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Article: Port Placement Strategies for Robotic Pulmonary Lobectomy: A Narrative Review.

Parini, Sara / Massera, Fabio / Papalia, Esther / Baietto, Guido / Bora, Giulia / Rena, Ottavio

2022 Volume 11, Issue 9

Abstract: Background: Despite the use of robotics becoming increasingly popular among thoracic surgeons worldwide, there remains debate over the best robotic approach for lung resections. In this paper, we delineated the main port placement strategies and ... ...

Abstract	Background: Despite the use of robotics becoming increasingly popular among thoracic surgeons worldwide, there remains debate over the best robotic approach for lung resections. In this paper, we delineated the main port placement strategies and discussed their advantages and disadvantages. Methods: A PubMed literature review was performed using key phrases such as "robotic lobectomy technique", "RATS lobectomy", and "port placement robotic lobectomy". After the final review, 22 articles were included as references, of which 10 described common robotic port mapping techniques. Results: Several port strategies for robot-assisted pulmonary lobectomies have been proposed and described in the literature, each showing its own limitations and advantages. Conclusions: New robotic surgeons may choose their port strategy according to personal preference and previous surgical experience, especially regarding open or VATS resections. Robust data comparing different port placements in robotic surgery are lacking. Further research should be directed toward comparisons of clinical outcomes with different robotic approaches.
Language	English
Publishing date	2022-05-06
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11092612
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Article ; Online: Women in Surgery Italia: what are the opportunities in the operatory room? Results from a nationwide interdisciplinary survey.

Lucidi, Daniela / Parini, Sara / Reale, Marella / Azzolina, Danila / Verdi, Daunia / Spolverato, Gaya

Updates in surgery

2022 Volume 74, Issue 3, Page(s) 803–816

Abstract: Many studies documented the "glass ceiling" effect for women in surgery: achievements in academic and leadership positions are not consistent with the percentage of female surgeons in practice. A solid surgical case volume and expertise in high- ... ...

Abstract	Many studies documented the "glass ceiling" effect for women in surgery: achievements in academic and leadership positions are not consistent with the percentage of female surgeons in practice. A solid surgical case volume and expertise in high-complexity cases are required to pursue leadership positions. The aim of the study was to determine whether part of the difficulties encountered by female surgeons may lie in reduced surgical opportunities. This is the first study to investigate this issue in Italy. An online survey, conceived and promoted by Women in Surgery Italia, was administered through the RedCap platform, between November and December 2020, and female surgeons actively working in Italian academic and non-academic hospitals were invited to answer anonymously. A multivariate analysis was performed to evaluate the role of different factors on two main variables: overall procedures done and a sub-analysis of complex cases performed as first surgeon. 1810 respondents were included; the women who responded participated in 3% fewer cases on average, when compared to the mean staff case volume, and were significantly more often listed as the assistant surgeon and as primary surgeons in low-complexity cases. 36.5% of the respondents declared that at least one female physician on staff had to abandon the operatory room (OR) and does not regularly perform any surgical procedure. 73% female surgeons would like to spend more hours in the OR. While acquiring skills and surgical autonomy, many obstacles still exist for female surgeons. A portion of women are relegated to non-surgical activities, irrespective of their specialty, and these results confirm the theory that gender-biased underemployment still exists in surgical fields.
MeSH term(s)	Female ; Hospitals ; Humans ; Leadership ; Male ; Physicians, Women ; Surgeons ; Surveys and Questionnaires
Language	English
Publishing date	2022-06-03
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/s13304-022-01304-7
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Article: Perception of Gender Bias in Otolaryngology and Head & Neck Surgery - A Comparative Study.

Lucidi, Daniela / Reale, Marella / Trecca, Eleonora Maria Consiglia / Parini, Sara / Verdi, Daunia / Spolverato, Gaya / Molinari, Giulia

Annals of maxillofacial surgery

2023 Volume 13, Issue 1, Page(s) 57–63

Abstract: Introduction: To investigate the differences in the professional and personal life and the perception of gender-bias, among Italian female surgeons working in Otolaryngology-Head and Neck Surgery (OHNS), as compared to those involved in other surgical ... ...

Abstract	Introduction: To investigate the differences in the professional and personal life and the perception of gender-bias, among Italian female surgeons working in Otolaryngology-Head and Neck Surgery (OHNS), as compared to those involved in other surgical fields (overall group [OG]). Materials and methods: An online survey was administered to female medical doctors working in all surgical fields in Italian hospitals. Results: Of the 1963 responders included, 153 (7.8%) were part of the ONHS group and 1810 (92.3%) of the OG. In both cohorts, female represented approximately one-third of the surgical staff. At least one female in the staff did not regularly attend the operating room (OR), especially in the OHNSG group. OHNS responders had to abandon the surgical activities in favour of outpatient services more than OG. A higher proportion of OHNS surgeons encountered gender-related difficulties in the OR. Discussion: Several gender-related issues emerged among OHNS responders, the most relevant being involvement in surgical activities and number/complexity of surgical cases.
Language	English
Publishing date	2023-03-31
Publishing country	India
Document type	Journal Article
ZDB-ID	2696991-9
ISSN	2249-3816 ; 2231-0746
ISSN (online)	2249-3816
ISSN	2231-0746
DOI	10.4103/ams.ams_181_22
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Article: Hepatitis C: speaking out about the silent epidemic.

Parini, S

Nursing management

2001 Volume 32, Issue 6, Page(s) 18–23; quiz 23–4

Abstract: Learn how to describe hepatitis C, who's at risk, how to manage the infection, and what patients need to know to live with this disease. ...

Abstract	Learn how to describe hepatitis C, who's at risk, how to manage the infection, and what patients need to know to live with this disease.
MeSH term(s)	Adaptation, Psychological ; Antiviral Agents/therapeutic use ; Biopsy ; Disease Progression ; Drug Therapy, Combination ; Hepatitis C/diagnosis ; Hepatitis C/epidemiology ; Hepatitis C/psychology ; Hepatitis C/therapy ; Humans ; Incidence ; Interferon-alpha/therapeutic use ; Nurse's Role ; Patient Education as Topic ; Prevalence ; Ribavirin/therapeutic use ; Risk Factors ; United States/epidemiology
Chemical Substances	Antiviral Agents ; Interferon-alpha ; Ribavirin (49717AWG6K)
Language	English
Publishing date	2001-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	605889-9
ISSN	1538-8670 ; 0744-6314
ISSN (online)	1538-8670
ISSN	0744-6314
DOI	10.1097/00006247-200106000-00011
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Article: Hepatitis C. Speaking out about the silent epidemic.

Parini, S

Nursing

2001 Volume 31, Issue 3, Page(s) 36–42; quiz 42–3

MeSH term(s)	Disease Outbreaks ; Education, Nursing, Continuing ; Hepatitis C/diagnosis ; Hepatitis C/epidemiology ; Hepatitis C/nursing ; Humans ; Patient Education as Topic
Language	English
Publishing date	2001-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	197895-0
ISSN	0360-4039
ISSN	0360-4039
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Article: How to collect specimens.

Parini, S

Nursing

2000 Volume 30, Issue 5, Page(s) 66–67

MeSH term(s)	Humans ; Infection/diagnosis ; Infection/microbiology ; Infection Control/methods ; Specimen Handling/instrumentation ; Specimen Handling/methods ; Specimen Handling/nursing
Language	English
Publishing date	2000-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	197895-0
ISSN	0360-4039
ISSN	0360-4039
DOI	10.1097/00152193-200030050-00038
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Article: Primary seminoma arising in the posterior mediastinum: a diagnostic challenge.

Parini, Sara / Spina, Paolo / Papalia, Esther / Boldorini, Renzo / Abruzzese, Michele / Rena, Ottavio

Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace

2021 Volume 92, Issue 2

Abstract: Primary mediastinal germ cell tumors are a rare finding, and one third of them are seminomas. Seminomas are found in the anterior mediastinum, whereas they are extremely rare within the posterior compartment. Most clinicians would not consider a primary ... ...

Abstract	Primary mediastinal germ cell tumors are a rare finding, and one third of them are seminomas. Seminomas are found in the anterior mediastinum, whereas they are extremely rare within the posterior compartment. Most clinicians would not consider a primary seminoma in the differential diagnosis of a posterior mediastinal mass, as only two cases have been reported in literature. Here we present the case of a 57-year-old male with a primary seminoma arising in the left posterior mediastinum. He was asymptomatic and the mass was an incidental finding. Positron emission tomography (PET) revealed a small area with an avid tracer uptake. Transthoracic needle aspiration led to a non-diagnostic result. Due to the strong suspect of malignancy, a surgical excision was chosen to obtain a diagnosis. He underwent complete excision, and pathology report demonstrated a mediastinal seminoma. Subsequent further staging did not reveal any other location of the disease. Given the complete excision of the primary tumor, active surveillance was the treatment of choice. The patient is free of disease 48 months after diagnosis.
MeSH term(s)	Humans ; Male ; Mediastinal Neoplasms/diagnostic imaging ; Mediastinal Neoplasms/surgery ; Mediastinum/diagnostic imaging ; Mediastinum/pathology ; Middle Aged ; Positron-Emission Tomography ; Seminoma/diagnostic imaging ; Seminoma/surgery ; Testicular Neoplasms/diagnostic imaging ; Testicular Neoplasms/surgery
Language	English
Publishing date	2021-10-11
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	1160940-0
ISSN	1122-0643 ; 1120-0391
ISSN	1122-0643 ; 1120-0391
DOI	10.4081/monaldi.2021.2028
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Article ; Online: Status of Women in Neurosurgery: Results from a National Survey in Italy.

Scerrati, Alba / Angelini, Chiara / Madoglio, Alba / Lucidi, Daniela / Parini, Sara / Verdi, Daunia / Gumbs, Andrew A / Spolverato, Gaya

World neurosurgery: X

2022 Volume 18, Page(s) 100149

Abstract: Background: Gender inequity in surgery has increasingly been a matter of debate. Contributions of female neurosurgeons to academic medicine and societies are poorly highlighted. The aim of this study was to evaluate several aspects of the professional ... ...

Abstract	Background: Gender inequity in surgery has increasingly been a matter of debate. Contributions of female neurosurgeons to academic medicine and societies are poorly highlighted. The aim of this study was to evaluate several aspects of the professional and work-life balance of female neurosurgeons in Italy. Methods: Data of the female neurosurgical population were extracted from a general 83-item questionnaire administered to a total of 3242 respondents. The survey was composed of multiple-choice questions investigating demographics, surgical training and practice, satisfaction, mentorship, discrimination, and harassment. Results: A total of 98 female neurosurgeons were included. Most responders were married or cohabiting (49%). Thirty-nine (43%) were planning to have children, and 15 of them (44%) stated the reason they still didn't have any was because of professional constraints. Seventy (71%) women were neurosurgeons with an academic position (residents or academics) and 28 (29%) were full-time attendings. Most of the female neurosurgeons are satisfied with their work: sometimes (35%), often (20%), and always or almost always (20%). Most of them (45%) stated they are rarely victims of harassment, but 66% think that they are treated differently because they are women. A similar rate for a poor and fulfilling work-life balance (34% and 35%, respectively) was detected. The majority of participants (89%) had encountered a role model during their career, but in only 11% of cases was that person female. Conclusions: Even though the rate of satisfaction among female neurosurgeons in Italy is high, some of them experienced gender discrimination, including incidents of sexual harassment and microaggressions. Policies including job sharing paradigms, consistent and meaningful options for parental leave, mentorship programs, equal and fair remuneration for equal work, and zero tolerance for harassment should be encouraged.
Language	English
Publishing date	2022-10-15
Publishing country	United States
Document type	Journal Article
ISSN	2590-1397
ISSN (online)	2590-1397
DOI	10.1016/j.wnsx.2022.100149
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Article ; Online: COVID-19: identifying the main outcome predictors. A retrospective cohort study in Northern Italy.

Greco, S / Bonsi, B / Bella, A / Fabbri, N / Rocchi, C / Bellio, M E / Massoli, L / Giaccari, S / Gavioli, M / Fazzin, M / D'Urbano, F / Rossin, E / Feo, C V / Parini, S / Cavallesco, G N / Passaro, A

European review for medical and pharmacological sciences

2022 Volume 26, Issue 2, Page(s) 722–732

Abstract: Objective: The need for efficient drugs and early treatment of patients with SARS-CoV-2 infection developing COVID-19 symptoms is of primary importance in daily clinical practice and it is certainly among the most difficult medical challenges in the ... ...

Abstract	Objective: The need for efficient drugs and early treatment of patients with SARS-CoV-2 infection developing COVID-19 symptoms is of primary importance in daily clinical practice and it is certainly among the most difficult medical challenges in the current century. Recognizing those patients who will need stronger clinical efforts could effectively help doctors anticipate the eventual need for intensification of care (IoC) and choose the best treatment in order to avoid worse outcomes. Patients and methods: We enrolled 501 patients, consecutively admitted to our two COVID hospitals, and collected their clinical, anamnestic and laboratory data on admission. The aim of this retrospective study was to identify those data that are strictly associated with COVID-19 outcomes (IoC and in-hospital death) and that could somehow be intended as predictors of these outcomes. This allowed us to provide a "sketch" of the patient who undergoes, more often than others, an intensification of care and/or in-hospital death. Results: Males were found to have a double risk of needing an IoC (OR=2.11) and a significant role was played by both the PaO2/FiO2 ratio on admission (OR=0.99) and serum LDH (OR=1.01). The main predictors of in-hospital death were age (OR=1.08) and the PaO2/FiO2 ratio on admission (OR=0.99). Conclusions: Male patients with high serum LDH on admission are those who undergo more often an intensification of care among COVID-19 inpatients. Both age and respiratory performances on admission modify the prognosis within the hospitalization period.
MeSH term(s)	Aged ; Aged, 80 and over ; COVID-19/mortality ; COVID-19/pathology ; COVID-19/virology ; Comorbidity ; Critical Care ; Female ; Hospital Mortality ; Hospitals ; Humans ; Italy ; L-Lactate Dehydrogenase/blood ; Logistic Models ; Male ; Middle Aged ; Odds Ratio ; Oxygen Consumption ; Retrospective Studies ; Risk Factors ; SARS-CoV-2/isolation & purification ; Sex Factors
Chemical Substances	L-Lactate Dehydrogenase (EC 1.1.1.27)
Language	English
Publishing date	2022-02-03
Publishing country	Italy
Document type	Journal Article
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202201_27899
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Article ; Online: Women in Transplant Surgery in Italy.

Franchi, Eloisa / Parini, Sara / Capelli, Giulia / Perali, Carolina / Lombardi, Ilaria / Amoroso, Antonio / Feltrin, Giuseppe / Gringeri, Enrico / Maggiore, Umberto / Amarelli, Cristiano / Ferraresso, Mariano / Biancofiore, Giandomenico / Gruttadauria, Salvatore / Cardillo, Massimo / Boggi, Ugo / Spolverato, Gaya

Transplantation

2023 Volume 107, Issue 4, Page(s) 793–796

MeSH term(s)	Humans ; Female ; Kidney Transplantation ; Risk Factors ; Italy
Language	English
Publishing date	2023-03-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	208424-7
ISSN	1534-6080 ; 0041-1337
ISSN (online)	1534-6080
ISSN	0041-1337
DOI	10.1097/TP.0000000000004381
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