86 results on '"Festini, Filippo"'
Search Results
52. Control of Post-Operative Pain in Children Undergoing Hypospadias and Penile Curvature Surgery: Quasi-Experimental Study
- Author
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Dini, Donata, primary, Bussolin, Leonardo, additional, Danti, Dante Alfredo, additional, Messineo, Antonio, additional, and Festini, Filippo, additional
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- 2008
- Full Text
- View/download PDF
53. Evidence supporting isolation measures for prevention of infection with respiratory pathogens in cystic fibrosis
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Festini, Filippo, primary and Taccetti, Giovanni, additional
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- 2007
- Full Text
- View/download PDF
54. Studio trasversale sui determinanti di stress lavorativo per gli infermieri e sull'intenzione di abbandono della professione.
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Romano, Marina, Festini, Filippo, and Bronner, Leonardo
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- 2015
- Full Text
- View/download PDF
55. Use of continuous subcutaneous insulin infusion in cystic fibrosis patients with cystic fibrosis-related diabetes awaiting transplantation
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Reali, Maria Francesca, primary, Festini, Filippo, additional, Neri, Anna Silvia, additional, Taccetti, Giovanni, additional, Repetto, Teresa, additional, Chiarelli, Francesco, additional, and Toni, Sonia, additional
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- 2006
- Full Text
- View/download PDF
56. National scientific associations should have a key role in adapting and implementing standard of care guidelines in European countries
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Braggion, Cesare, primary, Alatri, Francesca, additional, Conese, Massimo, additional, Festini, Filippo, additional, Gagliardini, Rolando, additional, Raia, Valeria, additional, Seia, Manuela, additional, and Taccetti, Giovanni, additional
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- 2005
- Full Text
- View/download PDF
57. To the editor: Gender differences in the acquisition of P. aeruginosa
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Festini, Filippo, primary, Taccetti, Giovanni, additional, Campana, Silvia, additional, Ravenni, Novella, additional, and de Martino, Maurizio, additional
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- 2003
- Full Text
- View/download PDF
58. Segregation and use of nonshared care settings reduce the risk of multiresistant P. aeruginosa infection Re: Davies et al., “Multiresistant Pseudomonas aeruginosa in a pediatric cystic fibrosis center: natural history and implications for segregation,” Pediatr Pulmonol 2003;35:253–256
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Festini, Filippo, primary, Ballarin, Silvana, additional, and Loganes, Carmen, additional
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- 2003
- Full Text
- View/download PDF
59. Family-centered care in an ItalianPediatric Hospital: a study on Nurses' perceptions using the Family- Centered Care Questionnaire.
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Bonavita, Claudia, Ciofi, Daniele, Bisogni, Sofia, Giusti, Francesca, and Festini, Filippo
- Abstract
Copyright of Children's Nurses: Italian Journal of Pediatric Nursing Science / Infermieri dei Bambini: Giornale Italiano di Scienze Infermieristiche Pediatriche is the property of Societa Italiana di Scienze Infermieristiche Pediatriche and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
60. L'assistenza centrata sulla famiglia in un ospedale pediatrico: studio delle percezioni degli infermieri tramite il Family-Centered Care Questionnaire.
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Bonavita, Claudia, Ciofi, Daniele, Bisogni, Sofia, Giusti, Francesca, and Festini, Filippo
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CHILDREN'S hospitals ,FAMILY medicine ,RESEARCH methodology ,NURSES' attitudes ,QUESTIONNAIRES ,RESEARCH methodology evaluation - Abstract
Copyright of Children's Nurses: Italian Journal of Pediatric Nursing Science / Infermieri dei Bambini: Giornale Italiano di Scienze Infermieristiche Pediatriche is the property of Societa Italiana di Scienze Infermieristiche Pediatriche and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
61. Charles West, il padre dell'Infermieristica Pediatrica moderna.
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Spinelli Bini, Cecilia and Festini, Filippo
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CHARITY ,PEDIATRIC nursing ,LEADERS - Abstract
Copyright of Children's Nurses: Italian Journal of Pediatric Nursing Science / Infermieri dei Bambini: Giornale Italiano di Scienze Infermieristiche Pediatriche is the property of Societa Italiana di Scienze Infermieristiche Pediatriche and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
62. Letters.
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Welsh, Colin J P, Cetti, N E, Storrs, John, Beard, Jonathan D, Cookson, John B, Dudley, Nigel, Waring, Justin J, Oldham, John, Taccetti, Giovanni, Festini, Filippo, de Martino, Maurizio, Smith, Andrew F, Brady, Tony, Graham, Jill, Love, Sharon, Ramirez, Amanda, Garcia, Josep M, Martin, Jose Luis R, and Swift, Benjamin
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MEDICINE ,MEDICAL consultants ,PRIMARY care ,PHYSICIAN-patient relations - Abstract
Presents letters to the editor on medical topics as of September 7, 2002. Topic of consultant physician contracts; Telephone use in primary care; Communication of risk between physicians and their patients; Stress and breast cancer; Genetic testing for familial Alzheimer's disease.
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- 2002
63. Chi ha paura dell'Infermiere Pediatrico?
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Festini, Filippo
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MEDICAL quality control ,NURSES ,NURSING ,PEDIATRIC nursing ,OCCUPATIONAL roles - Published
- 2012
64. La lotta al dolore in Italia: perchè il dolore da procedura nei bambini viene trascurato dalle istituzioni?
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Festini, Filippo
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- 2012
65. Criticita e sfide dell'assistenza infermieristica in area neonatale.
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Festini, Filippo
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NURSES ,OCCUPATIONAL roles ,NEONATAL nursing - Published
- 2011
66. Alteration of Bone Mineral Density in Cystic Fibrosis Adults.
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Nari, Anna Silvia, Lori, Ilaria, Taccetti, Giovanni, Festini, Filippo, De Martino, Maurizio, Masi, Laura, and Brandi, Mania Luisa
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LETTERS to the editor ,BONE injuries - Abstract
A letter to the editor is presented in response to the article by A. Stephenson regarding the prevalence of vertebral fractures in adults with cystic fibrosis and their relationship to bone mineral density that was published in the 2006 issue.
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- 2006
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67. Breast-feeding in a woman with cystic fibrosis undergoing antibiotic intravenous treatment.
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Festini, Filippo, Ciuti, Riccardo, Taccetti, Giovanni, Repetto, Teresa, Campana, Silvia, and De Martino, Maurizio
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WOMEN'S health services , *CYSTIC fibrosis , *PSEUDOMONAS aeruginosa , *BREASTFEEDING , *TOBRAMYCIN , *LACTATION - Abstract
We report the case of a 30-year-old woman with cystic fibrosis (CF) chronically infected with Pseudomonas aeruginosa who delivered and breast-fed a healthy boy. While breast-feeding the woman had to undergo an i.v. antibiotic course with tobramycin, due to pulmonary exacerbation. Tobramycin was not detected in her milk and lactation could be continued. This is the first time that the presence of tobramycin in the milk of a CF woman during i.v. administration has been investigated. [ABSTRACT FROM AUTHOR]
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- 2006
- Full Text
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68. Guideline on management of the acute asthma attack in children by Italian Society of Pediatrics
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Indinnimeo, Luciana, Chiappini, Elena, Miraglia Del Giudice, Michele, Italian Panel for the management of acute asthma attack in children, Bernardini, R, Capristo, C, Cardinale, F, Cazzato, S, Chiamenti, G, Chinellato, I, Corsello, G, Cutrera, R, Da Dalt, L, Duse, M, Festini, F, Frateiacci, S, Minasi, D, Novelli, A, Piacentini, G, Scoppi, P, Tappi, E., Indinnimeo, L, Chiappini, E, Miraglia del Giudice, M, Corsello, G, Indinnimeo, Luciana, Chiappini, Elena, Miraglia Del Giudice, Michele, Capristo, Carlo, Cardinale, Fabio, Cazzato, Salvatore, Chiamenti, Giampiero, Chinellato, Iolanda, Corsello, Giovanni, Cutrera, Renato, Da Dalt, Liviana, Duse, Marzia, Festini, Filippo, Frateiacci, Sandra, Minasi, Domenico, Novelli, Andrea, Piacentini, Giorgio, Scoppi, Pietro, and Tappi, Eleonora
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Male ,Asthma ,Asthma attack ,Children ,Guidelines ,Pediatrics ,Review ,Guideline ,Cochrane Library ,Ipratropium bromide ,Severity of Illness Index ,0302 clinical medicine ,Anti-Asthmatic Agents ,Child ,Societies, Medical ,Pediatric ,lcsh:RJ1-570 ,Prognosis ,Bronchodilator Agents ,Epinephrine ,Treatment Outcome ,Inhalation ,Italy ,Child, Preschool ,Ambulatory ,Administration ,Combination ,Practice Guidelines as Topic ,Drug Therapy, Combination ,Female ,Human ,medicine.drug ,medicine.medical_specialty ,Adolescent ,Prognosi ,MEDLINE ,Risk Assessment ,03 medical and health sciences ,Drug Therapy ,030225 pediatrics ,Medical ,Administration, Inhalation ,medicine ,Anti-Asthmatic Agent ,Humans ,Preschool ,Bronchodilator Agent ,business.industry ,lcsh:Pediatrics ,Emergency department ,medicine.disease ,030228 respiratory system ,Pediatrics, Perinatology and Child Health ,business ,Societies - Abstract
Background Acute asthma attack is a frequent condition in children. It is one of the most common reasons for emergency department (ED) visit and hospitalization. Appropriate care is fundamental, considering both the high prevalence of asthma in children, and its life-threatening risks. Italian Society of Pediatrics recently issued a guideline on the management of acute asthma attack in children over age 2, in ambulatory and emergency department settings. Methods The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was adopted. A literature search was performed using the Cochrane Library and Medline/PubMed databases, retrieving studies in English or Italian and including children over age 2 year. Results Inhaled ß2 agonists are the first line drugs for acute asthma attack in children. Ipratropium bromide should be added in moderate/severe attacks. Early use of systemic steroids is associated with reduced risk of ED visits and hospitalization. High doses of inhaled steroids should not replace systemic steroids. Aminophylline use should be avoided in mild/moderate attacks. Weak evidence supports its use in life-threatening attacks. Epinephrine should not be used in the treatment of acute asthma for its lower cost / benefit ratio, compared to β2 agonists. Intravenous magnesium solphate could be used in children with severe attacks and/or forced expiratory volume1 (FEV1) lower than 60% predicted, unresponsive to initial inhaled therapy. Heliox could be administered in life-threatening attacks. Leukotriene receptor antagonists are not recommended. Conclusions This Guideline is expected to be a useful resource in managing acute asthma attacks in children over age 2.
- Published
- 2018
69. Recommendations for treating children with drug-resistant tuberculosis
- Author
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Galli L., Lancella L., Garazzino S., Tadolini M., Matteelli A., Migliori G. B., Principi N., Villani A., Esposito S. Italian Pediatric TB Study Group: Samantha Bosis, Claudia Tagliabue, Laura Senatore, Beatrice Ascolese, Laura Cursi, Annalisa Grandin, Caterina Marabotto, Maurizio de Martino, Elena Chiappini, Carlotta Montagnani, Daniele Ciofi, Filippo Festini, Martina Anziati, Sabrina Becciani, Giulia Remaschi, Sara Sollai, Chiara Tersigni, Elisabetta Venturini, Alfredo Guarino, Andrea Lo Vecchio, Riccardo Scotto, Fi lippo Bernardi, Elisa Bertazzoni, Francesco Blasi, Marialuisa Bocchino, Luca Assante, Elio Castagnola, Giuseppe Losurdo, Giannina Gaslini, Luigi Codec, Giuseppe Di Mauro, Marino Faccini, Clara Gabiano, Daniele Le Serre, Irene Raffaldi, Regina Margherita, Gianluigi Marseglia, Amelia Mascolo, Mauro Stronati, Rosella Centis, Lia D'Ambrosio, Angela Pasinato, Cristina Russo, Franco Scaglione, Elisabetta Scala, Paolo Tomà, Susanna Esposito, Luisa Galli, Laura Lancella, Nicola Principi, Samantha Bosis, Silvi a Garazzino, Alberto Villani, Filippo Bernardi, Luigi Codecasa, Alberto Matteelli, Enrico Tortoli, Francesco Scaglione, Daniela Cirillo, Giovanni Battista Migliori, Marina Tadolini, L., Galli, L., Lancella, S., Garazzino, M., Tadolini, A., Matteelli, G. B., Migliori, N., Principi, A., Villani, Italian Pediatric TB Study Group: Samantha Bosis, Esposito S., Tagliabue, Claudia, Senatore, Laura, Ascolese, Beatrice, Cursi, Laura, Grandin, Annalisa, Marabotto, Caterina, de Martino, Maurizio, Chiappini, Elena, Montagnani, Carlotta, Ciofi, Daniele, Festini, Filippo, Anziati, Martina, Becciani, Sabrina, Remaschi, Giulia, Sollai, Sara, Tersigni, Chiara, Venturini, Elisabetta, Guarino, Alfredo, LO VECCHIO, Andrea, Scotto, Riccardo, lippo Bernardi, Fi, Bertazzoni, Elisa, Blasi, Francesco, Bocchino, Marialuisa, Assante, LUCA ROSARIO, Castagnola, Elio, Losurdo, Giuseppe, Gaslini, Giannina, Codec, Luigi, Di Mauro, Giuseppe, Faccini, Marino, Gabiano, Clara, Le Serre, Daniele, Raffaldi, Irene, Margherita, Regina, Marseglia, Gianluigi, Mascolo, Amelia, Stronati, Mauro, Centis, Rosella, D'Ambrosio, Lia, Pasinato, Angela, Russo, Cristina, Scaglione, Franco, Scala, Elisabetta, Tomà, Paolo, Esposito, Susanna, Galli, Luisa, Lancella, Laura, Lo Vecchio, Andrea, Principi, Nicola, Bosis, Samantha, a Garazzino, Silvi, Villani, Alberto, Bernardi, Filippo, Assante, Luca, Codecasa, Luigi, Matteelli, Alberto, Tortoli, Enrico, Scaglione, Francesco, Cirillo, Daniela, Battista Migliori, Giovanni, Tadolini, Marina, Garazzino, Silvia, and Migliori, Giovanni Battista
- Subjects
0301 basic medicine ,Pediatrics ,medicine.medical_specialty ,Tuberculosis ,Extensively Drug-Resistant Tuberculosis ,030106 microbiology ,Antitubercular Agents ,Pediatric tuberculosi ,Anti-tuberculosis drugs ,MDR-TB ,Mycobacterium tuberculosi ,Mycobacterium tuberculosis ,03 medical and health sciences ,Therapeutic approach ,Antitubercular Agent ,0302 clinical medicine ,Tuberculosis, Multidrug-Resistant ,Children ,Pediatric tuberculosis ,XDR-TB ,Pharmacology ,Humans ,Medicine ,030212 general & internal medicine ,Adverse effect ,Child ,Cause of death ,biology ,business.industry ,Anti-tuberculosis drug ,Extensively drug-resistant tuberculosis ,medicine.disease ,biology.organism_classification ,Settore MED/38 ,Systematic review ,Infectious disease (medical specialty) ,Extensively Drug-Resistant Tuberculosi ,Practice Guidelines as Topic ,business ,Human - Abstract
Tuberculosis (TB) is still one of the most difficult infectious diseases to treat, and the second most frequent cause of death due to infectious disease throughout the world. The number of cases of multidrug-resistant (MDR-TB) and extensively drug-resistant TB (XDR-TB), which are characterised by high mortality rates, is increasing. The therapeutic management of children with MDR- and XDR-TB is complicated by a lack of knowledge, and the fact that many potentially useful drugs are not registered for pediatric use and there are no formulations suitable for children in the first years of life. Furthermore, most of the available drugs are burdened by major adverse events that need to be taken into account, particularly in the case of prolonged therapy. This document describes the recommendations of a group of scientific societies on the therapeutic approach to pediatric MDR- and XDR-TB. On the basis of a systematic literature review and their personal clinical experience, the experts recommend that children with active TB caused by a drug-resistant strain of Mycobacterium tuberculosis should always be referred to a specialised centre because of the complexity of patient management, the paucity of pediatric data, and the high incidence of adverse events due to second-line anti-TB treatment.
- Published
- 2016
70. Rational use of antibiotics for the management of children's respiratory tract infections in the ambulatory setting: an evidence-based consensus by the Italian Society of Preventive and Social Pediatrics
- Author
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Francesco Rossi, Maria Chiara Colombo, Nicola Principi, Claudio Cricelli, Concetta Rafaniello, Giuseppe Di Mauro, Eugenia Bruzzese, Filippo Festini, Luisa Galli, Rachele Mazzantini, Maurizio de Martino, Annalisa Capuano, Elena Chiappini, Liberata Sportiello, Susanna Esposito, Paola Marchisio, Vito Leonardo Miniello, Alfredo Guarino, Francesco Tancredi, Elisabetta Venturini, Chiappini, E, Mazzantin, R, Bruzzese, Eugenia, Capuano, A, Colombo, M, Cricelli, C, Di Mauro, G, Esposito, S, Festini, F, Guarino, Alfredo, Miniello, Vl, Principi, N, Marchisio, P, Rafaniello, C, Rossi, F, Sportiello, L, Tancredi, F, Venturini, E, Galli, L, de Martino, M., Chiappini, Elena, Mazzantini, Rachele, Capuano, Annalisa, Colombo, Maria, Cricelli, Claudio, Di Mauro, Giuseppe, Esposito, Susanna, Festini, Filippo, Miniello, Vito Leonardo, Principi, Nicola, Marchisio, Paola, Rafaniello, Concetta, Rossi, Francesco, Sportiello, Liberata, Tancredi, Francesco, Venturini, Elisabetta, Galli, Luisa, and de Martino, Maurizio
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Pediatrics ,Evidence-based practice ,Respiratory tract infection ,medicine.drug_class ,Antibiotics ,Guideline ,Guidelines ,Respiratory tract infections ,Acute Pharyngitis ,Antibiotic resistance ,Anti-Bacterial Agent ,Ambulatory Care ,medicine ,Humans ,Child ,Intensive care medicine ,Sinusitis ,Children ,Evidence-Based Medicine ,business.industry ,Medicine (all) ,Antibiotic ,Perinatology and Child Health ,medicine.disease ,Drug Utilization ,Anti-Bacterial Agents ,Pneumonia ,Pediatrics, Perinatology and Child Health ,Ambulatory ,business ,Human - Abstract
Background: Several guidelines for the management of respiratory tract infections in children are available in Italy, as well as in other European countries and the United States of America. However, poor adherence to guidelines and the sustained inappropriate use of antibiotics have been reported. In the outpatient setting, almost half of antibiotics are prescribed for the treatment of common respiratory tract infections. In Italy the antibiotic prescription rate is significantly higher than in other European countries, such as Denmark or the Netherlands, and also the levels of antibiotic resistance for a large variety of bacteria are higher. Therefore, the Italian Society of Preventive and Social Paediatrics organised a consensus conference for the treatment of respiratory tract infections in children to produce a brief, easily readable, evidence-based document. Methods: The conference method was used, according to the National Institute of Health and the National Plan Guidelines. A literature search was performed focusing on the current guidelines for the treatment of airway infections in children aged 1 month-18 years in the ambulatory setting. Results: Recommendations for the treatment of acute pharyngitis, acute otitis media, sinusitis, and pneumonia have been summarized. Conditions for which antibiotic treatment should not be routinely prescribed have been highlighted. Conclusion: This evidence-based document is intended to accessible to primary care pediatricians and general practice physicians in order to make clinical practice uniform, in accordance with the recommendations of the current guidelines. © 2013 Elsevier Ltd.
- Published
- 2014
71. Community-associated meticillin-resistant Staphylococcus aureus.
- Author
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Hsu, Li-Yang, Wijaya, Limin, Koh, Tse-Hsien, DeLeo, Frank R., Otto, Michael, Kreiswirth, Barry N., Chambers, Henry F., Taccetti, Giovanni, Cocchi, Priscilla, Festini, Filippo, Braggion, Cesare, and Campana, Silvia
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LETTERS to the editor , *STAPHYLOCOCCUS aureus infections , *METHICILLIN resistance , *STAPHYLOCOCCAL diseases , *DRUG resistance in microorganisms - Abstract
Letters to the editor are presented in response to the article "Community-Associated Methicillin-resistant Staphylococcus aureus," by F. R. DeLeo and colleagues, published in the May 1, 2010 issue, along with the authors' reply.
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- 2010
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72. Prevalence and multicenter observational study on falls of hospitalized children and Italian, linguistic-cultural validation of the Humpty Dumpty Fall Scale.
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Ciofi D, Albolino S, Dagliana G, Biermann K, Savelli A, Frangioni G, Fantoni M, Gheri C, Neri S, Festini F, and Collaborative Study Group TPF
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- Adolescent, Child, Child, Preschool, Humans, Infant, Italy epidemiology, Prevalence, Reproducibility of Results, Risk Assessment, Child, Hospitalized, Linguistics
- Abstract
Introduction: Falls in hospitals are a major problem also in pediatric settings. No Pediatric Fall Risk Assessment Scales (PFRAS) are validated in Italian., Goals: to perform the Italian validation of the Humpty-Dumpty Falls Scale (HDFS); to assess its predictive performance; to estimate the frequency of falls in hospitalized children and to analyze possible associations between children's clinical variables and falls., Methods: The study's first step was the cultural-linguistic validation of HDFS in Italian. Second, evaluation of the Italian HDFS's performance on 1500 hospitalized children. Third, modifications of the Italian HDFS to improve its performance. Fourth, analysis of falls frequency and associations between falls and patients' clinical variables., Results: The Italian HDFS (HDFS-ita) showed good Validity (SCVI=0.92) and inter-rater Reliability (Cohen's kappa=0.965), but poor Sensitivity (77.8%) and Specificity (36.6%). A new 3-item version of the HDFS-ita (HDFS-ita-M) was set, with a cut-off of 7, only for subjects 1 to 15 year-old. Although better, the HDFS-ita-M's performance remains poor (Sensitivity=77.8%, Specificity=53.3%, ROC curve's AOC=0.670). The frequency of pediatric falls was 6.38 per thousand children (CI95% 3.36-12.08) with a maximum frequency in children aged 3 to 6 years (11.28 per thousand children, CI95% 3.84-32.63). Motor/walking disorders (p=0.005), enuresis (p=0.0002), being in single room (p=0.04), admittance to pediatric neuropsychiatry/neurology wards (p=0.001), and neurological disorders (p=0.02) were associated to falls., Discussion: HDFS-ita-M has a better but still poor performance than HDFS-ita. This study provides useful data about pediatric falls and their possible risk factors which will help pediatric hospitals in determining patient safety policies. Further studies are needed to determine an adequate panel of variables to estimate pediatric falls risk.
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- 2020
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73. Transcultural validation of Activities Scale for Kids (ASK): translation and pilot test.
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Fabbri L, Neviani R, Festini F, and Costi S
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- Adolescent, Child, Child, Preschool, Female, Humans, Italy, Male, Translations, Activities of Daily Living, Disability Evaluation, Musculoskeletal Diseases rehabilitation, Surveys and Questionnaires
- Abstract
Background and Aim of the Work: The Activities Scale for Kids performance (ASKp) is one of the few self-assessment questionnaires in pediatric rehabilitation that measures child perception in performance of daily routine activities. ASKp is composed of 30 questions designed to explore activities and participation in children and teenagers with musculoskeletal disorders. Scores assess level of physical ability, identify appropriate treatment and monitor changes over time. We undertook this cross-cultural validation study to achieve a culturally adapted Italian version of ASKp, to be tested on Italian children., Methods: ASKp was converted into Italian by two independent certified translators, supported by two Italian research physiotherapists. Twelve children with musculoskeletal disorders, their parents and eleven expert pediatric physiotherapists independently assessed clarity of language and semantics of each item. Physiotherapists also evaluated content validity of each item., Results: One item out of 30 did not reach inter-rater agreement ≥80% for clarity and was modified according to suggestions given. A panel of three research physiotherapists improved clarity of some other items based on suggestions from study participants. Regarding content validity of ASKp, I-CVI was ≥0.59 for all items and overall ASKp was deemed valid (S-CVI/Ave 0.93)., Conclusions: The Italian version of ASKp is linguistically clear and culturally coherent with a high content validity. It can be extremely useful in assessing activity limitation perspectives in Italian children and adolescent ranging from five to 15 affected by musculoskeletal disorders.
- Published
- 2016
74. [Cross-sectional study on the determinants of work stress for nurses and intention of leaving the profession].
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Romano M, Festini F, and Bronner L
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- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prevalence, Surveys and Questionnaires, Workload, Intention, Nursing, Occupational Diseases epidemiology, Occupational Diseases psychology, Stress, Psychological epidemiology, Work
- Abstract
Introduction: Occupational stress is one of the main causes of sick leaves among healthcare professionals and it determines high costs to health systems. Monitoring occupational related stress can be an important tool for policy makers. The Italian nursing research gave little attention to nurses' occupational stress. The aims of this study is to estimate the prevalence of occupational stress and evaluate risks factors among Italian nurses in order to evaluate health promotion intervention., Methods: Cross-sectional study on a convenience sample of nurses from three Italian public hospitals was carried out. The Nursing Stress Scale was administrated together with socio-demographic data information(age, occupational age, family structure etc). The Nursing Stress Scale includes 34 items with a score from 0 to 3. Seven areas of job related stress are investigate in the scale: conflict with physicians, inadequate training, lack of support, conflict with other nurses, workload, uncertainty about treatments, death and suffering. Scores were calculated for each item and for each area. Associations between stress scores and socio-demographic data were analyzed., Results: 231 nurses participated to the study. The two stress areas with the highest scores were "workload" (1.58) and "death and suffering" (1.39). Among the 13 items that exceed the overall mean stress score (i.e. 1.07), five belong to the "workload" area. "Watching a suffering patient" is the single item with the highest mean score. Demographic data associated to higher stress scores are, female gender (p=0.03) and working with night shifts (p=0.02). Intention to leave the nursing profession is associated to higher stress scores (p=0.002). Age, occupational age, time to commute to work, number of children, having disabled relatives at home, were not correlated to higher stress scores., Conclusions: Our study provides data regarding nurses' occupational stress that was not available before. This data may be useful for policy makers to plan preventive interventions for nurses' job related stress and to reduce nurses' intention to leave.
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- 2015
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75. ["The grandest hero who has ever lived": an unpublished letter written by Florence Nightingale about Garibaldi].
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Festini F and Giusti F
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- England, History, 19th Century, Italy, History of Nursing
- Abstract
In the year of the 150th anniversary of the Unity of Italy, Italian nurses cannot forget that Florence Nightingale herself, founder of modern Nursing , was a fervid support of the Risorgimento and of Italian unity. An unpublished letter, signed by her and conserved in the State archives of Pistoia, illustrates her feelings about the process of unity under way in the country where she was born.
- Published
- 2012
76. A 1-m distance is not safe for children with cystic fibrosis at risk for cross-infection with Pseudomonas aeruginosa.
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Festini F, Taccetti G, Galici V, Neri S, Bisogni S, Ciofi D, and Braggion C
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- Adolescent, Adult, Female, Humans, Infection Control methods, Male, Risk Assessment, Young Adult, Cross Infection prevention & control, Cross Infection transmission, Cystic Fibrosis complications, Pseudomonas Infections prevention & control, Pseudomonas Infections transmission, Pseudomonas aeruginosa isolation & purification
- Abstract
Although maintaining a distance of 1 m between persons with cystic fibrosis (CF) is a universal recommendation to prevent respiratory cross-infections such as Pseudomonas aeruginosa, evidence supporting this preventive measure is scarce. Examining 336 samples from 42 patients with CF collected experimentally from sterile surfaces after speaking and coughing, we found that transmission of P aeruginosa beyond 1 m is possible during both talking and coughing, although the probability is low (1.7%)., (2010 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.)
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- 2010
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77. [Control of postoperative pain in children undergoing hypospadias surgery: quasi-experimental controlled trial].
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Festini F, Dini D, Neri C, and Neri S
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- Administration, Oral, Administration, Rectal, Anesthesia, Caudal, Bupivacaine administration & dosage, Bupivacaine analogs & derivatives, Chi-Square Distribution, Child, Codeine administration & dosage, Data Interpretation, Statistical, Drug Therapy, Combination, Humans, Levobupivacaine, Male, Pain Measurement, Pain, Postoperative diagnosis, Pain, Postoperative drug therapy, Statistics, Nonparametric, Time Factors, Acetaminophen administration & dosage, Analgesia, Epidural methods, Analgesics, Non-Narcotic administration & dosage, Analgesics, Opioid administration & dosage, Anesthetics, Local administration & dosage, Anti-Inflammatory Agents, Non-Steroidal administration & dosage, Codeine therapeutic use, Fentanyl administration & dosage, Hypospadias surgery, Pain, Postoperative nursing, Pain, Postoperative prevention & control
- Abstract
Background: Hypospadias is one of the most common congenital anomalies occurring in approximately (1/300) male births. If it is not surgically corrected the consequences may negatively impact on quality of life in adolescents. The surgery is very invasive and the post-operative phase very painful. To improve the control of post-operative pain, continuous analgesia via epidural catheter was implemented., Aims: To compare the effectiveness in controlling pain of two different regimens: continuous epidural catheter infusion vs oral and rectal non-steroidal pain-killers., Materials and Methods: Comparative study on children undergoing hypospadias surgery. Group A (catheter) was treated with continuous postoperative analgesia via epidural catheter and Group B (scheduled times) with rectal and oral analgesics at scheduled times and on demand, after caudal block. In both groups nurses measured pain with VAS and FLACC scales (score from 0 to 10) for 72 hours after surgery., Results: 41 children were studied (average age 64.1 months, SD 47.3), with 332 post-operative pain recordings (Group A n = 161, Group B n = 171). Mean pain score of Group A was 0.13 (SD 0.3) and 0.45 (SD 0.8) in group B, p = 0.006. The median duration of the epidural catheter was 65 hours, mean 51.8 hours (SD 24.3). During the 1st post-operative medication, the mean pain score in Group A was 1.2 (SD 1.4), and 3.2 (SD 1.8) in group B, p = 0.003. In group A the number of pain scores indicating pain (> 0) where 3.1% while in group B were 10.5%, p = 0.0007., Conclusions: In children undergoing hypospadias surgery, post-operative analgesia with continuous epidural catheter infusion seems to offer a better analgesic coverage than the traditional oral/rectal analgesic treatment at scheduled times and on demand.
- Published
- 2008
78. [Medication errors at home: risks related to parental administration of paediatric drugs and strategies for prevention].
- Author
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Gori F, Gori S, Mannini C, and Festini F
- Subjects
- Child, Home Nursing, Humans, Risk Factors, Medication Errors prevention & control, Parents
- Published
- 2008
79. [Voluntary incident reporting by nurses in a pediatric hospital: a pilot study].
- Author
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Festini F, Bisogni S, Galici V, and Neri S
- Subjects
- Feasibility Studies, Health Care Surveys, Humans, Italy, Pilot Projects, Hospitals, Pediatric, Nurse's Role, Nursing Staff, Hospital, Risk Management
- Abstract
Unlabelled: In recent years Voluntary Incident Reporting (VIR) has spread as a tool to monitor and prevent adverse events in healthcare (AE). In Italy, experiences of VIR are limited., Aim: The goals of this pilot study were to test the feasibility of a VIR system in a population of nurses of a Pediatric Hospital and to make a preliminary survey of situations of risk for patients' safety, to plan corrective actions., Methods: Nurses of 3 wards were asked to report AEs with or without harm for patient, near misses and unsafe behaviours or situations at risk for generating AEs. Results were cumulatively reported to participating nurses during ward's meetings and possible corrective interventions were discussed., Results: The study was carried out from April to August 2006. Eighty-seven nurses participated. Forty-eight reports were made (one third signed, two thirds anonymous). Twenty reports (41.6%) regarded unsafe behaviours or situations at risk for AEs, 11 near misses, 15 AEs without patient harm and 2 AEs with harm. Twenty-three reports involved patients. Reports regarded mainly therapy (62.5%), care delivery (14.5%), equipment (8.3%), clinical documentation (6.3%). 40% of all AEs and near misses were reported to happen during the first or the last hour of the shift. AEs most frequently reported were: missing administration of treatments, administration of a wrong drug or of a wrong dose. "Look-alike" drugs and incomplete or illegible prescriptions., Conclusions: Our pilot study confirms that nurses are generally willing to get involved in VIR systems. It also suggests that to succeed VIR systems have to ensure that reporters remain anonymous and non-prosecutable.
- Published
- 2008
80. [The safety of drug therapies: strategies and methods for nurses].
- Author
-
Festini F, Sperotto S, and Neri S
- Subjects
- Humans, Italy, Consumer Product Safety standards, Drug Therapy standards, Medication Errors prevention & control, Nurses
- Published
- 2007
81. [Influenza vaccination of nurses in an Italian pediatric hospital: effects on absenteeism and on costs, factors associated with vaccine uptake and analysis of personal motivations. A prospective cohort study].
- Author
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Festini F, Biermann KP, Neri S, Reali MF, and de Martino M
- Subjects
- Adult, Chi-Square Distribution, Cohort Studies, Female, Health Care Costs, Hospitals, Pediatric, Humans, Influenza, Human economics, Italy, Male, Motivation, Prospective Studies, Sick Leave, Surveys and Questionnaires, Influenza Vaccines administration & dosage, Influenza, Human prevention & control, Nursing Staff, Hospital
- Abstract
Aims: To evaluate the effects on absenteeism and on costs for the health care system (HCS) of influenza vaccination offered to nurses in a paediatric hospital; the factors associated with vaccination acceptance and non-acceptance; the motivations of vaccine-recipient and non-recipient nurses., Methods: Cohort study. During the 2005-2006 influenza season we observed the entire nurse population of a Paediatric Hospital (n = 327) who were offered influenza vaccination at no cost at the working place. An anonymous questionnaire was also administered., Results: Vaccination rate was 30.3%. Mean days of sick leave of vaccinated nurses (3.4 per 100 calendar days) and non vaccinated nurses (4.5 per 100 calendar days) differed but not significantly. The saving for HCS due to vaccination of less than 1/3 of nurses was equal to 0.67 nurse-years. Age > or = 40 years (RR 1.47, p = 0.01), length of service > or = 20 years (RR 1.81, p = 0.0003) and working in oncology ward (RR 2.09, p = 0.002) were predictors of adhesion to the vaccination campaign. Among motivations given for vaccination were: not to transmit influenza to hospitalised children (62.8%), to avoid getting sick (55.6%), to protect own family members (49.4%). Only 34% of vaccinated nurses would have made vaccination even if not offered for free. Among non-recipients' main motivations were: vaccination is unnecessary (62.4%), no trust in its efficacy (8.8%). No differences were found in the incidence of influenza symptoms reported by vaccinated and non vaccinated nurses., Discussion: The utility of influenza vaccination to reduce absenteeism of nurses remains unclear. Strategies for influenza vaccination campaigns should particularly address younger nurses and should take into account the beliefs of each nurse in regards to own health.
- Published
- 2007
82. Managing insulin therapy during exercise in type 1 diabetes mellitus.
- Author
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Toni S, Reali MF, Barni F, Lenzi L, and Festini F
- Subjects
- Absorption, Adolescent, Blood Glucose metabolism, Blood Glucose Self-Monitoring, Child, Circadian Rhythm, Combined Modality Therapy, Diabetes Mellitus, Type 1 diet therapy, Diabetes Mellitus, Type 1 physiopathology, Diabetes Mellitus, Type 1 therapy, Doping in Sports, Drug Administration Schedule, Eating, Exercise Therapy adverse effects, Humans, Hyperglycemia etiology, Hyperglycemia prevention & control, Hypoglycemia etiology, Hypoglycemia prevention & control, Injections, Subcutaneous, Insulin administration & dosage, Insulin pharmacokinetics, Insulin Infusion Systems, Meteorological Concepts, Practice Guidelines as Topic, Sports, Diabetes Mellitus, Type 1 drug therapy, Exercise, Insulin therapeutic use
- Abstract
Background: Exercise is integral to the life of T1DM subjects. Several factors influence the metabolic response to exercise in these patients. Despite physical and psychological benefits of exercise, its hypo- and hyperglycemic effects may cause discouragement from participation in sports and games., Aim: To use existing evidence from literature to provide practical indications for the management of insulin therapy in subjects with T1DM who practice sports or physical activities., Methods: Bibliographic research was performed on PubMed and the main Systematic Review and Guidelines database were also searched., Results: Existing guidelines are useful but the exact adjustments of insulin dose must be made on an individual basis and these adjustments can be made only by "trial and error" approach., Conclusions: These clinical indications may be a starting point from which health care providers can find practical advices for each patient.
- Published
- 2006
83. [Factors that influence the duration of peripheral venous catheters used to antibiotic therapy in Cystic Fibrosis patients: results of a study].
- Author
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Festini F, Beneventi R, Vignoli N, Allegretti N, Rontini I, Campigatto E, Grondoni G, Sanasi S, and Bongini G
- Subjects
- Adolescent, Adult, Anti-Inflammatory Agents administration & dosage, Anti-Inflammatory Agents, Non-Steroidal administration & dosage, Child, Child, Preschool, Cohort Studies, Female, Home Care Services, Humans, Inpatients, Male, Prospective Studies, Retrospective Studies, Time Factors, Anti-Bacterial Agents administration & dosage, Catheterization, Peripheral, Cystic Fibrosis drug therapy
- Abstract
Unlabelled: Antibiotic intravenous (IV) therapy is of paramount importance in the treatment of cystic fibrosis (CF) lung disease. During their life CF patients have to undergo frequent IV antibiotic treatments. Peripheral venous catheters (PVC) -or cannulas- are often used to reduce the number of venepunctures needed to complete a treatment cycle, as well as to provide patients the best possible level of autonomy. The clinical experience in managing IV therapy in CF patients at Meyer Hospital in Florence, suggested that the in situ duration of PVCs varies greatly., Goal: To understand which factors influence the duration of PVCs used to administer IVantibiotic in people with CF., Study Design: Cohort prospective study, integrated with retrospective data retrieval. MATERIALS, PATIENTS AND METHODS: We observed all the PVCs inserted during an 8-month period to CF patients followed at the CF Centre of Tuscany (Florence, Italy)., Results: We studied 87 PVCs inserted to 36 patients in 56 IV antibiotic treatment cycles. The mean duration of PVCs was 8.3 days. The mean duration of PVCs used for 3 daily antibiotic administrations was longer than that of PVCs used for 2 daily antibiotic administrations (10.3 days vs. 6.5 days, p=0.001). Moreover, PVCs with a larger gauge (G22) had longer mean duration than smaller (G24) PVCs (9.6 days vs. 7.2 days, p=0.03). No statistically significant association was found between PVCs' duration and, respectively, the place where the treatment was administered (in hospital or at home), the arm used (dominant or non-dominant), the PVC's brand, patient's clinical condition and the concurrent use of either steroidal antinflammatory drugs or NSAIDs per os.
- Published
- 2005
84. [Prevention and control of respiratory tract infections in the network of Italian Centers for Cystic Fibrosis].
- Author
-
Festini F, Ballarin S, Loganes C, Codamo T, Doro R, Adamo A, Adorni R, Cucci M, Di Marco F, Lovallo R, Omenetti S, Panebianco R, Pisano G, Russo A, Sciabacucchi MC, and Zunino ML
- Subjects
- Adult, Air Microbiology, Child, Cystic Fibrosis therapy, Disinfectants administration & dosage, Hand Disinfection, Humans, Italy, Patient Isolation, Practice Guidelines as Topic, Respiratory Therapy, Respiratory Tract Infections microbiology, Surveys and Questionnaires, Cystic Fibrosis complications, Respiratory Tract Infections prevention & control
- Abstract
Infections caused by respiratory pathogens such as Burkholderia cepacia and Pseudomonas aeruginosa are associated with an increased morbidity and mortality in people affected by cystic fibrosis, the most common lethal genetic disease in Caucasian populations. Preventing the acquisition of these pathogens is paramount for these patients. The goal of this survey was to assess the distribution and the prevalence of the measures adopted for the prevention and control of infections caused by respiratory pathogens in the 28 italian centres for cystic fibrosis. 21 questionnaires were returned and some important differences can be observed in the adoption of segregation measures. Although results may be influenced by other factors, specific segregation policies appear to be more directly associated than other measures (e.g., intensive disinfection; behavioural rules to minimise patient' contacts) with lower prevalence of Pseudomonas aeruginosa (OR 0.36 CI95% 0.31-0.42), of multidrug-resistant Pseudomonas aeruginosa (OR 0.30 CI95% 0.22-0.40), and of methicillin-resistant Staphylococcus aureus (OR 0.67 CI95% 0.48-0.94).
- Published
- 2004
85. Gender differences in the acquisition of P. aeruginosa.
- Author
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Festini F, Taccetti G, Campana S, Ravenni N, and de Martino M
- Subjects
- Adolescent, Child, Child, Preschool, Cohort Studies, Comorbidity, Female, Humans, Infant, Italy epidemiology, Male, Mass Screening statistics & numerical data, Prevalence, Pseudomonas Infections diagnosis, Risk Assessment, Sex Factors, Cystic Fibrosis epidemiology, Pseudomonas Infections epidemiology
- Published
- 2003
- Full Text
- View/download PDF
86. Telephone use in primary care. Telephones have proved useful in managing cystic fibrosis.
- Author
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Taccetti G, Festini F, and de Martino M
- Subjects
- Adolescent, Adult, Child, Child, Preschool, Humans, Infant, Middle Aged, Cystic Fibrosis therapy, Telephone statistics & numerical data
- Published
- 2002
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