Positional plagiocephaly from structure to function: Clinical experience of the service of pediatric osteopathy in Italy

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A New Model of Early Intervention Based on The Osteopathic Integrated Approach: Clinical Experience About 530 Newborn

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Tre forme di malinconia : Una ricognizione su figure di malinconici, a partire dall'Atlas Mnemosyne

This reasoned survey of melancholy images contained in the Atlas is followed by an in-depth analysis on the theme of \u201cThree forms of melancholy: an interpretation, from the Bilderatlas and other images\u201d. In fact, the figures with the hand-to-face posture that you encounter in the Atlas may be divided into three groups that we have distinguished in order to map out a diagram of the analysis: Melancholy I. ex acedia; Melancholy II. ex otio; Melancholy III ex maerore. The precariousness and permeability among these typings are highlighted by the overlay of the three inclinations 12 sloth, thought, pain \u2013 that are present in almost all melancholic figures, especially in figures that do not allow themselves to be framed in one of the predefined categories. The sequence of images, through the highlighting of kindred relationships and of \u2018nerve connections\u2019, then offers possible further articulations \u2013 further overlays \u2013 of the tripartite scheme. The examples are taken from images that are displayed in the Atlas as well as other sources, which the Atlas-machine comes to summon

Surgeons' perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey

Background: Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. Methods: An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to 917 WSES members through the society's website and Twitter profile. Results: 650 surgeons from 71 countries in five continents participated in the survey. Results depict the presence of technology enthusiasts and skeptics and surgeons' preference toward more classical decision-making aids like clinical guidelines, traditional training, and the support of their multidisciplinary colleagues. A lack of knowledge about several AI-related aspects emerges and is associated with mistrust. Discussion: The trauma and emergency surgical community is divided into those who firmly believe in the potential of AI and those who do not understand or trust AI-enabled surgical decision-making aids. Academic societies and surgical training programs should promote a foundational, working knowledge of clinical AI

Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

Background Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. Methods Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile. Results A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. Discussion Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions