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Article: Restructuring surgical training after COVID-19 pandemic: A nationwide survey on the Italian scenario on behalf of the Italian polyspecialistic young surgeons society (SPIGC).

Gallo, Gaetano / Guaitoli, Eleonora / Barra, Fabio / Picciariello, Arcangelo / Pasculli, Alessandro / Coppola, Alessandro / Pertile, Davide / Meniconi, Roberto Luca

Frontiers in surgery

2023 Volume 9, Page(s) 1115653

Abstract: Introduction: The COVID-19 pandemic has led to the disruption of surgical training. Lack of communication, guidelines for managing clinical activity as well as concerns for safety in the workplace appeared to be relevant issues. This study aims to ... ...

Abstract	Introduction: The COVID-19 pandemic has led to the disruption of surgical training. Lack of communication, guidelines for managing clinical activity as well as concerns for safety in the workplace appeared to be relevant issues. This study aims to investigate how surgical training has been reorganized in Italy, almost 2 years after the outbreak of COVID-19 pandemic. Materials and methods: A 16-item-electronic anonymous questionnaire was designed through SurveyMonkey Results: Four hundred and thirty responses were collected, and 399 were considered eligible to be included in the study analysis. Three hundred and thirty-five respondents continued working in Surgical Units, with a significant reduction (less than one surgical session per week) of surgical sessions in 49.6% of them. With concern to didactic and research activities, 140 residents maintained their usual activity, while 116 reported a reduction. A sub-group analysis on resident moved to COVID-19 departments showed a reduction of research activities in 35% of them. During the period considered in this survey, the surgical training program was not substantially modified for most of participants (74.6%). Conclusion: Our survey demonstrated that surgical residency programs haven't improved 2 years after the beginning of the pandemic. Further improvements are needed to guarantee completeness of surgical training, even in emergency conditions.
Language	English
Publishing date	2023-01-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2022.1115653
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Validation and Psychometric Evaluation of the Italian Version of the Bergen-Yale Sex Addiction Scale.

Soraci, Paolo / Melchiori, Francesco M / Del Fante, Elena / Melchiori, Roberto / Guaitoli, Eleonora / Lagattolla, Fulvia / Parente, Grazia / Bonanno, Enrico / Norbiato, Laura / Cimaglia, Roberta / Campedelli, Lorenzo / Abbiati, Francesco Antonio / Ferrari, Ambra / Griffiths, Mark D

International journal of mental health and addiction

2021 , Page(s) 1–27

Abstract: Excessive problematic sexual behavior in the form of compulsive sexual behavior disorder (CSBD), hypersexuality (HS), and sex addiction has gained increasing credibility in recent years and has led to the development of various psychometric instruments ... ...

Abstract	Excessive problematic sexual behavior in the form of compulsive sexual behavior disorder (CSBD), hypersexuality (HS), and sex addiction has gained increasing credibility in recent years and has led to the development of various psychometric instruments to assess such behavior. However, there is still considerable controversy over the operational definition of such concepts and whether they can be used interchangeably to describe the behavior. One recently developed tool is the Bergen-Yale Sex Addiction Scale (BYSAS) based on the "components model of addiction." The present study validated the Italian version of the BYSAS. The BYSAS was administered to a large Italian-speaking sample of Italian adults [
Language	English
Publishing date	2021-08-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2235886-9
ISSN	1557-1882 ; 1557-1874
ISSN (online)	1557-1882
ISSN	1557-1874
DOI	10.1007/s11469-021-00597-w
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Article: Italian training program in Cameroon: A model for developing cultural competence.

Cavallaro, Antonino / Mariani, Giulio Clodio / Guaitoli, Eleonora / Sterpetti, Antonio V / Stipa, Sergio

Bulletin of the American College of Surgeons

2017 Volume 102, Issue 5, Page(s) 11–16

MeSH term(s)	Cameroon ; Clinical Competence ; Cultural Competency ; Education, Medical, Graduate/organization & administration ; General Surgery/education ; Humans ; Internship and Residency ; Italy ; Medical Missions, Official ; Patient Satisfaction
Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article
ZDB-ID	390409-x
ISSN	0002-8045
ISSN	0002-8045
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Article ; Online: The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC).

Pertile, Davide / Gallo, Gaetano / Barra, Fabio / Pasculli, Alessandro / Batistotti, Paola / Sparavigna, Marco / Vizzielli, Giuseppe / Soriero, Domenico / Graziano, Giusi / Di Saverio, Salomone / Meniconi, Roberto Luca / Guaitoli, Eleonora / Mazzarri, Andrea

Updates in surgery

2020 Volume 72, Issue 2, Page(s) 269–280

Abstract: Introduction: Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily ... ...

Abstract	Introduction: Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life of the entire population, including that of Italian surgical residents' activity. Our survey aims to evaluate the impact of COVID-19 on the training programme of Italian surgical residents. Materials and methods: We designed a 12-item-electronic anonymous questionnaire on SurveyMonkey© web application. The survey was composed of different sections concerning demographic characteristics and impacts of COVID-19 on the concrete participation in clinical, surgical and research activities. Future perspectives of responders after the pandemic were also investigated. Results: Eighty hundred responses were collected, and 756 questionnaires were considered eligible to be included in the study analysis. Almost 35 and 27% of respondents experienced, respectively, complete interruption of surgical and clinical activities. A subgroup analysis, comparing the COVID-19 impact on clinical activities with demographics data, showed a statistically significant difference related to specialties (p = 0.0062) and Italian regions (p < 0.0001). Moreover, 112 residents have been moved to non-surgical units dealing with COVID-19 or, in some case, they voluntarily decided to interrupt their residency programme to support the ongoing emergency. Conclusion: Our survey demonstrated that COVID-19 pandemic has severely impacted the educational programme of Italian surgical residents. Despite many regional differences, this survey highlighted the overall shortage of planning in the re-allocation of resources facing this unexpected health emergency.
MeSH term(s)	COVID-19 ; Coronavirus Infections ; Humans ; Internship and Residency/organization & administration ; Italy ; Pandemics ; Pneumonia, Viral ; Societies, Medical ; Specialties, Surgical/education ; Surveys and Questionnaires
Keywords	covid19
Language	English
Publishing date	2020-06-16
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-020-00811-9
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Article ; Online: Difficulties in the diagnosis of thyroid paraganglioma: a clinical case.

Calò, P G / Lai, M L / Guaitoli, E / Pisano, G / Favoriti, P / Nicolosi, A / Pinna, G / Sorrenti, S

La Clinica terapeutica

2013 Volume 164, Issue 1, Page(s) e35–9

Abstract: Thyroid Paragangliomas are exceptionally rare tumors and only 35 documented cases have been reported in the literature. We report an additional unusual male case of thyroid Paraganglioma associated to a chronic lymphocytic thyroiditis and a papillary ... ...

Abstract	Thyroid Paragangliomas are exceptionally rare tumors and only 35 documented cases have been reported in the literature. We report an additional unusual male case of thyroid Paraganglioma associated to a chronic lymphocytic thyroiditis and a papillary microcarcinoma. A 45-year-old man presented with a solitary thyroid nodule. Physical examination revealed a smooth, well-circumscribed, firm, mobile, painless thyroid nodule in the right lobe measuring 3 cm. Ultrasound examination showed a 40 mm hypoechoic, non-homogeneous nodule with peri- and intra-nodular vascular flow. An ultrasound-guided fine needle aspiration biopsy was performed showing the presence of atypical cells (Thy 3). He underwent a total thyroidectomy associated to VI level lymphectomy. Histology showed a thyroid Paraganglioma associated to a chronic lymphocytic thyroiditis and a papillary microcarcinoma measuring 0.3 cm in the greatest dimension. Thyroid Paraganglioma is an elusive tumor. It is difficult to diagnose and should be included in the differential diagnosis of all neuroendocrine tumors of the thyroid, even those arising in men or behaving in a locally aggressive fashion.
MeSH term(s)	Biopsy, Fine-Needle ; Carcinoma, Papillary/complications ; Carcinoma, Papillary/diagnostic imaging ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/surgery ; Diagnosis, Differential ; Hashimoto Disease/complications ; Humans ; Male ; Middle Aged ; Neoplasms, Multiple Primary/complications ; Neoplasms, Multiple Primary/diagnostic imaging ; Neoplasms, Multiple Primary/pathology ; Neoplasms, Multiple Primary/surgery ; Paraganglioma/complications ; Paraganglioma/diagnostic imaging ; Paraganglioma/pathology ; Paraganglioma/surgery ; Thyroid Neoplasms/complications ; Thyroid Neoplasms/diagnostic imaging ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery ; Thyroidectomy ; Treatment Outcome ; Ultrasonography, Interventional
Language	English
Publishing date	2013
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	123320-8
ISSN	1972-6007 ; 0009-9074
ISSN (online)	1972-6007
ISSN	0009-9074
DOI	10.7417/CT.2013.1519
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Article ; Online: Consensus Statement of the Italian Polispecialistic Society of Young Surgeons (SPIGC): Diagnosis and Treatment of Acute Appendicitis.

Journal of investigative surgery : the official journal of the Academy of Surgical Research

2020 Volume 34, Issue 10, Page(s) 1089–1103

Abstract: Background: Acute appendicitis (AA) is one of the most common causes of abdominal pain requiring surgical intervention. Approximately 20% of AA cases are characterized by complications such as gangrene, abscesses, perforation, or diffuse peritonitis, ... ...

Abstract	Background: Acute appendicitis (AA) is one of the most common causes of abdominal pain requiring surgical intervention. Approximately 20% of AA cases are characterized by complications such as gangrene, abscesses, perforation, or diffuse peritonitis, which increase patients' morbidity and mortality. Diagnosis of AA can be difficult, and evaluation of clinical signs, laboratory index and imaging should be part of the management of patients with suspicion of AA. Methods: This consensus statement was written in relation to the most recent evidence for diagnosis and treatment of AA, performing a literature review on the most largely adopted scientific sources. The members of the SPIGC (Italian Polispecialistic Society of Young Surgeons) worked jointly to draft it. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by the American College of Chest Physicians (CHEST) for the strength of the recommendations. Results: Fever and migratory pain tend to be present in patients with suspicion of AA. Laboratory and radiological examinations are commonly employed in the clinical practice, but today also scoring systems based on clinical signs and laboratory data have slowly been adopted for diagnostic purpose. The clinical presentation of AA in children, pregnant and elderly patients can be unusual, leading to more difficult and delayed diagnosis. Surgery is the best option in case of complicated AA, whereas it is not mandatory in case of uncomplicated AA. Laparoscopic surgical treatment is feasible and recommended. Postoperative antibiotic treatment is recommended only in patients with complicated AA.
MeSH term(s)	Acute Disease ; Aged ; Appendectomy ; Appendicitis/diagnosis ; Appendicitis/surgery ; Child ; Consensus ; Humans ; Italy ; Laparoscopy ; Retrospective Studies ; Surgeons
Language	English
Publishing date	2020-03-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	639444-9
ISSN	1521-0553 ; 0894-1939
ISSN (online)	1521-0553
ISSN	0894-1939
DOI	10.1080/08941939.2020.1740360
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Article ; Online: Total thyroidectomy for Graves' disease treatment.

Catania, A / Guaitoli, E / Carbotta, G / Bianchini, M / Di Matteo, F M / Carbotta, S / Nardi, M / Fabiani, E / Grani, G / D'Andrea, V / Fumarola, A

La Clinica terapeutica

2013 Volume 164, Issue 3, Page(s) 193–196

Abstract: Objectives: Graves' disease (GD) is the most common cause of hyperthyroidism, and accounts worldwide for 60-80% of all cases. The diagnosis is based on clinical findings, and is confirmed by the presence of TRAB, suppression of TSH, and elevation of ... ...

Abstract	Objectives: Graves' disease (GD) is the most common cause of hyperthyroidism, and accounts worldwide for 60-80% of all cases. The diagnosis is based on clinical findings, and is confirmed by the presence of TRAB, suppression of TSH, and elevation of free thyroxin (free T4), and triiodinethyronin (free T3). GD can be treated by antithyroid drugs, radioactive iodine, or surgery. The aim of this study was to review retrospectively the surgical management, in terms of safety and efficacy, in 50 patients operated in the Department of Surgical Sciences since 2005 through 2010 and followed up at the Endocrinology Unit A of the Experimental Medicine Department. We assessed postoperative complications, which included the presence, persistence and development of ophthalmopathy, transient hypocalcemia, permanent hypoparathyroidism and recurrent laryngeal nerve palsy. Materials and methods: We analyzed data from 50 patients with GD who were eligible and underwent Total Thyroidectomy (TT). Thirty-nine patients underwent TT for recurrent hyperthyroidism after medical therapy and eleven patients for severe ophtalmopathy. The mean follow up was 41 months (range: 10-70). Results: Eleven patients had ophtalmopathy before surgery. Four patients developed an ophtalmopathy after surgery. Eleven patients presented hypocalcemia, transient in ten patients and permanent in one patient. Five patients developed a transient disphony. Conclusions. Total thyroidectomy is a safe and radical procedure in Graves' disease treatment. Complications of TT are not different than subtotal thyroidectomy if it's performed by expert surgeons.
MeSH term(s)	Adolescent ; Adult ; Aged ; Female ; Graves Disease/surgery ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Thyroidectomy/methods ; Young Adult
Language	English
Publishing date	2013-05
Publishing country	Italy
Document type	Journal Article
ZDB-ID	123320-8
ISSN	1972-6007 ; 0009-9074
ISSN (online)	1972-6007
ISSN	0009-9074
DOI	10.7417/CT.2013.1548
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Article: The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC)

Updates Surg

Abstract: INTRODUCTION: Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life ...

Abstract	INTRODUCTION: Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life of the entire population, including that of Italian surgical residents' activity. Our survey aims to evaluate the impact of COVID-19 on the training programme of Italian surgical residents. MATERIALS AND METHODS: We designed a 12-item-electronic anonymous questionnaire on SurveyMonkey© web application. The survey was composed of different sections concerning demographic characteristics and impacts of COVID-19 on the concrete participation in clinical, surgical and research activities. Future perspectives of responders after the pandemic were also investigated. RESULTS: Eighty hundred responses were collected, and 756 questionnaires were considered eligible to be included in the study analysis. Almost 35 and 27% of respondents experienced, respectively, complete interruption of surgical and clinical activities. A subgroup analysis, comparing the COVID-19 impact on clinical activities with demographics data, showed a statistically significant difference related to specialties (p = 0.0062) and Italian regions (p < 0.0001). Moreover, 112 residents have been moved to non-surgical units dealing with COVID-19 or, in some case, they voluntarily decided to interrupt their residency programme to support the ongoing emergency. CONCLUSION: Our survey demonstrated that COVID-19 pandemic has severely impacted the educational programme of Italian surgical residents. Despite many regional differences, this survey highlighted the overall shortage of planning in the re-allocation of resources facing this unexpected health emergency.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #601789
Database	COVID19

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Article ; Online: The impact of COVID-19 pandemic on surgical residency programmes in Italy

a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC)

2020

Abstract: Introduction Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life ... ...

Abstract	Introduction Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life of the entire population, including that of Italian surgical residents’ activity. Our survey aims to evaluate the impact of COVID-19 on the training programme of Italian surgical residents. Materials and methods We designed a 12-item-electronic anonymous questionnaire on SurveyMonkey© web application. The survey was composed of different sections concerning demographic characteristics and impacts of COVID-19 on the concrete participation in clinical, surgical and research activities. Future perspectives of responders after the pandemic were also investigated. Results Eighty hundred responses were collected, and 756 questionnaires were considered eligible to be included in the study analysis. Almost 35 and 27% of respondents experienced, respectively, complete interruption of surgical and clinical activities. A subgroup analysis, comparing the COVID-19 impact on clinical activities with demographics data, showed a statistically significant difference related to specialties (p = 0.0062) and Italian regions (p < 0.0001). Moreover, 112 residents have been moved to non-surgical units dealing with COVID-19 or, in some case, they voluntarily decided to interrupt their residency programme to support the ongoing emergency. Conclusion Our survey demonstrated that COVID-19 pandemic has severely impacted the educational programme of Italian surgical residents. Despite many regional differences, this survey highlighted the overall shortage of planning in the re-allocation of resources facing this unexpected health emergency.
Keywords	COVID-19 Italian surgical residents Surgical activity Research activity Clinical activity Survey ; covid19
Subject code	300
Publishing country	it
Document type	Article ; Online
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Article ; Online: The impact of COVID-19 pandemic on surgical residency programmes in Italy

Updates in Surgery

a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC)

2020 Volume 72, Issue 2, Page(s) 269–280

Keywords	Surgery ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-020-00811-9
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