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Search Results: 1 - 10 of 400730 matches for " Bejor M "
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Inpatient rehabilitation outcome: a matter of diagnosis?
Bejor M,Ramella FC,Dalla Toffola E,Comelli M
Neuropsychiatric Disease and Treatment , 2013,
Abstract: Maurizio Bejor,1 Francesca Chiara Ramella,1 Elena Dalla Toffola,1 Mario Comelli,2 Matteo Chiappedi31University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy; 2University of Pavia, Department of Brain Sciences, Medical Statistics Section, Pavia, Italy; 3Don Carlo Gnocchi ONLUS Foundation, Milan, ItalyBackground: Patients with comorbidities are becoming more and more common in Italian rehabilitative wards. These comorbidities are considered a major problem for inpatient rehabilitation, due to the fact that they cause longer lengths of stay, higher costs, and lower functional results.Methods: To investigate the possible relationships between comorbidity, functional impairment, age, and type of discharge in patients hospitalized in postacute rehabilitation facilities, we planned an observational study. A total of 178 consecutive inpatients (average age: 78 years [range: 39–99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale – Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM ) were evaluated at admission. The FIM rating was also assessed at hospital discharge.Results: A total of 178 of the 199 enrolled patients completed the rehabilitation treatment (89.4%). The average length of stay was 46 ± 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 ± 1.69. The average FIM rating was 79 ± 24.88 at admission, and 91.9 ± 25.7 at discharge. Diagnosis at admission (grouped according to the International Classification of Diseases 9-CM) seemed to correlate with functional results, since lower rehabilitative efficiency was obtained for patients who had a history of stroke.Conclusion: The number and type of comorbidities (CIRS-G) in rehabilitation inpatients do not seem to affect functional outcomes of treatment. The determining factor for a lower level of functional recovery seems to be the diagnosis at admission.Keywords: diagnosis, rehabilitation, inpatients, outcome
L’edizione di un grande scavo: l’esempio di Hierapolis di Frigia L’edizione di un grande scavo: l’esempio di Hierapolis di Frigia
Giorgio Bejor
Lanx , 2010, DOI: 10.6092/2035-4797/503
Abstract: The rich bibliographical review on Hierapolis of Phrygia (Turkey), where for more than fifty years italian archaeologists have been working, gives useful information not only about the most recent publications on the site and on the archaeological excavations, but also about the other media of scientific and popular communication, such as multimedia supports and web sites. So a more comprehensive consideration rises, how much the work of one of the most important and fruitful italian archaeological missions abroad is an example of the scientific duties of the Directors of the excavations at a big urban context: the importance of the setting, the planning and of publishing the results of an extensive, big size excavation.
Totò, Cleopatra e il confronto mancato Totò, Cleopatra and the missed comparison
Giorgio Bejor
Lanx , 2011, DOI: 10.6092/2035-4797/1265
Abstract: Prodotto a ridosso della Cleopatra di Mankiewicz, Totò e Cleopatra di Fernando Cerchio si presenta non solo come una parodia del suo colossale prototipo, quanto dell’intero genere peplum, sfruttando la fama prodotta dalle sfortune produttive del suo modello ispirativo. Produced immediately after Mankiewicz’s Cleopatra, Fernando Cerchio’s Totò e Cleopatra is not simply a parody of its more famous colossal prototype, but it is also a parody of an entire genre (the so called peplum) conceived to exploit the many misfortunes of its model.
La Ceramica di Gortina (Creta): stato dell’arte e prospettive di ricerca (Milano, 17 giugno 2009). Un’introduzione La Ceramica di Gortina (Creta): stato dell’arte e prospettive di ricerca (Milano, 17 giugno 2009). Un’introduzione
Giorgio Bejor
Lanx , 2010, DOI: 10.6092/2035-4797/492
Abstract:
Gortina 2010: IAMAS Gortys 2010: IAMAS
Giorgio Bejor
Lanx , 2012, DOI: 10.6092/2035-4797/1876
Abstract: Le indagini condotte dall’Università degli Studi di Milano sul sito di Gortina, iniziate nel 2002 e concentratesi dal 2003 nell’area a S del cosiddetto Pretorio, hanno contribuito a chiarire alcuni aspetti ancora incerti della planimetria urbana, come l’assenza di testimonianze monumentali in una zona centrale della città, rivelando un esteso edificio termale impostatosi, all’inizio del IV secolo d.C., sull’abbandono dello stadio ellenistico e sorto sul lato N di una grande agora tetragonos. La campagna di scavo 2010 ha portato alla luce, oltre alle ultime porzioni ancora sepolte dell’edificio, una testa marmorea di Igea reimpiegata in un paramento murario. The excavations of the University of Milan at Gortys, begun in 2002 and since 2003 conducted in the area South of the so‐called “Praetorium”, have clarified some still uncertain issues of urban planimetry, such as the lack of monumental evidence in a central area of the city. They have revealed a big thermal complex built at the beginning of the forth century A.D. upon the abandoned hellenistic stadium, and on the North side of an agora tetragonos. Beyond the last still buried structures, 2010 excavation campaign has uncovered a marble head of Hygieia, reused in a wall.
Inpatient rehabilitation outcome: a matter of diagnosis?
Bejor M, Ramella FC, Dalla Toffola E, Comelli M, Chiappedi M
Neuropsychiatric Disease and Treatment , 2013, DOI: http://dx.doi.org/10.2147/NDT.S39922
Abstract: patient rehabilitation outcome: a matter of diagnosis? Original Research (480) Total Article Views Authors: Bejor M, Ramella FC, Dalla Toffola E, Comelli M, Chiappedi M Published Date February 2013 Volume 2013:9 Pages 253 - 257 DOI: http://dx.doi.org/10.2147/NDT.S39922 Received: 04 November 2012 Accepted: 30 November 2012 Published: 18 February 2013 Maurizio Bejor,1 Francesca Chiara Ramella,1 Elena Dalla Toffola,1 Mario Comelli,2 Matteo Chiappedi3 1University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy; 2University of Pavia, Department of Brain Sciences, Medical Statistics Section, Pavia, Italy; 3Don Carlo Gnocchi ONLUS Foundation, Milan, Italy Background: Patients with comorbidities are becoming more and more common in Italian rehabilitative wards. These comorbidities are considered a major problem for inpatient rehabilitation, due to the fact that they cause longer lengths of stay, higher costs, and lower functional results. Methods: To investigate the possible relationships between comorbidity, functional impairment, age, and type of discharge in patients hospitalized in postacute rehabilitation facilities, we planned an observational study. A total of 178 consecutive inpatients (average age: 78 years [range: 39–99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale – Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM ) were evaluated at admission. The FIM rating was also assessed at hospital discharge. Results: A total of 178 of the 199 enrolled patients completed the rehabilitation treatment (89.4%). The average length of stay was 46 ± 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 ± 1.69. The average FIM rating was 79 ± 24.88 at admission, and 91.9 ± 25.7 at discharge. Diagnosis at admission (grouped according to the International Classification of Diseases 9-CM) seemed to correlate with functional results, since lower rehabilitative efficiency was obtained for patients who had a history of stroke. Conclusion: The number and type of comorbidities (CIRS-G) in rehabilitation inpatients do not seem to affect functional outcomes of treatment. The determining factor for a lower level of functional recovery seems to be the diagnosis at admission.
Easy quantitative methodology to assess visual-motor skills
Chiappedi M, Toraldo A, Mandrini S, Scarpina F, Aquino M, Magnani FG, Bejor M
Neuropsychiatric Disease and Treatment , 2013, DOI: http://dx.doi.org/10.2147/NDT.S37187
Abstract: sy quantitative methodology to assess visual-motor skills Methodology (1397) Total Article Views Authors: Chiappedi M, Toraldo A, Mandrini S, Scarpina F, Aquino M, Magnani FG, Bejor M Published Date January 2013 Volume 2013:9 Pages 93 - 100 DOI: http://dx.doi.org/10.2147/NDT.S37187 Received: 21 August 2012 Accepted: 23 October 2012 Published: 14 January 2013 Matteo Chiappedi,1 Alessio Toraldo,2 Silvia Mandrini,3 Federica Scarpina,2 Melissa Aquino,2 Francesca Giulia Magnani,2 Maurizio Bejor3 1Don Carlo Gnocchi ONLUS Foundation, Milan, Italy; 2University of Pavia, Department of Psychology, Pavia, Italy; 3University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy Introduction: Visual-motor skills are the basis for a great number of daily activities. To define a correct rehabilitation program for neurological patients who have impairment in these skills, there is a need for simple and cost-effective tools to determine which of the visual-motor system levels of organization are compromised by neurological lesions. In their 1995 book, The Visual Brain in Action (Oxford: Oxford University Press), AD Milner and MA Goodale proposed the existence of two pathways for the processing of visual information, the “ventral stream” and “dorsal stream,” that interact in movement planning and programming. Beginning with this model, our study aimed to validate a method to quantify the role of the ventral and dorsal streams in perceptual and visual-motor skills. Subjects and methods: Nineteen right-handed healthy subjects (mean age 22.8 years ± 3.18) with normal or corrected-to-normal vision were recruited. We proposed that a delayed pointing task, a distance reproduction task, and a delayed anti-pointing task could be used to assess the ventral stream, while the dorsal stream could be evaluated with a grasping task and an immediate pointing task. Performance was recorded and processed with the video-analysis software Dartfish ProSuite. Results: Results showed the expected pattern of predominance of attention for the superior left visual field, predominance of the flexor tone in proximal peri-personal space arm movements, tendency toward overestimation of short distances, and underestimation of long distances. Conclusion: We believe that our method is advantageous as it is simple and easily transported, but needs further testing in neurologically compromised patients.
Corpus callosum agenesis and rehabilitative treatment
Matteo Chiappedi, Maurizio Bejor
Italian Journal of Pediatrics , 2010, DOI: 10.1186/1824-7288-36-64
Abstract: Etiology and pathogenetic mechanisms have been better understood in recent years, due to the availability of more adequate animal models and the relevant progresses in developmental neurosciences. These recent findings are reviewed (through a MedLine search including papers published in the last 5 years and most relevant previously published papers) in view of the potential impact on children's global functioning and on the possible rehabilitative treatment, with an emphasis on the possibility to exploit brain plasticity and on the use of the ICF-CY framework.Corpus Callosum Agenesis (CCA) is among the most common brain malformations observed in humans [1]. Its incidence varies as a function of both diagnostic techniques and sample populations: in the general population, its estimated prevalence is 3-7 per 1000 birth, while in children with developmental disabilities it is 2-3 per 100 [2-4]. It is often associated with other anomalies such as Chiari II malformation (also known as proper Chiari malformation) with abnormal development of cerebellar vermis and medulla oblongata, which tend to descend into the foramen magnum, usually accompanied by myelomeningocele, basilar type encephalocele and disorders of neural migration (which occurs concurrently in human brain development) such as schizencephaly, lissencephaly, pachygyria, marked neuronal heterotopias. Recent neuroradiological findings [5] suggest that CCA might lie along a dysgenetic spectrum, including all commissural anomalies as part of an overall cerebral dysgenesis. Abnormal sulcation is common and suggests more diffuse white matter dysgenesis in these foetuses [6], even if some authors do not consider this as an additional brain abnormality [7]. The isolated form of CCA is however listed in OMIM (217990) and ORPHAnet (ORPHA200).Patients with CCA have a clinical syndrome which had originally been thought to be a consequence of hemispheres' disconnection. Recent studies, however, pointed out that patients wi
Autism and classification systems: a study of 84 children
Matteo Chiappedi, Giorgio Rossi, Maura Rossi, Maurizio Bejor, Umberto Balottin
Italian Journal of Pediatrics , 2010, DOI: 10.1186/1824-7288-36-10
Abstract: We tried to classify them according to ICD 10, DSM IV TR, CFTMEA-R, "operational classification" (Manzano and Palacio) and de Ajuriaguerra's classification.We found a good correspondence between DSM IV TR and ICD 10 and the use of psychodynamic classification systems (in particular CFTMEA-R) was useful to differentiate clinical subtypes collected under the PDD NOS etiquette according to DSM IV TR.To rationalize research efforts and find better tailored therapies, we need to improve PDD classification systems, using contributions coming from every field of child psychiatry and neurology: it's possible that 0-3 Classification could help this.A number of studies have shown that current classification systems (ICD 10 [1], DSM IV TR [2]) have limitations when applied to children with Autism Spectrum Disorders. According to Cohen and Volkmar [3] classification systems should aim at improving communication, through their features (internal consistency, use easiness, good definition of categories) and being widely accepted. Cantwell [4] underlines that a classification system should provide a description unifying clinical, biochemical, genetical, neurophysiological and neuroimaging findings to identify specific categories with a unique natural history, prognosis and (if possible) therapy. This system should also be logical and easy to use in clinical settings. The term Autism Spectrum Disorders comes from the theoretical work of many Authors and includes a continuum moving from the "classical" autism described by Kanner, to Asperger's syndrome, to autistic-like forms and even to autistic traits in mental retardation [5].Phenomenological polymorphism and a natural course not moving towards "normality" are among the main factors which make it difficult to reach a shared classification system. After the important contributions by Rutter and Ritvo, DSM III was the first system to use the Pervasive Developmental Disorders (PDD) category, which meant to be an a-theoretical defini
Gilles de la Tourette's syndrome in a patient with 47(XXX) syndrome: a case report
Matteo Chiappedi, Silvia de Vincenzi, Roberta Dolci, Sara De Luca, Maurizio Bejor
Journal of Medical Case Reports , 2011, DOI: 10.1186/1752-1947-5-542
Abstract: An Italian Caucasian girl was referred at the age of 11 to our Rehabilitation Center for anxiety and learning difficulties. The girl had already been diagnosed as having 47(XXX) syndrome; she had some rather typical features of the chromosomal abnormality, but she also showed a high level of anxiety and the presence of motor and vocal tics. When an accurate history was taken, a diagnosis of Gilles de la Tourette's Syndrome emerged.The possible interaction between peculiar features of these two syndromes in terms of neuropsychological and affective functioning is both interesting for the specific case and to hypothesize models of rehabilitation for patients with one or both syndromes. Executive functions are specifically reduced in both syndromes, therefore it might be hard to discriminate the contribution of each one to the general impairment; the same applies to anxiety. Moreover, mental retardation (with a significantly lower verbal cognitive functioning) poses relevant problems when suggesting cognitive behavioral or psychoeducational rehabilitative approaches.47(XXX) syndrome, also known as triple X syndrome, was first described in 1959 by Jacobs and coworkers in a woman with ovarian failure [1]. The 47(XXX) karyotype has a frequency of one in 1000 female newborns, but this syndrome is not usually suspected at birth or childhood and is often diagnosed incidentally with prenatal diagnosis or following medical testing for infertility. Diagnosis is confirmed by karyotype analysis and the most common cause is lack of disjunction during maternal meiosis [2]. Patients with 47(XXX) syndrome do not usually present with major malformations, but rather subtle and highly variable clinical features such as high stature, poor motor coordination, language delay, and learning disabilities (often mild) [3]. In some cases patients may present some behavioral problems, such as hyperactivity, poor social interaction, depressive traits or mild depression: even though these psychopa
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