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  1. Article ; Online: Key drivers involved in the telemonitoring of covid-19 for self-health management

    Letizia Lo Presti / Mario Testa / Giulio Maggiore / Vittoria Marino

    BMC Health Services Research, Vol 22, Iss 1, Pp 1-

    an exploratory factor analysis

    2022  Volume 13

    Abstract: Abstract Background The recent COVID-19 pandemic and the shortage of general practitioners has determined a strong pressure on the Italian health system. This critical issue highlighted the fundamental support of e-health services not only to lighten the ...

    Abstract Abstract Background The recent COVID-19 pandemic and the shortage of general practitioners has determined a strong pressure on the Italian health system. This critical issue highlighted the fundamental support of e-health services not only to lighten the workload of doctors, but also to offer patients a health service tailored to real needs. Therefore, the digital engagement platforms represent a valid aid, as they reconcile the efficiency needs of the healthcare system with the benefits for the patients involved. In this perspective, little is known about the main factors associated with use of telemonitoring platforms and their effectiveness. This paper investigates the critical success factors of telemonitoring platforms during COVID-19 in order to understand the mechanisms underlying patient participation with the health engagement platforms. Methods An exploratory factor analysis was used to explain the main dimensions of patient participation in the COVID-19 telemonitoring. A sample of 119 patients with a suspected or confirmed infection was used in the investigation. Moreover, an analysis of variance was calculated to identify the differences between three types of patients (infected, uninfected, with suspected infection) and verify the effectiveness of the platform. Main Findings There are six main factors underlying the use of the COVID-19 telemonitoring platform. “Self-Health Engagement” emerges as a novel factor. Moreover, compared to other platforms, cognitive engagement is a crucial trigger for effective telemonitoring. Discussion By identifying the main triggers involved in the use of health engagement platforms, we can improve the satisfaction of telemonitoring services for appropriate health-crisis management. Furthermore, the COVID-19 telemonitoring platform appears to improve health management for both patients and health care providers as it provides the patient with the necessary tools for Self-Health Management (SHM), as well as helping to enrich the literature on health care. Conclusion A ...
    Keywords Health engagement platform ; Cognitive engagement ; COVID-19 ; Satisfaction ; Telemonitoring ; Self-health engagement ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Engagement in Healthcare Systems

    Letizia Lo Presti / Mario Testa / Vittoria Marino / Pierpaolo Singer

    Sustainability, Vol 11, Iss 1, p

    Adopting Digital Tools for a Sustainable Approach

    2019  Volume 220

    Abstract: The rapid development of new technologies has created interesting and unexpected possibilities in e-health, and digital platforms have become widespread, connecting users, experts, and practitioners of the health world. This triggered our investigation ... ...

    Abstract The rapid development of new technologies has created interesting and unexpected possibilities in e-health, and digital platforms have become widespread, connecting users, experts, and practitioners of the health world. This triggered our investigation into the relationship between the engagement platforms used by 293 doctors with various specializations, their satisfaction, and the dimensions of social sustainability in the healthcare sector. The research focused on professional interaction and its sphere of action in engagement platforms, defined as virtual contact points for exchanging information, thus increasing the co-creation of value between physicians and patients. In order to verify our hypothesis, a health digital platform called paginemediche.it was used, and the two dimensions of engagement and sustainability were considered, examining their causal relationship and evaluating their effects on physician loyalty in terms of the re-use of the digital platform by doctors. Our results, using a multiple linear regression analysis, showed that the social sustainability of the digital health platform was directly influenced by online engagement, generating a positive effect on physician loyalty. In particular, the human dimension of social sustainability proved to be decisive for the re-use of the platform.
    Keywords engagement platform ; digital health ; social sustainability ; Environmental effects of industries and plants ; TD194-195 ; Renewable energy sources ; TJ807-830 ; Environmental sciences ; GE1-350
    Subject code 360 ; 300
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The Growing Culture of a Minimally Fluoroscopic Approach in Electrophysiology Lab

    Michela Casella / Eleonora Russo / Francesca Pizzamiglio / Sergio Conti / Ghaliah Al-Mohani / Daniele Colombo / Victor Casula / Yuri D�Alessandra / Viviana Biagioli / Corrado Carbucicchio / Stefania Riva / Gaetano Fassini / Massimo Moltrasio / Fabrizio Tundo / Martina Zucchetti / Benedetta Majocchi / Vittoria Marino / Giovanni Forleo / Pasquale Santangeli /
    Luigi Di Biase / Antonio Dello Russo / Andrea Natale / Claudio Tondo

    Journal of Atrial Fibrillation, Vol 7, Iss 2, Pp 82-

    2014  Volume 92

    Abstract: As the first imaging modality of the living human body, X-ray fluoroscopic imaging has been the most important technical tool in modern medicine (Roentgen). It allowed one to see the inside of the body and, after contrast injection, even of soft tissues ... ...

    Abstract As the first imaging modality of the living human body, X-ray fluoroscopic imaging has been the most important technical tool in modern medicine (Roentgen). It allowed one to see the inside of the body and, after contrast injection, even of soft tissues like the beating heart. To date, most of interventional procedures in cardiology are carried out under fluoroscopic imaging guidance. Besides other peri-interventional risks, radiation exposure should be considered for its stochastic (inducing malignancy) and deterministic effects on health (tissue reactions like erythema, hair loss and cataracts). Due to increased interventional procedures and imaging studies in the last decades, patients are being exposed to a substantial amount of radiation over their lifetime. Some procedures like catheter ablation of atrial fibrillation frequently requires cardiac computed tomography (CT) scan before the intervention and more than one ablation procedure, thereby adding a substantial amount of radiation. On an average, a complex cardiac radiofrequency ablation corresponds to 750 chest X-rays (range 100–2850). Recently, attention has been applied to the radiation exposure of the catheter lab staff who expose themselves professionally. Being close to the patient during an interventional procedure, the first hand operator is exposed to scattered radiation, whilst other health care professionals are better protected by their position at a greater distance to the radiation source and the patient itself. Besides the associated X-ray exposure, the main limitation of fluoroscopy is that in complex arrhythmias fluoroscopy only provides two-dimensional (2D) representations of three dimensional (3D) anatomical structures as potentials targets for ablation. With the evolution of technology, new non fluoroscopic 3D mapping systems from the late 1990s have been an alternative to fluoroscopy alone in electrophysiology world. Infact constructing a virtual real time 3D map, catheter navigation is facilitated while minimizing or eliminating fluoroscopy exposure. New software upgrades to non fluoroscopic 3D mapping have resulted in very detailed cardiac chambers, potentially eliminating pre-procedure CT imaging. In this article we analized the radiation risk from cardiovascular imaging to both patients and medical staff and discusses how customize the X-ray system and how to implement shielding measures in the cath lab. Finally, we reviewed the most recent developments and the latest findings in catheter navigation and 3D electronatomical mapping systems that may help to reduce patient and operator exposure.
    Keywords Internal medicine ; RC31-1245 ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2014-08-01T00:00:00Z
    Publisher CardioFront
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Right ventricular outflow tract arrhythmias

    Sergio Conti, MD / Laura Cipolletta, MD / Vittoria Marino, MD / Martina Zucchetti, MD / Eleonora Russo, MD / Francesca Pizzamiglio, MD / Ghaliah Al-Mohani, MD / Salvatore Pala, BE / Valentina Catto, BE, PhD / Luigi Di Biase, MD, PhD / Andrea Natale, MD / Claudio Tondo, MD, PhD / Corrado Carbucicchio, MD

    Journal of Atrial Fibrillation, Vol 7, Iss 4, Pp 75-

    benign or early stage arrhythmogenic right ventricular cardiomyopathy/dysplasia?

    2014  Volume 84

    Abstract: Ventricular arrhythmias (VAs) arising from the right ventricular outflow tract (RVOT) are a common and heterogeneous entity. Idiopathic right ventricular arrhythmias (IdioVAs) are generally benign, with excellent ablation outcomes and long-term ... ...

    Abstract Ventricular arrhythmias (VAs) arising from the right ventricular outflow tract (RVOT) are a common and heterogeneous entity. Idiopathic right ventricular arrhythmias (IdioVAs) are generally benign, with excellent ablation outcomes and long-term arrhythmia-free survival, and must be distinguished from other conditions associated with VAs arising from the right ventricle: the differential diagnosis with arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) is therefore crucial because VAs are one of the most important causes of sudden cardiac death (SCD) in young individuals even with early stage of the disease. Radiofrequency catheter ablation (RFCA) is a current option for the treatment of VAs but important differences must be considered in terms of indication, purposes and procedural strategies in the treatment of the two conditions. In this review, we comprehensively discuss clinical and electrophysiological features, diagnostic and therapeutic techniques in a compared analysis of these two entities.
    Keywords Internal medicine ; RC31-1245 ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2014-12-01T00:00:00Z
    Publisher CardioFront
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: New imaging technologies to characterize arrhythmic substrate.

    Antonio Dello Russo, MD, PhD / Sergio Conti, MD / Ghaliah Al-Mohani, MD, Phd / Michela Casella, MD, PhD / Francesca Pizzamiglio, MD / Corrado Carbucicchio, MD / Stefania Riva, MD / Gaetano Fassini, MD / Massimo Moltrasio, MD / Fabrizio Tundo, MD, PhD / Martina Zucchetti, MD / Benedetta Majocchi, MD / Eleonora Russo, MD / Vittoria Marino, MD / Maria Antonietta Dessanai MD / Fabrizio Bologna, MD / Luigi Di Biase, MD, PhD / Andrea Natale, MD / Claudio Tondo , MD, PhD.

    Journal of Atrial Fibrillation, Vol 7, Iss 4, Pp 92-

    2014  Volume 98

    Abstract: Abstract The cornerstone of the new imaging technologies to treat complex arrhythmias is the electroanatomic (EAM) mapping. It is based on tissue characterization and in particular on determination of low potential region and dense scar definition. ... ...

    Abstract Abstract The cornerstone of the new imaging technologies to treat complex arrhythmias is the electroanatomic (EAM) mapping. It is based on tissue characterization and in particular on determination of low potential region and dense scar definition. Recently, the identification of fractionated isolated late potentials increased the specificity of the information derived from EAM. In addition, non-invasive tools and their integration with EAM, such as cardiac magnetic resonance imaging and computed tomography scanning, have been shown to be helpful to characterize the arrhythmic substrate and to guide the mapping and the ablation. Finally, intracardiac echocardiography, known to be useful for several practical uses in the setting of electrophysiological procedures, it has been also demonstrated to provide important informations about the anatomical substrate and may have potential to identify areas of scarred myocardium.
    Keywords Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2014-12-01T00:00:00Z
    Publisher CardioFront
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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