Adult Still's disease and Tako-Tsubo syndrome

Here we describe the case of a 68-year-old Italian female who was admitted in our hospital for the occurrence of arthralgia, abdominal pain and general discomfort. The clinical picture was complicated by recurrent febrile episodes up to 40°C associated with skin rush and cardio-respiratory failure with ECG ischemic alteration, TnT-hs troponin elevation and an ipo-akinetic alteration of the apex at the echocardiogram examination. After an intensive workup, the diagnosis of an adult Still's disease was formulated according to the classification criteria. Moreover, the patient underwent coronarographic study and cardiac MR that, collectively, supported the diagnosis of Tako-Tsubo syndrome. The patient was treated with steroid obtaining the remission of the disease. Myocardial injury with adult Still's disease was been rarely reported. In our case we observed for the first time, to our knowledge, a case of adult Still's disease complicated by a Tako-Tsubo syndrome

Complexity of patients with chronic obstructive pulmonary disease hospitalized in internal medicine: a survey by FADOI

Chronic obstructive pulmonary disease (COPD) is one of the most frequent pathologies among patients hospitalized in Internal Medicine (IM) Departments. COPD is frequently associated with concomitant diseases, which represent major causes of death, and affect disease management. Objectives of our study are to assess the prevalence of COPD patients in IM, to evaluate their comorbidity status, and to describe their complexity, by means of the validated multidimensional prognostic index (MPI) score. COMPLEXICO is an observational, prospective, multicenter study, enrolling consecutive patients hospitalized for any cause in IM, with diagnosis of COPD documented by spirometry. A total of 1002 patients in 43 IM Units in Italy were enrolled. The prevalence of COPD in IM was found to be 18.1%, and 72.8% of patients had at least three chronic diseases other than COPD. The mean MPI was 0.43±0.15, and according to a stratification algorithm 31.8% of patients were classified as having low-risk, 58.9% moderate-risk and 9.3% severe-risk of adverse outcome. More than two-thirds of COPD patients in our study present moderate to severe risk of poor outcome according to the MPI stratification

Progetto insieme contro la violenza di genere. Report conclusivo.

Sintesi dei nodi problematici emersi durante la schedatura/mappatura delle azioni di contrasto contro la violenza di genere a Bologna, Forl\uec-Cesena e Rimini nell'ambito del progetto "Insieme contro la violenza di genere" finanziato dal Dipartimento per le Pari Opportunit\ue0 presso la PResidenza del Consiglio dei Ministri

Adult Still’s disease and Tako-Tsubo syndrome

Here we describe the case of a 68-year-old Italian female who was admitted in our hospital for the occurrence of arthralgia, abdominal pain and general discomfort. The clinical picture was complicated by recurrent febrile episodes up to 40°C associated with skin rush and cardio-respiratory failure with ECG ischemic alteration, TnT-hs troponin elevation and an ipo-akinetic alteration of the apex at the echocardiogram examination. After an intensive workup, the diagnosis of an adult Still’s disease was formulated according to the classification criteria. Moreover, the patient underwent coronarographic study and cardiac MR that, collectively, supported the diagnosis of Tako-Tsubo syndrome. The patient was treated with steroid obtaining the remission of the disease. Myocardial injury with adult Still’s disease was been rarely reported. In our case we observed for the first time, to our knowledge, a case of adult Still’s disease complicated by a Tako-Tsubo syndrome

Complexity of patients with chronic obstructive pulmonary disease hospitalized in internal medicine: a survey by FADOI

Chronic obstructive pulmonary disease (COPD) is one of the most frequent pathologies among patients hospitalized in Internal Medicine (IM) Departments. COPD is frequently associated with concomitant diseases, which represent major causes of death, and affect disease management. Objectives of our study are to assess the prevalence of COPD patients in IM, to evaluate their comorbidity status, and to describe their complexity, by means of the validated multidimensional prognostic index (MPI) score. COMPLEXICO is an observational, prospective, multicenter study, enrolling consecutive patients hospitalized for any cause in IM, with diagnosis of COPD documented by spirometry. A total of 1002 patients in 43 IM Units in Italy were enrolled. The prevalence of COPD in IM was found to be 18.1%, and 72.8% of patients had at least three chronic diseases other than COPD. The mean MPI was 0.43±0.15, and according to a stratification algorithm 31.8% of patients were classified as having low-risk, 58.9% moderate-risk and 9.3% severe-risk of adverse outcome. More than two-thirds of COPD patients in our study present moderate to severe risk of poor outcome according to the MPI stratification