ABSTRACT
The article aims to consider the potentials of telemedicine in the Child Neuropsychiatry (NPI) area, by presenting the experience gained during the period of the lockdown due to the COVID-19 health emergency. The NPI Public Health out-patient service of Turin, North Zone (ASLTO4), has found itself facing the emergency with a considerable effort of creativity and flexibility and limited computer knowledges. The ASL TO4 NPI has promoted the use of information technology not only to support televisit/teleconsultation, but also in the field of telerehabilitation, a less obvious area for telemedicine and perhaps more innovative. Information technologies has been also used to enhance the network of operators and different services. The article illustrates the work done by ASLTO4 NPI, with specific attention to telerehabilitation with Autism Spectrum Disorders, and figures out the advantages and potentials of telemedicine resulted from this experience. The paper also suggests that, if telemedicine will further develop, Public Health Service should provide a Service Center or an information technology support structure focused to satisfy the needs of individual services by providing guidelines, platforms, data sharing and collection, with a specific attention to privacy and sensitive data management. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Italian) L'articolo vuole aprire una riflessione sulle potenzialita della telemedicina nell'ambito della NPI, prendendo spunto dall'esperienza maturata durante il periodo del lockdown a causa dell'emergenza sanitaria COVID-19. La Struttura Complessa di Neuropsichiatria Infantile dell'ASLTO4 ha cercato di affrontare l'emergenza con un notevole sforzo di creativita e di flessibilita e con delle limitate conoscenze informatiche. Si e promosso l'uso della tecnologia informatica non solo per la televisita, nelle sue varie declinazioni, ma anche nell'ambito della teleriabilitazione, un ambito meno scontato e forse piu innovativo. Si sono inoltre utilizzate le tecnologie informatiche per potenziare la rete tra gli operatori e tra i diversi servizi. L'articolo illustra il lavoro svolto soprattutto in teleriabilitazione nei Nuclei DPS (Disturbi Pervasivi dello Sviluppo) e sviluppa alcune conside- razioni sui vantaggi e sulle potenzialita della telemedicina in base a quanto emerso durante l'esperienza. Inoltre, suggerisce che, qualora la telemedicina dovesse ulteriormente svilupparsi, i Servizi sanitari dovrebbero prevedere la creazione di un Centro Servizi, ovvero di una struttura di supporto informatico che risponda in maniera sistematica alle esigenze dei singoli servizi, che predisponga delle linee guida/ indicazioni operative e che offra delle piattaforme, dei sistemi di raccolta e di condivisione dei dati, in maniera interoperabile e con attenzione alle problematiche legate al trattamento dei dati sensibili. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Background: Venous thromboembolism, arterial thrombosis and thrombotic microangiopathy substantially contribute to increased morbidity and mortality in CoViD-19. We report a case of 56-year old man that presented with stroke and was found to have CoViD- 19 pneumonia complicated by pulmonary embolism (PE). Description of the case: A 55-year-old man with history of hypertension presented to the emergency department after a transient loss of consciousness. He was found to have left lateral hemianopia and lower right quadrantanopsia and head CT confirmed bilateral stroke in the posterior cerebral artery territory. MR angiography excluded atherosclerosis/dissection of the vertebral and basilar artery and a positive nasopharingeal swab PCR test revealed SARS-CoV-2 infection. The patient was admitted and ASA 100 mg and enoxaparin 40 mg per day were started. He experienced dry cough and fever and 10 days after admission presented atypical chest pain. CT Angiography revealed multiple confined ground glass opacities with segmental bilateral PE. Therapeutic dose of enoxaparin was started and after 5 days switched to edoxaban 60 mg per day. The patient progressively recovered and a complete work up excluded patent foramen ovale and any other cause predisponing to combined presence of venous and arterial thrombosis Conclusions: CoViD-19 has presented many diagnostic challanges in patients with neurologic and respiratory findings: thromboembolic disease may even be the initial or unique presentation. The early recognition of these phenotipes of the disease play a dramatic role in the CoViD-19 management.
ABSTRACT
COVID-19 data analysis has become a prominent activity in the last year. The use of different models for predicting the spread of the disease, while providing very useful insights on the epidemics, are not inherently designed for interactive analysis, with time for a single computation ranging in the tens of seconds. In order to overcome this limitation, this paper proposes three techniques for progressive visualization of Susceptible-Infectious-Recovered (SIR) models data, that govern the trade-off between time and quality of the intermediate results. The techniques are quantitatively evaluated showing promising results. © 2021, Springer Nature Switzerland AG.
ABSTRACT
We report the case of a 93-year-old woman on haemodialysis treatment for more than 30 months and with multiple comorbidities who recovered from a Covid-19 infection without any significant clinical problems. The patient has shown a delay in viral clearance with swab test negativization (confirmed) after 33 days;after testing positive again, she has resulted persistently negative, (confirmed after 49 days). After the first negative swab, IgG and IgM antibodies have been found;these have remained persistently positive after a month. As well as highlighting an unexpected resilience in an extremely fragile context, the analysis of this case draws attention to patients' management and, potentially, to the need to arrange dialysis treatments in isolation for some time after their "laboratory recovery".