128 research outputs found

    Il ruolo della propriocezione nella prevenzione della distorsione di caviglia nel calcio. Revisione sistematica della letteratura

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    ABSTRACT INTRODUCTION: soccer is the world's most participated sport, but it carries a high risk of ankle injuries. Injuries are common across all divisions, but proprioception, the awareness of body position, is crucial in preventing them OBJECTIVE: the main objective is to identify scientifically validated approaches to prevent ankle sprains in soccer, aiming to enhance athletes' health and performance. MATERIALS AND METHODS: the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020” guidelines were followed. Relevant articles were identified through a search of databases including PubMed, Cochrane, PEDro, and Scopus. Three Randomized Controlled Trials consistent with the research question were identified. Assessment of methodological quality was conducted using the PEDro Scale. RESULTS: the studies have revealed statistical significance regarding ankle injury prevention in soccer. Specifically, proprioceptive training has proven to be highly effective, showing a significant reduction in the incidence of injuries compared to the control group. Some training programs have, on the whole, reduced the injury rate, although this reduction was not statistically significant for subjects without a history of ankle injuries. CONCLUSION: the results highlight that proprioception-based training is effective in reducing the incidence of ankle sprains in soccer. This approach could contribute to improving the health and performance of athletes, especially those with previous ankle sprains

    Progetto di un sistema per il controllo remoto di un analizzatore vettoriale di reti

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    Progetto di un sistema per il controllo remoto dell'analizzatore vettoriale di reti Wiltron 37311A. Descrizione: Il programma, basato sull'ambiente di sviluppo LabVIEW, consente, oltre alla gestione della misura sullo strumento da parte di un computer server, anche la comunicazione server-client nelle due direzioni, in modo che il controllo dello strumento può essere assunto dall'uno o dall'altro. Il programma permette sia sul client che sul server, la visualizzazione dei dati, riproducendo le funzioni presenti sul pannello dello strumento

    Rectal bleeding by Dieulafoy-like lesion: successful endoscopic treatment

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    A 81-year old woman affected by chronic renal failure, non insulin-dependent diabetes mellitus (NIDM) and hypertension, had an severe anemia massive hematochezia. The colonoscopy could not localize the bleeding site except some blood spots in the rectum. The patient was readmitted after 1 month with hypovolemic shock by massive hematochezia and required several blood transfusions. The endoscopic examination showed an important arterial bleeding treated successfully with epinephrine and bipolar elettro-coagulation (BICAP). We suggested that the patient presented a Dieulafoy-like lesion; this is an uncommon gastrointestinal cause of bleeding due to a defect of a submucosal artery without evidence of atherosclerosis or vasculitis. Both chronic renal failure and age could be considered as predisponent factors in this patient. Hematochezia is the most important sign and is often complicated by haemorrhagic shock. The diagnosis was delayed due to the difficulty in localizing the bleeding site; moreover, the patient needed several blood transfusions. The arteriographic diagnosis associated to endoscopic treatment by epinephrine and BICAP enabled a successful therapy

    Clinical governance of patients with acute coronary syndromes

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    Aims Using the principles of clinical governance, a patient-centred approach intended to promote holistic quality improvement, we designed a prospective, multicentre study in patients with acute coronary syndrome (ACS). We aimed to verify and quantify consecutive inclusion and describe relative and absolute effects of indicators of quality for diagnosis and therapy. Methods and results Administrative codes for invasive coronary angiography and acute myocardial infarction were used to estimate the ACS universe. The ratio between the number of patients included and the estimated ACS universe was the consecutive index. Co-primary quality indicators were timely reperfusion in patients admitted with ST-elevation ACS and optimal medical therapy at discharge. Cox-proportional hazard models for 1-year death with admission and discharge-specific covariates quantified relative risk reductions and adjusted number needed to treat (NNT) absolute risk reductions. Hospital codes tested had a 99.5% sensitivity to identify ACS universe. We estimated that 7344 (95% CI: 6852-7867) ACS patients were admitted and 5107 were enrolled-i.e. a consecutive index of 69.6% (95% CI 64.9-74.5%), which varied from 30.7 to 79.2% across sites. Timely reperfusion was achieved in 22.4% (95% CI: 20.7-24.1%) of patients, was associated with an adjusted hazard ratio (HR) for 1-year death of 0.60 (95% CI: 0.40-0.89) and an adjusted NNT of 65 (95% CI: 44-250). Corresponding values for optimal medical therapy were 70.1% (95% CI: 68.7-71.4%), HR of 0.50 (95% CI: 0.38-0.66), and NNT of 98 (95% CI: 79-145). Conclusion A comprehensive approach to quality for patients with ACS may promote equitable access of care and inform implementation of health care delivery. Registration ClinicalTrials.Gov ID NCT0425553

    Determinants of long COVID among adults hospitalized for SARS-CoV-2 infection: A prospective cohort study

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    Rationale: Factors associated with long-term sequelae emerging after the acute phase of COVID-19 (so called "long COVID") are unclear. Here, we aimed to identify risk factors for the development of COVID-19 sequelae in a prospective cohort of subjects hospitalized for SARS-CoV-2 infection and followed up one year after discharge. Methods: A total of 324 subjects underwent a comprehensive and multidisciplinary evaluation one year after hospital discharge for COVID-19. A subgroup of 247/324 who consented to donate a blood sample were tested for a panel of circulating cytokines. Results: In 122 patients (37.8%) there was evidence of at least one persisting physical symptom. After correcting for comorbidities and COVID-19 severity, the risk of developing long COVID was lower in the 109 subjects admitted to the hospital in the third wave of the pandemic than in the 215 admitted during the first wave, (OR 0.69, 95%CI 0.51-0.93, p=0.01). Univariable analysis revealed female sex, diffusing capacity of the lungs for carbon monoxide (DLCO) value, body mass index, anxiety and depressive symptoms to be positively associated with COVID-19 sequelae at 1 year. Following logistic regression analysis, DLCO was the only independent predictor of residual symptoms (OR 0.98 CI 95% (0.96-0.99), p=0.01). In the subgroup of subjects with normal DLCO (> 80%), for whom residual lung damage was an unlikely explanation for long COVID, the presence of anxiety and depressive symptoms was significantly associated to persistent symptoms, together with increased levels of a set of pro-inflammatory cytokines: interferon-gamma, tumor necrosis factor-alpha, interleukin (IL)-2, IL-12, IL-1β, IL-17. In logistic regression analysis, depressive symptoms (p=0.02, OR 4.57 [1.21-17.21]) and IL-12 levels (p=0.03, OR 1.06 [1.00-1.11]) 1-year after hospital discharge were independently associated with persistence of symptoms. Conclusions: Long COVID appears mainly related to respiratory sequelae, prevalently observed during the first pandemic wave. Among patients with little or no residual lung damage, a cytokine pattern consistent with systemic inflammation is in place

    Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy

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    To address the coronavirus (Covid-19) pandemic,1 strict social containment measures have been adopted worldwide, and health care systems have been reorganized to cope with the enormous increase in the numbers of acutely ill patients.2,3 During this same period, some changes in the pattern of hospital admissions for other conditions have been noted. The aim of the present analysis is to investigate the rate of hospital admissions for acute coronary syndrome (ACS) during the early days of the Covid-19 outbreak

    Investigating the origin of optical and X-ray pulsations of the transitional millisecond pulsar PSR J1023+0038

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    Context. PSR J1023+0038 is the first millisecond pulsar that was ever observed as an optical and UV pulsar. So far, it is the only optical transitional millisecond pulsar. The rotation- and accretion-powered emission mechanisms hardly individually explain the observed characteristics of optical pulsations. A synergistic model, combining these standard emission processes, was proposed to explain the origin of the X-ray/UV/optical pulsations. Aims: We study the phase lag between the pulses in the optical and X-ray bands to gain insight into the physical mechanisms that cause it. Methods: We performed a detailed timing analysis of simultaneous or quasi-simultaneous observations in the X-ray band, acquired with the XMM-Newton and NICER satellites, and in the optical band, with the fast photometers SiFAP2 (mounted at the 3.6 m Telescopio Nazionale Galileo) and Aqueye+ (mounted at the 1.8 m Copernicus Telescope). We estimated the time lag of the optical pulsation with respect to that in the X-rays by modeling the folded pulse profiles with two harmonic components. Results: Optical pulses lag the X-ray pulses by ∼150 μs in observations acquired with instruments (NICER and Aqueye+) whose absolute timing uncertainty is much smaller than the measured lag. We also show that the phase lag between optical and X-ray pulsations lies in a limited range of values, δϕ ∈ (0 − 0.15), which is maintained over timescales of about five years. This indicates that both pulsations originate from the same region, and it supports the hypothesis of a common emission mechanism. Our results are interpreted in the shock-driven mini pulsar nebula scenario. This scenario suggests that optical and X-ray pulses are produced by synchrotron emission from the shock that formed within a few light cylinder radii away (∼100 km) from the pulsar, where its striped wind encounters the accretion disk inflow

    Impact of renin-angiotensin system inhibitors on mortality during the COVID Pandemic among STEMI patients undergoing mechanical reperfusion : Insight from an international STEMI registry

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    Background: Concerns have been raised on a potential interaction between renin-angiotensin system inhibitors (RASI) and the susceptibility to coronavirus disease 2019 (COVID-19). No data have been so far reported on the prognostic impact of RASI in patients suffering from ST-elevation myocardial infarction (STEMI) during COVID-19 pandemic, which was the aim of the present study. Methods: STEMI patients treated with primary percutaneous coronary intervention (PPCI) and enrolled in the ISACS-STEMI COVID-19 registry were included in the present sub-analysis and divided according to RASI therapy at admission. Results: Our population is represented by 6095 patients, of whom 3654 admitted in 2019 and 2441 in 2020. No difference in the prevalence of SARSCoV2 infection was observed according to RASI therapy at admission (2.5% vs 2.1%, p = 0.5), which was associated with a significantly lower mortality (adjusted OR [95% CI]=0.68 [0.51 & ndash;0.90], P = 0.006), confirmed in the analysis restricted to 2020 (adjusted OR [95% CI]=0.5[0.33 & ndash;0.74], P = 0.001). Among the 5388 patients in whom data on in-hospital medication were available, in-hospital RASI therapy was associated with a significantly lower mortality (2.1% vs 16.7%, OR [95% CI]=0.11 [0.084 & ndash;0.14], p < 0.0001), confirmed after adjustment in both periods. Among the 62 SARSCoV-2 positive patients, RASI therapy, both at admission or in-hospital, showed no prognostic effect. Conclusions: This is the first study to investigate the impact of RASI therapy on the prognosis and SARSCoV2 infection of STEMI patients undergoing PPCI during the COVID-19 pandemic. Both pre-admission and in-hospital RASI were associated with lower mortality. Among SARSCoV2-positive patients, both chronic and in-hospital RASI therapy showed no impact on survival.Peer reviewe
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