An unusual case of venous thoracic outlet syndrome in relation to the anatomical position of the subclavian vein valves in a young athlete

Venous Thoracic Outlet Syndrome (vTOS) consists of upper extremities oedema, sometimes with varicose dilation of the superficial veins of the arm in consequence of compression and/or thrombosis of the subclavian vein. More specific factors, such as muscle hypertrophy, have additionally been registered in athletes. The case focuses on a 20-year-old male student in medicine, with an intense training activity in body building. The subject has presented symptoms of upper limbs oedema he has also reported heaviness and paresthesia in the left arm and hand. Varicose dilation of a superficial vein close to the axillary fossa was visible at naked eye. Both Doppler ultrasound evaluation and Angio TC were negative for venous thrombosis and/or complete obstruction from external compression. These reports depict an uncommon clinical scenario, which correlate an intense upper body training activity with the presence of a second valve distally of the first valve into the subclavian vein

One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study

The COVID-19 pandemic emotionally affected the lives of patients cared for in different settings. However, a comprehensive view of the whole experience as lived by survived patients, from the onset of the disease and over time, is substantially unknown to date. A descriptive qualitative design was implemented according to the Standards for Reporting Qualitative Research. Adult patients (=1067) cared for during the first wave (March/April 2020) capable of answering an interview and willing to participate were interviewed (=397) by phone with an interview guide including open- and closed-ended questions. In this context, they were asked to summarise with a metaphor their entire COVID-19 experience at six months. Then, the emotional orientation (positive, neutral, or negative) of the metaphors expressed was identified. The participants were mainly female (206; 51.9%), with an average age of 52.6 years (CI 95% 50.4-53.6), reporting a mild severity of COVID-19 disease at the onset (261; 65.7%) and the perception of being completely healed (294; 70%) at six months. The patients summarised their experiences mainly using negative-oriented (248; 62.5%) metaphors; only 54 (13.6%) reported positive-oriented metaphors and a quarter (95; 23.95) neutral-oriented metaphors. Nearly all positive-oriented metaphors were reported by patients with symptoms at the onset (53; 98.1%), a significantly higher proportion compared to those reporting negative- (219; 88.3%) and neutral-oriented (78; 82.1%) metaphors (p = 0.014). While no other clinical features of the disease were associated, among females, significantly more negative-oriented metaphors emerged. Moreover, neutral-oriented metaphors were reported by younger patients (49.5 years, CI 95% 64.11-52.92) as compared to those negative and positive that were reported by more mature patients (53.9; CI 95% 52.04-55.93 and 54.8; CI 95% 50.53-59.24, respectively) (p = 0.044). Nurses and healthcare services require data to predict the long-term needs of patients. Our findings suggest that, for many patients, the COVID-19 lived experience was negative over time

Vaccine Hesitancy among Italian Patients Recovered from COVID-19 Infection towards Influenza and Sars-Cov-2 Vaccination

We aimed to assess the attitude towards influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccinations among coronavirus disease 2019 (COVID-19) recovered patients. We performed a cross-sectional study consisting of a standardized telephone interview carried out between September and November 2020 targeting a cohort of adult in- and out-patients that had recovered from COVID-19 after the first wave (March-May 2020) at Udine Hospital (Italy). Overall, 599 people participated (320 female, median age 53 years) and most had experienced an acute COVID-19 with mild illness (409, 68.3%). The majority were hesitant or undecided towards influenza (327, 54.6%) and SARS-CoV-2 (353, 59.2%) vaccines. Older age, public work exposure, and previous 2019 flu shots were the main factors associated with a positive attitude toward both vaccinations (p < 0.05). Being hospitalized during the acute COVID-19 phase was associated with the willingness to get a flu shot (94/272, 34.5%) but not SARS-CoV-2 vaccine (70/244, 28.7%). Vaccine hesitancy is diffuse and multifactorial also among COVID-19 recovered

UE: L'andamento demografico invita a politiche sociali differenziate?

Si tratta di una lezione nell'ambito del ciclo Jean Monnet in cui si mettono in risalto i principali indicatori demografici e ci si chiede se sia possibile effettuare interventi correttivi a livello legislativo per contrastare alcune tendenze negative dell' Italia Come \ue8 noto le nascite in Italia sono molto ridotte ed in via di ulteriore progressiva riduzione o comunque in fase di stagnazione e si nota invece che una attenta politica francese \ue8 riuscita a contrastare efficacemente l'equivalente fenomeno che si stava producendo anche in quel Paese

Aquae patavinae. Il termalismo antico nel conprensorio euganeo e in Italia. Atti del I convegno nazionale

Il convegno è dedicato ad un progetto dedicato allo studio e valorizzazione del comprensorio di Montegrott

Prune XML before you search it: XML transformations for query optimization

Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)3268270-27

Endovascular treatment of sciatic pain from venous congestion in the pelvis

Klippel-Trénaunay Syndrome (KTS) is a vascular disorder characterized by a combination of vascular malformations (capillary, lymphatic, and venous) and limb overgrowth. Pelvis involvement is less frequent and is often underrecognized. We report a case of a patient affected by KTS with persistent sciatic pain. Phlebography demonstrated significant pelvic venous congestion mainly due to reflux at the level of the sacral plexus venous. A minimally invasive approach was successfully utilized to treat reflux with complete pain regression