Italian Journal of Prevention, Diagnostic and Therapeutic Medicine https://www.ijpdtm.it/index.php/ijpdtm <blockquote> <p><em>L’<strong>Italian Journal of Prevention, Diagnostic and Therapeutic Medicine</strong> "<strong><a title="ijpdtm" href="https://www.ijpdtm.it">IJPDTM</a></strong>" è la rivista ufficiale della Società Italiana di Medicina Diagnostica e Terapeutica (<a title="simedet" href="http://www.simedet.eu"><strong>SIMEDET</strong></a>).</em></p> <p>Tutti gli articoli pubblicati hanno un <strong>numero identificativo digitale</strong> (<strong>DOI</strong>).</p> <p><strong>IJPDTM è open access <span class="HwtZe" lang="it"><span class="jCAhz ChMk0b"><span class="ryNqvb">il che significa che tutti i contenuti sono liberamente disponibili senza alcun addebito per l'utente o la sua istituzione.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">Gli utenti possono leggere, scaricare, copiare, distribuire, stampare, ricercare o collegare i testi integrali degli articoli o utilizzarli per qualsiasi altro scopo lecito, senza chiedere la preventiva autorizzazione dell'editore o dell'autore.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">Ciò è in accordo con la definizione BOAI di accesso aperto. La rivista non richiede costi di elaborazione dell'articolo o altri costi per l'autore.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">Nessun periodo di embargo Non è richiesta alcuna registrazione</span></span></span></strong></p> <p><strong>ISSN 2704-6222 - </strong><!--StartFragment -->"<span style="font-weight: bold;">Periodicità trimestrale</span>".</p> <p>L’ <strong>IJPDTM</strong> ha il fine di promuovere la ricerca, la cultura e l’aggiornamento sia all’interno che all’esterno della società, coinvolgendo le diverse figure professionali che ne fanno parte (medici, infermieri professionali, tecnici di laboratorio biomedico, tecnici di anatomia patologica…).</p> <p><strong><span class="HwtZe" lang="it"><span class="jCAhz ChMk0b"><span class="ryNqvb">Questa rivista non applica oneri di pubblicazione agli Autori in quanto interamente sostenuta da fondi istituzionali ( SIMEDET - Società Italiana di Medicina Diagnostica e Terapeutica)</span></span></span></strong></p> <p><strong>Eventuali richieste di pubblicazioni devono pervenire seguendo le nostre <a title="linee guida" href="https://www.ijpdtm.it/index.php/ijpdtm/istruzioni_per_gli_autori">linee guida</a> ed essere inviate via email ad </strong><a title="scientifico@simedet.eu" href="mailto:scientifico@simedet.eu"><strong>scientifico@simedet.eu</strong></a></p> <p><em>SITO WEB: <strong><a title="simedet" href="https://simedet.eu/" target="_blank" rel="noopener">https://simedet.eu</a></strong></em></p> </blockquote> simdet it-IT Italian Journal of Prevention, Diagnostic and Therapeutic Medicine 2704-6222 Fabbisogno Sanitario Nazionale https://www.ijpdtm.it/index.php/ijpdtm/article/view/127 <p>A fine 2022, in extremis anche quest’anno, si sono conclusi, istituzionalmente, i principali appuntamenti economico-finanziari con importanti riflessi anche sul finanziamento del Servizio Sanitario Nazionale e dei Servizi Sanitari Regionali. </p> Giuseppe Giordano Copyright (c) 2023 Italian Journal of Prevention, Diagnostic and Therapeutic Medicine https://creativecommons.org/licenses/by-nc-nd/4.0 2023-03-30 2023-03-30 6 1 6 9 10.30459/2023-1 Implicazioni neuropsichiatriche, deficit immunitario e maternal immune activation https://www.ijpdtm.it/index.php/ijpdtm/article/view/130 <p>Sistema nervoso e sistema immunitario hanno proprietà analoghe: capacità di riconoscere [grazie a diversi tipi di sensori], rispondere a stimoli, costruire memoria, elaborare risposte. <br>Conosciamo come varie molecole proprie della risposta immunitaria innata e acquisita siano espresse nel cervello e come espletino funzioni importanti nel suo sviluppo.</p> Giuseppe Luzi Copyright (c) 2023 Italian Journal of Prevention, Diagnostic and Therapeutic Medicine https://creativecommons.org/licenses/by-nc-nd/4.0 2023-03-30 2023-03-30 6 1 17 21 10.30459/2023-4 Analisi dell'utilizzo del sistema di aspirazione tracheale chiuso da parte degli infermieri in terapia intensiva https://www.ijpdtm.it/index.php/ijpdtm/article/view/129 <p>BACKGROUND<br>Tracheal suctioning is one of the most common procedures performed in intensive cares units (ICU) that ensures airway patency and a good ventilator pattern in patients with OT tube or tracheostomy. This procedure can be carried out by two different devices: an open tracheal suction system (OTSS) and a closed tracheal suction system (CTSS), each with its own peculiarities. <br>After an analysis of the scientific literature, which supports the use of the CTSS, it was decided to conduct research in the intensive care units of Brotzu’s and Duilio Casula’s hospitals of the city of Cagliari, to analyse the actual use of the device by nurses, highlighting difficulties and doubts. The CTSS has always been the subject of discussion among nurses in ICU.</p> <p>MATERIALS AND METHODS<br>The research study was carried out by performing random face-to-face interviews of nurses during data collection. <br>The interview consisted of eleven questions. At the same time, random observations of the CTSS’s use were made, using the Duilio Casula Hospital ICU’s protocol as a guide. <br>RESULTS<br>It was clear that the CTSS is used extensively, even daily. 62,5% of nurses believed that the CTSS was more effective, and 62,5% of the interviewed nurses reported using the device in all intubated and tracheostomy patients. However, 41,3% of nurses reported not using the device beacuse it was believed to have a lower suction capacity. <br>The observation’s results highlighted mistakes such as poor hand hygiene (89,5% of the observations), a failure to disconnect the probe from the suction system (63,15%), and repeated insertion of the probe (31,6%), and poor manual skills using the device (15,8%).</p> <p>CONCLUSIONS<br>The analysis of the results highlighted how nurses had a good theoretical knowledge of the CTSS, but have been observed a lot of mistakes in the use of the device. <br>This suggests to consider the organization of practical re training courses in the intensive care units. </p> Letizia Pau Cesar Ivan Aviles Gonzalez Simone Paba Maria Rita Pinna Roberta Rosmarino Valeria Massida Copyright (c) 2023 Italian Journal of Prevention, Diagnostic and Therapeutic Medicine https://creativecommons.org/licenses/by-nc-nd/4.0 2023-03-30 2023-03-30 6 1 12 16 10.30459/2023-3 Dmitrij Ivanovic Mendeleev https://www.ijpdtm.it/index.php/ijpdtm/article/view/128 Mario Pezzella Copyright (c) 2023 Italian Journal of Prevention, Diagnostic and Therapeutic Medicine https://creativecommons.org/licenses/by-nc-nd/4.0 2023-03-30 2023-03-30 6 1 10 11 10.30459/2023-2