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Search Results: 1 - 10 of 572 matches for " Cristiana Guetti "
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Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series
Franco Marinangeli,Alessandra Ciccozzi,Chiara Angeletti,Cristiana Guetti
ISRN Anesthesiology , 2011, DOI: 10.5402/2011/278545
Tramadol Extended-Release for the Management of Pain due to Osteoarthritis
Chiara Angeletti,Cristiana Guetti,Antonella Paladini,Giustino Varrassi
ISRN Pain , 2013, DOI: 10.1155/2013/245346
Abstract: Current knowledge on pathogenesis of osteoarticular pain, as well as the consequent several, especially on the gastrointestinal, renal, and cardiovascular systems, side effects of NSAIDs, makes it difficult to perform an optimal management of this mixed typology of pain. This is especially observable in elderly patients, the most frequently affected by osteoarthritis (OA). Tramadol is an analgesic drug, the action of which has a twofold action. It has a weak affinity to mu opioid receptors and, at the same time, can result in inhibition of the reuptake of noradrenaline and serotonin in nociceptorial descending inhibitory control system. These two mechanisms, “opioidergic” and “nonopioidergic,” are the grounds for contrasting certain types of pain that are generally less responsive to opioids, such as neuropathic pain or mixed OA pain. The extended-release formulation of tramadol has good efficacy and tolerability and acts through a dosing schedule that allows a high level of patients compliance to therapies with a good recovery outcome for the patients' functional status. 1. Background Pain is the most common symptom of osteoarthritis (OA), and, as pain levels rise, patients experience a reduced range of motion with a consequent increase of disability [1]. Pain and function limitations substantially reduce the life quality of people affected by OA. The treatment planning for OA is designed to essentially provide pain relief, to prevent from complications such as muscle atrophy or joint deformities, and to maintain and/or improve the functional status with the final aim to produce a sensible life quality improvement [2]. The effectiveness of pain relief not only may result in a reduction of the intensity of pain itself but can also lead to an improvement of life aspects that are strictly related to pain. As has been widely documented, chronic persistent pain can sensibly reduce the health-related quality of life, causing reduced sleep, interference with social/family relationships [3], activity of daily living and productivity, and increased anxiety and depression [4]. There is, therefore, a general need for optimized pharmacologic treatment strategies in patients with chronic/persistent pain due to OA. A management strategy for such patients also should require individualized therapies that are able to ensure a positive risk/benefit profile. It should also provide analgesia outcomes covering an extended period of time. Tramadol is a centrally acting synthetic analgesic with two mechanisms of action. It involves weak -opioid receptors agonism and
GlideScope and Frova Introducer for Difficult Airway Management
Alessandra Ciccozzi,Chiara Angeletti,Cristiana Guetti,Roberta Papola,Paolo Matteo Angeletti,Antonella Paladini,Giustino Varrassi,Franco Marinangeli
Case Reports in Anesthesiology , 2013, DOI: 10.1155/2013/717928
Abstract: The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To overcome the obstacles that may occur both in a difficult provided intubation such as those unexpected, associated endotracheal introducer able to facilitate the passage of the endotracheal tube through the vocal cords into the trachea may be useful. We report 4 cases of difficult intubation planned and unplanned and completed successfully using the GlideScope videolaryngoscope associated with endotracheal Frova introducer. 1. Introduction Difficult airway management is a major task for anesthesiologists [1, 2]. Failure in airway management indeed, is a major cause of mortality and morbidity in the setting of anesthesiology and intensive care units [3, 4]. The GlideScope (GS) is a videolaryngoscope (VLS), the last generation of intubation devices available in clinical practice in the last decade. GS provides an indirect airway view, improves the assessment of Cormack-Lehane score, and does not require a specific training [5, 6]. Recent studies underline the advantages of VLS in the management of predicted difficult airway [7, 8] as well as prehospital emergencies [9]. Unfortunately, the direct laryngeal view provided by VLS does not always assure the correct insertion of endotracheal tube (ETT), due to the 60-degree angle in the distal portion of GS blade, that tends to hamper the passage of the ETT from oropharynx to trachea. To facilitate the placement of the ETT, a rigid stylet shaped with the same angle as the blade, the GlideRite stylet (GRs), has been made up. Recently, the most suitable characteristics of the introducer have been largely debated: gum elastic bougie, rigid stylet, malleable stylet, and several experiences have been published with different endotracheal introducer utilized in combination with VLS to facilitate intubation maneuver [10–14]. We report our clinical experience in 4 patients, three characterized by potential and one by unexpected difficult intubation, in whom videolaryngo-GlideScope (VLGS) combined with Frova bougie has been used to facilitate endotracheal intubation. 2. Case??1 A 61-year-old woman (BMI: 22.6?kg/m2) was urgently admitted to the anesthesiological evaluation before undergoing the intervention of spinal decompression of cervical C3–C6
Pain after earthquake
Chiara Angeletti, Cristiana Guetti, Roberta Papola, Emiliano Petrucci, Maria Laura Ursini, Alessandra Ciccozzi, Francesca Masi, Maria Rosaria Russo, Salvatore Squarcione, Antonella Paladini, Joseph Pergolizzi, Robert Taylor, Giustino Varrassi, Franco Marinangeli
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2012, DOI: 10.1186/1757-7241-20-43
Abstract: This observational retrospective study evaluated the prevalence and drug treatment of pain in the five weeks following the L'Aquila earthquake (April 6, 2009).958 triage documents were analysed for patients pain severity, pain type, and treatment efficacy.A third of pain patients reported pain with a prevalence of 34.6%. More than half of pain patients reported severe pain (58.8%). Analgesic agents were limited to available drugs: anti-inflammatory agents, paracetamol, and weak opioids. Reduction in verbal numerical pain scores within the first 24 hours after treatment was achieved with the medications at hand. Pain prevalence and characterization exhibited a biphasic pattern with acute pain syndromes owing to trauma occurring in the first 15 days after the earthquake; traumatic pain then decreased and re-surged at around week five, owing to rebuilding efforts. In the second through fourth week, reports of pain occurred mainly owing to relapses of chronic conditions.This study indicates that pain is prevalent during natural disasters, may exhibit a discernible pattern over the weeks following the event, and current drug treatments in this region may be adequate for emergency situations.
Assistência de enfermagem ao potencial doador de órg?os em morte encefálica
Guetti, Nancy Ramos;Marques, Isaac Rosa;
Revista Brasileira de Enfermagem , 2008, DOI: 10.1590/S0034-71672008000100014
Abstract: this study aimed at describing nurse's activities in the assistance for the physiological maintenance of potential organ donors. this is a non-structured bibliographic review that considered current publications having as basis the publications of the brazilian organ transplant association and of the brazilian intensive medicine association. results are organized according to the following structure: ethical issues related to organ and tissue removal, physiological repercussions of brain death (bd), clinical and technological signs of bd, and nursing assistance in the physiological maintenance of potential organ donors. it was concluded that it is essential for the nurse to have enough knowledge about possible physiological alterations resulting from bd. when that knowledge is put into practice, nurse's role will contribute for changes in transplants scenario.
Design and Implementation of the Human Capital Report: The Case of the Biomedical Branch of the University of Florence  [PDF]
Cristiana Parisi, Paola Rossi
Theoretical Economics Letters (TEL) , 2016, DOI: 10.4236/tel.2016.64068
Abstract: The purpose of this paper is to develop a Human Capital Report focused on the competency profile of the key employees. Employing the case study of Biomedical Branch of University of Florence, we have designed a strategy map centred on key stakeholders: students, university, didactic and research centres, businesses. Furthermore, we have designed a model for the management of human resources, integrating two different approaches: individual and organic. On the basis of this model, semi-structured interview was carried out to obtain rich data on the current competences of key employees, divided in three personal characteristics for each strategic theme: knowledge, skills, aptitudes. The results of our analysis show where the competences of the key personnel are lacking, the strategic initiatives to take in the future, and the lead indicators to use for measure the effects of the initiatives. This study contributes to the previous literature, describing how university institutes can measure the human capital readiness.
Art at School—Is There Any Perspective?  [PDF]
Cristiana Lopes Machado, Tania Stoltz
Creative Education (CE) , 2016, DOI: 10.4236/ce.2016.718255
Abstract: Based on the premise that art is an important activity for human development (Vygotsky, 2001, 2009, 2010; Steiner, 2007, 2013), the aim of this study is to analyze the role of art in the everyday activities of schooling using conventional methods and also in schooling using alternative methods, the latter having been founded by Rudolf Steiner and referred to as Waldorf education. This study is justified by its making explicit the educational potential of art, whilst also seeking to contribute to the formation of teaching practices that consider the subject in a full manner. This is an exploratory qualitative study. Students and teachers from two elementary school classes of a municipal school in the State of Paraná were selected by convenience to take part in the study. Teachers and students from an elementary Waldorf reference school in the city of Curitiba were also selected. The participants were observed and the data were recorded in a field diary during one semester in each of the contexts. From the data collected it was possible to note that art is usually perceived as an element of leisure in schooling using conventional methods and its practice is based on mechanicalness. On the other hand, schooling using the alternative method uses art as a teaching tool, whereby the work of teaching is pervaded by the artistic element. This study brings indications of the need to review the importance given to art in traditional schooling, as well as to review practices that see art as an ally in the teaching process. As such, it would be fundamental for the Waldorf method to be better known, with the aim of contributing to the practice of teaching art in everyday schooling.
Pulmonary resection for NSCLC in octogenarians: a single center experience
Di Russo S,Mani A,Guetti L,Camplese P
BMC Geriatrics , 2011, DOI: 10.1186/1471-2318-11-s1-a11
O ensino da medicina na índia colonial portuguesa: funda??o e primeiras décadas da Escola Médico-cirúrgica de Nova Goa
Bastos, Cristiana;
História, Ciências, Saúde-Manguinhos , 2004, DOI: 10.1590/S0104-59702004000400002
Abstract: the centennial celebration of the new goa medical-surgical school, held in 1942, glorified the institution's contribution to the consolidation of the portuguese empire in africa. i observe the school from the perspective of the literature on medicine and empire, whose analyzes tend to view it as a tool for exercising biopower. i then question this hypothesis from the perspective of primary sources on the school's first decades, which paint a picture of frailty and administrative disregard that is not very compatible with an imperial project engineered to train physicians and disperse them throughout the colonies. i conclude that the school's creation stemmed from a process where local interests dominated, in a society where the categories "colonizer" and "colonized" were diluted within the complexities of social differentiation. it was with the twentieth-century rewriting of portuguese colonial history that the narrative of imperial glorification appropriated the school.
Maria índia, ou a fronteira da coloniza??o: trabalho, migra??o e política no planalto sul de Angola
Bastos, Cristiana;
Horizontes Antropológicos , 2009, DOI: 10.1590/S0104-71832009000100003
Abstract: this article analyses a peculiar and obscure episode in the colonial history of southern angola. in the 1880s, the portuguese government sponsored the settlement in the huíla plateau of a group of impoverished migrants from the island of madeira. this was part of a strategy of guaranteeing territorial control, frontier expansion and definition of borders in the context of the "european scramble for africa". the study of primary sources reveals a great deal of improvisation, fragilities and ambiguities that the colonial history written in the 20th century rapidly erased and replaced for a narrative of pioneering heroism and white entitlement.
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