45,636 research outputs found

    A Five-Step Vascular Ultrasound Examination in Heart Failure: The First Two Years of the “ABCDE” G-SIUMB Multicenter Study 2018-2022

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    The aim of this study is the creation of a 5-step ultrasound examination to evaluate and monitor Heart Failure (HF) patients during hospitalization and follow-up. “ABCDE” is the acronym of an Italian multicentre study composed of a consecutive sample of HF patients admitted from the Emergency to the Internal Medicine/Geriatric Departments of several Italian hospitals. The “ABCDE” score includes the evaluations of A, the Ankle-brachial index (ABI), B, the B-lines, C, the Carotid intima media thickness (CIMT), D, the Diameter of the abdominal aorta and of the inferior cave vein and E, the echocardiographic assessment of the ejection fraction. This paper reports the preliminary results. Up to now, the “ABCDE” multicenter study seems an exciting opportunity to create an integrative ultrasound approach in HF. The definitive confirmation of these preliminary results and the effective usefulness of the “ABCDE” will be available in 2022, at the end of the study

    Liberalizzazione e concorrenza nei servizi di pubblica utilità

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    Nonostante gli sforzi normativi degli ultimi decenni, l’apertura alla concorrenza del settore dei servizi di pubblica utilità resta in una fase iniziale, non del tutto decollata. Ciò che finora si è fatto o si comincia a fare è essenzialmente dovuto agli obblighi che all’Italia derivano dall’appartenenza all’Unione europea come all’azione delle istituzioni comunitarie. Le misure adottate in tale ambito, in quanto inevitabilmente costrette a tenere conto delle diverse caratteristiche istituzionali e di mercato di una pluralità di Paesi, sono tuttavia delle misure per certi versi minime, che dunque abbisognano di misure complementari e di un quadro complessivo favorevol

    Energy balance and active lifestyle: potential mediators of health and quality of life perception in aging

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    The relationship between aging and perception of health and quality of life is complex and its mediation mechanisms need to be further explored. The purpose of this study was to investigate the mediating effects of total energy expenditure and intake, body mass, and body image dissatisfaction on the relationship between age and perception of health and quality of life. Forty-two senior athletes, 55 physically active, and 61 sedentary individuals (aged 55-84 years) were evaluated for total energy expenditure (EE), energy intake (EI), body mass index (BMI), absolute Body Dissatisfaction Index (BDIabx), and physical (PCS) and mental (MCS) health and quality of life perception. Multiple mediation analyses were applied to assess the relationship between age and PCS and MCS indices, through the mediators EE, EI, BMI, and BDIabx. For MCS, but not for PSC, the mediation analysis showed: (a) a direct effect of age; (b) a mediation path through EE, EI, BMI, and BDIabx; and (c) a positive total effect. The combination of positive and negative mediating effects influencing the mental health perception underlined that with advancing age, the maintenance of high levels of energy expenditure through physical activity could positively impact body image satisfaction and, in turn, mental health
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