Lorenzo Bellini

San Raffaele Scientific Institute | OSR

Introduction: Time plays a crucial role in the management of stroke, and changing the prehospital emergency network, altering the HUB and spoke relationship in pandemic scenarios, might have an impact on time to fibrinolysis or thrombectomy. The aim of this study was to evaluate the time-dependent stroke emergency network in Lombardy region (Italy...

Background: Out-of-Hospital Cardiac Arrest (OHCA) is a medical emergency whose chances of survival can be increased by rapid Cardiopulmonary Resuscitation (CPR) and early use of Public Access Defibrillators (PAD). Basic Life Support (BLS) training became mandatory in Italy to spread knowledge of resuscitation maneuvers in the workplace. Basic Life...

Obiettivo: indagare la relazione tra la preparazione teorica e l'autonomia lavorativa degli infermieri in alcuni scenari clinici chiave. Riassunto : una buona preparazione teorica è necessaria per poter esercitare la professione infermieristica al meglio con sicurezza e autonomia. Ciò è quanto mai vero in contesti frenetici e caotici come la medici...

Background and aim: Obtaining a degree in medicine in Italy qualifies for the medical profession; this fact has entailed a newly qualified doctor's remarkable involvement on the medical activities of the National Health Service, especially during the Covid-19 pandemic. It is important to understand the knowledge of the newly qualified doctors and...

Objectives: During the coronavirus disease 2019 pandemic, emergency medical services (EMSs) were among the most affected; in fact, there were delays in rescue and changes in time-dependent disease networks. The aim of the study is to understand the impact of COVID-19 on the time-dependent trauma network in the Lombardy region. Methods: A retrosp...

INTRODUZIONE (Background) Durante la pandemia da COVID19, i sistemi medici di emergenza (EMS) sono stati tra i più colpiti; vi sono stati ritardi nei soccorsi e cambiamenti nelle reti delle patologie tempo-dipendenti. La letteratura evidenzia un cambiamento nella rete tempo-dipendente del trauma maggiore, con ritardi riportati nei tempi di soccorso...

INTRODUZIONE (Background) I medici neoabilitati (abilitati da meno di 24 mesi alla professione) in Italia svolgono differenti mansioni al servizio del SSN. Infatti, la norma vigente prevede l’obbligo di specialità per poche professioni mediche. Per questo motivo, oltre che alla carenza strutturale di medici, molti medici neoabilitati si possono tro...

Objectives: The COVID-19 pandemic had a significant impact on emergency medical systems (EMS). Regarding the ST-elevation myocardial infarction (STEMI) dependent time network, however, there is little evidence linked to the post-pandemic phase regarding this issue. Such information could prove to be of pivotal importance regarding STEMI clinical ma...

Background and aim: simulation became gradually pivotal in training of health professionals: indeed, it showed an improvement in practical skill of the trainees compared to theoretical lectures. Among others, ACLS (advance cardiovascular life support) courses are now one of the standard learning practices most spread around the world. The primary...

Objective: The COVID-19 pandemic changed the time-dependent cardiac arrest network. This study aims to understand whether the rescue standards of CPR and out-of-hospital cardiac arrest (OHCA) were handled differently during pandemic compared to the previous year. Methods: Data for the years 2019 and 2020 were provided by the records of the Lomba...

Il ruolo della preparazione teorica nell'autonomia e sicurezza lavorativa dei giovani medici. Riassunto : una buona conoscenza teorica è necessaria per poter esercitare la professione medica al meglio con sicurezza e autonomia. Soprattutto in setting come il Pronto soccorso, in cui i medici neoabilitati possono svolgere il loro lavoro, nonché in ci...

(1) Background: Patent foramen ovale (PFO) is a congenital abnormality present in up to 25% of the general population, and it is a relevant cause of cryptogenic stroke. We applied the hospital-based HTA model (AdHopHTA) to conduct a multidimensional assessment of NobleStitch EL, an innovative suture-mediated PFO closure device. We compared it to Am...

Background during the COVID-19 pandemic a total lockdown was enforced all over Italy starting on March 9 th . This resulted in the shrinking of economic activities. In addition, all formal occupational security-training courses were halted, among them the 81/08 law lectures and Basic Life Support-Defibrillation (BLS-D) laymen training courses. The...

Ensuring timely access to affordable vaccines has been acknowledged as a global public health priority, as also recently testified by the debate sparked during the COVID-19 pandemic. Effective vaccine procurement strategies are essential to reach this goal. Nevertheless, this is still a neglected research topic. A narrative literature review on vac...

Issue Following the SARS-Cov-2 outbreak in Wuhan, China, the first case of COVID-19 was reported in Codogno, Lombardy, Italy, on 20 February 2020. The ongoing epidemic has exposed the health care system to a severe stress. San Raffaele Hospital (OSR) in Milan, Italy - a leader in the emergency management, may provide a benchmarking experience usefu...

Telemedicine is the practice of medicine from distance using information technology and include mainly teleconsultation via video and/or chat, teleexpertise to request the opinion of a specialist, and remote patient monitoring to improve the follow-up of patients. The use of telemedicine in mental health and most specially psychiatry has been one o...

As smartphone usage is more and more ubiquitous, the app market is flourishing in all fields, including health. Indeed, the availability and use of smartphone apps (SAs) in health has exponentially grown in recent years. It has been estimated that in 2018 there were over 97,000 health apps available and that, 15% and 8% of US phone users aged 18-29...

Background and aim of the work: To reflect on content, trends and quality of scientific publishing on COVID-19. In particular, to report on the systematic screening, quantitative assessment and critical appraisal of the first 10,000 scientific papers published on COVID-19 and to compare how scientific outputs matched identified research priorities...

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Despite the great effort to raise awareness among health promotion, nowadays Public Health policies are not often recognized as important tools. For this reason, the Health in All Policies (HiAP) approach is instrumental in tackling this information gap. In 2018, the US Association of Schools and Programs of Public Health (ASPPH) launched an intern...