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Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Logopedia e Comunicazione is the property of Edizioni Centro Studi Erickson SpA 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

A 38-year-old lifelong smoker woman with a diagnosis of lung adenocarcinoma was referred to us to perform an endoscopic ultrasound with fine-needle aspiration (EUS-FNA) procedure in order to define liver lesions suspicious for metastases. She had already performed a percutaneous procedure with ultrasound guidance, which turned out to be not diagnostic. EUS-FNA is an endoscopic technique that is increasingly acquiring a key role in the diagnosis, staging and therapy of lung cancer and lung cancer metastases. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Plasma cell dyscrasias (PCDs) are characterized by a bone marrow plasma cell clone producing a monoclonal component (MC). This heterogeneous group comprehends malignant diseases as multiple myeloma (MM), conditions requiring only observation, like monoclonal gammopathy of undetermined significance (MGUS), and rarer entities where the MC causes organ dysfunction in absence of malignant PCD [(i.e. monoclonal gammopathy of clinical significance (MGCS)]. The evaluation of urine proteins has a key role in the management of PCDs, particularly quantification of proteinuria and albuminuria in the diagnostic workflow and clinical management of MGCS with renal involvement. In immunoglobulin light chain (AL) amyloidosis, proteinuria (cut-off: 0.5 g/24h) and urine albumin/creatinine ratio (UACR; cut-off: 300 mg/g) are used for diagnosis of renal involvement. These biomarkers are also included in staging systems that stratify the severity of renal involvement (proteinuria cut-off: 5 g/24h; UACR cut-off: 3 600 mg/g) and in renal response criteria (decrease of proteinuria/UACR >30% from baseline). In light chain deposition disease (LCDD), relatively low grade proteinuria (cut-off: 2 g/24h) results in higher risk of end-stage renal failure and its reduction after treatment (>50% from baseline) associates with better outcome. Finally, the presence of a MC and tubular proteinuria raises suspicion of light chain proximal tubulopathy (LCPT) with acquired Fanconi syndrome, especially in presence of other abnormalities at the urine examination (e.g. glycosuria, phosphaturia, uricosuria). The clinical laboratory, with the determination of biomarkers in urine provides crucial data in PCD management: for the diagnostic workflow, assessment of severity of the disease and evaluation of treatment effectiveness. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Frozen shoulder is an idiopathic disorder of the glenohumeral joint. Over the years, many authors have endeavoured to try to identify the specific clinical parameters to diagnose FS, but even today this diagnosis is not easy, due to the complex classification, the wide spectrum of presentations, the variable course and the lack of specific tests, especially in the pre-clinical stages of the disease. [ABSTRACT FROM AUTHOR]

Background. The need to contain the spread of the SARS-CoV-2 pandemic has forced national and local organizations to define and implement targeted emergency response and management measures. As the knowledge about the infection grew, a wider range of organizational measures were deployed. Methods. This study involves the SARS-CoV-2 infected people managed by the Local Health Authority of Rieti (Italy). Diagnostic test waiting times and hospital admission rates in the Province of Rieti are investigated as the pandemic evolved. Trends were analyzed in relation to the tempora spreading of SARS-CoV-2, to the organizational actions taken by the Local Health Authority of Rieti, and to the deployment of actions across the territory. A municipalities classification of the province of Rieti was conducted after a cluster analysis based on the diagnostic test waiting times and the hospital admission rates. Results. Our findings show a declining trend, thus indicating a possible positive effect of the measures taken to contain the pandemic. The cluster analysis of the municipalities of the Province of Rieti makes evident an inhomogeneous geographical distribution of examined parameters (diagnostic test waiting times and the hospital admission rates), demonstrating the capability of Local Health Authority of Rieti to reach even the most disadvantaged areas and implying that the differences are due to the demographical variabilities. Conclusion. Despite some limitations, this study outlines the importance of management measures in response of the pandemic. These measures should adapt to social, cultural and geographical nature of the territory involved. The findings of the present study will contribute to the update of further pandemic preparedness plans of the Local Health Authorities. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Coronavirus disease (COVID-19) as an emerging disease decreases security among people from different countries. Sense of security can be raised via quick diagnosis of COVID-19, and its management and control using clinical decision support systems (CDSS) to prevent further spread of the disease. So, the aim of this study is to identify and introduce the applications of a CDSS in the diagnosis, management, and control of COVID-19. This cross-sectional study was conducted to identify and introduce the applications of CDSS in the diagnosis, management, and control of COVID-19. Based on the results of some meetings with infectious disease specialists and a general practitioner as well as reviewing the related literature, information about COVID-19 and CDSS was obtained. Then based on the information obtained, a questionnaire was designed electronically and distributed in a two-round Delphi method among 19 experts in the three fields of medical informatics, health information management, and infectious disease specialists. According to the literature and expert opinions, 35 applications of CDSS applications were identified in the four main groups of “diagnosis”, “medication”, “monitoring”, and “health services”. Eventually, a collective agreement was reached on 30 applications in the first and second rounds of Delphi. Among all the applications, the highest means were assigned to “monitoring the vital signs” and “helping diagnose infections and damaged lung tissue through CT scan”. Introducing these applications can provide general, basic knowledge of the design and implementation of clinical decision support systems in the real world to prevent irreversible complications and even many people’s death.

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

The critical issues of the most widespread categorical diagnostic models, such as the ICD and the DSM, elicit some reflections: Clinicians must interface with the way psychopathology is considered and how the psychopathology model influences the diagnostic phase and the indication/contraindication to treatment. Recent research has emphasized the importance of embedding the signs and symptoms with neurobiological functioning and a developmental perspective. Recent classification systems [i.e., the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood - DC: 0-5TM and the Research Domain Criteria - RdoC (Insel et al., 2010)] aim to identify criteria that are useful to the clinician and that overcome the limitations of traditional models. The article outlines the main points of the most up-to-date models of psychopathology, particularly how they integrate different components of the person's functioning with the developmental and neurobiological levels and the environment. These radical changes make clinicians reflect on how to use psychodiagnostic instruments: Testing was born when different models of psychopathology prevailed. The authors emphasize the importance of using more consciously existing tests, referring to a more current view of psychopathology. [ABSTRACT FROM AUTHOR]

The "transdiagnostic" approach to neurodevelopmental disorders can foster research and communication, but lacks theory. Without a theoretical model, identifying the causes of cognitive and behavioral disorders beyond their description and categorization is impossible. A first step towards change is to overcome the methodological dist inct ion between developmental neuropsychology and adult neuropsychology. [ABSTRACT FROM AUTHOR]

The paper provides the scientific community and the clinic practitioners dealing with neurodevelopmental disorders with a list of open questions about research and diagnosis. Such questions are elicited by the evidence coming from neuroscience investigations and from the outline of a different framework to understand disorders with onset in the developmental period. The broad heterogeneity that characterizes the diagnostic categories of neurodevelopmental disorders has favored the emergence of constructs referable to complexity, multidimensionality, and comorbidity. The reflection is carried-out according to the Research Domain Criteria (RDoC) approach. RDoC is a dimensional diagnostic system with the aim of shifting the focus of research and clinical practice away from the existing diagnostic categories towards dimensions of observable behavior and neurobiological measures. The transdiagnostic perspective of the RDoc approach is used here both as a possible criticism of the dominant research paradigms and as a challenge to rethink neurodevelopmental disorders and as a potential solution to intercept the specificities of the phenotypes. [ABSTRACT FROM AUTHOR]

In recent years, and in particular in the current post-pandemic scenario, the need for a diagnostic paradigm shift has been highlighted for developmental psychology, and mainly for neurodevelopmental disorders. Defining the needs of clinical populations also in relation to any comorbidities from a bio-psychosocial perspective comes to light. In particular, it is interesting to consider how the advent of new technologies has impacted the development of some cognitive abilities especially in digital natives. The use of virtual screens, touchscreens, and digital technologies should be considered as a fundamental element in the investigation of new cognitive profiles. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Il presente lavoro analizza la funzione del reato nell’autismo ad alto funzionamento esaminando le molteplici aree psico-emotive coinvolte in questo processo. Si approfondiscono gli aspetti di diagnosi differenziale e comorbilità psichiatrica con alcuni disturbi maggiormente correlati all’autismo di livello 1. Si evidenziano, dunque, le conseguenti implicazioni sul piano clinico e forense. L’elaborato parte dall’esame di come il sistema giuridico italiano si interfaccia con il disturbo mentale. È messo in luce il ruolo che il sistema giuridico attribuisce alle neuroscienze nell’analisi del profilo di responsabilità di un soggetto con disturbo mentale ed, in particolare, di un soggetto con autismo di livello 1 che commette un reato. A tale proposito è esaminata la funzione dei reati più comuni. Si evidenziano le differenze dell’autismo di livello 1 con il disturbo antisociale e schizofrenico. L’attenzione è sull’esplorazione della sintomatologia clinica in termini di funzione. Attraverso un’analisi critica degli studi evidenziati in letteratura, è descritto il fattore fondamentale per la corretta individuazione della diagnosi differenziale e, di conseguenza, della comorbilità psichiatrica. Esso è rappresentato dall’esame del processo difensivo dal quale i sintomi hanno origine. Una stessa manifestazione sintomatologica può, infatti, rappresentare problematiche e patologie differenti. Il focus è dunque posto sull’importanza di una valutazione clinico forense particolarmente approfondita in cui sono esaminati i meccanismi di difesa. La finalità di questo articolo è evidenziare l’opportunità di applicare nel contesto giuridico nuovi e più completi strumenti di valutazione e diagnosi.

The school and its clients, pupils, and families are facing critical change. The presence of foreign students and cultural diversity is growing. These changes are accompanied by an exponential growth in the use of diagnoses, with the production of an almost infinite descriptive taxonomy: disabilities, learning difficulties, and cultural differences blend, all becoming deficits. Without a clear definition of the problems that the school context, as a system of productive relationships, is facing, one moves towards confusion that leads to placing the cause of every complex educational relationship on the individual pupils, with the production of an infinite number of deficit certificates. In this scenery, diagnosis becomes a tool for activating resources, with the imagination - starting from those - of being able to solve a vast range of problems which, upon closer inspection, are problems of coexistence. This dynamic makes it difficult for the school to think about its complexity, causing it lose sight of its mandate: to train to the wider social context, grasp its changes, and promote them. In this work, an intervention proposal is made which uses the reference to a psychology of the individual-context relationship, based on the hypothesis of the unconscious collusive dynamic that organizes the social and organizational relationship in the school, useful for reading the changes taking place and promoting its objectives of development. [ABSTRACT FROM AUTHOR]

Introduction. Asthma is one of the most common chronic diseases in both pediatric age and adulthood, often underdiagnosed and undertreated. Over the past 20 years, numerous guidelines have been published with the aim of translating evidence into recommendations for good clinical practice; however, their impact was modest. The multilevel training program “Revolution in asthma” was created with the dual objective of improving the knowledge of the main guidelines on asthma and investigating the level of agreement of the participants with the recommendations of the guidelines, as well as their real-life application. Materials and methods. The survey was conducted from February to October 2021 on a representative sample of 400 Italian general practitioners, pulmonologists and algologists. Four guidelines (BTS/SIGN, NICE, AEPP-NHLBI-EPR and GINA) were compared and the concordances/ discrepancies between the recommendations of the guidelines relating to seven thematic areas were analyzed. Agreement/disagreement with the recommendations was measured with a Likert scale. The level of adherence in clinical practice was also assessed through questions aimed at estimating participants’ “opinions/beliefs” (as indicator of self-efficacy, i.e., confidence that the recommendations can be applied in daily practice). Results and conclusions. This e-learning project increased the participants’ guidelines knowledge (at the end of the course, 80% of the participants thought it was more useful to use several guidelines than one). The analysis highlighted the areas of agreement with the guidelines, and the “grey areas”, i.e. the areas with moderate agreement, such as patients monitoring and PEF use. Besides, barriers that interfere with the application of the recommendations into clinical practice were identified. In conclusion, the project allowed the participants to re-elaborate their own “mental guidelines” and to compare them with the published ones, thus driving a paradigm shift in everyday clinical practice. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

In early 2021, the ISarcoPRM – the special interest group on sarcopenia of the International Society of Physical and Rehabilitation Medicine (ISPRM) – proposed a new diagnostic algorithm that enables effective and early diagnosis of sarcopenia. The diagnosis is made through four tests, all of which can be administered in both inpatient and outpatient settings. A validated diagnostic algorithm for sarcopenia contributes to the standardization of clinical practices and promotes better communication among health professionals. This allows to obtain consistent and comparable results in different healthcare facilities, facilitating clinic research and the identification of the best therapeutic approaches to counteract this condition. [ABSTRACT FROM AUTHOR]

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Compagnia is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Copyright of Summa, Animali da Reddito is the property of Point Veterinaire Italie s.r.l. 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.)

Coronavirus disease (COVID-19) as an emerging disease decreases security among people from different countries. Sense of security can be raised via quick diagnosis of COVID-19, and its management and control using clinical decision support systems (CDSS) to prevent further spread of the disease. So, the aim of this study is to identify and introduce the applications of a CDSS in the diagnosis, management, and control of COVID-19. This cross-sectional study was conducted to identify and introduce the applications of CDSS in the diagnosis, management, and control of COVID-19. Based on the results of some meetings with infectious disease specialists and a general practitioner as well as reviewing the related literature, information about COVID-19 and CDSS was obtained. Then based on the information obtained, a questionnaire was designed electronically and distributed in a two-round Delphi method among 19 experts in the three fields of medical informatics, health information management, and infectious disease specialists. According to the literature and expert opinions, 35 applications of CDSS applications were identified in the four main groups of "diagnosis", "medication", "monitoring", and "health services". Eventually, a collective agreement was reached on 30 applications in the first and second rounds of Delphi. Among all the applications, the highest means were assigned to "monitoring the vital signs" and "helping diagnose infections and damaged lung tissue through CT scan". Introducing these applications can provide general, basic knowledge of the design and implementation of clinical decision support systems in the real world to prevent irreversible complications and even many people's death. [ABSTRACT FROM AUTHOR]