Elio Novembre
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) is a severe reaction to drugs. Incidence of DRESS in children is not well known and the mortality rate seems to be lower than 10%. Anticonvulsants are the main drugs involved both in adults and in children. The treatment of choice is intravenous immunoglobulins and corticosteroids used in synergy. Today there are not controlled clinical trials regarding DRESS treatment in children. Anyway, the prompt withdrawn of the offending drug is of paramount importance for a better prognosis...
January 29, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830063/chronic-urticaria-and-drug-hypersensitivity-in-children
#16
Carlo Mastrorilli, Roberto Bernardini, Lucia Liotti, Fabrizio Franceschini, Giuseppe Crisafulli, Silvia Caimmi, Paolo Bottau, Francesca Mori, Fabio Cardinale, Francesca Saretta, Giovanni Simeone, Marcello Bergamini, Carlo Caffarelli
The cause of chronic urticaria remains often elusive. The association between chronic urticaria and intake of medications have been reported in children. However, the causative role of drugs has been rarely ascertained by onset of symptoms on drug provocation test. Chronic urticaria can be mediated by immunologic and nonimmunologic mechanisms. The diagnostic work-up of chronic urticaria includes a comprehensive evaluation of triggering factors such as drugs. A diagnosis is necessary in order to permit a safely administration of drugs in children with chronic urticaria...
January 29, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830062/clinical-features-outcomes-and-treatment-in-children-with-drug-induced-stevens-johnson-syndrome-and-toxic-epidermal-necrolysis
#17
Lucia Liotti, Silvia Caimmi, Paolo Bottau, Roberto Bernardini, Fabio Cardinale, Francesca Saretta, Francesca Mori, Giuseppe Crisafulli, Fabrizio Franceschini, Carlo Caffarelli
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), which can be considered a late-onset allergic reaction, can cause serious long-term sequelae. SJS/TEN are considered a spectrum of life-threatening adverse drug reactions. They have the same clinical manifestations and the only difference is in the extent of epidermal detachment. These conditions are associated with high mortality, although incidence of SJS/TEN is rare in children. SJS/TEN is an adverse drug reaction influenced by genes that involve pharmacokinetics, pharmacodynamics and immune response...
January 29, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830061/mechanisms-of-hypersensitivity-reactions-induced-by-drugs
#18
Fabrizio Franceschini, Paolo Bottau, Silvia Caimmi, Fabio Cardinale, Giuseppe Crisafulli, Lucia Liotti, Francesca Saretta, Roberto Bernardini, Francesca Mori, Carlo Caffarelli
Adverse drug reactions include drug hypersensitivity reactions (DHRs), which can be immunologically mediated or non-immunologically mediated. The high number of DHRs unconfirmed and/or self-reported is a frequent problem in daily clinical practice, with considerable impact on future prescription choices and patient health. It is important to distinguish between hypersensitivity and non-hypersensitivity reactions by adopting a structured diagnostic approach to confirm or discard the suspected drug, not only to avoid life-threatening reactions, but also to reduce the frequent over-diagnosis of DHRs...
January 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830060/mild-cutaneous-reactions-to-drugs
#19
Giuseppe Crisafulli, Fabrizio Franceschini, Silvia Caimmi, Paolo Bottau, Lucia Liotti, Francesca Saretta, Roberto Bernardini, Fabio Cardinale, Francesca Mori, Carlo Caffarelli
Adverse reactions to drugs are not frequent in childhood. Cutaneous reactions are the most frequent in this age group. Mild cutaneous reactions are immediate or delayed adverse reactions that do not seriously compromise the clinical condition of children. The patients usually early improve and recover the state of health. Although it is difficult to define the prevalence accurately, we could affirm that the rate adverse reaction to drugs are often over estimated by both the families and the physicians. Therefore, children may be prone to loss of school days and inappropriate or sub-optimal treatments...
January 28, 2019: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/30830058/drug-desensitization-in-allergic-children
#20
Silvia Caimmi, Carlo Caffarelli, Francesca Saretta, Lucia Liotti, Giuseppe Crisafulli, Fabio Cardinale, Paolo Bottau, Francesca Mori, Fabrizio Franceschini, Roberto Bernardini, Gian Luigi Marseglia
Drug allergy is an increasing problem worldwide, affecting all populations and races, children and adults, and for which diagnosis and treatment are not well standardized yet. Besides classical treatments, new drugs have been developed, especially for patients suffering from malignancies and chronic inflammatory diseases, that specifically target the cause of the disease. For those patients requiring such molecules, it is sometimes difficult to find an alternative drug when hypersensitivity reactions occur...
January 28, 2019: Acta Bio-medica: Atenei Parmensis
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