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Risks and benefits of hormonal therapies in women

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The authoritative point of view of Prof. Costantino Di Carlo

Female hormones, estrogens and / or progestogens, may be prescribed either to compensate for the deficiency resulting from menopause, or for contraception. We talk about it with Prof. Costantino Di Carlo, Ordinary of Gynaecology and Obstetrics of the University of Catanzaro “Magna Graecia”, an expert in the subject, who for years has been carrying out clinical and research activities in this field.

Professor, let’s talk about contraceptives: the pill has often been accused of having dangerous side effects. It’s true? Does it also have beneficial effects?

The pill, like all medicines, has side effects. These, however, have been overemphasized in our country, which in the western world is the one with the lowest rate of use of these drugs. This is bad because the pill, if used intelligently, can be a valuable ally for a woman’s health by preventing unwanted pregnancies and taking preventive and therapeutic effects. In fact, this drug significantly protects against ovarian and endometrial cancer. It also reduces menstrual pain and the extent of menstruation and is an effective therapy for endometriosis, polycystic ovary syndrome and premenstrual syndrome. The same active ingredients of the pill are contained in the patch and in the vaginal contraceptive ring. With these methods of administration, however, it is not necessary to remember to take the drug every day (the patch should be replaced every week, the ring once a month) and the effectiveness does not change in case of vomiting or diarrhoea.

How can hormonal therapies help women after menopause?

After the menopause some women have a series of symptoms (hot flashes, sweats, insomnia, nervousness) that significantly reduce the quality of life. Moreover, in this “delicate phase” of the life of every woman, the vulva and the vagina face a condition of atrophy that is often associated with difficulty or pain during intercourse or in the performance of daily activities. Female hormone therapy is extremely effective in the treatment of these disorders. Moreover, it intervenes in the prevention of some of the pathologies that appear after the menopause. In fact, it significantly reduces the risk of fractures resulting from osteoporosis and, most likely, also that of cardiovascular and neurodegenerative diseases. This therapy, however, must be strictly personalized and prescribed only after careful clinical evaluation by the doctor.

More info :

www.costantinodicarlo.it

www.sicontraccezione.it

www.simenopausa.it

cdicarlo@unicz.it

Minimally invasive vertebral surgery

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More and more patient-sized techniques

For a long time, open surgery was the only possible approach to the treatment of diseases of the spine. Over the last few years, however, thanks to the technological evolution and the availability of increasingly precise and cutting-edge instruments, a series of alternative intervention methods have been developed that are similar to the classical ones, which reduce the trauma to a minimum. surgical and psychological for the patient. “Minimally invasive surgery, more respectful of the anatomical integrity of the treated tissues, is increasingly replacing the traditional one, precisely because it offers numerous advantages, from the reduction of post-operative complications to a more rapid recovery of patient mobility” says Dr. Daniel Cabezas, Neurosurgeon and Vertebral Surgeon of the Aurelia Hospital of Rome and Rugani Hospital of Siena, highly specialized structures in the minimally invasive treatment of spine surgery and, precisely for this reason, particularly appreciated by patients throughout Italy.

Dr. Cabezas, which means, specifically, minimally invasive? And for which diseases of the spine can this surgery be applied?

Mininvasiveness means operating bone or non-bone segments (eg cartilages such as the intervertebral disc, or nerves and spinal cord) without damaging neighbouring tissues that are not involved in the damage. Nowadays minimally invasive surgery (microdiscectomy, vertebroplasty, percutaneous foraminotomy, endoscopy, etc.), which has reached unprecedented levels of precision, can be applied to almost all the most frequent morbid conditions: lumbar disc herniations and cervical, vertebral fractures, canal stenosis and instability. The treatment of the most extensive pathologies, such as the scoliosis of large tracts, can not be performed with minimally invasive techniques. The surgeon’s expertise is, therefore, fundamental: where necessary, he must be able to transform the “mini” technique into “open”, to minimize the risk of operating complications.

What advantages do minimal access techniques offer?

Significant reduction in surgical time, reduction of damage on paravertebral muscle structures, reduction of blood loss, better aesthetic results thanks to smaller incisions, shorter hospital stay (generally the patient is standing 24/48 hours after intervention), and a more rapid recovery of daily and work activities. In conclusion, the future of vertebral surgery will be increasingly minimally invasive precisely because, with adequate selection of patients and diseases to be treated, these procedures guarantee improvement or recovery from the problem.

Per maggiori info:

 www.dcabezas.it

info@dcabezas.it

Studio DentalSi, excellence at the service of patients

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The considerable point of view of dr. Santoro on the treatment of temporomandibular disorders

The temporomandibular joint disorders, which in Italy affect about 12% of the population and 33% have at least one symptom, include a variety of clinical situations that in addition to negatively affect mastication, swallowing and posture, give rise to dental, articular, muscular and cervical pains; in fact, the close correlation of the TMJ with the muscle-articular structures of the head and neck and with the postural structure of the whole body also leads to the definition of Cranio-Cervico-Mandibular Disorders (DCCM). “Thanks to an accurate clinical and diagnostic evaluation, today the specialist is able to assess the extent of these” disorders “and to prescribe the most appropriate therapeutic treatment to achieve optimal conditions” asserts Dr. Domenico Santoro, owner of the prestigious Studio DentalSi of Marcianise, center of excellence in oral health, guarantee of accurate and effective dental performance, worthy of the highest quality standards.

Dr. Santoro, how are these disorders diagnosed?

Performing an accurate clinical evaluation and diagnostic of the occlusion of the teeth, of the functionality of the Temporo-Mandibular Articulation (presence of noises or of blocks), of the analysis of the movements of mandibular excursion, of the masticatory and cervical musculature, and of some aspects postural of the patient. Only after a complete clinical picture can the cause of the symptoms be established and subsequently the most effective therapy. Technologically avant-garde, my studio is equipped with a highly innovative digital instrument, a particular latest generation electromyograph, able to detect, in a simple, rapid, non-invasive and harmless way, the scientific parameters of the occlusal balance with relative measurement of chewing muscles. The data thus acquired provide valuable information for the well-being of the patient, undetectable with traditional methods of analysis.

Based on this information, are you able to prepare the most effective therapy?

Absolutely yes! Generally, the therapeutic approach includes my-functional therapies of swallowing, physiotherapeutic and sometimes pharmacological, aimed at reducing pain, improving functional limitation and slowing down the progression of the disease. In severe cases it may be necessary to apply devices, such as therapeutic bites or retraction plates, which prevent the lower and upper teeth from articulating in a dysfunctional way. The precision of construction and custom intraoral adaptation are however fundamental for the result: this is the reason why it is necessary to contact only experienced professionals able to customize them according to the needs of the individual patient. Self-diagnosis (at the pharmacy you can buy preformed and self-modeling bites at a modest cost) can sometimes worsen your health!

More informations:

www.dentalsi.it

studiodentalsi@gmail.com

Tel. 3349111153  – 0823827648

by Roberta Imbimbo

The new frontiers of Plastic Surgery

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Mastoplasty with autologous fat of the patient

Thanks to the improvement of surgical techniques, and the continuous updating of highly qualified specialists, today we are talking about breast cancer surgery, able to restore breast cancer to women who have their own body integrity. “Plastic surgery can no longer be considered an integral part, but presupposed in the complex mechanism of breast care, where illness and self-perception intertwine each other” says Dr. Feliciano Ciccarelli, Specialist in Plastic, Reconstructive and Aesthetic Surgery in Naples.

Dr. Ciccarelli, what does the department that you run take care of?

The Department of Plastic Surgery of the Villa dei Fiori di Acerra Nursing Home (Naples) has several areas of interest, ranging from traumatology to cosmetic surgery. The one that required the greatest organizational effort, with exchanges with Italian and foreign centers, is mammary reconstruction, which in Campania records about 30% less interventions than the national average (PNE 2016). We have also established an interdisciplinary group with oncologists, radiotherapists, anatomopathologists and geneticists from the best centers, with whom we discuss all aspects of each case.

Today the intervention for breast cancer must necessarily tend to the contextual reconstruction of the breast involved. In this way, is it possible to restore complete bodily integrity to women?

Absolutely yes. In Italy today, there are about 800,000 women with a previous diagnosis of cancer or who are facing it. The 5-year survival ranges from 87% to 95% and it is now inconceivable not to offer an opportunity for reconstruction. I learned that the breast, beyond the aesthetic perception, for the woman represents maternity, dialogue, open relationship. In the last 15 years the reconstructive approach has shown a constant growth trend. The collaboration between general and plastic surgeons is fundamental for being oncologically radical and at the same time illustrating the reconstructive possibilities.

The reconstruction can be performed by inserting prostheses or using autologous tissues of the patient. What method do you prefer?

The use of autologous tissue, although technically more complex, is always preferable, where possible, because it guarantees more natural results and reduces the problems related to the use of prostheses, such as contractures, infections or unnatural results. Our challenge is that one of our patients, once healed from the tumor, returns to fully live their femininity.

For more info felicianociccarelli@libero.it

Studio Casella, excellence at the service of the patient

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The use of acupuncture in dentistry

Technological progress and the constant development of less invasive and aggressive surgical techniques for the patient have made it possible to achieve extraordinary goals even in the field of dental dentistry. The dental practice of Vito and Rosa Casella of Ercolano offers its patients excellent results even in difficult situations; thanks to the latest generation instrumentation used in every treatment, this highly qualified specialist is able, in fact, to pursue high quality standards with the utmost professionalism.

Dr. Vito Casella, what are the peculiarities of his dental practice?

Passion, professionalism and transparency: these are the distinctive features of a study that aspires to be identified as an example of Italian excellence. An important reality in the field of dentistry born from the desire to realize a precise dream: to give everyone a beautiful and healthy smile, with accessible care and certified quality. Strong of cutting-edge technologies and of the latest generation, it is able to offer effective, safe and complete performances in the different branches of dentistry; a wide range of therapies, strictly customized to the specific clinical needs of each patient.

How important is today to have a technologically advanced studio?

Very very much! Today, entering a dental practice for a patient is a completely different experience than in the past. Thanks to increasingly advanced technologies and instruments that reduce human error, the therapies have become faster and more secure; and the dentist, working with greater precision, is able to guarantee performance not only less painful but above all impeccable.

Speaking of cutting-edge methods, she is the only one to anesthetize patients not with traditional pharmacological treatments but using acupuncture. What benefits does this method offer?

For some time now, it has also become part of the western complementary medicine, acupuncture is very valid for analgesia, relaxation of the muscles and sedation (the patient can undergo any intervention remaining awake and without having assimilated chemical substances). This is important, for example, for allergy sufferers, for the elderly with compromised liver or kidneys and for those who do not tolerate the consequences of pharmacological anesthesia. Acupuncture offers many advantages, including a post-operative recovery much faster than a chemical anesthesia, provided that it is performed by qualified doctors and specialized in this branch of medicine.

More info vito.casella@libero.it

Superfoods, a new therapeutic weapon

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Is it possible to prevent diseases without drugs?

Superfood or supertrendy? We often read in newspapers or on the internet about food supplements or foods with miraculous properties. But is it all true or are they just illusions and fake news? Prof. Valerio Sanguigni, Cardiologist and Professor of Internal Medicine at the University of Rome Tor Vergata and Head of the U.O.C. of Internal Medicine of the Nursing Home Madonna delle Grazie of Velletri and Dr. Davide Francomano, Head of the Endocrinology Clinic of the same Nursing Home, help us to clarify this topic.

Prof. Sanguigni what are actually superfoods?

In the scientific reality are those foods that thanks to the high intrinsic content of natural antioxidants (polyphenols) can contribute, if taken regularly and in the right quantity, to restore the balance between oxidative stress and antioxidant defences and therefore to slow down aging and aging. disease onset.

Dr. Francomano, you have tested the effectiveness of superfoods in a widespread disease such as metabolic syndrome.

In a study, presented at the European Society of Hypertension congress, we demonstrated how the administration of a patented supefoods blend – (Powellnux), based on dark chocolate, hazelnut cream and green tea – in a group of patients affected by metabolic syndrome, determined a clear improvement of the circulation, with reduction of the values ​​of the arterial pressure.

Prof. Sanguigni but then is it really possible to cure only naturally with superfoods without using drugs anymore?

Multifunctional foods can not replace traditional medicines in patients with diseases in therapy, but they can be of great help in preventing cardiovascular diseases and at the same time improving the therapeutic efficacy in patients receiving pharmacological treatment. In a book coming out soon (“Superfoods: the secret of longevity.” Publisher Aliberti) scientifically analyse the superfoods, highlighting their real potential and opportunities for employment for health and well-being.

Is Dr. Francomano really possible to prevent diseases by using food supplements correctly?

We have developed a research line on prevention and treatment with natural supplements through a two-phase program. In the first phase we evaluate the degree of vascular aging of the organism and the magnitude of oxidative stress (Test Longevity score). In the second phase based on test results we prescribe food supplements with a high antioxidant content with a personalized approach. It is really possible to prevent diseases only by a rigorous method and supported by scientific evidence.

More info: sanguigni.valerio@gmail.comdavide.francomano@gmail.com

Family Mediation

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A valid alternative for overcoming the marriage crisis

Nowadays marriages have already drastically decreased in the last decade, and the cohabitations have a shorter duration, with serious repercussions on the psychological aspect of the couple and the children who are most affected by the family malaise. “Recently our legislation has introduced more simplified separation so as to allow procedures that are resolved quickly, especially in the absence of minor children “asserts without half terms the lawyer. Mara Zannoni of Rome, arguing for Family Mediation, for decades in use in other European States, Americans and Canadians.

Avv. Zannoni, what is Family Mediation?

It is a path that the parties decide to undertake with a third person, impartial (the mediator), aimed at the reorganization of family relationships. It can be used in various familiar contexts, but is usually undertaken following a separation or divorce. The mediator, who must be a person prepared for this purpose and officially recognized by the institutions, stimulates spouses (or former spouses or comrades) to reactivate communication between them and to draw up separation agreements for themselves and for any children, in absolute autonomy from the judiciary. In this way, the couple will find a new way of managing family relationships and parenting tasks, both from a psychological and purely practical point of view.

What are the advantages of this institute?

Compared to the traditional procedure, the advantages of an economic nature are considerable, thanks to decidedly more streamlined procedures. But it is above all those of a psychological nature that play a primary role. This path, in fact, allows the parties to constructively live their conflict and reorganize their lives by finding serenity and well-being. The important thing is to make the former spouses understand (if they are a marriage crisis) that one can cease to be spouses but not to be parents! It seems trivial, but unfortunately sometimes it happens to have to remark! During the meetings, usually on a weekly basis, the mediator will direct the parties to enjoy constructive and serene management of their relationship, learning to enhance their parenting functions and putting their educational responsibilities at stake. At the end of the entire journey, if an agreement is reached, a draft agreement is drawn up which, signed by the parties, must first be handed over to the lawyers and then to the judge who will insert the conditions in the de qua sentence. A fundamental role in this scenario Lawyers have the right to verify – subject to assessment on a case by case basis – whether the conditions for mediation exist.

More info mara.zannoni@hotmail.it cell 329 2194011

Antonio Moccia, stories of Campania excellence

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Ambassador in the world of “sustainable beauty” philosophy

Even in Italy the general attention to a “cruelty free” lifestyle has increased. A recent market survey has, in fact, found that even the world of beauty records a significant increase in people who choose sustainable products. Among the beauty salons that adopt products that are friendly to the environment there is Antonio Moccia, well-known hairstylist of S. Giovanni a Teduccio (Naples), who has made the “sustainable beauty” a real company and life philosophy.

Antonio Moccia, what does this new concept of beauty consist of?

My ethics of beauty consists in welcoming, listening to the needs of my clients loving their hair. It is a great responsibility that I have towards people, I am aware of it, and for this reason, in the exercise of my profession, I try to pay the utmost attention, because quality is an added value. A behaviour, my, responsible and sustainable. By fully embracing this philosophy, I pursue excellence, I work to generate good life and choose products in line with my values, in order to guarantee maximum safety to our customers, entrusting me exclusively to our made in Italy Davines, where beauty and sustainability generate value.

We speak of your artistic expressions, your style, where simplicity, harmony and good taste are the masters. How do you define it?

I like to consider myself a craftsman, a haircolorist with a great wealth of skills acquired in the field of color, cut and styling. The coloring service requires creativity, personalization, emotions and the use of an instrument that guarantees the health and well-being of the hair. My top works in permanent coloring are Flamboyage and Degradè, techniques that allow me to create hair with intense, luminous and vibrant colors. Thanks to my experience, which blends with fashion and philosophy, I always associate the colors with glamor cuts, from the short to the generous lengths lightened up to the vertical cut. Metaphorically speaking, “the secret is not to run after butterflies but to take care of the garden so that they come to you”: in other words, thanks to an exclusive, competent, reliable and courteous environment, customers come from everywhere in my salon.

You are a great master of art very tied to her territory. A difficult territory, too often a symbol of social decay, but which sometimes also tell a stories of success and excellence.

Especially in difficult and problematic contexts, we need to discover and enhance those unique stories that, even silently, are able to make an otherwise desolate landscape shine.

More info: antomoccia@libero.it

Grand Hotel Vanvitelli, for a stay of class and comfort

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Located in a strategic position, just a few minutes from the Reggia di Caserta and its marvelous gardens, the Grand Hotel Vanvitelli is the icon of hospitality made in Italy.

Elegantly furnished, prepared with attention to the smallest detail, this charming luxury hotel is an oasis of pure tranquility, in the pulsating heart of the city of Caserta. The class, elegance, professionalism and confidentiality of the staff distinguish this regal structure, with 240 rooms including Suites, Junior Suites, Superior and Standard, all finely furnished and equipped with every comfort, to ensure a pleasant stay to their guests.

The structure is also equipped with an elegant Wellness Center, Naboo Spa, defined by Master Meeting one of the best in Italy and, for this reason, officially nominated to participate in the 2018 World Spa Awards in the category Italy’s Best Hotel Spa for 2018: 1200 square meters of modern design and enveloping, for those who want to escape from the daily rush allowing themselves moments of pure relaxation between vapors, aromatherapy showers and ancient oriental rituals.

Do not miss the luxurious SPA Suites, true corners of paradise for couple beautiful moments and to celebrate important anniversaries. And to satisfy a demand for increasingly business services, the Grand Hotel Vanvitelli has invested heavily in the meeting industry of our country. Equipped, in fact, with no less than 16 conference rooms able to accommodate up to 1700 people,all-around and functional with cutting-edge audiovisual technology, the Grand Hotel Vanvitelli has quickly become one of the most important location for meeting on the national and international scene.

More info:

www.grandhotelvanvitelli.it

reservation@grandhotelvanvitelli.it

sales@grandhotelvanvitelli.it

Masseria Casella, breathtaking location for memorable events

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“Il Magnifico Don Sabatino” for a genuine and refined cuisine, inspired by the traditions of the territory

An ancient residence, immersed in an oasis of greenery and tranquillity, capable of creating timeless evocative atmospheres: Masseria Casella is the ideal location for exclusive and refined receptions. Completely immersed in breath taking natural scenery, in the heart of the Piana del Sele, between Salerno and Paestum, this enchanting structure offers unforgettable scenery, scents and intense colors in every season. In spring the ancient plane trees resume vigor filling up with green leaves that welcome the nests of wonderful birds; in autumn the foliage enchants with incomparable nuances while, during the winter, the sparkle of soft lights evokes warmth, creating a unique and romantic atmosphere. “The triumph of nature and the charm of the lush vegetation gratify the spirit by introducing the guest into an atmosphere of rare well-being”, asserts in no uncertain terms Simona Capece, who for years managed this elegant and welcoming structure brilliantly, not neglecting the activity of scientific and educational research.

Dr. Capece, why is Masseria Casella so special?

It is a place where time seems to stop, it will be for the energy of plants or perhaps for the simple but at the same time refined essence that emanates from every single corner of the Masseria. Our experience, the professionalism of a highly qualified team and the suggestiveness of an unrivaled location allow us to give a unique and special flavor to every single event. La Casella is also a place of culture, events, music and conferences, where thoughts, actions and the will of cultural exchange are interwoven at all levels.

The restaurant “Il Magnifico Don Sabatino” and the bistro “‘O Munaciello” are considered two excellences of the territory: what is the inspiration behind the Casella kitchen?

Casket of flavors and aromas linked to our age-old tradition, our dishes are made with genuine raw materials, strictly grown in our garden in full respect of the seasonality of the products. Refinement, genuineness and unmistakable flavors are qualities enhanced by the creativity and mastery of proven chefs, able to satisfy every need, guaranteeing our guests unique products for quality and presentation.

More info:

www.masseriacasella.com

info@masseriacasella.com

Tel: +39 089.302143) 

Facebook: masseria casella

 

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