Showing papers by "Chiara Cogliati published in 2018"
TL;DR: It is suggested that, even in absence of other co‐factors and in otherwise healthy individuals, PM per se is sufficient to trigger parasympathetic dysautonomia, independently from changes in sympathetic control, and inflammation, in a dose‐dependent manner.
30 citations
TL;DR: CD is highly prevalent among Bolivians and Salvadorans living in Milan and regions with a large Latin American immigrant population should implement programmes of active detection and treatment.
12 citations
TL;DR: Pocket-size ultrasound devices (PSUD) is a reliable tool for the diagnosis of cholelithiasis when used by expert operators potentially reducing the need for further diagnostic tests and can even be successfully used by non-expert operators in outpatients setting after a short focussed training.
Abstract: Pocket-size ultrasound devices (PSUD) are now widely available becoming a useful tool for diagnostic and therapeutic purposes. We aim to investigate the accuracy of PSUD in diagnosing cholelithiasis as compared to traditional ultrasonography. Moreover, we tested the reliability of PSUD when performed by inexperienced internal medicine residents after a short-term training. We consecutively enrolled inpatients and outpatients referred to undergo abdominal ultrasonography for signs or symptoms of gallbladder diseases in two different hospitals. Every patient underwent two independent examinations with PSUD by both expert (EXPPSUD) and nonexpert operators (N-EXPPSUD), and a conventional examination with traditional abdominal ultrasound (AUS). Every naive operator underwent a short-term training with a 2-h theoretical lesson, and a practical training focused on gallbladder under expert operator supervision. Overall, 146 patients were consecutively enrolled. Considering conventional AUS as the reference standard, sensitivity and specificity of EXPPSUD were, respectively, 93.75 and 100%. Sensitivity and specificity of N-EXPPSUD were, respectively, 75 and 91.25%. Nevertheless, when considering outpatients, PSUD has a high diagnostic accuracy even when performed by N-EXPPSUD with sensitivity of 93% and specificity of 88%. PSUD is a reliable tool for the diagnosis of cholelithiasis when used by expert operators potentially reducing the need for further diagnostic tests. It can even be successfully used by non-expert operators in outpatients setting after a short focussed training.
6 citations
TL;DR: The educational endeavors of POCUS training in IM in five countries are outlined, thereby providing an international perspective on the state of PocUS use for internists globally.
Abstract: Point-of-care ultrasound (POCUS) is a rapidly evolving diagnostic modality and has been touted as the visual stethoscope of the 21st century. During the past decade, POCUS has emerged as a tool that can be used by internists as a POC extension of physical examinations and for providing high-quality clinical care at the bedside. Use of POCUS bymedical residents has been shown to increase diagnostic yield and favorably alter the course of patient care. The recognition of the utility of POCUS in internal medicine (IM) has gained global traction. In this article, we outline the educational endeavors of POCUS training in IM in five countries, thereby providing an international perspective on the state of POCUS use for internists globally.
5 citations