John Cabot University ScholarShip

Recent Submissions

  • Publication
    Intra- and Extra-Hospitalization Monitoring of Vital Signs—Two Sides of the Same Coin: Perspectives from LIMS and Greenline-HT Study Operators
    (2023) Pietrantonio, Filomena; Vinci, Antonio; Maurici, Massimo; Ciarambino, Tiziana; Galli, Barbara; Signorini, Alessandro; La Fazia, Vincenzo Mirco; Rosselli, Francescantonio; Fortunato, Luca; Iodice, Rosa; Materazzo, Marco; Ciuca, Alessandro; Cicerchia, Lamberto Carlo Maria; Ruggeri, Matteo; Manfellotto, Dario; Rosiello, Francesco; Moricon, Andrea
    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 management of chronic patients during both hospitalization for disease and discharge, randomized studies (LIMS and Greenline-HT) are ongoing in the Internal Medicine Unit at ASL Roma 6 Castelli Hospital. The study endpoints are clinical outcomes (from a patient’s perspective). In this perspective paper, the main findings of these studies, from the operators’ point of view, are reported. Operator opinions were collected from structured and unstructured surveys conducted among the staff involved, and their main themes are reported in a narrative manner. Results: Telemonitoring appears to be linked to a reduction in side-events and side-effects, which represent some of most commons risk factors for re-hospitalization and for delayed discharge during hospitalization. The main perceived advantages are increased patient safety and the quick response in case of emergency. The main disadvantages are believed to be related to low patient compliance and an infrastructural lack of optimization. Conclusions: The evidence of wireless monitoring studies, combined with the analysis of activity data, suggests the need for a model of patient management that envisages an increase in the territory of structures capable of offering patients subacute care (the possibility of antibiotic treatments, blood transfusions, infusion support, and pain therapy) for the timely management of chronic patients in the terminal phase, for which treatment in acute wards must be guaranteed only for a limited time for the management of the acute phase of their diseases.
  • Publication
    Applications to augment patient care for Internal Medicine specialists: a position paper from the EFIM working group on telemedicine, innovative technologies & digital health
    (2024) Pietrantonio, Filomena; Florczak, Michał; Kuhn, Sebastian; Kärberg, Kati; Leung, Tiffany I.; Said Criado, Ismael; Sikorski, S.; Ruggeri, Matteo; Signorini, Alessandro; Rosiello, Francesco; Drago, Carlo; Vinci, Antonio; Barreto, Vasco; Montano, Nicola; Dicker, D.; Gomez Huelgas, Ricardo
    Telemedicine applications present virtually limitless prospects for innovating and enhancing established and new models of patient care in the field of Internal Medicine. Although there is a wide range of innovative technological solutions in Europe, there are overarching elements associated with such technologies when applied to the practices of Internal Medicine specialists. The European Federation of Internal Medicine (EFIM) strongly advocates for active leadership and influence from the Internal Medicine societies and specialist physicians across Europe in the development and application of telemedicine and digital technologies in healthcare. This position paper’s conclusions were drawn via Delphi method, which was developed collaboratively from July 2021 to December 2023. The panel, consisting of experts in clinical medicine, public health, health economics and statistics, assessed various aspects related to telemedicine. Participants assigned scores on a Likert scale reflecting perceived value and potential risks. The findings were consolidated in a comprehensive checklist aligning with relevant literature and a SWOT analysis. Specifically, key issues that need to be addressed include promoting the professional development of e-health competencies in the healthcare and medical workforce, using educational campaigns to promote digital literacy among patients and caregivers, designing and implementing telemedicine applications tailored to local conditions and needs and considering the ethical and legal contexts under which these applications are employed. Importantly, there is currently no consensus on care models or standardized protocols among European Internal Medicine specialists regarding the utilization of telemedicine. This position paper aims to outline the opportunities and challenges associated with the application of telemedicine in Internal Medical practice in Europe.
  • Publication
    Georgette Heyer, Wellington’s Army and the First World War
    (2021) Wilcox, Vanda
    This chapter first positions Heyer’s work within the landscape of interwar fiction as shaped by the First World War. It then explores her depiction of Wellington’s army across several novels. Finally it considers Heyer’s construction of gender roles in wartime.
  • Publication
    A European History of Michael Howard’s War in European History
    (2022) Wilcox, Vanda
    Michael Howard’s War in European History, published in 1976, was one of his most influential works. This article traces its reception in France, Italy and West Germany, contextualising the book within the post-Second World War development of military history in those countries. The ‘war and society’ approach for which Howard is celebrated developed along distinctive lines in each, so international scholars focused on different aspects of the book. War in European Historywas also used by Umberto Eco to explore the relationship between force and power. His insights offer fresh ways to examine more recent developments in the field of military history.
  • Publication
    Killing to commemorate, dying to remember? Authenticity and the practice of memory in Isonzo
    (2024) Kempshall, Chris; Wilcox, Vanda
    First World War video-games have grown in importance and popularity since the centenary of 2014-18. But what does it mean to both develop and play these games? What vision of history is being constructed or transmitted between developers and players? Drawing on interviews with both these groups, this article examines the game Isonzoset on the Italian Front –an unfamiliar setting to most in the anglosphere –to explore the constructions of memory and historical meaning which the game produces.

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