bluuebunny/crossref_metadata_2025 huggingface dataset:
Gait analysis: technical notes
Authors: Lullo Francesco , Donisi Leandro , Piscosquito Giuseppe , Lanzillo Bernardo , Coccia Armando , D’Addio Giovanni
Published: October 2023

Biomedical technologies are having an increasingly central role in the modern medicine. In fact they are at the rootof the diagnosis and follow up of pathologies giving to the clinicians quantitative outcomes necessary on the choice ofthe right therapy. In this paper we will focus on biomedical technologies used in the context of gait analysis describing the main ones used in the clinical practice about pathologies of neurologic, orthopedic and rheumatic interestand underlining their importance in the clinical setting. The main systems for gait analysis will be presented in thisarticle: system with passive markers, stereophotogrammetric system, force and pressure platforms, surface electromyography system, system based on inertial measurement units underling the importance of each in investigatinga different aspect of movement and how integrating all of them we can have a depth and whole gait analysis. Themain gait analysis protocols will be presented too. Finally, advantages and disadvantages about gait analysis willbe analyzed. In conclusion, the complexity of the described biomedical technologies for gait analysis underlines theimportance of the presence of an expert technician that can help the clinician to interpret and to process acquiredsignals during the gait analysis.
Scientific evidence on the use of proprioceptive insoles in patients affected by neurological disorders: literature review
Authors: Scuotto Luciana , Marino Simone
Published: October 2023

Objective: the aim of the study was to evaluate if the use of postural textured insoles or other types of stimulatinginsoles improved the control of postural balance (range of anteroposterior and middle-lateral sway of the Center ofPressure on different surfaces and in conditions of closed or open eyes) and the spatiotemporal parameters of gait(stride duration, stride length, Centre of Pressure sway, cadence, velocity, walking distance, step-by-step variability)in patients affected by Multiple Sclerosis or Parkinson’s disease.Materials and methods: eight studies were included, RCT, meta-analysis and comparative cohort studies, throughresearch on various platforms such as PubMed Advanced and Scopus, as well as in peer-reviewed journals. Theenrolled participants were patients with S.M. or Parkinson in idiopathic form and non-advanced phase, excludingpatients with comorbid conditions or clinical history that could influence their condition. These were submitted to intervention with different types of insoles and, because of the insufficient amount of data about the effects in the mediumand long term, the results relating to the immediate effects of the proprioceptive insoles are reported withgreater reliability.Results: the insoles promote more significant effects in the condition of static balance with closed eyes; the effects onthe gait pattern seem to be modestly positive, from both the biomechanical articular and muscular point of view.Conclusions: despite the results of the study appear heterogeneous because of the greater proprioceptive informationderives from muscle, joint and other sources of sensory feedback (and not only those coming from the plantar surfaceone), the use of textured insoles or other types of stimulating insoles seems to have positive effects on the postural balance and gait. However, the effects in the medium and long term and the cutaneous adaptations of the plantar surfacein response to the use of these orthoses remain to be investigated: recently, these elements have been studied by aprotocol study for RCT, which lays the foundation for further investigations in this field.
Rehabilitation need for migrant populations: physiotherapy treatment of the PostTraumatic Stress Disorder and chronic pain from torture results
Authors: Garofano Marina , Ascoli Matteo Maria , Palumbo Roberta
Published: October 2023

The migration phenomenon in recent years is assuming considerable proportions, so it is necessary to consider theneed for health of migrant populations. The present work investigate, in particular, the rehabilitation need of themigrant populations. From the analysis of the literature about the incidence and prevalence of the deseases, two conditions of physiotherapic interest come to light: Post Traumatic Stress Disorder (PTSD) and the rehabilitation fromtorture outcomes. The analysis of the literature was carried out on the most important databases: PubMed, Scopusand PEDro.In PTSD relaxation techniques like BBAT appear to be essential In chronic pain from torture, manual therapy, progressive exercises, balance training are recommended. Unfortunately, the rehabilitative intervention in no study iswell clarified in terms of duration, frequency and type of exercise, so repeatability is definitely invalidated and theeffectiveness of it continues to be uncertain.
Suggerimento di modifica ed integrazione dell’accordo stato regioni del 21/12/2011 n°221 sulla formazione, attraverso l’individuazione di punti critici e segnalazione di nuove opportunità
Authors: Ciaramella Roberto , Marcantonio Roberto , Arricale Mariella , Massa Giuseppe
Published: October 2023

The Italian legislation concerning professional training and information for workers, arising from the State Regions agreement n.221 fo 12/21/, does not seem totally suitable to verify how many and which skills the workers have actuallyacquired. Our work aims to draw attention to the opportunity to review and reform the training paths, through the identification of critical points, such as deficiencies and redundancies, and reports of new opportunities, in the proactive direction of a new methodology for designing courses in professional training, aimed at raising its efficiency and effectiveness,resulting from the improvement of knowledge and practical skills acquired by learners. A potential critical factor, capableof degrading the primary function of a professional training course, seems to be correlated to the excessive number of frontal training hours, dictated by the ATECO membership code, since they often end up teaching theoretical contents, oftennot related to the sector they belong to, without assessing the “know-how” of workers, but only “knowing”. The adoptionof teaching methods that actively involve workers, through group work techniques, in situ simulations, practical exercisesof machines and work equipment, could lead to overcoming passive participation, raising learning skills. The proposal ofcourses with theoretical and practical verification by institutional bodies and the drafting of a “skills book”, which certifieswhat the workers have learned in the courses, making it easily demonstrable in case of an inspection, could facilitate thefunction of the Supervisory Authorities, favouring a control oriented on the content rather than formal aspects
Psychological diet: PH zone method, metabolic mind and analysis of the body composition
Authors: Fontana Mario , Tafuri Maria Ranieri
Published: October 2023

The purpose of the present investigation is to combine the modus operandi of today’s medical-scientific research,particularly in the nutritional field, with the humanistic soul of philosophical thought, always aiming at the demystification of the reality and at the unmasking of the contradictions characterizing the current psychosocial model ofeconomic development. The divergent thought, supporting axis of the proposed research, allows, in fact, to carry outa meticulous epidemiological examination of the diachronic parabola of pathologies connected to eating disorders,to then decline it in an innovative case study on the correlation between salivary pH increase and loss of fat mass.The comprehension of the metabolic model in an oscillatory perspective of mind-body quantum entanglement, makespossible a unitary and organic consideration of the human psyche not only as a result of biochemical processes andof higher cognitive functions (connected to the prefrontal cortical area), but also as a result, in recent times, of worrying and deleterious digital - media contaminations, often responsible for all those psychopathologies linked to thedeformed perception of the body-self, to the loss of contact with reality and to all kinds of eating behavior disorderssubtly injected by society of appearance.
Healthcare System Innovation: the vital systemic approach for new healthcare professionals
Authors: Di Trapani Giovanni
Published: October 2023

In light of the requirements associated with the Health goals set in the National Health Plan or in Regional HealthPlans and by the consequential creation of the new health professions, there has been an enlargement of the NationalHealth System network in recent years.Growing focus testified by the reform of ordinances enacted by Law 3 of 2018 (Lorenzin Law), and the clear newtopics related to bioethics, ethics and professional deontology issues put up new questions which need answers andsolutions. Innovation in the Italian Healthcare system therefore takes on a central role in scientific debates demanding new solutions which, necessarily, must first of all aim to protect individual and collective health, in order tosubsequently focus upon the governance of new professional healthcare workers.The systematic complexity of establishing new healthcare professionals in the three afferent areas: Care Techniqueand Diagnostic Technique, Rehabilitation and Prevention, generates of course many new opportunities, requiringrapid detection and set up rapidly the organic structure of the wider Healthcare System. This is the framework withinWHO’s Project “ Healthcare System Innovation: the vital systemic approach for new healthcare professionals”, seeking specific solutions and suggestions in order to contribute to the innovation and governance of the new healthcareprofessionals
Metabolic mind and primordial instinct. From biochemistry to the embodiment applied to nutrition. Vegan integrated diet. One step forward.
Authors: Tafuri Ranieri Maria , Fontana Mario
Published: October 2023

In this era when the whole world is in a psychotic recession, where Covid-19 feeds on human substrate unpreparedfor the “pandemic state”, the only real salvation is listening to one’s metabolism. It is not a title from Hollywood, itis a real lockdown of the human race which, once again in history, demonstrates its ineptitude which, by syllogism,would mean a lack of resilient property. A resilience not in relation to a material, but metaphorically projected to areflection where man, the only protagonist endowed with intellect, once again makes the same mistakes by enteringthe usual loop that punctually repeats itself every decade.Mind and body seem to be no longer distinguishable and have lost the structuring quality that their role determinedand made possible constructive actions on the world. The distance between observer and observed, between mindand matter, has faded as if to cruelly provoke a loss of consciousness and identity crisis, hindering the creation of newmodels, theories and correlations that allow to act in this world. Neuroscience is shedding light on crucial aspects ofthe nervous system, such as the modalities of neuronal growth and selection of unused synapses (Edelman 1987), aswell as the effects of learning or repeated and recorded experiences, on metabolism and cellular gene transcription( Kandel, Schartz, Jessel, 1991). Psychosomatics with a view to multifactoriality and interdependence for mind-bodystudy are the key points for the study presented here.
Breathing and its stimulatory responses in parkinsonism: repercussions for physiotherapy
Authors: Mieczyslaw Pokorski
Published: October 2023

This study addresses respiratory and motor impairments in an experimental reserpine-induced model of parkinsonism in rats. The role of chronic hypoxia due to diminished ventilation in the development and course of neurodegeneration is addressed. An attempt was made to distinguish between central and peripheral dopamine pathways in themechanisms of neurodegeneration. A dissociation of putative mechanisms of respiratory and motor impairments istackled as well. Although this purely experimental study cannot be directly extrapolated to human pathophysiology,the corollaries have been drawn concerning the potential repercussions of the respiratory and motor impairments forthe physiotherapeutic procedures in the management of chronic neurodegeneration.
Quality control in ultrasound: an experiment to assess the obsolescence of ultrasound probes with an agar gel phantom
Authors: Collocola Alessio , Ortino Mario , During Stefano
Published: October 2023

The ultrasound scanner is the most installed equipment in the operating realities but it is not part of precise quality control programs like all other radiological equipment. Considering how many examinations are carried out, itseemed essential to set up intuitive and repeatable QCs, using instruments with low economic impact. The objectiveswere to test low-cost handmade phantoms to assess the uniformity and sensitivity of the ultrasound probes and theglobal status of the ultrasound scanners, confirm the goodness of the phantom in terms of use, functionality and storage, then compare the data collected between QC and the global status of the equipment looking for obsolescencecauses. 25 linear geometry probes and 19 ultrasound scanners in 10 operating realities undergo quality control. Todo this, a phantom in 5% agar-agar and a set of specially designed modules are created. The probes studied showeddrops in uniformity and sensitivity already after 3 years with an average of 30 examinations and about 10h of poweron per day. In terms of uniformity, 65% of the probes did not reach acceptability. A condition of poor hygiene wasdetected in 74% of the ultrasound scanners. The phantom used was homogeneous and isoecogenic in almost all applications according to the professionals.
treatment of chronic periodontitis by non-surgical periodontal therapy in association with diode laser compared to conventional non-surgical therapy
Authors: Bellia Loredana , Ruggiero Roberta , Nicolò Michele
Published: October 2023

Mechanical surface treatment and removal of the above and subgingival biofilm (Tartar ablation; SRP) are consideredthe most suitable tools for the treatment of periodontal inflammatory diseases, with the aim of destroying bacterialbioflim, reducing bacteria, and slowing down recolonization by pathogenic microorganisms.Often, however, the only S&RP are not enough, as there are patients who are experiencing relapses.Recently, laser therapy has been suggested as a potential tool to improve the outcome of periodontal non-surgicaltreatment.The objective of the following study was to evaluate the clinical healing of periodontal pockets treated with mechanical therapy, scaling and root planing, and diode laser application, compared to that obtained with non-surgical mechanical therapy alone.The study was designed as a randomized controlled clinical trial. Patients in the control group (13 patients) underwent conventional non-surgical therapy only, while patients in the test group (17 patients) were associated withconventional non-surgical treatment, a laser irradiation session.At baseline and after 6 months, the parameters of probing depth (PD), bleeding on probing (BOP), gingival recession(REC) were assessedThe main variable of this study was the PD (probing depth)FMPS and FMBS at follow-up improved in both groups. The FMPS baseline test group 32.59 ± 6.74 - follow up 12.00± 3.16.The baseline of the control group showed 33.00 ± 9.55, the follow up 13.15 ± 4.85 The FMBS baseline test groupfound 24.29 ± 5.01 while at follow 9.65 ± 2.69. The baseline control group 30.31 ± 7.74, Follow up 11.08 ± 2.33.There is a statistical significance. (P.VALUE 0.0001)There were no significant differences between the groups in terms of PD, CAL and BOP at baseline and at follow-up.PD Test group 4,89±1,58 3,95±0,85 0,0001Control group 5,02±1,57 4,01±0,86CAL (mm)Test group 0,89±2,29 0,77±1,91Control group 0,28±1,38 0,24±1,14REC Test group 0,19±0,49 0,19±0,51Control group 0,06±0,29 0,57±029BOP Test group 51,2% 23,5%Control group 54,0% 20,9%The results showed differences in both baseline and follow-up for REC.Test group 0,19±0,49 0,19±0,51Control group 0,06±0,29 0,57±029In intra-group analyzes, there are differences between baseline and follow-up for all values, except for REC in thecontrol group.The diode laser can be used as an appropriate device for periodontal treatments, but it can offer additional andsignificant benefits if used according to appropriate protocols and parameters, and especially if associated withnon-surgical, manual and ultrasound periodontal instrumentation, always site-specific , as it is a tool that does notreplace traditional methods.
The use of EBM among the rehabilitation professionals of the Campania Region
Authors: Verlanti Girolamo
Published: October 2023

A Scientific Research is carried out through various scientific studies based on the observation of specific populations.This form of research is known as epidemiology and has been used for centuries mainly in the field of public health.In close connection with the science and research, there is rehabilitation which represents a constantly evolvingdiscipline. By its very nature is not able to demonstrate nor produce undisputed absolute truths, rather it checksconsistently and as best as possible hypotheses on the different aspects of the given method and when necessary hequestions himself by rewiewing theories in the light of the new data and observations. The Professional, therefore,with the insertion of Scientific knowledge in his own clinical practice ,is called to ask himself a clinical question andto search for answers through a critical analysis on the use of such evidence. The main purpose of the work was toinvestigate the relationship between rehabilitation professionals and Scientific Research by identifying positive andnegative factors and possible solutions to the findings. The methods of data collection has allowed a high adhesionby the rehabilitation professionals of the Campania Region. The data collected allowed to identify a profile of theprofessionals claiming to have conducted a postgraduate research study. Furthermore It was possible to identify theperceived and critical issues in daily practice such as lack of incentives and poortraining on how Scientific Research
Utilizzo della comunicazione social e web degli enti delle professioni sanitarie. Stato dell’arte degli ordini dei tecnici sanitari di radiologia medica e delle professioni sanitarie tecniche, della riabilitazione e della prevenzione
Authors: Nichetti Elena , Brazzo Oscar , Di Lascio Antonio
Published: October 2023

La comunicazione digitale, tra siti web e social, offre l’opportunità alle pubbliche amministrazioni, Ordini professionali compresi, di affrontare una sfida legata alla trasparenza, all’efficacia dei servizi, allo snellimento amministrativo, a un nuovo modo di comunicare con i professionisti e con i cittadini. Lo studio si propone di presentare lo statodell’arte dell’utilizzo della comunicazione digitale da parte degli Ordini dei Tecnici Sanitari di Radiologia Medicae delle Professioni Sanitarie Tecniche, della Riabilitazione e della Prevenzione, attraverso un’analisi dei siti web edelle pagine Facebook. I risultati dimostrano come sia possibile un ampio margine di miglioramento sia in terminiquantitativi (creazione di pagine Facebook per tutti gli Ordini TSRM PSTRP), sia in termini qualitativi (tipologia deicontenuti, attenzione ai destinatari, modalità di comunicazione…)
Alterazioni del cavo orale e qualità della vita nel paziente sclerodermico. Aspetti clinici. Capillaroscopici e condizionamenti psicologici
Authors: Antonacci Anna , Abbinante Antonia , De Vito Danila , Praino Emanuela , Iannone Florenzo
Published: October 2023

La Sclerosi Sistemica è una malattia infiammatoria del tessuto connettivo caratterizzata da una risposta autoimmuneche causa vasculopatia e accumulo di collagene nella pelle e negli organi interni.Obiettivo: verificare gli effetti della malattia sul cavo orale del paziente sclerodermico e la sua influenza sulla qualità della vita, analizzando aspetti clinici, capillaroscopici e psicofisici.A tal fine è stato condotto uno studio osservazionale su 25 pazienti affetti. Sono stati rilevati indici specifici per la valutazione dello stato di salute dento-parodontale, eseguita la capillaroscopia orale e somministrati test per verificarel›impatto della patologia sulla qualità della vita. E’ stato impostato un protocollo preventivo-terapeutico per alleviarela sintomatologia presente e ritardare la progressione delle patologie orali.La deformità delle mani, l’ipomobilità di lingua e labbra, la microstomi e la xerostomia, compromettono le condizionidi igiene orale dei pazienti sclerodermici . La presenza di ectasie, microemorragie e megacapillari alterano gravemente il microcircolo. La progressiva disabilità, i continui cambiamenti del loro aspetto e le sofferenze fisiche favoriscono il peggioramento della qualità della vitaSulla base dei dati emersi, risulta fondamentale la collaborazione dell’igienista dentale con il reumatologo perl’attuazione di un piano personalizzato che consideri in modo prioritario il contesto bio-psico-sociale del paziente.
CTMS in the study of post-EVAR endoleak in the treatment of aneurysmal dilations
Authors: Coda Marco , Novak Anna , Aliberti Daniele , Ciccone Vincenzo , Carbone Mattia
Published: October 2023

Computed tomography angiography (CTA) has been widely used in diagnostic evaluation of many aortic diseases, butthere are not standardized techniques for aortic CTA. The purpose of this study is to compare two methods: biphasictechnique and split bolus. A 64-slice CT scanner has been use.There were a total of 28 patients involved in the study.The patients have been divided in two groups:- Group A: 18 patients- Group B: 10 patientsThe biphasic technique has been used on 18 patients in group A. In this protocol was used a low dose acquisitionwithout contrast medium (CM) and two contrastographic phases with CM.The split bolus technique was performed on 10 patients of group B. 120-140 ml of CM are divided in two boluses. Thefirst bolus of 55-90 ml of CM was injected at a flow of 1,5-2 ml/s, followed by 20ml of physiological solution at a flowof 1,5-2ml/s. After physiological solution the second bolus of 35-60 ml was injected at a flow of 3,5ml/s followed by20ml of Nacl at a flow of 3,5ml/s.In group A 6 patients had endoleak type I, n=2 endoleak type II, n=8 endoleak type III, n=2 endoleak type IV. (doseof 43.2 mSv).In group B 2 patients had endoleak type I, n= 4 endoleak type II, n=3 endoleak type III and n=1 endoleak type IV.(dose of 16,39 mSv).The biphasic technique has high spatial resolution and contrast resolution, reduction of acquisition times and reduction of artifacts, but an unacceptable a great amount of radiation is involvedThe split bolus technique provides results comparable to the biphasic technique but with a lower dose of radiation.
Opaque clisma: a breakthrough in the care of pediatric invagination
Authors: Stile Stefania , Scarfato Emma , Maiello Vincenzo
Published: October 2023

Intussusception is the most common cause of intestinal obstruction in infancy and early childhood. It occurs whenone segment of bowel (the intussusceptum) invaginates into an adjacent distal segment of bowel (the intussuscepien).The classic presentation is with intermittent abdominal pain, vomiting and redcurrant jelly-like stool. Diagnosiscan be accurately confirmed with an ultrasound scan. Initial management is with fluid resuscitation and antibiotics.Following adequate resuscitation, treatment is usually with a non-operative air enema reduction under fluoroscopicguidance. If this fails to completely reduce the intussusception, the air enema may be repeated in patients that areclinically stable. The main risks associated with an air enema are bowel perforation, failed reduction and recurrence.Surgical intervention is indicated in patients presenting with perforation, those that are clinically unstable or wheremultiple air enemas have failed to reduce the intussusception. Surgery can be performed open or laparoscopic andinvolves attempted manual reduction of the intussusception and may require bowel resection and anastomosis.
Whole-body integrated imaging for multiple myeloma: the gold standard
Authors: Nappa Elena , Notorio Maurizio , Russo Salvatore
Published: October 2023

he article aims to describe the study protocols of multiple myeloma with different imaging techniques. The guidelinesof the major scientific reference societies for multiple myeloma - IMWG (International Myeloma Working Group) andNCCN (National Comprehensive Cancer Network) - provide for the study of CT WB, RM WB and PET / CT, whichhave completely outclassed traditional radiology. Each method contributes to acquiring an added value in the workup and follow up of patients suffering from multiple myeloma.
Effects of perioperative respiratory rehabilitation in lung cancer resection: a pilot study
Authors: Di Iulio Antonella , D’Aurizio Carlo , Damiani Marzia , Casaccia Marco , De Filippis Antonio Fabio
Published: October 2023

The aim of this study is to evaluate the impact of short term Preoperative Respiratory Rehabilitation (PRR) on thechanges of respiratory functions and clinical conditions in patients with malignant lung cancer lesion and reducedrespiratory functions, with high risk to develop postoperative pulmonary complications (PPCs). A total of 15 patientswere treated with PRR protocol. The rehabilitation programme was concluded by all patients. They showed a statistically significant improvement of lung functionality Forced Vital Capacity (FVC) (p=0,004), Forced Expiration Valuein the first second (FEV1) (p<0,001) and walking distance (p<0,001). In addition, there was a significant enhancement of Partial Oxygen Saturation (SpO2) (p=0,002), Hart Rate (HR) (p=0,002) and Borg Dyspnoea Scale values(p=0,003) indicate a better cardiorespiratory functionality.In conclusion a short feasible PRR is suitable in patients’ candidate to thoracic surgery.
Colon-rectal Cancer and Lars Management
Authors: Petrucci Lorenzo , Margarito Alessia , Di Trapani Giovanni
Published: October 2023

This article, taken from the ending research thesis of the studies in Business Administration in Pegaso University,derives from the lack of detailed data on colon-rectal cancer in Apulia, in 2019. The clinical, economic and statisticalstudy introduced has given the possibility to examine the neoplasia incidence in Apulia reality, to estimate forthe first time the Lars major phenomenon (Low Anterior Resection Syndrome) after a rectum surgical treatment. These goals have been achieved starting from the national data analysis provided by Airtum and Aiom; andoperating through benchmarking, among the most virtuous Italian realities, it has been possible to estimate theforecast of refundability of health services generated by the treatment of colon cancers, rectal cancers and of theLars phenomenon management. We can see the incidence of 2,802 total cases of colon-rectal cancer so divided:1,920 colon cancer cases and 882 rectal cancer cases. The Lars phenomenon, according to the most recent medicalliterature, presents 444 cases, considering that 90 % of the 882 rectum tumors will have a surgery; 56% of thesedevelops Lars major. Assuming to treat all cases of Lars major, it would potentially be possible a refundability of63,492 Euros. While, as regards the refundability obtained from the treatment of the 2,802 colon-rectal cancer totalcases, it could be hypothesized a total refundability of 18,897,408 Euros.
Cone Beam CT equipment compared: PedCat, Planmed CT and CARESTREAM OnSight 3D Extremity System
Authors: Sandu Elena Cerasela , Caravaggi Paolo , Durante Stefano
Published: October 2023

The purpose of this article is to compare three Cone Beam CT equipment used for 3D visualization of the foot andankle, highlighting the advantages and disadvantages of each machine. Cone Beam Computed Tomography provideshigh resolution (3D) volumetric images with a particularly low dose.
The social costs of disease
Authors: Giancola Orazio , Colarusso Simona
Published: October 2023

The goal of this work was to observe and analyze health inequalities, taking into consideration the influence that thesocial background of individuals has in the production and reproduction of inequalities. Taking ISTAT reports as databases, which concern aspects of daily life, the results - also confirmed by the literature and by countless empiricalstudies on the subject - agree with the thesis according to, in later life, the decline in the state of health appears to bedelayed for subjects who occupy a highest social positions and a higher educational qualification, compared to thosewho are in disadvantaged socio-economic conditions and with a lower educational qualification. Differences that arealso recorded in the purchase and consumption of drugs.
Staff training in Healthcare Companies
Authors: Troncone Raffaella , Coda Marco
Published: October 2023

For many years, corporate training has been a phenomenon reserved for managers and executives of a few large companies. Currently the situation has completely turned upside down: the professional training of workers of all levels and sectors, both in the private sector and in the public, has become a social and political topic, a requirement for every organizational and economic structure. Today thefocus is on training throughout the entire working life. There is more and more talk of continuous training thatenters the programs of the most prudent governments and is a strategic topic for international political bodies.Continuous training definitively leaves the isolation that characterized it in the past while today it is considered a fundamentalinstrument of success both for the competitiveness of companies and for the development of new levels of professionalism.So, today, when we talk about continuous training we refer to a training oriented to the professional development ofthose workers placed in your company or organization.
Protocol of acceptance, execution and management of positive Covid-19 patient in Interventional Radiology at the AORN Sant’Anna and San Sebastiano of Caserta
Authors: Moggio Giovanni , De Siero Michele , Ariosto Salvatore , Ferrara Gabriella , Boccagna Francesco
Published: October 2023

The Covid-19 emergency required healthcare facilities to redesign the care pathways in order to avoid the spread ofthe pandemic.Interventional Radiology which carries out an essential activity in a high specialty hospital environment is exposed atthe forefront in all those minimally invasive diagnostic-therapeutic procedures in election and urgency.It was therefore necessary to apply, on the basis of the National, Regional and Company directives, a specific protocolto the patients belonging to the Hospital.A series of procedures have therefore been applied, ranging from acceptance, preparation, pre and post-treatmentinterventional to reduce the infectious disease risk.However, this protocol is burdened by higher costs due to the increase in PPE to be used and the multiple disposablecovers to be placed on screens, medical devices, worktops and angiography equipment.Furthermore, considering the overall times of a procedure, therefore also including the sanitization times of the facilities and the room, there is an evident increase in the room engagement times and the technical difficulties, obviouslyall this is in favor of the absence of infection of the operators
Experimental tutoring project: from guidelines to clinical practice
Authors: Calabrese Mariaconsiglia , Palumbo Roberta , Garofano Marina , Lauro Maria Chiara , De Simone Eros , Alfano Antonia , Vecchione Carmine
Published: October 2023

Promote interdisciplinary tutoring activities in order to teach students how to work in team developing trans-skillcompetences. Actively involve patients in the construction and management of the assistential and rehabilitativeactivities to improve adherence and compliance. At Salerno University an experimental pedagogy project involvedthird-year students attending the Degree Course in Physiotherapy, Nursing, and the fifth year of Medicine, who performed a professionalized clinical internship at the Complex Operative Unit (UOC) of Cardiac Rehabilitation (CR),University Hospital “San Giovanni di Dio Ruggi d’Aragona” in Salerno. We divided students (60) and patients (100)in two groups, experimental and control one, each of them composed by 30 students and 50 cardio-operated patients.Patients are entrusted to an interdisciplinary team of tutors and students, guided by a team-leader chosen in rotationbetween students. After defining the patient’s need for care and rehabilitation, customized programs were designed,encouraging an active participation of the patient. We gave a self-assessment questionnaire to students for learnedskill assessment and a rating scale for adherence and compliance evaluation to patients. Clinical internship has favoured the construction of relationship between students of the various disciplines who learned to dialogue togetherabout the centrality of the patient. This experience has favoured a real change in the lifestyle of patients. We hope thatthis modality can be used also in other UOC involving a raising number of students, tutors, and patients since themodern literature has also concluded that integrated didactic is an inescapable necessity
Functional imaging diagnostic decentralization idea
Authors: Sirocchi Luca , Sirocchi Andrea , Perrone Luca , Di Prete Giovanni
Published: October 2023

Home imaging diagnostic means: a service to satisfy the needs of all those who, for many reasons, have to do radiographs and ultrasounds at home or in private care istitutions which got no imaging system. Examples: patients withsevere diseases(accidents, after surgery outcome), cronich disease or locomotor system disorders (ex. spine disorders), affected by cardiorespiratory diseases or,also, the ones who cannot move.So,in the next future, we can see the healtcare facility critical importance for this service, it must be programmed.Now, to activate home diagnotic imaging (hospital or private health care provider), all the criteria is analysed.
Optimization of the scanning protocol in musculoskeletal ultrasound
Authors: Alessandroni Maddalena , Collocola Alessio , Durante Stefano
Published: October 2023

The main limit of the ultrasound resides on the fact that it is a strictly operator-dependent method, and, againstthe growing discrepancy in the execution methods, the application of a specific protocol for the anatomical area ofinterest has the function of implementing the achievement of the diagnostic result.This experimentation aims to optimize the parameters of the ultrasound equipment, remaining placed in a strictlytechnical context, without trying to emulate in any way the diagnostic ability of the medical professional.The first step was mainly focused on ultrasound training and in particular on acquiring a good mastership of thetechnical image parameters.Subsequently there were performed some scans on five volunteer patients in various anatomical areas according totwo different orientations of the ultrasound transducer. The images were acquired at first by the use of the presetsalready placed on the ultrasound equipment since the installation.The next step was to create a new ultrasound protocol for musculoskeletal tissue changing the values of the technicalparameters of the image by scanning the five patients previously recruited.The final step concerned the comparison with the medical professional who was required to scan the same fivepatients in the same anatomical sections and according to the same scan plans previously set.This experimentation compares the three protocols above mentioned, pursuing the aim to set up an execution protocolfor the ultrasound study of musculoskeletal tissue by defining the right setting for the main technical image parameters in order to optimize the performance of the exam, to reduce the time required to complete the survey and to obtaingood quality images.
Role of Multiparametric Magnetic Resonance in the study of the Prostate
Authors: Troncone Raffaella , Coda Marco , Aliberti Daniele , Ciccone Vincenzo , Carbone Mattia
Published: October 2023

Magnetic resonance imaging is the fastest and least invasive diagnostic method for the study of the prostate. Themethod’s multiparametricity allows the acquisition of the images highlighting different characteristics in relation tothe different sampling sequences.In particular, the MRI investigation plays a role in:• risk stratification and staging of the tumor, therefore active surveillance• detection of prostate cancer;• localization and characterization of prostate cancer before performing a procedure (pre-biopsy, pre-surgery, orradiation therapy);• procedural guide (targeted biopsy guide).The study protocol includes T2-weighted sequences on an axial and sagittal plane, diffusion-weighted sequences forthe functional study (DWI) with high b values, contrast dynamic sequences (DCE-MRI), T1-weighted sequences witha large FOV.The study protocol here presented follows the latest PI-RADS v2.1 guidelines.The axial scan plans are acquired according to the anatomical axis of the gland. In our protocol we add a furtherneutral T2 weighing, a sequence that will be subsequently used for the coupling of images with fusion techniques,such as target-biopsy.The adoption of PI-RAADS v2.1, the most recent update of the system, improves the assessment of intra-patient injuryvariability and simplifies the general assessment of the prostate in magnetic resonance imaging.The magnetic resonance examination thus obtained allows the correct overlap of the lesion anatomy with the ultrasound image TRUS acquired with the Fusion technique, used for targeted biopsy sampling
Ultrasonography in physiotherapy and rehabilitation
Authors: Barassi Giovanni , Guerri Sergio , Tavani Roberta , Ricucci Giampiero , De Luca Giorgia , Rabini Alessia , Colombo Antonio , Di Iorio Angelo
Published: October 2023

There is an interrelation with ultrasound / physiotherapist and the duty of the physiotherapist to know how to perform ultrasound  examinations alone, not for diagnostic purposes, to follow the evolution of the therapeutic cycle of physiotherapy. For this reason,  ultrasound image analysis (US) is a promising non-invasive approach that uses load-dependent changes in the intensity of the echo to  characterize the rigidity of muscle and tendon tissue. The purpose of this contribution is to improve the use of ultrasound images (US)  and the role of the physiotherapist, who are able to detect localized changes, in particular in stiffness of the tendon due to partial and  full-thickness tendon tears. Image intensity information is less sensitive for identifying load transmission variations resulting from partial thickness cuts initiated on the joint side. Ultrasound images can be useful for quantitatively assessing the variations dependent on the tendon load and muscle stiffness in physiotherapy and that the interruption of the behavior of the acousto-elastic ultrasound  images can be indicative of substantial damage to the muscle or tendon.
Models and organizational pathways in the treatment of acute stroke
Authors: Romano Daniele , Grimaldi Grazia , Grimaldi Antonio
Published: October 2023

Stroke due to its sudden and nefarious course is today considered “a medical emergency” that requires proper prevention and  adequate and time-depending treatment. To follow the adequate guidelines (AHA-ASA 2018 and ESO-ISO 2018), stroke treatment  involves the use of intravenous thrombolysis (IV) with Alteplase (or recombinant tissue plasminogen activator - r-tPA) within the first  4.5 hours of symptom onset and endovascular treatment within the first 6 hours if there were obstruction of large vessels such as the  intracranial internal carotid artery, the middle cerebral artery (M1-M2), the anterior cerebral artery (A1) , the basilar artery and the  tract intracranial vertebral artery. After the described options of treatment the hospitalization in the “Stroke Units” is fundamental.  This aspect, in the past largely undervalued, plays today a pivotal role in the patient’s “care”: continuous monitoring, combined with careful clinical observation, are, in fact, essential in order to both facilitate a faster possible rehabilitation of the patient , both to  prevent any complications and / or exacerbation of the disease (or the possible closure of the vessel). Aim of our lecture is to describe  the result of years of controlled clinical trials, which have allowed us to reach a good level of knowledge on the efficacy and safety of the various therapeutic aids, only mentioned above, and whose use is regulated in detail by the main Guidelines (LG) in force today,  including the Italian ISO-SPREAD LGs of 2016 [1] and the LGs produced by the American Heart Association (AHA), of which the American Stroke Association (ASA) represents a sector, and whose latest update is from 2018 [2].
Vibrations and spasticity
Authors: Supplizi Marco , Barassi Giovanni , Visciano Christian Pasquale , Zincani Valentina , Di Iulio Antonella , Marangi Matteo , Marrone Andrea Maria , Di Iorio Angelo
Published: October 2023

This experimental study aims to evaluate and validate the effectiveness of the proposed application method in the use of “focused mechanical vibrations” for the treatment of muscle spasticity. The basic concept of this study is that in spasticity, by specifically stimulating some clearly identifiable trigger points of the body, better results are obtained; in fact, with the localized mechanical-sound  vibrations, by positioning the handpiece for the treatment on those specific points, immediate generalized relaxation of the  entire spastic muscle is obtained through reflex pathways. To evaluate this operative reality we treated 5 subjects affected by  neurological pathology with spasticity and at T0 time (before treatment) and at T1 time (immediately after treatment), they were  assessed with Ashworth Scale, Passive joint evaluation, Evaluation of active motility, Test of Bahkta (for non-functioning hand), surface  electromyography The subjects were treated with a 120Hz vibratory therapy handpiece for a total time of 15 minutes The data showed  us a clear improvement of the parameters lost in the exam, in the less serious patients and a good improvement also in the most  serious subjects.
Radial extarcorporeal shock waves: therapeutic myofascial protocol
Authors: Barassi Giovanni , Guglielmi Vito , Della Rovere Franco , Di Iulio Antonella , Licameli Marco , D’Ambrosio Luciano , Praitano Barbara , Di Iorio Angelo
Published: October 2023

The purpose of this study is to evaluate the effectiveness of radial shock waves in myofascial upper trapezius syndromefollowing the global treatment scheme of key trigger points.Materials and methods26 patients treated with rESWT (Radial shock wave therapy) after a global postural and myofascial assessment of thepatient and the identification of the key trigger points.At the end of the treatment each subject was re-evaluated through the Numerical Rating Scale - NRS and through theexamination with Electronic Baropodometer.In this study, we compared the values of NRS and the values of postural biometrics before and after 2 sessions ofrESWT, and a statistically significant difference (P <0.05) in all measurements emerged in the values measured withNRS.In the static percentage load, a statistically significant reduction in the percentage load differences (right / left) (P<0.05) was observed in all three evaluation moments (T0, T1, T2).The percentage and statistically significant improvement (P <0.05) were recorded at time T2 in the surface of theellipse.Greater control of balance and greater awareness of the base of support was found in the calculation of the sway path,in particular with closed eyes.Based on this experience, the use of radial shock waves in pathologies related to myofascial pain with posturalimplications would be desirable.
Thyroid pathologies in nuclear medicine
Authors: Barone Sebastiano , Pagliuso Luana , Pagliuso Serena
Published: October 2023

The presented work describes the thyroid pathologies and the nuclear-medical diagnostic approach, in order toobtain a differential diagnosis and the monitoring of various neoplasms; specifically, it describes the importance ofradiometabolic treatment with iodine 131, after thyroidectomy surgery.Through a study conducted in patients suffering from thyroid disease, undergoing metabolic radiotherapy, it is shownthat, with equal distribution of radioiodine, uptake with at least 3700 MBq of therapeutic dose is obtained. All thiscan be seen through the whole body scintigraphic framework, obtained through the use of the double-headed gammacamera with collimators for high emission energies.Radiometabolic treatment is effective in patients with a high risk of relapse, while radioiodine treatment is notrecommended in low-risk patients
The use of support ultrasound as a working tool for the physiotherapist a review of the literature
Authors: Collebrusco Luca , Zualdi Luca
Published: October 2023

Narrative Review. Background: The use of ultrasound to assess muscle morphology and guide rehabilitationdecisions has recently developed; this approach has called Rehabilitative Ultrasound Imaging (RUSI). The modernphysiotherapist in light of the new legislative regulations, law n.24 of 8 March 2017, law n.3 of 11 January 2018,may have new skills exclusively support use. Objective: evaluate the material present in the literature regarding thereliability of the measurement through the ultrasound image for rehabilitation use, the possible use in the functionalevaluation and treatment through ultrasound biofeedback and training strategies for the use in the clinical practicewith uses, benefits and limitations and skills. Methods: Literature searches given in the Medline, PubMed and Pedrodatabases for the past 20 years. Non-English articles were exclude. The selection of the articles carried out based onthe reading of the title, abstract and full text, and the inclusion of related articles. Results: The review produced 81articles, 23 excluded for the title, 14 excluded for abstract. After having read the full test of the 44 remaining articles,16 excluded because they were not relevant in the discussion of the work, in addition, 7 articles included as relatedarticles, totals of 35 reviewed articles. Conclusions: Despite the many difficulties due to the heterogeneity of thestudies, from the data that emerged from the review future research, have to examine and validate in more detail theprotocols of the RUSI for to create shared training standards, guidelines and good clinical practices
Radiological imaging on umbilical venous catheter’s placement in preterm infants in the neonatal intensive care unit
Authors: Grazioli Fabio , Pecoraro Carmine , Magliacane Domenico , Rivellini Luigi , Coda Marco , Finelli Mirko , Ungaro Gaetano , Giordano Anna , Sorrentino Anna Bernadette , Fattorusso Andrea
Published: October 2023

Umbilical vessel catheterization is a technique used for neonatal reanimation, in neonatal intensive care units.Imaging techniques provide a strong support for the performance of this practice. In this case, radiography is themost widely used instrumental investigation for the evaluation of umbilical venous catheter placement. By protocol,the image is acquired with an antero-posterior projection of the thoraco-abdominal district, with perpendicularradius to the median sagittal plane. The following descriptive study has been carried out on 20 newborn patientsof the Neonatal Intensive Care Unit of the University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, bornbetween December 4th 2020 and March 31th 2021. This study describes the effectiveness of the “thoraco-abdominal”radiological technique for the assessment of neonatal umbilical catheter placement. The basic premise for patients’recruitment was the request for evaluation of umbilical venous catheter placement in preterm infants.