A5040705226- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Wireless Body Area Networks
- Long-Term Effects of COVID-19
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Healthcare Technology and Patient Monitoring
- Telemedicine and Telehealth Implementation
- COVID-19 diagnosis using AI
- Geriatric Care and Nursing Homes
- Nutrition and Health in Aging
- Climate Change and Health Impacts
- Frailty in Older Adults
- Stroke Rehabilitation and Recovery
- Cardiac Health and Mental Health
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Ischemic Stroke Management
- Clinical Reasoning and Diagnostic Skills
- Mobile Health and mHealth Applications
- Nutritional Studies and Diet
- SARS-CoV-2 and COVID-19 Research
- Sepsis Diagnosis and Treatment
ASL Roma
2012-2025
Saint Camillus International University of Health and Medical Sciences
2021-2025
Città di Castello Hospital
2023
National Centre for Disease Prevention and Control
2023
University of Medicine and Health Sciences
2022
Azienda Sanitaria Locale Roma 3
2018-2019
Azienda Socio Sanitaria Territoriale del Garda
2017
Casa di Cura Villa Garda
2017
St. Eugenio Hospital
2009-2016
Sapienza University of Rome
2003
COVID-19 has challenged the health workforce worldwide. In this cross-sectional study with a retrospective assessment, we explored impact of pandemic on mental and sleep among sample Italian nurses medical doctors. A total 287 healthcare workers (212 75 physicians) completed web survey socio-demographic, psychological, sleep-related aspects referring to period before present February June 2022. Comparisons between physicians revealed that former had greater distress in response pandemic....
Since December 2019, with the spreading of pandemic, a lot medical centers registered data about their patients. In Italy, most relevant quantity patients was hospitalized in internal medicine wards. this observational, retrospective cross-sectional study, all COVID-19 admitted to some Lazio hospitals from March 01 31, 2020, were collected, and epidemiological data, demographics, signs symptoms on admission, comorbidities, laboratory findings, chest radiography computed tomography treatment...
Background: Chronic ischemic cardiovascular disease (CICD) is a common and frequent cause of hospitalization, with significant differences between men women. It also an important comorbidity, affecting hospitalization length mortality. The purpose this paper to investigate the clinical economic impact CICD on hospital admissions non-surgical patients. Methods: To conduct study, discharge data (SDO) from each public private facility regularly sent by regions Ministry Health were analyzed,...
University cooperation in the field of humanitarian medicine combines academic expertise with development initiatives. The UniCamillus Task Force was established 2019 to propose new models for training students from developing countries and promoting self-sufficient health systems through medical interventions, education, capacity building. Five years experience regions such as Amazon, Cameroon, Gambia, using assessments, stakeholder collaboration, training, long-term monitoring, were used...
Abstract Burnout among physicians is associated with poor productivity at work, dissatisfaction, and regrets about career choices. The present study aims to evaluate the prevalence of burnout its main factors young Italian Internists. An online survey assessing different aspects training working conditions internists was conducted across European countries by Young Internists Group Federation Internal Medicine (EFIM). Only data from respondents were analyzed in study. Data 106 (aged < 40...
In recent years, due to the epidemiological transition, burden of very complex patients in hospital wards has increased. Telemedicine usage appears be a potential high-impact factor helping with patient management, allowing personnel assess conditions out-of-hospital scenarios.
Background: COVID-19 causes major changes in day-to-day hospital activity due to its epidemiological characteristics and the clinical challenges it poses, especially internal medicine wards. Therefore, is necessary understand manage all of implicated factors order maintain a high standard care, even sub-par circumstances. Methods: This was three-phase, mixed-design study. Initially, Delphi method allowed us analyze poor outcomes cohort an aggregate Italian wards via Ishikawa diagram. Then,...
In Italy, the number of Internists has grown by 10% since 1990 reaching 11,435 units, they manage 39,000 beds in 1060 Internal Medicine (IM) wards. The are expected to ensure a cost-effective management poly-pathological and complex patients. A collaborative study between FADOI CREA Sanità based on data from hospital discharge records (SDO) starting November 2014. this article shown preliminary results with focus emergency admissions characteristics contribute define role Medicine....
Wireless vital parameter continuous monitoring (WVPCM) after discharge is compared to regular provide data on the clinical-economic impact of complex patients (CPs) discharged from Internal Medicine Units Ospedale dei Castelli, Lazio.Major complications (MC) reduction.Patients who reached criteria within 7th day admission; difference in MC incidence at conclusion standard telemonitoring/clinical phase, 5 and 30 days discharge; conditions predisposing occurrence.Open label randomized...
Chest CT is a useful initial exam in patients with coronavirus disease 2019 (COVID-19) for assessing lung damage. AI-powered predictive models could be to better allocate resources the midst of pandemic. Our aim was build deep-learning (DL) model COVID-19 outcome prediction inclusive 3D chest images acquired at hospital admission. This retrospective multicentric study included 1051 (mean age 69, SD = 15) who presented emergency department three different institutions between 20th March 2020...
Background: COVID-19 patients with any pre-existing major cardio-vascular disease (CVD) are at the highest risk of viral infection and developing severe disease. The pathophysiological mechanism is characterized by link to angiotensin-converting enzyme 2 (ACE2) involvement endothelial system release cytokines inflicting direct damage myocardium, induction microthrombosis, initiation alterations in oxygen diffusion. aim study analyze clinical course outcomes (gender-stratified) CVD. Methods:...
This working proposal aims to establish an Internal Medicine Network (IMN) model for the appropriate management or poly-pathological complex patient in different phases of illness natural history. The IMN is based on organization recalling Hub and Spoke system already used existing specialized networks. Unit (IMU) destination acutely ill patients suffering from systemic multi-organ diseases. Three are IMU specific tasks: 1. To stabilize acute, severe, poly-pathologic patients; 2. develop...
As a result of improved diagnostic methods and higher cancer patient survival rates, leptomeningeal carcinomatosis is being found in internal medicine departments more frequently. Melanoma, lung cancer, breast adenocarcinoma are the three cancers that most commonly associated. When main tumor diffuses through bloodstream, cerebrospinal fluid, or direct diffusion causes multiple focal neurological symptoms, it known as involvement; prognosis usually not good. Despite multimodal treatment, an...
BACKGROUNDI n recent years, the Internal Medicine (IM) Ward has been receiving an increasingly heterogeneous group of patients, many affected by acute or chronic diseases varying severity, who are often elderly, frail, with co-morbidities, requiring intensive care [1] (Figure 1), due to epidemiological transition.Hospitalization medical patients in large wards without prior stratification complexity, level dependence, co-morbidities and a proper assessment risk rapid clinical deterioration,...
Improved care for acute diseases has increased mean age and the proportion of people affected by multiple chronic diseases, while mutated socioeconomic conditions augmented number elderly socially frail subjects. Multi-morbid patients who require a global approach not fragmented interventions close connection between health social services are progressively growing. Acute complex model (ACCM) is integrated management when they need hospital care. The name our - ACCM just recalls Chronic Care...