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  1. Article ; Online: Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report.

    Savva, Demetris / Nittari, Giulio / Gibelli, Filippo / Vassiliou, Andreas

    Medicine

    2022  Volume 101, Issue 19, Page(s) e29115

    Abstract: Introduction: Massive weight loss patients have a midline excess of abdominal adipose and skin tissue that contributes to an increased abdominal girth. This excess of tissue in these patients is not resolved with traditional techniques of abdominoplasty ...

    Abstract Introduction: Massive weight loss patients have a midline excess of abdominal adipose and skin tissue that contributes to an increased abdominal girth. This excess of tissue in these patients is not resolved with traditional techniques of abdominoplasty and usually the fleur-de-lis abdominoplasty technique is employed.
    Patient concerns: A 22-year-old male patient came to our clinic after a massive weight loss of 170 kg, requesting an abdominoplasty for the excess adipose and skin tissue.
    Diagnosis: Massive weight loss patient, with excess of adipose and skin tissue in the midline abdominal area.
    Interventions: Fleur-de-lis abdominoplasty technique was employed for treatment of massive weight loss.
    Outcomes: During the surgery, it was decided that the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament needed to be ligated, to remove more tissue for better aesthetic result. The umbilicus survived on the collateral blood supply from ligamentum teres and superior epigastric collaterals.
    Conclusion/lessons: In this case report we review our experience treating a massive weight loss patient using a fleur-de-lis abdominoplasty technique without preserving the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament. We eventually relied on the collateral blood supply from ligamentum teres and superior epigastric collaterals, something that proved advantageous both in the survival of the umbilicus on the long run despite cutting off the main blood supply, and, the removal of further excess adipocutaneous tissue for a better aesthetic outcome.
    MeSH term(s) Abdominoplasty/methods ; Humans ; Male ; Postoperative Complications/surgery ; Surgical Flaps/surgery ; Umbilicus/surgery ; Weight Loss ; Young Adult
    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000029115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Are telemedicine systems effective healthcare solutions during the COVID-19 pandemic?

    Battineni, Gopi / Nittari, Giulio / Sirignano, Ascanio / Amenta, Francesco

    Journal of Taibah University Medical Sciences

    2021  Volume 16, Issue 3, Page(s) 305–306

    Language English
    Publishing date 2021-03-18
    Publishing country Saudi Arabia
    Document type Editorial
    ZDB-ID 2817396-X
    ISSN 1658-3612 ; 1658-3612
    ISSN (online) 1658-3612
    ISSN 1658-3612
    DOI 10.1016/j.jtumed.2021.02.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Telemedicine framework to mitigate the impact of the COVID-19 pandemic.

    Battineni, Gopi / Pallotta, Graziano / Nittari, Giulio / Amenta, Francesco

    Journal of Taibah University Medical Sciences

    2021  Volume 16, Issue 2, Page(s) 300–302

    Language English
    Publishing date 2021-01-14
    Publishing country Saudi Arabia
    Document type Journal Article
    ZDB-ID 2817396-X
    ISSN 1658-3612 ; 1658-3612
    ISSN (online) 1658-3612
    ISSN 1658-3612
    DOI 10.1016/j.jtumed.2020.12.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Remote Monitoring of Ship Pharmacy

    Giulio Nittari / Antonio Arcese / Francesco Amenta

    Medical Sciences Forum, Vol 13, Iss 10, p

    An Experience of Maritime Telepharmacy

    2022  Volume 10

    Abstract: The ship is not only a workplace [.] ...

    Abstract The ship is not only a workplace [.]
    Keywords ship’s pharmacy ; ship medicine chest ; inventory management ; TelePharmaSEA ; software ; Medicine ; R
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: The role of digital literacy in achieving health equity in the third millennium society: A literature review.

    Campanozzi, Laura Leondina / Gibelli, Filippo / Bailo, Paolo / Nittari, Giulio / Sirignano, Ascanio / Ricci, Giovanna

    Frontiers in public health

    2023  Volume 11, Page(s) 1109323

    Abstract: Healthcare in the third millennium is largely delivered through systems involving the use of the technological devices and services, foremost among them telemedicine. For the adequate delivery of digital medicine services, however, it is necessary for ... ...

    Abstract Healthcare in the third millennium is largely delivered through systems involving the use of the technological devices and services, foremost among them telemedicine. For the adequate delivery of digital medicine services, however, it is necessary for users to be digitally literate, that is, able to consciously make use of technology. In order to understand how relevant digital literacy is in determining the effectiveness of e-Health services, we performed a traditional literature review on 3 major databases by combining the terms "Digital Literacy" and "Computer Literacy" with the terms "Telemedicine" and "Telehealth". Starting from an initial library of 1,077 papers, we selected 38 articles. At the outcome of the search, we found that digital literacy is a pivotal element in conditioning the effectiveness of telemedicine and digital medicine services in general, however, with some limitations.
    MeSH term(s) Humans ; Health Equity ; Delivery of Health Care ; Telemedicine ; Health Literacy ; Computer Literacy
    Language English
    Publishing date 2023-02-20
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1109323
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Informed Consent in Paediatric Telemedicine: Challenge or Opportunity? A Scoping Review.

    Ricci, Giovanna / Gibelli, Filippo / Bailo, Paolo / Caraffa, Anna Maria / Nittari, Giulio / Sirignano, Ascanio

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 10

    Abstract: The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents ... ...

    Abstract The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents important critical issues in the underage patient, even considering that in general terms he or she does not have the power to directly express consent, which must be provided by parents or legal guardians. These critical issues are amplified in the context of telemedicine. The present study aims, through a scoping review of the literature of the past 10 years, to outline the operational practices adopted in the collection of informed consent from children in the context of telemedicine and to identify solutions devised to address the critical issues related to the provision of adequate information to the child in this particular care setting. The results of the research show that the activity of delivering adequate information to the child, itself complex, is made even more complex by the particular setting of telemedicine, which, however, could be effectively exploited to facilitate communication with the child patient.
    Language English
    Publishing date 2023-05-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11101430
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  7. Article: Effects of choline containing phospholipids on the neurovascular unit: A review.

    Roy, Proshanta / Tomassoni, Daniele / Nittari, Giulio / Traini, Enea / Amenta, Francesco

    Frontiers in cellular neuroscience

    2022  Volume 16, Page(s) 988759

    Abstract: The roles of choline and of choline-containing phospholipids (CCPLs) on the maintenance and progress of neurovascular unit (NVU) integrity are analyzed. NVU is composed of neurons, glial and vascular cells ensuring the correct homeostasis of the blood- ... ...

    Abstract The roles of choline and of choline-containing phospholipids (CCPLs) on the maintenance and progress of neurovascular unit (NVU) integrity are analyzed. NVU is composed of neurons, glial and vascular cells ensuring the correct homeostasis of the blood-brain barrier (BBB) and indirectly the function of the central nervous system. The CCPLs phosphatidylcholine (lecithin), cytidine 5'-diphosphocholine (CDP-choline), choline alphoscerate or α-glyceryl-phosphorylcholine (α-GPC) contribute to the modulation of the physiology of the NVU cells. A loss of CCPLs contributes to the development of neurodegenerative diseases such as Alzheimer's disease, multiple sclerosis, Parkinson's disease. Our study has characterized the cellular components of the NVU and has reviewed the effect of lecithin, of CDP-choline and α-GPC documented in preclinical studies and in limited clinical trials on these compounds. The interesting results obtained with some CCPLs, in particular with α-GPC, probably would justify reconsideration of the most promising molecules in larger attentively controlled studies. This can also contribute to better define the role of the NVU in the pathophysiology of brain disorders characterized by vascular impairment.
    Language English
    Publishing date 2022-09-23
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2452963-1
    ISSN 1662-5102
    ISSN 1662-5102
    DOI 10.3389/fncel.2022.988759
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  8. Article ; Online: Factors affecting mental health of seafarers on board merchant ships: a systematic review.

    Nittari, Giulio / Gibelli, Filippo / Bailo, Paolo / Sirignano, Ascanio / Ricci, Giovanna

    Reviews on environmental health

    2022  Volume 39, Issue 1, Page(s) 151–160

    Abstract: Objectives: Merchant ships represent a peculiar working environment with several challenges and risks. The specific situation on board of ships may affect the mental health of seafarers more remarkably than ashore workers.: Content: A systematic ... ...

    Abstract Objectives: Merchant ships represent a peculiar working environment with several challenges and risks. The specific situation on board of ships may affect the mental health of seafarers more remarkably than ashore workers.
    Content: A systematic review of the literature has been carried out to identify the main causes of mood disorders among seafarers and the impact that these disorders have on their health. This review has analyzed the scientific literature published between January 2006 and December 2021 using the search engines PubMed, Web of Science (WoS) and Cumulative Index to Nursing and Allied Health Literature (CINAHL).
    Summary: Social isolation, distance from families, fatigue, stress and long work shifts represent the main causes of mood disorders among seafarers.
    Outlook: Strategies aimed at improving conditions of cohabitation on board, and a greater consideration of these problems are key for improving the mental health of workers at sea.
    MeSH term(s) Humans ; Mental Health ; Ships
    Language English
    Publishing date 2022-10-28
    Publishing country Germany
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 184450-7
    ISSN 2191-0308 ; 0048-7562 ; 0048-7554
    ISSN (online) 2191-0308
    ISSN 0048-7562 ; 0048-7554
    DOI 10.1515/reveh-2021-0070
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1655: Show issues Location:
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  9. Article: A Descriptive Study on the Applications of Plasma Exeresis in Dermatology.

    Sotiris, Tsioumas G / Nittari, Giulio / Sagaro, Getu Gamo / Amenta, Francesco

    The Journal of clinical and aesthetic dermatology

    2021  Volume 14, Issue 3, Page(s) E58–E62

    Abstract: BACKGROUND: ...

    Abstract BACKGROUND:
    Language English
    Publishing date 2021-03-01
    Publishing country United States
    Document type Journal Article
    ISSN 1941-2789
    ISSN 1941-2789
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Hypersensitivity reaction to hyaluronic acid dermal filler after the Pfizer vaccination against SARS-CoV-2.

    Savva, Demetris / Battineni, Gopi / Amenta, Francesco / Nittari, Giulio

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2021  Volume 113, Page(s) 233–235

    Abstract: The ongoing vaccination program in the control of novel coronavirus (COVID-19)is providing an opportunity to public health authorities to emerge from the current pandemic crisis.Covid vaccination which protects from getting Covid  may have some minor ... ...

    Abstract The ongoing vaccination program in the control of novel coronavirus (COVID-19)is providing an opportunity to public health authorities to emerge from the current pandemic crisis.Covid vaccination which protects from getting Covid  may have some minor side effects and in rare cases was accompanied by severe or immediate reactions. The development of hyaluronic acid soft tissue filler delayed inflammatory reactions following COVID-19 vaccination was reported.  Treatments based on hyaluronic acid represent one of the most largely used practice of aesthetic medicine. In this we present a case of a 38-year-old female patient with a confirmed hypersensitivity reaction after having the BNT162b2 vaccine (Pfizer, USA). This case indicates that an adequate patient knowledge prior to hyaluronic acid injections to avoid adverse effect of a delayed-type hypersensitivity response after COVID-19 vaccination is desirable.
    MeSH term(s) Adult ; BNT162 Vaccine ; COVID-19 ; COVID-19 Vaccines ; Dermal Fillers ; Female ; Humans ; Hyaluronic Acid/adverse effects ; SARS-CoV-2 ; Vaccination/adverse effects
    Chemical Substances COVID-19 Vaccines ; Dermal Fillers ; Hyaluronic Acid (9004-61-9) ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2021-09-29
    Publishing country Canada
    Document type Case Reports
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2021.09.066
    Database MEDical Literature Analysis and Retrieval System OnLINE

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