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  1. Article ; Online: Beauty, the beautician and empathy in the intensive care unit.

    Fontana, Isabella / Lissoni, Barbara / Fumagalli, Roberto

    Intensive care medicine

    2024  Volume 50, Issue 4, Page(s) 612–613

    MeSH term(s) Humans ; Empathy ; Beauty ; Intensive Care Units
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Editorial
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-024-07328-4
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    Zs.A 1089: Show issues Location:
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  2. Article ; Online: Health professional involvement in the formulation of research questions: findings from the Italian guideline on palliative care in adults with glioma.

    Solari, Alessandra / Veronese, Simone / Verde, Giulia Dalla / De Panfilis, Ludovica / Bertocchi, Elisabetta / Lissoni, Barbara / Merli, Rossella / Salmaggi, Andrea / Silvani, Antonio / Rudà, Roberta / Pace, Andrea

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2023  Volume 44, Issue 5, Page(s) 1749–1754

    Abstract: Background: In 2017, the European Association of Neuro-Oncology (EANO) published the guideline for palliative care in adults with glioma. The Italian Society of Neurology (SIN), the Italian Society for Palliative Care (SICP), and the Italian Association ...

    Abstract Background: In 2017, the European Association of Neuro-Oncology (EANO) published the guideline for palliative care in adults with glioma. The Italian Society of Neurology (SIN), the Italian Society for Palliative Care (SICP), and the Italian Association for Neuro-Oncology (AINO) joined forces to update the guideline, and adapt it to the Italian context.
    Aim: We involved patients, caregivers, and (herein presented) healthcare professionals (HPs) in the formulation of the guideline clinical questions.
    Design and participants: Online survey of Italian HPs experienced in the care of patients with glioma. Participants rated the importance of 14 pre-specified intervention topics on a 0/10 scale and gave their free comments.
    Results: Of 244 participants, 149 (61%) were palliative medicine (PM) HPs and 95 Neuro HPs. Their mean age was 48.9 years, 63% were women, and 48% had over 12 years of experience in the care of glioma patients. Physicians were 68%, followed by nurses (28%), psychologists (7%), therapists (3%), and social workers (2%). Most HPs rated the pre-specified topics as important (score ≥ 7) or critical (score ≥ 9), with some differences between PM and Neuro HP groups. There were 58 free comments: 46 (78%) on nine pre-specified topics, and 13 on four new topics, three of which were guideline-pertinent ("caregiver's support and education"; "family physician's training in neuro-oncology"; and "PM HPs' training in neuro-oncology").
    Conclusions: Participation in the survey was high and information-rich, between-group rating differences reflecting HP background. Participants endorsed the 14 intervention topics devised by the guideline panel and identified three additional topics.
    MeSH term(s) Humans ; Adult ; Female ; Middle Aged ; Male ; Palliative Care ; Glioma/therapy ; Health Personnel ; Italy ; Caregivers
    Language English
    Publishing date 2023-01-04
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-022-06593-9
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    Zs.A 1877: Show issues Location:
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  3. Article ; Online: Patient and carer involvement in the formulation of research questions: findings from the Italian guideline on palliative care in adults with glioma.

    Veronese, Simone / Bertocchi, Elisabetta / Lissoni, Barbara / Rudà, Roberta / Silvani, Antonio / Simonetti, Giorgia / Pisanello, Anna / Ieraci, Sonia / Salmaggi, Andrea / Merli, Rossella / Verza, Marina / De Panfilis, Ludovica / Solari, Alessandra / Pace, Andrea

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2023  Volume 44, Issue 7, Page(s) 2491–2499

    Abstract: Background: In 2017, the European Association for Neuro-Oncology (EANO) published the guideline for palliative care (PC) in adults with glioma. The Italian Society of Neurology (SIN), the Italian Association for Neuro-Oncology (AINO), and the Italian ... ...

    Abstract Background: In 2017, the European Association for Neuro-Oncology (EANO) published the guideline for palliative care (PC) in adults with glioma. The Italian Society of Neurology (SIN), the Italian Association for Neuro-Oncology (AINO), and the Italian Society for Palliative Care (SICP) joined forces to update and adapt this guideline to the Italian context and aimed to involve patients and carers in the formulation of the clinical questions.
    Methods: During semi-structured interviews with glioma patients and focus group meetings (FGMs) with family carers of deceased patients, participants rated the importance of a set of pre-specified intervention topics, shared their experience, and suggested additional topics. Interviews and FGMs were audio-recorded, transcribed, coded, and analyzed (framework and content analysis).
    Results: We held 20 interviews and five FGMs (28 carers). Both parties considered the pre-specified topics as important, chiefly information/communication, psychological support, symptoms management, and rehabilitation. Patients aired the impact of focal neurological and cognitive deficits. Carers reported difficulties in dealing with patient's behavior and personality changes and appreciated the preservation of patient's functioning via rehabilitation. Both affirmed the importance of a dedicated healthcare path and patient's involvement in the decision-making process. Carers expressed the need to be educated and supported in their caregiving role.
    Conclusions: Interviews and FGMs were well informative and emotionally challenging. Both parties confirmed the importance of the pre-specified topics, and carers suggested one additional topic: education/support to caregivers. Our findings strengthen the importance of a comprehensive care approach and of addressing the needs of both patients and their family carers.
    MeSH term(s) Humans ; Adult ; Palliative Care ; Caregivers/psychology ; Focus Groups ; Delivery of Health Care ; Glioma/therapy
    Language English
    Publishing date 2023-02-21
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-06687-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1877: Show issues Location:
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  4. Article ; Online: Effect of a quality-improvement intervention on end-of-life care in cardiac intensive care unit.

    Sacco, Alice / Tavecchia, Giovanni / Ditali, Valentina / Garatti, Laura / Villanova, Luca / Colombo, Claudia / Viola, Giovanna / Scavelli, Francesca / Varrenti, Marisa / Milani, Martina / Morici, Nuccia / Tavazzi, Guido / Lissoni, Barbara / Forni, Lorena / Gorni, Giovanna / Saporetti, Giorgia / Oliva, Fabrizio

    European journal of clinical investigation

    2023  Volume 53, Issue 7, Page(s) e13982

    MeSH term(s) Humans ; Terminal Care ; Intensive Care Units ; Quality Improvement
    Language English
    Publishing date 2023-03-20
    Publishing country England
    Document type Letter
    ZDB-ID 186196-7
    ISSN 1365-2362 ; 0014-2972 ; 0960-135X
    ISSN (online) 1365-2362
    ISSN 0014-2972 ; 0960-135X
    DOI 10.1111/eci.13982
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    Zs.A 677: Show issues Location:
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  5. Article ; Online: Promoting resilience in the acute phase of the COVID-19 pandemic: Psychological interventions for intensive care unit (ICU) clinicians and family members.

    Lissoni, Barbara / Del Negro, Silvia / Brioschi, Paolo / Casella, Giampaolo / Fontana, Isabella / Bruni, Claudia / Lamiani, Giulia

    Psychological trauma : theory, research, practice and policy

    2020  Volume 12, Issue S1, Page(s) S105–S107

    Abstract: This contribution draws from the experience of intensive care unit psychologists at 2 frontline hospitals in Milan, Italy, during the acute phase of the COVID-19 pandemic. In this contribution, we describe the main psychological needs observed in ... ...

    Abstract This contribution draws from the experience of intensive care unit psychologists at 2 frontline hospitals in Milan, Italy, during the acute phase of the COVID-19 pandemic. In this contribution, we describe the main psychological needs observed in clinicians and in the families of COVID-19 patients and illustrate some psychological interventions implemented to respond to these needs. Containing emotions and promoting resilience were the aims of our interventions. In the future, psychological interventions should focus on the elaboration of traumatic experiences and losses. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) Acute Disease ; Adult ; COVID-19 ; Coronavirus Infections/therapy ; Critical Illness/therapy ; Family/psychology ; Humans ; Intensive Care Units ; Italy ; Medical Staff, Hospital/psychology ; Nursing Staff, Hospital/psychology ; Pandemics ; Pneumonia, Viral/therapy ; Psychotherapy/methods ; Resilience, Psychological
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000802
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  6. Article ; Online: Promoting resilience in the acute phase of the COVID-19 pandemic

    Lissoni, Barbara / Del Negro, Silvia / Brioschi, Paolo / Casella, Giampaolo / Fontana, Isabella / Bruni, Claudia / Lamiani, Giulia

    Psychological Trauma: Theory, Research, Practice, and Policy

    Psychological interventions for intensive care unit (ICU) clinicians and family members.

    2020  Volume 12, Issue S1, Page(s) S105–S107

    Keywords Clinical Psychology ; Social Psychology ; covid19
    Language English
    Publisher American Psychological Association (APA)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000802
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Promoting resilience in the acute phase of the COVID-19 pandemic: Psychological interventions for intensive care unit (ICU) clinicians and family members

    Lissoni, Barbara / Del Negro, Silvia / Brioschi, Paolo / Casella, Giampaolo / Fontana, Isabella / Bruni, Claudia / Lamiani, Giulia

    Psychol Trauma

    Abstract: This contribution draws from the experience of intensive care unit psychologists at 2 frontline hospitals in Milan, Italy, during the acute phase of the COVID-19 pandemic. In this contribution, we describe the main psychological needs observed in ... ...

    Abstract This contribution draws from the experience of intensive care unit psychologists at 2 frontline hospitals in Milan, Italy, during the acute phase of the COVID-19 pandemic. In this contribution, we describe the main psychological needs observed in clinicians and in the families of COVID-19 patients and illustrate some psychological interventions implemented to respond to these needs. Containing emotions and promoting resilience were the aims of our interventions. In the future, psychological interventions should focus on the elaboration of traumatic experiences and losses. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #607244
    Database COVID19

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  8. Article ; Online: Optimum support by high-flow nasal cannula in acute hypoxemic respiratory failure: effects of increasing flow rates.

    Mauri, Tommaso / Alban, Laura / Turrini, Cecilia / Cambiaghi, Barbara / Carlesso, Eleonora / Taccone, Paolo / Bottino, Nicola / Lissoni, Alfredo / Spadaro, Savino / Volta, Carlo Alberto / Gattinoni, Luciano / Pesenti, Antonio / Grasselli, Giacomo

    Intensive care medicine

    2017  Volume 43, Issue 10, Page(s) 1453–1463

    Abstract: Purpose: Limited data exist on the correlation between higher flow rates of high-flow nasal cannula (HFNC) and its physiologic effects in patients with acute hypoxemic respiratory failure (AHRF). We assessed the effects of HFNC delivered at increasing ... ...

    Abstract Purpose: Limited data exist on the correlation between higher flow rates of high-flow nasal cannula (HFNC) and its physiologic effects in patients with acute hypoxemic respiratory failure (AHRF). We assessed the effects of HFNC delivered at increasing flow rate on inspiratory effort, work of breathing, minute ventilation, lung volumes, dynamic compliance and oxygenation in AHRF patients.
    Methods: A prospective randomized cross-over study was performed in non-intubated patients with patients AHRF and a PaO
    Results: Seventeen patients with AHRF were enrolled in the study. At increasing flow rate, HFNC reduced ΔPes (p < 0.001) and PTP
    Conclusions: In this cohort of patients with AHRF, an increasing HFNC flow rate progressively decreased inspiratory effort and improved lung aeration, dynamic compliance and oxygenation. Most of the effect on inspiratory workload and CO
    MeSH term(s) Adult ; Aged ; Blood Gas Analysis ; Cannula ; Critical Care/methods ; Cross-Over Studies ; Female ; Forced Expiratory Flow Rates ; Humans ; Hypoxia/physiopathology ; Hypoxia/therapy ; Male ; Middle Aged ; Noninvasive Ventilation/methods ; Organ Dysfunction Scores ; Oxygen Inhalation Therapy/methods ; Prospective Studies ; Respiratory Insufficiency/physiopathology ; Respiratory Insufficiency/therapy ; Time Factors ; Work of Breathing
    Language English
    Publishing date 2017-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-017-4890-1
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    Zs.A 1089: Show issues Location:
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  9. Article: The Total Neuropathy Score as an assessment tool for grading the course of chemotherapy-induced peripheral neurotoxicity: comparison with the National Cancer Institute-Common Toxicity Scale.

    Cavaletti, Guido / Frigeni, Barbara / Lanzani, Francesca / Piatti, Marialuisa / Rota, Stefania / Briani, Chiara / Zara, Gabriella / Plasmati, Rosaria / Pastorelli, Francesca / Caraceni, Augusto / Pace, Andrea / Manicone, Mariagrazia / Lissoni, Andrea / Colombo, Nicoletta / Bianchi, Giulia / Zanna, Claudio

    Journal of the peripheral nervous system : JPNS

    2007  Volume 12, Issue 3, Page(s) 210–215

    Abstract: Chemotherapy-induced peripheral neurotoxicity (CIPN) is a major side effect of several antineoplastic drugs. However, despite its clinical importance, there is no agreement as to the best way to assess the severity and changes in CIPN. We have previously ...

    Abstract Chemotherapy-induced peripheral neurotoxicity (CIPN) is a major side effect of several antineoplastic drugs. However, despite its clinical importance, there is no agreement as to the best way to assess the severity and changes in CIPN. We have previously demonstrated a correlation between the severity of CIPN, assessed using the Total Neuropathy Score (TNS) or its reduced versions, and several common toxicity scales. In this study, we investigated two series of patients (total number = 173) who were evaluated at baseline and during chemotherapy with the TNS (n= 122) or the TNSc (the TNS version based exclusively on the clinical evaluation of the patients, n= 51) and with the National Cancer Institute-Common Toxicity Criteria (NCI-CTC) 2.0, with the aim of comparing the sensitivity to the changes in CIPN severity. In both series, the TNS and the TNSc had a significant correlation with the NCI-CTC in scoring the severity of CIPN, confirming the results of previous studies. Moreover, both the TNS and the TNSc showed a higher sensitivity to CIPN changes. We, therefore, propose the TNSc as a reliable method for assessing not only the severity but also the changes in CIPN.
    MeSH term(s) Adult ; Aged ; Antineoplastic Agents/adverse effects ; Female ; Humans ; Male ; Middle Aged ; Motor Neurons/pathology ; Neoplasms/complications ; Neoplasms/pathology ; Neurologic Examination ; Peripheral Nervous System Diseases/chemically induced ; Peripheral Nervous System Diseases/diagnosis ; Peripheral Nervous System Diseases/pathology ; Prospective Studies
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2007-09
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 1364009-4
    ISSN 1529-8027 ; 1085-9489
    ISSN (online) 1529-8027
    ISSN 1085-9489
    DOI 10.1111/j.1529-8027.2007.00141.x
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