02 Contributo in volume

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Endocrine and Metabolic Disorders in the ICU

The knowledge of metabolic disorders in critically ill patients has grown in the last decade. Metabolic alterations have been studied for more than a century and are composed of a big number of diseases and conditions. The word metabolism comes from the Greek word μεταβάλλω (meta-ballo), meaning to “change,” and refers to the complex number of chemical processes that happen in a living organism and that allow to change the molecules and use them to support the living process. The endocrine sy...

Principles and Management of ARDS

Acute respiratory distress syndrome (ARDS) was described for the first time more than 40 years ago. Since then, several progresses have been made in its definition, management, and in the understanding of the underlying pathophysiology. Despite ARDS is a syndrome of different entities and probably different inflammatory and biomechanical phenotypes, ARDS patients share some common features, like the need of respiratory support and the increased risk of ventilation-induced lung injury (VILI). ...

Diabetes Ketoacidosis: New Onset Diabetes with Diabetic Ketoacidosis After SARS-CoV-2 Infection in Adult Critically Ill Patient

Patients affected by diabetes have a higher rate of hospitalization and mortality after a SARS-CoV-2 infection. Diabetes is indeed a negative prognostic factor for coronavirus disease 2019 (COVID-19) and can increase its risk of severity and mortality by more than two times. Furthermore, although on one hand people with diabetes are more at risk of developing complications from COVID-19, the SARS-CoV-2 infection could also act as a diabetic agent by binding to ACE2 in the pancreatic beta-cell...

Equolibri in bilico. Significati estremi di salute: il fenomeno della somatizzazione

The illness condition is an experience that puts us in front of life’s meaningless. We can say disease is something we cannot escape, because is intrinsic to our being mortal but, at the same time, the inter- pretation and the significance that we attribute to this particular path could change the perception of ourselves and the world around us. The experience of illness, in particular chronic illness, could raise multiple questions in patients, for instance: My condition of illness can chang...

Directive (EU) 2019/633 on unfair trading practices in the agri-food chain

Since the action of the CAP began to become progressively less incisive, leaving farmers more and more exposed to the dynamics of an increasingly global and increasingly less assisted market, the problem of their adequate economic and contractual protection began to manifest itself with increasing evidence. The recent adoption of the EU directive 2019/633 of 17 April 2019, on unfair trading practices in business to business relationships in agricultural and food supply chain, is part of t...

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