Publications by authors named "Vanessa Nunziata"

Article Synopsis
  • * Most residents with dysphagia are given texture modified diets, while only a small percentage receive artificial nutrition (AN), but no notable differences in weight loss or mortality are observed between the two nutritional approaches after 12 months.
  • * The findings emphasize the need for better awareness and management of dysphagia in nursing homes to potentially improve outcomes for these residents, as its prevalence and associated risks are often underestimated.
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Polypharmacy represents a major clinical and public health issue in older persons. We aimed to measure the prevalence of polypharmacy, and the main predictors of drug prescription in nursing home residents. Post hoc analyses of the "Incidence of pNeumonia and related ConseqUences in nursing home Residents" (INCUR) study were conducted.

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Objectives: To evaluate the impact of an educational intervention based on the Italian Society of Internal Medicine Choosing Wisely (CW-SIMI) recommendations.

Design: Multicenter, interventional, controlled study.

Setting: Twenty-three acute-care hospital wards in Italy.

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Article Synopsis
  • The study investigates cardiac autonomic control (CAC) in patients with community-acquired pneumonia (CAP) for the first time, linking alterations in CAC to disease severity and clinical outcomes.
  • Among 75 CAP patients studied, results showed a significant decrease in heart rate variability and sympathetic modulation compared to healthy controls, particularly in those with severe CAP.
  • Key findings indicate that reduced sympathetic oscillation correlates with longer time to clinical stability during hospitalization, suggesting that monitoring CAC could help predict patient outcomes.
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Background: Sleep loss is associated with increased cardiovascular morbidity and mortality. It is known that chronic sleep restriction affects autonomic cardiovascular control and inflammatory response. However, scanty data are available on the effects of acute sleep deprivation (ASD) due to night shifts on the cardiovascular system and its capability to respond to stressor stimuli.

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