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41 results on '"Marchese S"'

1. The second AIPO survey on Respiratory Intensive Care Units in Italy between 'scientific certainties and organisational criticisms'

Author

Scala, R., Confalonieri, M., Corrado, A., Marchese, S., Ambrosino, N., Scala, R., Confalonieri, M., Corrado, A., Marchese, S., and Ambrosino, N.

Subjects
Respiratory intensive care unit, Mechanical ventilation, Tracheostomy, Weaning, Noninvasive ventilation
Abstract

The educational-political activity of AIPO in the past 15 years has captured the interest of Pulmonologists for intensive care and achieved the institutional recognition of the Respiratory Intensive Care Units (RICUs) as care units for acute (ARF) or acute-on-chronic respiratory failure (ACRF). Aim of this study is to analyze the organizational evolution of Italian RICUs in the management of ARF/ACRF in the light of the second national AIPO survey data. Despite RICUs have increased from 26 to 44 units over the past 10 years, the number of beds surveyed is still below the estimated national demand. The geographical distribution of RICUs has been heterogeneous with a greater concentration in the North. The organizational model and the level of care turn out to be different with a greater development of the Monitoring Units within a pneumological ward compared to the Intermediate and Intensive Care Units, mostly functioning as autonomous units. The majority of RICUs have treated patients with ARF/ACRF in hospitals for acute, while a minority of them has dealt with weaning in Rehabilitation Centres. Consistent with the prevalent implementation of lower intensity of care models, average medical and nursing resources of RICUs have decreased. In contrast, their "efficiency" has increased with the reduction of admissions for only monitoring in favour to those for mechanical ventilation, weaning and decannulation. The pattern of disease has changed with a decrease in hospitalizations for COPD exacerbations in favour to those for neuro-myopathies decompensations and de novo hypoxemia. In conclusion, the Italian landscape photographed by this second survey - increasing number of RICUs and of complexity of interventions and disease treated - strengthens the role of Pulmonologist in the clinical governance of ARF/ACRF where these units are well structured. Further efforts are needed to expand the network of Italian RICUs and improve the training of Pulmonologists in intensive care.

Published
2011

3. Le immagini del Turismo Relazionale Integrato in Sicilia

Author

BINI, Giada, Battaglia, A, Trapassi, A, Giunta, M, Di Mauro, G, Marchese, S., Gulotta, D, Naselli, F, Trapani, F, Bini, G, Battaglia, A, Trapassi, A, Giunta, M, Di Mauro, G, and Marchese, S

Subjects
turismo relazionale integrato, Settore ICAR/21 - Urbanistica
Published
2004

6. Il senso di una ricerca

Author

Lucciarini, Silvia, Giecillo, L, Gregori, A, Marchese, S, and Romina, P.

Published
2005

8. [Bio-imaging for the study of organic changes in the C.N.S.: comparison between computerized tomography and magnetic resonance].

Author

Le Pira F, Di Falco G, Marchese S, Nibali G, and Giammona G

Subjects
Central Nervous System Diseases diagnostic imaging, Central Nervous System Diseases pathology, Central Nervous System Neoplasms diagnosis, Central Nervous System Neoplasms diagnostic imaging, Central Nervous System Neoplasms pathology, Cerebrovascular Disorders diagnosis, Cerebrovascular Disorders diagnostic imaging, Cerebrovascular Disorders pathology, Demyelinating Diseases diagnosis, Demyelinating Diseases diagnostic imaging, Demyelinating Diseases pathology, Evaluation Studies as Topic, Humans, Retrospective Studies, Sensitivity and Specificity, Central Nervous System Diseases diagnosis, Magnetic Resonance Imaging, Tomography, X-Ray Computed
Abstract

Several comparative studies have been carried out in order to evaluate the possible diagnostic superiority of Computed Tomography (C.T.) vs. Magnetic Resonance Imaging (M.R.I.) in different diseases of the Central Nervous System. The present investigation is aimed at critically revising this problem also including the study of patients clinical data as a criterion of choice. A sample of 69 subjects was examined. It was seen that in demyelinative as well as in chronic cerebrovascular diseases M.R.I. should be preferred because of its higher sensitivity and specificity. Concerning specifically chronic cerebrovascular diseases, clinical data can have a more significant role in justifying the choice of M.R.I. C.T., and M.R.I. should be considered as complementary rather than competitive in studying cerebral tumors and spinal cord pathology; the planning of surgical operations, needing a complete evaluation of data, which in these cases are very variable, requires the use of both methods.

Published
1993

9. [Sarcoidosis in Italy. Analysis of 716 cases].

Author

Giobbi A, Calamari F, D'Ambrogio G, Nai Fovino G, Marchese S, Colle V, Collimedaglia P, Poggiopollini M, Scarponi F, Talmassons G, Cantatore D, Pezza A, Olivieri D, and Blasi A

Subjects
Adult, Age Factors, Female, Humans, Italy, Lung Diseases epidemiology, Male, Sarcoidosis mortality, Sex Factors, Sarcoidosis epidemiology
Published
1976

18. [PERIPHERAL CIRCULATION IN PARATHYROID DISEASES].

Author

GATTO E, FRANCO G, TEDOLDI A, MARCHESE S, and TORRIELLI A

Subjects
Adolescent, Humans, Blood Circulation, Body Temperature, Capillaries, Cardiovascular System, Hyperparathyroidism, Hypoparathyroidism, Plethysmography, Skin
Published
1964

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