Massimo Maurici

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Verified

Massimo verified their affiliation via an institutional email.

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• Medicine and Surgery
• Tenured Assistant Professor at University of Rome Tor Vergata

Background/Objectives: Inflammatory bowel diseases (IBD) include Crohn’s disease (CD) and ulcerative colitis (UC). The availability of an increasing number of new mol-ecules approved for IBD treatment has increased our ability and aspirations to change their natural history. The STRIDE II consensus is the current established suggested strategy for...

Background The main treatment for Celiac Disease (CD) is the gluten-free diet (GFD). However, in some CD patients, iron deficiency anemia can be persistent despite a GFD. Aim In this study, we aim to evaluate the prevalence of anemia in both adults and children with CD at the diagnosis and during the GFD. Methods In this cross-sectional study inc...

Background: The surgical pathway represents a fundamental process in hospital productivity, and its digitalization is a major focus for hospital management. ASL Roma 1 health authority has taken up this digitalization challenge by introducing an Operation Room Management (ORM) system within the operating block of one of its hospital facilities in...

Background: A bundle is a set of three to five evidence-based interventions designed to improve the quality and outcomes of care processes. Numerous international studies have evaluated the effectiveness of Bundles/Care Bundles (BCB) in reducing morbidity and mortality. The Institute for Healthcare Improvement (IHI) has defined the concept of a bun...

Background Recent studies have reported the increasing utilisation of the Emergency Departments (EDs) for non-urgent attendances by people aged <18 years. The aim of this study is to describe the characteristic of the paediatric frequent user (FU) population, highlighting the differences between FUs and non-FUs, and to identify factors linked to ap...

Background and aim: During the Covid-19 pandemic, the world implemented strategies to contain and prevent the transmission of SARS-CoV-2. Nurses played a key role in informing and educating the population on correct health management and the fight against SARS-CoV-2 infection. This study aims to analyse Italian nursing students' knowledge, attitude...

Background: Moral Distress (MD) is a unique form of distress that occurs when people believe they know the ethically correct action to take but are constrained from doing so. Limited clinical experience and insufficient ethical knowledge contribute to nursing students’ MD, which can potentially cause negative outcomes. The aims of this study are: (...

Background and Objective: Governments around the world implemented lockdown measures to flatten the pandemic curve of COVID-19 and, as a result, schools, colleges and universities in the highly contagious areas of the world closed and shifted from face-to-face learning to online methodologies. The rapid change in teaching methodology introduced man...

BACKGROUND Care-Related Infections, are infectious diseases that occur in a care setting. The most important methods of prevention are hand hygiene and proper use of gloves and gowns. Recent literature points out that mobile devices being in contact with hands or potentially contaminated environments can promote an increased occurrence of HAIs. OB...

Background: The main treatment for Celiac Disease (CD) is the gluten-free diet (GFD). However, in some CD patients, iron deficiency anemia can be persistent despite a GFD. Aim: In this study, we aim to evaluate the prevalence of anemia in both adult and pediatric CD patients at the diagnosis and during the GFD. Methods: In this cross-sectional stud...

Introduction Delayed discharge represents the difficulty in proceeding with discharge of patients who do not have any further benefit from prolonged stay. A quota of this problem is related to organizational issues. In the Lazio region in Italy, a macro service re-organization in on the way, with a network of hospital and territorial centers engage...

Introduction: In 2005, the Italian Ministry of Health entrusted the National Agency for Regional Healthcare Services (Agenzia Nazionale per i Servizi Sanitari Regionali, AGENAS) with the task of monitoring the implementation of recommendations to prevent sentinel events, which are serious adverse events that can compromise patient safety. The aim...

Background: It has been reported that mid-regional proadrenomedullin (MR-proADM) could be considered a useful tool to stratify the mortality risk in COVID-19 patients upon admission to the emergency department (ED). During the COVID-19 outbreak, computed tomography (CT) scans were widely used for their excellent sensitivity in diagnosing pneumonia...

Switching to bictegravir, emtricitabine, and tenofovir alafenamide (BIC/FTC/TAF) from other antiretroviral regimens is safe and effective for virologically suppressed people living with HIV (PLWH). The term virological suppression includes both low but detectable HIV viremia and undetectable HIV viremia, and the latter is possibly associated with a...

Background: COVID-19 represents a threat for frailty patients. Objective: Investigate efficacy, safety and economic value of treatment with Molnupiravir in a cohort of fragile patients affected by COVID-19. Methods: Observational, prospective study. The data collected allowed to assess efficacy and safety of Molnupiravir in real life, compare the r...

We quantitatively and qualitatively evaluated the bacterial contamination of mobile phones (MPs) in relation to users’ demographics, habits, and device characteristics by administering questionnaires to 83 healthcare university students and sampling their MPs by following a cross-sectional design. The heterotrophic plate count (HPC) at 22 °C (HPC 2...

Background: In recent years, due to the epidemiological transition, the burden of very complex patients in hospital wards has increased. Telemedicine usage appears to be a potential high-impact factor in helping with patient management, allowing hospital personnel to assess conditions in out-of-hospital scenarios. Methods: To investigate the man...

Background Frequent users (FUs) are patients who repeatedly and inappropriately visit the emergency department (ED) for low-grade symptoms that could be treated outside the hospital setting. This study aimed to investigate the phenomenon of the FU in Rome by profiling such users and analyzing ED attendance by FUs. Methods The analysis was carried...

Introduction In electronic health records (EHRs), standardized nursing terminologies (SNTs), such as nursing diagnoses (NDs), are needed to demonstrate the impact of nursing care on patient outcomes. Unfortunately, the use of NDs is not common in clinical practice, especially in surgical settings, and is rarely included in EHRs. Objective(s) The a...

There is no evidence with regard to the effectiveness of the use of simulation in video conferences to facilitate the learning experiences of nursing student. Aims. To describe the research protocol 1) to validate instruments measuring student satisfaction, self-confidence, and perceptions of good planning and best practice in the use of virtual si...

The burden, microbial etiology and clinical impact of hospital-acquired respiratory infections (HARIs) were determined at an Italian teaching hospital over a 12-month period. For this purpose, overall ordinary hospitalizations ≥ 2 days of subjects over 18 years old with discharge from 1 January 2018 to 31 December 2018 were examined by cross-refere...

Background The SARS-CoV-2 pandemic put under pressure all the world's health systems, to the point that it was a severe threat to their stability. At the same time, this scenario confirmed the importance of primary health care to guarantee effective care for patients who suffer from complex and chronic diseases. From these considerations and in the...

In the past two pandemic years, Emergency Departments (ED) have been overrun with COVID-19-suspicious patients. Some data on the role played by laboratory biomarkers in the early risk stratification of COVID-19 patients have been recently published. The aim of this study is to assess the potential role of the new biomarker mid-regional proadrenomed...

Context: Significant uncertainty exists about the diagnostic accuracy of ultrasonographic (US) features used to predict the risk of thyroid cancer in the pediatric population. Moreover, there are not specific indications for thyroid nodule evaluation in patients during the transition age. Objective: The meta-analysis aimed to address the following...

Background: obesity is one of the most prevalent diseases all over the world. Because of its high social impact, the broadest possible approach on several levels - and not limited only to clinical aspect - is needed to better understand and face the challenges obesity poses to public health. Objectives: to analyse, through the main evidence, the...

Background: Academic failure can negatively impact on the student, the university and the nursing workforce in the short term. The aim of this study is to analyze the characteristics and predictors of academic success in two cohorts of students of a Nursing Bachelor's Degree program. Methods: This longitudinal study enrolled students who attende...

Objectives To develop a self-report scale to measure academic motivation among nursing students and to test its psychometric properties. Methods a cross-sectional validation study with a convenience sample of nursing students (n=1,635) was performed. The Motivation Nursing Students Scale was developed; content, face, construct validity, hypothesis...

Background In the last two pandemic years, the Emergency Departments (ED) have been overrun with COVID-19 suspicious patients, creating a pressing need to optimize resources through risk stratification for those patients. For this reason, the assessment of prognostic tools and biomarkers have been necessary. Some dataon the role played by laborator...

Background Higher education students, especially nursing students, have drawn more attention as a group that is vulnerable to the risk of developing burnout syndrome. Purpose To test the psychometric properties of the Oldenburg Burnout Inventory in Nursing (OLBI-N). Methods The OLBI-N validity and reliability was tested in a sample of 476 nursing...

Mortalità generale 0-74 anni: nel 2020 il 13% in più del 2019 I decessi 2020 0-74 anni superano di 22.000 casi quelli dell’anno precedente (a fronte di circa 15.000 decessi Covid segnalati). Il tasso di mortalità std per 100mila nelle età fino a 74 anni è in media nazionale di 297 nel 2020 contro il 263 del 2019 e se per le femmine l’aumento medio...

Aims and objectives To describe the sociodemographic and academic characteristics of nursing students who report academic failure and to identify the determinants of academic failure (no degree on time) in a population of nursing students. Background Although prior studies have shown that academic failure is influenced by multiple factors, the stu...

Aim: To analyse any changes seen in the academic self-efficacy of nursing students during the three years of their academic education as well as the associated predictive factors. Design: A longitudinal study design was applied. Methods: The sample included 220 students who attended a large university in central Italy. The students' academic s...

Diagnostics is crucial for a prompt identification of SARS‐CoV‐2 infected patients, their isolation and treatment. Real‐time PCR is the reference method for the diagnosis of SARS‐CoV‐2 infection; however, the unprecedented increase in the number of infections worldwide calls for faster and easy methods that do not require skilled personnel and spec...

Introduction: The free-lance nurse, not bound to rigid organizational systems, can offer personalized assistance always respecting the rights of the person and of the profession. More recent graduates have decided to undertake the nursing profession by moving towards the free-lance nursing, considering it both as a career opening and as a professi...

Aims and objectives: To describe the care provided to patients admitted into a community Nursing-Led inpatient unit and to identify factors predicting a length of stay exceeding an established threshold. Background: Few studies have been conducted to describe the care provided in a Nursing-Led unit. No studies have investigated factors affecting...

Since 2017, Italy has expanded the compulsory vaccination from 4 to 10 for those aged 0 to 16 years. Because of the great organizational effort required for the immunization services, minor attention was given to the vaccinations not included among the mandatory ones. This situation led to a real difficulty in harmonizing the vaccination procedures...

Aims and objectives: To examine nursing students' health habits. More specifically, the objectives were to determine whether there were any changes in their health habits during their course of study, and to understand whether the students' perceptions about good health conditions cohered with their health-related behaviour. Background: The tran...

Background: A high level of organizational well-being improves employee performance and influences the physical and mental health of healthcare providers and students. Objective: This study investigates the relationship between the work context, organizational well-being, and the psychophysical health of healthcare providers. Methods: A multic...

Mobile phones (MPs) are commonly used both in the personal and professional life. We assessed microbiological contamination of MPs from 108 students in healthcare professions (HPs), in relation to their demographic characteristics and MPs handling habits, collected by means of a questionnaire. Cultural and biochemical tests were performed, and stat...

Background: University time is considered to be a period of vulnerability among nursing students for substance abuse, which can create an unsafe clinical practice. The aim of this study was to investigate the substance abuse of nursing students in the form of alcohol, drugs and tobacco use during the course of studies. In addition, another study a...

Respiratory tract infections account for high morbidity and mortality around the world. Fragile patients are at high risk of developing complications such as pneumonia and may die from it. Limited information is available on the extent of the circulation of respiratory viruses in the hospital setting. Most knowledge relates to influenza viruses (FL...

Background: Self-employment represents a new work opportunity for new nursing graduates; however, little is known about nursing students' intention to meet this new demand from the labour market. Aims: To develop a theory-driven questionnaire to assess students' intentions for self-employment and psychometrically test this scale. Method: A cro...

Aims: An available strategy to counteract academic failure is the development and implementation of student academic self-efficacy; however, to date, there are no instruments measuring it. The aim of this study was to develop and psychometrically test an academic nurse self-efficacy scale. Design: A longitudinal study design was used in accordan...

Antimicrobial resistance (AMR) is the phenomenon whereby a microorganism (bacteria, fungi, viruses, and parasites) is resistant to an antimicrobial, previously effective for the treatment of infections generated by it. Although the emergence of AMR is a natural phenomenon, the lack of implementation of infection prevention and control hygiene measu...

Introduzione I telefoni cellulari, e gli smartphone in particolare, sono diventati uno strumento pressoché indispensabile nella vita quotidiana, nonché uno degli oggetti che più comunemente le persone portano con sé, sia negli ambienti professionali che personali. Il personale sanitario non fa eccezione. I “touchscreen” degli smartphone sono pertan...

INTRODUZIONE La vaccinazione antinfluenzale degli operatori sanitari è ben riconosciuta come misura di sanità pubblica in grado di proteggere gli operatori sanitari dall’influenza stagionale, e i pazienti fragili dal rischio delle complicanze a essa correlate. Tuttavia, il tasso di copertura vaccinale degli operatori sanitari, sia in Italia, che in...

Seasonal influenza vaccination (SIV) of health care workers (HCWs) is recommended in most countries to protect them and their patients from infection. Although SIV can reduce the risk of influenza complications among vulnerable patients, vaccination uptake is generally unsatisfactory. The present study aimed to assess the impact of different progra...

Aim: This study offers an overview regarding news and main themes which have been introduced by Law n. 24/2017 (the so called "Gelli-Bianco" law) in Italy. The normative content deals with the features of civil liability for healthcare professionals. More specifically, this article is referred to the contractual and extra-contractual liability of...

La componente della mortalità evitabile che identifica i decessi legati alla qualità dei servizi sanitari è quella che segna le maggiori distanze e divide l'Italia in due: tutte e solo le regioni del centro-nord, Lazio escluso, migliori della media nazionale. Resta tuttavia più elevato il tributo di morte per cause legate agli stili di vita: fumo,...

Background: Mortality is the most considered outcome for assessing the quality of hospital care. However, hospital mortality depends on diverse patient characteristics; thus, complete risk stratification is crucial to correctly estimate a patient's prognosis. Electronic health records include standard medical data; however, standard nursing data, s...

Background: Progressive patient care (PPC) has been defined as a systematic classification and segregation of patients based on their medical and nursing needs. Aim of the present research was to perform a systematic literature review about existing medical intermediate care unit organizational models and their performance strengths and weaknesses...

The National Vaccine Prevention Plan considers the recommendations for immune prophylaxis in all ages of life. However, compulsory vaccination introduced in 2017 focused the attention on improving global vaccination coverage in infants and children, giving less attention to adult/elderly vaccinations. The immunization of this population is necessar...

Purpose: To investigate whether the number of nursing diagnoses on hospital admission is an independent predictor of the hospital length of stay. Design: A prospective observational study was carried out. A sample of 2,190 patients consecutively admitted (from July to December 2014) in four inpatient units (two medical, two surgical) of a 1,547-...

INTRODUZIONE Il Piano Nazionale per la Prevenzione Vaccinale (PNPV) 2017-2019, recependo le indicazioni dell’OMS, raccomanda il 75% di copertura vaccinale antinfluenzale come obiettivo minimo per il personale sanitario. Tuttavia, in Italia le coperture vaccinali tra gli operatori sanitari risultano di molto inferiori a questo obiettivo, analogament...

Background: In an era of hesitance to use vaccines, the importance of effective communication for increasing vaccine acceptance is well known. This study aimed to assess the impact of a three-day residential course concerning empathy and counselling abilities on patients' ratings of the level of empathy of physicians and nurses working in vaccinat...

The management of healthcare facilities has become increasingly complex in recent years, leading to a greater demand for public health physicians in Italy. Public Health physicians are responsible for evaluating community needs, with particular attention to health determinants and, at the same time, to final user feedback. During their training, th...

Background: In the light of diagnostic and therapeutic advances, patients with a previous myocardial infarction or with a diagnosis of chronic obstructive pulmonary disease are vulnerable and need continuous monitoring over time. These pathological frameworks have a strong impact on the economy and on the status of the population and require effec...

Background Cardiovascular diseases are the leading causes of mortality and morbidity in Western countries. The possible synergistic effect of poor adherence to a Mediterranean diet (MD) and other risk factors for acute myocardial infarction (AMI) such as hypertension, cholesterol, ever smoker, BMI> 25, diabetes, has not been deeply studied. Design...

Background: Oncological diseases affect the biopsychosocial aspects of a person's health, resulting in the need for complex multidisciplinary care. The quality and outcomes of healthcare cannot be adequately assessed without considering the contribution of nursing care, whose essential elements such as the nursing diagnoses (NDs), nursing interven...

Il Rapporto MEV(i) 2018 www.mortalitaevitabile.it

MiNerVa Medicolegale 57 amatoriali 1. Nonostante i messaggi pubblici-tari illusori, la maggior parte degli integratori, a eccezione di pochi specificamente sottopo-sti a studio, mancano di dati scientifici sia a conferma della loro efficacia che di informa-zioni per quanto riguarda eventuali effetti in-desiderati o interazioni con farmaci o aliment...

Background. HCWs in UHUs face high job demand that can have adverse health effects. Objective: Investigate relationship between some job stressors and health-related quality of life among HCWs of three UHUs in Rome. Methods. Cross-sectional study. Work-related stress was measured with Demand–Control Questionnaire; health-related functioning with MC...

The aim of this study was to define the clinical impact of Herpes simplex virus-1 (HSV-1) DNA detection in the low respiratory tract of hospitalized patients. Forty-nine patients admitted to the University Hospital Tor Vergata, Rome, Italy, from May 2013 to June 2014, were analysed. Inclusion criteria were the presence or absence of HSV-1 DNA in cl...

Aims: To describe the prevalence of nursing diagnoses on admission among inpatient units and medical diagnoses and to analyze the relationship of nursing diagnoses to patient characteristics and hospital outcomes. Background: Nursing diagnoses classify patients according to nursing dependency and can be a measure of nursing complexity. Knowledge...

Rapporto MEV(i) 2017: Treviso apre la classifica, Napoli la chiude I dati provinciali sui decessi per causa 2014 appena rilasciati dall'Istat ed elaborati da Nebo Ricerche PA confermano la generale diminuzione della mortalità evitabile in Italia nel corso degli ultimi anni ma ribadiscono anche un'evidente disparità geografica, a livello sia regiona...

Hospitals are huge and complex systems. However, for many years, the management was commonly focused on improving the quality of the medical care, while less attention was usually devoted to operation management. In recent years, the need of containing the costs while increasing the competitiveness along with the new policies of National Health Ser...

The aim of this study was the quality of service evaluation of two different organizational ways in delivering infant vaccination according to a Regional Vaccination Plan. Eleven vaccination centres were selected in two Local Health Units (ASLs) belonging to the Regional Health Service of the Lazio Region, Italy. The services offering paediatric va...

Background: Herpes Simplex virus (HSV) is highly prevalent and ubiquitously distributed worldwide. It is responsible for a wide variety of clinical manifestations with a generally benign course in immunocompetent individuals and a worse prognosis in the immunocompromised. Methods & Materials: We studied the clinical, laboratory characteristics and...

This article aims to explore the regulatory and medicolegal aspects of experimental drug trials. Firstly, the authors provide definitions of drug according to WHO, the European Community and our official Pharmacopoeia, and that of experimental studies. They then explain the distinction between pure or basic research and drug trials and explain the...

To acquire essential knowledge and skills for Public Health practice, residents in Hygiene and Preventive Medicine programs should be provided with excellent training. On behalf of the Roman Public Health Academy (ARSP), the authors, representing the three Hygiene and Preventive Medicine residency training programs in Rome (Italy) aimed to propose...

Avoidable mortality in Italy - Reference period: years 2011-2013

Objective: The study was conducted to explore the knowledge of pregnant women about influenza, influenza vaccine during pregnancy and the attitudes regarding immunization. Methods: A questionnaire based on the model proposed by Yudin in 2009 was translated, adapted and administered to 309 pregnant women in the third trimester of pregnancy betwee...

AIM: The aim was of this pilot study was to validate a questionnaire to collect information on the number of health professionals, doctors and veterinarians working in the Departments of Prevention, Health Districts and Hospital Directions, their sociodemographic characteristics and cultural-background, define their educational needs, and subsequen...

Hospitals have been challenged in recent years to deliver high quality care with limited resources. Given the pressure to contain costs, developing procedures for optimal resource allocation becomes more and more critical in this context. Indeed, under/overutilization of emergency room and ward resources can either compromise a hospital’s ability t...

The magnitude of the present Ebola epidemic and the resonance in the media has led to the need to draw clear guidelines for the health personnel potentially involved, since the fears raised by the high lethality of the disease may create inefficiencies Here we present the guidelines for a medium-sized hospital, where, at present, the chance to conf...

Introduction: Social isolation increases in the over-74 population and it is a risk factor for death and Long Term Care (LTC) use. In order to prevent the negative consequences of social isolation on this population community interventions focused on strengthening the social network should be intensified. The aim of this paper is to describe the im...

Avoidable mortality in Italy - Reference period: years 2009-2011

The extraction of third molars (wisdom teeth) is one of the main surgical procedures performed in dentistry. The aim of this study was to describe the characteristics of patients undergoing the procedure in the SGC Fatebenefratelli Hospital, a large hospital in Rome (Italy), where about 20% of all third molar extractions in the Lazio Region are per...

Healthcare-associated infections (HAIs) are a significant cause of patient morbidity and mortality. They represent one of the biggest Public Health problems today as they prolong hospital stay, reduce quality of life and increase mortality. The frequency and severity of HAIs have increased due to increased severity of patients being admitted to hos...

Avoidable mortality in Italy - Reference period: years 2008-2010

Background: A new measurement process based upon a well-defined mathematical model was applied to evaluate the quality of human papillomavirus (HPV) vaccination centers in 3 of 12 Local Health Units (ASLs) within the Lazio Region of Italy. The quality aspects considered for evaluation were communicational efficiency, organizational efficiency and c...

The involvement of the oral cavity is rare but possible in patients with psoriasis. The geographic tongue and fissured one, followed by angular cheilitis and ectopic geographic tongue, are the events most frequently found. The interdisciplinary study was conducted by a dermatologist in collaboration with a dental hygienist in 22 patients with psori...