Attention Deficit Hyperactivity Disorder (ADHD) is characterised by low levels of internal-izing symptoms and self-efficacy which causes low self-esteem, while externalizing be-haviours appear to be related to high levels of stress in the parents.
The purpose of this research is to analyze the impact of ADHD on self-esteem and paren-tal stress. A multidimensional assessment of self-esteem was performed using the MSCS (Multidimensional Self-Concept Scale) in a group of 12 male patients with ADHD (age range 9-11 years). Parental stress was investigated using the Parenting Stress Index (PSI). These results were compared with a group of 12 healthy children (age 9-11 years), with both parametric statistics and correlation statistics.
The comparison between ADHD children and control subjects, performed by a calculation to rank with the Mann-Whitney, showed a high significance in two dimensional compo-nents of self-esteem: social relationships (Z -2.028 p 0.045) and academic success (Z -2.166 p 0.028). The total self-esteem score differed significantly between the two groups (Z -2.227 p 0.024). Parental stress increaseed with the level of the child‟s oppositional symptoms (p 0.790) but it did not correlate with the other scores (cognitive problems / inattention p 0.381); hyperactivity p 0.414; ADHD index p 0.324). The present study shows that self-esteem is impaired among children with ADHD.
A Salt Harris Fracture is a fracture involving the epiphyseal plate or growth plate of a bone. It is a common injury found in children; occurring in 15% of childhood long bone fractures. Injuries of the ankle joint are common. In our case report, we describe the case of a thirteen-year-old patient under our treatment at the Orthopaedic emergency depart-ment of Val D’Elsa Hospital (in Campostaggia Poggibonsi, Siena), who presented with a bimalleolar Salter Harris III fracture after a sport trauma. We reduced the bimalleolar Salter Harris III with percutaneous K-wires instead of an open access and two screws (one on the top and another on the bottom of the epiphyseal plate of distal tibia). We per-formed it according to a revision of scientific literature. The result was a satisfactory re-duction of the bimalleolar Salter Harris III.
KNOWLEDGE, ATTITUDES AND BEHAVIORS REGARDING INFLUENZA VACCINATION AMONG HYGIENE AND PREVENTIVE MEDICINE RESIDENTS IN CALABRIA AND SICILY.Written by Claudio Costantino et al.
Vaccinating health care workers is considered to be one of the most important steps in preventing the transmission of the influenza virus to vulnerable patients. Public Health physicians are the main promoters and executors of influenza vaccination campaigns for both healthcare workers and the general population.
The objective of the present survey was to analyze the knowledge, attitudes and practices regarding influenza vaccination among Hygiene and Preventive Medicine Residents.
64% of the participants had not been vaccinated against the influenza virus in the past 5 years, and 29% had been vaccinated only occasionally , with only 7.2% of the study popu-lation having been vaccinated every year. 20.3% of those surveyed were vaccinated in the 2010/2011 season. The best strategy to increase vaccination rates among health care workers according to the study participants was the participation of future public health operators to multidisciplinary training (34.8%)
the main factors associated with influenza vaccination compliance were having been vaccinated in the previous season for 2011/2012 (OR [95%]: 41.14 [7.56 - 223.87]) and having received the vaccination always or occasionally during the previous 5 years for both 2010/2011 (p-value <0.0001) and 2011/2012 (p-value <0.0001).
The findings of this study suggest that future public health physicians with a history of refusing influenza vaccination in previous years usually tend to maintain their beliefs over time. Changing this trend among Hygiene and Preventive Medicine residents is the real challenge for the future, and it can be achieved through organization of multidisciplinary training, improvement of university education and increasing the involvement of Hygiene and Preventive Medicine residents in influenza vaccination campaigns both for the gen-eral population and health care workers.
The patient was diagnosed with right foot cutaneous melanoma in February 2004.
In October the patient became metastatic and he underwent three different lines of tradi-tional chemotherapy (Fotemustine, Dacarbazin and Carboplatin with Thalidomide) but each time a progression of the disease was noted. Consequently, the patient was enrolled in Protocol CA180008 and treated with ipilimumab 10mg/Kg every 3 weeks for 4 cycles.
Ipilimumab has been established as a drug able to induce long-lasting responses, and has been approved for patients with metastatic melanoma in first- and second-line treatment by the FDA and in second-line treatment by the EMA.
FRACTURES OF THE PROXIMAL EXTREMITY OF THE FEMUR:CURRENT DIAGNOSTIC AND THERAPEUTIC CLASSIFICATION OVERVIEWWritten by Massimiliano Gallo et al.
The goal of this case report is to describe the shame and the social stigma related with suspicious of pedophilia and how it led a man to suicide by fire, considering that is an unusual way to die in western countries.
ARTICLE RETRACTED: the role of multidectector ct angiogram in the evaluation of patients with abdominal aortic aneurysmWritten by RETRACTED
Colorectal cancer is the third most common malignancy and the third leading cause of cancer-related death worldwide. Recently, the introduction of novel drugs (anti-angiogenic drugs) has led to a significant improvement in the survival rates of patients with metastatic colorectal cancer. The RECIST (Response Evaluation Criteria for Solid Tu-mors) parameters cannot adequately detect important effects of treatment and response to the application of these new drugs. New radiologic methods, such as diffusion-weighted MRI, could help to assess the quality and quantity of the response more accu-rately. Diffusion-weighted MRI imaging is based on a technique sensitive to the Brownian motion of water molecules over short distances.
This article describes our experience with this method in patients with liver metastasis from colorectal cancer after treatment with bevacizumab.
Over the last few years, enormous progress has been made in Cardiovascular imaging. Myocarditis is today an underdiagnosed cause of acute sudden death, heart failure, and chronic dilated cardiomyopathy. Its diagnosis is frequently missed or delayed and it can simulate an acute coronary syndrome because of its clinical presentation and elevation of cardiac enzymes. Cardiac Magnetic Resonance has become the leading modality for its noninvasive diagnosis, and it often replaces endomyocardial biopsy in clinical practise.