1,721,010 research outputs found
Prevenzione delle infezioni da Herpes Zoster nella popolazione anziana e gestione della nevralgia post-erpetica
No full textPrevenzione delle infezioni da Herpes Zoster nella popolazione anziana e gestione della nevralgia post-erpetica
No full text
How to increase the participation of older subjects in research: good practices and more evidence are needed!
No full textMultidrug-resistant bacterial infections in geriatric hospitalized patients before and after the COVID-19 outbreak: Results from a retrospective observational study in two geriatric wards
No full textThe impact of the COVID-19 pandemic on multidrug-resistant (MDR) bacteria is unknown. The purpose of this study was to assess prevalence, etiology, and association with mortality of MDR bacteria in older adult patients before and after the first peak of the COVID-19 pandemic in Italy. An observational retrospective study was conducted in two geriatric wards of the Azienda Ospedaliera Ospedali Riuniti Marche Nord, Fano, and of the INRCA, IRCCS, Ancona, in the Marche Region, Italy, from December 2019 to February 2020 and from May to July 2020. A total of 73 patients (mean age 87.4 ± 5.9, 27.4% men) and 83 cultures (36 pre-COVID-19 and 47 post-COVID-19) were considered. Overall, 46 cultures (55.4%) reported MDR bacteria (50% in pre-and 59.6% in post-COVID-19 period, p = 0.384). MDR bacteria in bloodstream significantly increased in post-COVID-19 period (68.8% vs. 40.0% p = 0.038) and MDR bacteria in urine did not change (51.6 vs. 54.8%, p = 0.799). Escherichia coli was the main MDR bacterium in pre-COVID-19, p = 0.082 and post-COVID-19, p = 0.026. Among patients with MDR infection, in-hospital mortality was 37.5% and 68.8% in pre-and post-COVID-19, respectively (p = 0.104), and mortality at 30 days was higher in post-COVID-19 period (78.9% vs. 27.3%, p = 0.012). An increased number of MDR bacteria in bloodstream and mortality after MDR infection have been observed in the post-COVID-19 period
Come e dove si rivolgono gli italiani per il disagio esistenziale e psicofisico: un sondaggio su 1000 soggetti
No full textÈ stato realizzato un sondaggio sulla diffusione del disagio psicofisico in Italia e sull’utilizzo dei servizi ad
esso deputati per comprendere come gli italiani affrontino il disagio. È stata indagata, inoltre, l’opinione
degli intervistati circa la possibilità di usufruire di un’assistenza psicologica con un livello di accessibilità
paragonabile a quella della medicina di base. Materiali e Metodo: per valutare gli aspetti oggetto di indagine
è stata realizzata una intervista strutturata somministrata telefonicamente ad un campione di 1,000 soggetti
rappresentativo della popolazione italiana con età superiore a 18 anni. Risultati: il 60% degli intervistati ha
affermato di aver attraversato momenti di vita difficili negli ultimi anni (riguardanti famiglia, lavoro e salute)
e il 67% del campione ha riportato diverse problematiche psicologiche o “psicosomatiche” (mal di testa,
depressione, ansia insonnia). Circa il 65% del campione dichiara che tali problematiche hanno influenzato la
propria vita. Tuttavia, solo il 41% di chi ha riportato problematiche di diversa natura ha consultato un
professionista. Tra chi ha consultato qualcuno il 25.9% ha consultato il medico di medicina generale, il
30.4% medici specialisti, il 19.3% psicologi, l’11.9% neurologi, il 4.8% psichiatri. Il 62% del campione
totale ha espresso parere favorevole circa la presenza di uno psicologo nello studio del medico di famiglia.
Conclusioni: Emerge, in Italia, un sottoutilizzo dei servizi di salute mentale in situazione di difficoltà. Si
evidenzia altresì la tendenza ad interpretare e trattare il disagio mentale in termini biologici-organici. La
presenza di uno psicologo nell’assistenza primaria, con un accesso facilitato, riceve ampia approvazione.The paper reports a study investigating the prevalence of psychophysical distress as well as the use of mental
health services in Italy in order to explore how Italian people face psychological problems. The population’s
opinion about a possible psychological service as part of primary care was explored. Materials and Method:
A specific interview was constructed and was administered by telephone to a total of 1,000 subjects,
representative of the Italian population, aged 18 and over. Results: An average of 60% of the total sample
reports experiencing life hardships in the last years (concerning family, work and health); an average of 67%
of respondents reports some psychological and/or psychophysical symptom (headache, depression, anxiety,
insomnia, etc.). About the 65% of the sample believes that these problems influence their life. Nevertheless
only 41% of the sample who report these kind of problems did consult some kind of health professional.
People who had consulted some specialist had chosen: family physician (25.9%), medical specialist (30.4%),
psychologist (19.3%), neurologist (11.9%), psychiatrist (4.8%). 62% of the total sample expresses a positive
opinion about the presence of a psychologist in the family physician’s office. Conclusion: The study
suggests that in Italy the use of mental health services in the presence of significant distress is very limited.
A trend to treat mental health problems in a biological and physical way is apparent. The presence of a
psychologist in primary care received wide approval as a possibility of easier access
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