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  1. Article ; Online: "Nabucco" by Giuseppe Verdi: A Case of Delirium in an Italian Romantic Opera.

    Cambioli, Luca / Bava, Mattia / Bellelli, Giuseppe / Clerici, Massimo / Cesana, Giancarlo / Riva, Michele Augusto

    European neurology

    2017  Volume 77, Issue 3-4, Page(s) 180–185

    Abstract: ... especially in the field of neuroscience. One of the most renowned operas, "Nabucco" by Giuseppe Verdi (1813 ...

    Abstract Italian operas can provide relevant information on the medical knowledge during the Romantic Age, especially in the field of neuroscience. One of the most renowned operas, "Nabucco" by Giuseppe Verdi (1813-1901) may provide us with some information on the state of knowledge on neuropsychiatric diseases in the first part of the nineteenth century. The main character of this opera, the Assyrian king Nabucco suffers from delirium. Psychic signs and symptoms attributed to Nabucco in Verdi's opera could have been influenced by a better knowledge of neuropsychiatric diseases in the nineteenth century. Furthermore, the representation of Nabucco's mental illness in the opera could also have been influenced by direct experiences of Verdi himself, who seems to have suffered from recurrent depressive episodes in that period, and for the rest of his life.
    MeSH term(s) Delirium/history ; History, 19th Century ; Humans ; Italy ; Medicine in the Arts ; Music/history ; Neurosciences/history
    Language English
    Publishing date 2017
    Publishing country Switzerland
    Document type Historical Article ; Journal Article
    ZDB-ID 209426-5
    ISSN 1421-9913 ; 0014-3022
    ISSN (online) 1421-9913
    ISSN 0014-3022
    DOI 10.1159/000456712
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 575: Show issues Location:
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  2. Article: “Nabucco” by Giuseppe Verdi: A Case of ; in an Italian Romantic Opera

    Cambioli, Luca / Bava, Mattia / Bellelli, Giuseppe / Clerici, Massimo / Cesana, Giancarlo / Riva, Michele Augusto

    European Neurology

    2017  Volume 77, Issue 3-4, Page(s) 180–185

    Abstract: ... especially in the field of neuroscience. One of the most renowned operas, “Nabucco” by Giuseppe Verdi (1813 ...

    Institution School of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
    Abstract Italian operas can provide relevant information on the medical knowledge during the Romantic Age, especially in the field of neuroscience. One of the most renowned operas, “Nabucco” by Giuseppe Verdi (1813-1901) may provide us with some information on the state of knowledge on neuropsychiatric diseases in the first part of the nineteenth century. The main character of this opera, the Assyrian king Nabucco suffers from delirium. Psychic signs and symptoms attributed to Nabucco in Verdi's opera could have been influenced by a better knowledge of neuropsychiatric diseases in the nineteenth century. Furthermore, the representation of Nabucco's mental illness in the opera could also have been influenced by direct experiences of Verdi himself, who seems to have suffered from recurrent depressive episodes in that period, and for the rest of his life.
    Keywords Delirium ; Opera ; Music ; Giuseppe Verdi ; Nabucco ; History
    Language English
    Publishing date 2017-02-03
    Publisher S. Karger AG
    Publishing place Basel, Switzerland
    Document type Article
    Note Neurology and Art
    ZDB-ID 209426-5
    ISSN 1421-9913 ; 0014-3022
    ISSN (online) 1421-9913
    ISSN 0014-3022
    DOI 10.1159/000456712
    Database Karger publisher's database

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  3. Article ; Online: Delirium in long-term care and the myth of Proteus.

    Bellelli, Giuseppe / Ornago, Alice M / Cherubini, Antonio

    Journal of the American Geriatrics Society

    2024  Volume 72, Issue 4, Page(s) 988–992

    MeSH term(s) Humans ; Long-Term Care ; Delirium ; Intensive Care Units ; Proteus ; Proteidae
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Editorial
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/jgs.18780
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  4. Article: Response to Letter to the Editor, "Mechanical Ventilation in COVID-19 Patients: a question from Age to Frailty".

    Ecarnot, Fiona / Rebora, Paola / Bellelli, Giuseppe

    Aging and disease

    2023  Volume 14, Issue 2, Page(s) 258–259

    Language English
    Publishing date 2023-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625789-0
    ISSN 2152-5250
    ISSN 2152-5250
    DOI 10.14336/AD.2022.0819-1
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  5. Article: Asymptomatic Aortic Stenosis in an Older Patient: How the Geriatric Approach Can Make a Difference.

    Finazzi, Alberto / Bruni, Adriana Antonella / Nistri, Stefano / Bellelli, Giuseppe

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 5

    Abstract: We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient's post- ... ...

    Abstract We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient's post-interventional complications from a geriatric perspective and afterwards, discuss the unique approach that the geriatrician would have provided. This case report was written by a group of geriatricians working in an acute hospital, along with a clinical cardiologist who is an expert in aortic stenosis. We discuss the implications for modifying conventional practice in tandem with existing literature.
    Language English
    Publishing date 2023-02-27
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13050909
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A pandemic of delirium: an updated systematic review and meta-analysis of occurrence of delirium in older adults with COVID-19.

    Zazzara, Maria Beatrice / Ornago, Alice Margherita / Cocchi, Camilla / Serafini, Elisabetta / Bellelli, Giuseppe / Onder, Graziano

    European geriatric medicine

    2024  Volume 15, Issue 2, Page(s) 397–406

    Abstract: Purpose: Delirium has been recognized as an atypical presenting feature of COVID-19 in older adults and is independently associated with mortality. We aimed to perform an updated systematic review of the literature and proportional meta-analysis to ... ...

    Abstract Purpose: Delirium has been recognized as an atypical presenting feature of COVID-19 in older adults and is independently associated with mortality. We aimed to perform an updated systematic review of the literature and proportional meta-analysis to assess prevalence and incidence of delirium in older adults with COVID-19, addressing differences according to sex, frailty status, and settings.
    Methods: We searched databases for English-language articles on prevalence and incidence of delirium in older adults with COVID-19, published between March 2020 and January 2023.
    Results: Of the 1171 articles identified, 66 met selection criteria and were included in the meta-analysis (n = 35,035 participants, age-range 66-90 years old, 46.6% females). We observed similar pooled prevalence (20.6% [95% Confidence Interval (CI) 17.8-23.8%]) and incidence (21.3% [95% CI 14.7-30%]) of delirium. Pooled occurrence (both prevalence and incidence) of delirium was similar according to sex (females 21.3% [95% CI 16-27.5%] vs. males 23.8%% [95% CI 18.2-30.4%], p-value = 0.55) and study setting (nursing homes 22.5% [95% CI 14.2-33.6%] vs. hospital 20.3% [95% CI 17-24%], p = 0.68), but it was significantly higher in frail versus non-frail patients (37% [95% CI 26.6-48.8%] vs. 12.5% [95% CI 7.8-19.6%], p-value < 0.01). Delirium definitions and assessment tools largely varied across studies.
    Conclusion: This review delineates delirium as a common feature of COVID-19, particularly in frail older adults, and supports its formal inclusion among COVID-19 symptoms. The considerable heterogeneity in delirium assessment highlights the need for an operational strategy to standardize definitions and tools utilization in the management of frail older adults.
    MeSH term(s) Male ; Female ; Aged ; Humans ; Aged, 80 and over ; COVID-19/complications ; COVID-19/epidemiology ; Pandemics ; Frail Elderly ; Frailty/diagnosis ; Frailty/epidemiology ; Delirium/diagnosis ; Delirium/epidemiology ; Delirium/etiology
    Language English
    Publishing date 2024-03-18
    Publishing country Switzerland
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2556794-9
    ISSN 1878-7657 ; 1878-7649
    ISSN (online) 1878-7657
    ISSN 1878-7649
    DOI 10.1007/s41999-023-00906-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The role of frailty in COVID-19 patients.

    Bellelli, Giuseppe / Rebora, Paola / Citerio, Giuseppe

    Intensive care medicine

    2020  Volume 46, Issue 10, Page(s) 1958–1959

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Frailty ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-08-01
    Publishing country United States
    Document type Letter ; Comment
    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/s00134-020-06204-1
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  8. Article ; Online: Usefulness of implementing a brief cognitive assessment in the daily cardiology practice.

    Bellelli, Giuseppe / Morandi, Alessandro

    Heart (British Cardiac Society)

    2019  Volume 105, Issue 21, Page(s) 1612–1613

    MeSH term(s) Acute Coronary Syndrome ; Aortic Valve ; Cardiology ; Cognition ; Extracellular Matrix ; Humans
    Language English
    Publishing date 2019-07-11
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1303417-0
    ISSN 1468-201X ; 1355-6037
    ISSN (online) 1468-201X
    ISSN 1355-6037
    DOI 10.1136/heartjnl-2019-315302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Asymptomatic Aortic Stenosis in an Older Patient

    Alberto Finazzi / Adriana Antonella Bruni / Stefano Nistri / Giuseppe Bellelli

    Diagnostics, Vol 13, Iss 909, p

    How the Geriatric Approach Can Make a Difference

    2023  Volume 909

    Abstract: We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient’s post- ... ...

    Abstract We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient’s post-interventional complications from a geriatric perspective and afterwards, discuss the unique approach that the geriatrician would have provided. This case report was written by a group of geriatricians working in an acute hospital, along with a clinical cardiologist who is an expert in aortic stenosis. We discuss the implications for modifying conventional practice in tandem with existing literature.
    Keywords aortic stenosis ; elderly ; comprehensive geriatric assessment ; transcatheter aortic valve implantation ; heart team ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Guillain-Barré syndrome AMSAN variant in a 90-year-old woman after COVID-19: a case report.

    Sidoli, Chiara / Bruni, Adriana Antonella / Beretta, Simone / Mazzola, Paolo / Bellelli, Giuseppe

    BMC geriatrics

    2023  Volume 23, Issue 1, Page(s) 114

    Abstract: Background: Guillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system characterized by rapidly evolving polyneuropathy caused by autoimmune demyelination and/or axonal degeneration. Since SARS-CoV-2 outbreak, several GBS ... ...

    Abstract Background: Guillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system characterized by rapidly evolving polyneuropathy caused by autoimmune demyelination and/or axonal degeneration. Since SARS-CoV-2 outbreak, several GBS cases following exposure to coronavirus disease-2019 (COVID-19) have been reported in literature, raising the concern of the latter being a potential trigger event for GBS.
    Case presentation: We report the case of a 90-year-old Caucasian woman who was admitted to our hospital because of fatigue, worsening gait and leg strength, dysphonia, dysarthria and dysphagia, started 3 weeks after being exposed to COVID-19. Based on clinical presentation GBS was suspected, so she performed a lumbar puncture and electromyography, which confirmed the diagnosis of acute motor and sensory axonal neuropathy (AMSAN) variant. We administered high dose of intravenous immunoglobulin with slight neurological improvement. However, after 2 weeks of hospitalization with maximization of care, her physical condition worsen, manifesting severe frailty. The patient was discharged with home support services for managing parenteral nutrition and intense scheduled physiotherapy. A few days later, the patient experienced a further decline in her clinical condition and died at home.
    Conclusions: To the best of our knowledge, we report the oldest woman with GBS AMSAN variant after COVID-19 described in the existing literature. Our case supports further research aimed at improving recognition, characterization and prompt management of neurological diseases related to COVID-19 in older patients.
    MeSH term(s) Female ; Humans ; Aged ; Aged, 80 and over ; Guillain-Barre Syndrome ; COVID-19 ; SARS-CoV-2 ; Death ; Deglutition Disorders
    Language English
    Publishing date 2023-03-01
    Publishing country England
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-023-03833-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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