383 research outputs found
Massive pericardial effusion in an infant with Aymé–Gripp syndrome: A case report and review of the literature
No full textaym & eacute;-gripp syndrome (AYGRPS) is a multisystemic disorder caused by a subset of pathogenic variants in the MAF gene. major clinical features include bilateral early cataracts, sensorineural hearing loss (SNHL), and a characteristic facial appearance along with variable neurodevelopmental delay. pericarditis resulting in pericardial effusion of varying degree has been observed in a subset of affected individuals and could represent a severe feature in neonatal or infantile age. Here, we describe a syndromic infant with massive pericardial effusion and craniofacial features that oriented toward the suspicion of AYGRPS, which was subsequently confirmed by the molecular analysis of MAF. pericardial effusion was first observed prenatally and documented to be recurrent, progressive, and severe in the first months of life, thus requiring pericardiocentesis and surgical procedures. In this report, we provide further delineation of the minor clinical characteristics, particularly focusing on cardiac features of AYGRPS. a dedicated cardiac surveillance of these findings may help reduce the morbidity and mortality of this rare condition
Prevalence and accuracy of nursing diagnoses in patients with malignant bronchial and lung cancer: A retrospective observational study
No full textPurpose: To describe the prevalence and accuracy of nursing diagnoses (NDs) in adult patients with malignant bronchial and lung cancer. Methods: A retrospective, observational, monocentric study was conducted at the largest university hospital in Rome, Italy. Electronic health records (EHRs) of adult inpatients (≥18 years) hospitalized in 2022 with malignant bronchial and lung cancer were analyzed. NDs were documented using the Professional Assessment Instrument (PAI), a clinical nursing information system based on the Clinical Care Classification (CCC) standardized nursing terminology. The accuracy of nursing documentation was assessed with the D-Catch instrument, evaluating record structure, admission data, ND formulation, interventions, progress/outcome evaluations, and legibility. Descriptive statistics were used to analyze ND prevalence and documentation accuracy. Results: A total of 682 EHRs were examined, identifying 3510 NDs across 34 distinct labels. Patients had a mean of 5.15 NDs (SD: 2.99; range: 1–16). Ten high-frequency NDs were identified, with Infection Risk (76.7 %), Fall Risk (66.6 %), and Acute Pain (53.1 %) emerging as the most prevalent. Overall documentation accuracy was high across most dimensions; however, ND formulation showed comparatively lower accuracy (mean score: 6.38; SD: 0.98). Conclusions: Evaluating the prevalence and accuracy of nursing diagnoses enhances the understanding of the complex care needs of patients with malignant bronchial and lung cancer, a population marked by significant clinical vulnerability and multidimensional care requirements. Strengthening diagnostic reasoning—through structured documentation systems and continuous training—may improve care planning, facilitate interdisciplinary communication, and ultimately optimize patient outcomes
Un singolare caso di esplosione del colon durante colonscopia operativa: evento avverso o complicanza evitabile?
No full textShort-term effects of fire on Papilionoidea (Lepidoptera) communities: a pilot study in Mediterranean maquis shrubland
No full textIn the Mediterranean landscapefires are common, sometimes arising due to human activity. Fire influences the amount of
sunlight that reaches the ground, thus affecting the diversity and distribution of animal and plant species. In this study, we
analysed the effect offire on butterfly diversity at the Site of Community Importance (SCI)“Monti di Lauro”(IT8040013)
in southern Italy (Campania). The area covers 7040 ha and is mainly characterised by Mediterranean maquis and woody
vegetation. We compared theflight activity of butterflies before and after a fire incident in October 2008. Weekly transects
were made from April to September in 2008 and 2009. From the transect data, we calculated several diversity indices. We
surveyed 55 species and 5052 individuals (2008: 43 species, 1764 individuals; 2009: 49 species, 3288 individuals). Inter-year
comparisons showed that richness was significantly lower in 2008 than in 2009, as well as the abundance; the evenness index
was significantly higher in 2008 than in 2009. Intra-year comparisons beforefire (2008) showed significant differences
among months in all indices analysed, whereas afterfire (2009), only evenness differed significantly. Our results show that
afterfire in the Mediterranean maquis, a rapid change in butterfly community structure occurred, increasing both species
and individual abundance. Nevertheless, a lower evenness indicates a less balanced butterfly community afterfire. Notably,
Melanargia arge, a protected species by the Habitats Directive, was not observed following the fir
Short-term effects of fire on butterflies community (Lepidoptera, Rhopalocera) in mediterrean maquis.
No full textFerita fetale accidentale durante un parto cesareo: aspetti medico-legali a margine di un caso di personale osservazione
No full textOn the design of origami structures with a continuum of equilibrium shapes
No full textHere we focus on the problem of how to fold/deploy an origami structure. We consider origami tessellations which can pass from one shape to another through a continuum of equilibrium configurations. Among different tessellations, we choose the one invented by Ron Resch. This tessellation features only triangular panels, a property that allows us to simplify the model, and that gives the structure higher stiffness with respect to other types of tessellations. We present two distinct procedures for changing the shape of an origami. In the first one, a certain number of bars is added to the system, to make the structure isostatic and to control, by varying their length, the change of shape. In the second procedure, length changes are assigned only to a minimum number of control elements, while the remaining length changes are determined by imposing a sufficient and minimal number of constraints. Such constraints can impose symmetry conditions and/or particular nodal trajectories. We found that often it is not possible to arbitrarily control all degrees of freedom of Resch's origami structures, since a halt in the folding/deployment path can occur, with the structure locked in a singular configuration. This problem is sidestepped by assigning fewer kinematic constraints and by using the pseudo-inverse solution of the system of kinematic-compatibility equations. Our approach is general enough to be applied to origami structures at different scales, and of different patterns
Prevalence and accuracy of nursing diagnoses in patients with malignant bronchial and lung cancer: A retrospective observational study
No full textPurpose: To describe the prevalence and accuracy of nursing diagnoses (NDs) in adult patients with malignant bronchial and lung cancer. Methods: A retrospective, observational, monocentric study was conducted at the largest university hospital in Rome, Italy. Electronic health records (EHRs) of adult inpatients (≥18 years) hospitalized in 2022 with malignant bronchial and lung cancer were analyzed. NDs were documented using the Professional Assessment Instrument (PAI), a clinical nursing information system based on the Clinical Care Classification (CCC) standardized nursing terminology. The accuracy of nursing documentation was assessed with the D-Catch instrument, evaluating record structure, admission data, ND formulation, interventions, progress/outcome evaluations, and legibility. Descriptive statistics were used to analyze ND prevalence and documentation accuracy. Results: A total of 682 EHRs were examined, identifying 3510 NDs across 34 distinct labels. Patients had a mean of 5.15 NDs (SD: 2.99; range: 1–16). Ten high-frequency NDs were identified, with Infection Risk (76.7 %), Fall Risk (66.6 %), and Acute Pain (53.1 %) emerging as the most prevalent. Overall documentation accuracy was high across most dimensions; however, ND formulation showed comparatively lower accuracy (mean score: 6.38; SD: 0.98). Conclusions: Evaluating the prevalence and accuracy of nursing diagnoses enhances the understanding of the complex care needs of patients with malignant bronchial and lung cancer, a population marked by significant clinical vulnerability and multidimensional care requirements. Strengthening diagnostic reasoning—through structured documentation systems and continuous training—may improve care planning, facilitate interdisciplinary communication, and ultimately optimize patient outcomes
Morfo-Functional Aspects of a Case of Relapsing Bilateral Acute Retinal Pigment Epithelitis (ARPE) and Effects of Treatment Using Dexamethasone 0.7 mg Intravitreal Implant
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