Hypothyroidism, the reduced function of the thyroid, has seen an increase in the number of cases estimated up to 35% in the last few years. Although this increase is related to the aging population and the spread of diagnostic and preventive tools, environmental interference is not excluded. Dr. Antonio Stamegna, endocrinologist, intervenes on the topic.

What are the symptoms related to hypothyroidism?

A state of general indisposition where a condition of chronic fatigue, apathy, drowsiness, cognitive and memory deficits, blurred head, chilliness, swelling, weight gain prevails.

From the symptomatology we start to study the function of the thyroid by means of an ultrasound and the measurement of some specific hormonal parameters.

What is the main reason of hypothyroidism?

No doubt an inflammation of an autoimmune type with a chronically evolutive character (Hashimoto’s most frequent and frequent thyroiditis).

How do we get chronic autoimmune thyroiditis?

There is no single cause but a series of pathologies (mononucleosis, inflammation of various kinds of the respiratory tract) or special hormonal situations (menarche, pregnancy and delivery, menopause) which are the triggering causes of the autoimmune process. Who in these moments is in a condition of reduced immune defenses (hypovitaminosis D for example) develops thyroiditis.

how to proceed in these cases?

Much depends on the damage done by the thyroid and the reduction of its function. The reduction of some pro-inflammatory foods (gluten and lactose) and the combination of selenium and vitamin D result in a reduction of the autoimmune process. Often it is necessary to add a share of deficient thyroid hormones.
Is this a “lifetime” therapy?

Supplementary or replacement therapy with thyroid hormones in post-thyroid hypothyroidism is a chronic therapy that should be followed throughout life. Thyroiditis is not healed but the autoimmune process can be stopped by safeguarding the thyroid function as much as possible.

Are there any innovations in hormone treatment of hypothyroidism?

There are many novelties concerning the different hormone formulations: nowadays it is more and more affirming the combined therapy with both thyroid hormones. Not only T4 but also T3 to get as close as possible to the hormonal condition preceding thyroiditis.

Some patients are still treated with the extract from the pig’s thyroid, the “dry” thyroid. Do you agree with this therapy?

It is a therapeutic possibility that I do not exclude. Especially in small doses I have found that it is very effective in stopping the autoimmune process by inducing a reduction in antibodies and TSH in the early stages.

More info  (www.antoniostamegna.it) (info@antoniostamegna.it)

By Roberta Imbimbo

CreArea Broker is an insurance brokerage company, specialized in the credit and bond lines, offering a high level professional consultancy service. With 28 years of experience in the sector, of which 24 at the Departments of leading Credit Insurance Companies, internationally and with management roles, its founder Valerio Cursi wanted to highlight the importance in the correlation between the Credit Insurance and the new accounting standards IFRS9.What do the new IFRS9 principles provide for companies?From January 2018 the new IFRS9 accounting standards issued by the International Accounting Standards Board are operational. These introduce a more severe estimate of expected losses on loans, to define the provisions to be reported in the financial statements. Basically it imposes a greater protection to companies, against the risk of default of its customers. The analysis and data collection is complex, as the company itself must define the creditworthiness of its customers on specific parameters, sometimes unavailable.How does the Credit Insurance intervene?Credit Insurance facilitates this analysis, providing customer assessments and monitoring risks. In particular, by providing insurance coverage on individual customers, it allows reducing the volume of provisions required. CreArea Broker, who works indiscriminately with all credit insurers, proposes itself as a qualified consultant for companies, identifying the best insurance solutions.

For more info (www.creareabroker.it) (v.cursi@creareabroker.it)

The breast augmentation is, without a doubt, the most popular cosmetic surgery by women. Therefore, medical research in this field is constantly evolving to guarantee those who choose to undergo this intervention a result that is as satisfying and safe as possible. To illustrate the latest news on breast implants is Prof. Giuseppe Sportelli, a famous Surgeon and Plastic Surgeon in Rome.

Prof. Sportelli, how important is the choice of a prosthesis in a breast augmentation surgery? And what is the main approach today?

The choice of prostheses is a very important phase that can strongly condition the result of the intervention. Currently there are several types of prostheses on the market that differ in shape, surface and content: the choice of which model to use is referred to the surgeon who, based on his experience, will choose the one most suited to the patient’s physical shape and the characteristics of his tissues, in order to obtain a breast that is as natural as possible. Having said that, from the point of my clinical experience of more than thirty years, I would like to underline that today there is a certain return to the past.

What do you mean?

Until the end of the 80s the breast augmentation surgery was performed almost exclusively with smooth silicone implants, very soft and natural to the touch, but which unfortunately presented a high risk of capsular contracture. Since the 1990s, textured prosthetics have entered the market, much more tolerated and more resistant, but less soft to the touch. But lately the surgeons have come back to prefer the use of implants with a smooth silicone surface, which, compared to those used until the ’80s, have a low risk of capsular thickening and a great resistance thanks to the use of new technologies. Their advantage, compared to those with a “textured” surface, consists in the softer consistency, which gives the décolleté a more natural and harmonious shape, and in shorter skin scars requiring minimal surgical incisions.

The smooth prostheses on the market today guarantee the highest degree of safety, resistance and comfort?

They guarantee aesthetically extraordinary results but also greater safety, considering that they contain a “highly cohesive” silicone gel, which, even if the prosthesis breaks, does not spread into the surrounding tissues. In conclusion, the industrial research that has made available on the market the latest generation medical devices and modern surgical techniques make breast augmentation an increasingly routine intervention, free from unwanted effects.

More info (gsport1952@gmai.com) (www.chirurgiaesteticasportelli.it)

By  Roberta Imbimbo

How to recover from Morton’s Neuroma …

Morton’s disease is a neuralgic inflammation that affects the interdigital sensory nerve of the foot. Generally the patient suffering from this pathology feels pain, burning accompanied by small electric shocks, tingling, numbness and the immediate desire to take off his shoes. To illustrate the latest therapies in the treatment of this disease is Dr. Alessandro Caprio, Orthopedic Surgeon of Rome.

Dr. Caprio, how is Morton’s Neuroma treated today?The treatment strategy of this pathology, now diagnosed more and more often thanks to the diffusion of the ultrasound, is different according to its stage of evolution. The use of orthotics and physiotherapy can be effective in the early stages. However, when conservative treatments are no longer suitable for giving relief to the patient, surgery is generally recommended, which eliminates the disturbances but has a high rate of recurrence.

As an alternative to surgery, for years she has promoted a revolutionary treatment with the use of radiofrequency! What is it about?

This is a minimally invasive, outpatient procedure that is easy to perform and does not present any particular complications and is effective in 70-80% of cases. Under ultrasound guidance we reach the digital nerve with a simple needle, through which we pass a particular type of pulsed current that destroys the nerve fibers responsible for metatarsalgic pain. After a few minutes the patient can return to his normal daily activities.

For more info (info@piedeginocchio.com) (www.piedeginocchio.com)

The law n. 24 of March 8, 2017 introduced some news on medical and health responsibility, with lights and shadows, for the doctor and for the citizen-patient. The lawyer intervenes on the subject Emanuele Citriniti of the Court of Rome.

Avv. Citriniti, what are the most relevant innovations introduced by the c.d. Do you read Gelli?

The legislative novel has introduced art. 7 what has been called the “double track” of civil liability. While, in fact, the responsibility of the public or private health structure continues to be contractual (Article 1218 of the Civil Code), that of the physician, except for the case of contractual obligation assumed with the patient, now assumes an extra-contractual nature (Article 2043 of the Civil Code) ). It follows that the civil court action against the doctor is now subject to the shorter 5-year limitation period, while the one against the healthcare facility remains 10 years.

What’s new in the criminal field?Article. 6 of the law, in order to favor a deflation of the criminal litigation, introduced the art. 590 sexies in the penal code, which provides for the non-punishment of the doctor due to inexperience when, in the health activity, respects the recommendations provided by the guidelines of the Ministry of Health or, failing that, good clinical-care practices. However, the Gelli law has failed compared to the previous Balduzzi law, because the doctor continues to respond because of slight negligence, negligence, imprudence, but also due to the inexperience of the medical act, when there is not in the guidelines and good practices or for incorrect application to the case in point (Court of Cassation No. 31/17).

For more info (e.citriniti@tiscali.it) (www.avvocatoresponsabilitàmedica.roma.it)

by Roberta Imbimbo

Competence, quality, diversification and commitment the winning weapons to furnish the future …

The unparalleled strength of three generations has been and is able to decree the success of the family business, thanks above all to the superior quality of the products offered. La Stucchi Cecere s.a.s., founded in 1935 by Amedeo Cecere, specializing in the handmade production of decorative plaster stucco, offers a wide variety of both classic and modern models. Over the last few years the company in via Tirso (Rome) has managed to diversify its offer to its customers on two collateral aspects: fireplace stoves and lighting. To illustrate the key to the success of a company that now aims to expand its borders of competence is Claudio Piacentini to which his grandfather Amedeo sold the helm in 1997.

Claudio Piacentini, what are the strengths of Stucchi Cecere?

Competence, professionalism and experience are the hallmarks of a brand that has managed to impose itself thanks to the high quality of the materials used, all strictly eco-sustainable, the craftsmanship of the workings and the ability to meet the needs of each client, with customized solutions, also offering the possibility to reproduce any decorative element from sample or drawing.

La Stucchi Cecere is a virtuous example of how to do business today. What are your winning ideas for planning the future?

To further enhance our craftsmanship, which allows us to obtain finished products with attention to the smallest details and to diversify the offer, providing a wide range of plaster mantles to frame the fireplaces, also offering bioethanol, electric and gas stoves.

For more info (www.stucchicecere.it) (info@stucchicecere.it)

by Roberta Imbimbo

More and more women require Labioplasty surgery

Female intimate cosmetic surgery is a recent achievement of cosmetic surgery. Nevertheless, the requests for interventions increase each year: more and more women require, in fact, surgery to improve the aesthetics of the genital area. All this thanks to a lower inhibition, by women, to talk about their sexuality and to live it without any physical and psychological discomfort. The dott. Stefano Veneroso, surgeon at the Sanatrix Clinic in Rome.

Dr. Veneroso, what is the Labioplasty surgery?

It is the most popular female cosmetic surgery in Italy, and consists in the reduction of small vaginal lips where they appear relaxed, increased in volume or asymmetrical. Most women experience this problem with a profound sense of embarrassment and sometimes can experience discomfort during some sporting activities and / or sexual intercourse.

Is this a painful intervention?

Postoperative pain is generally absent or very limited, and however easily managed with mild pain-relieving therapy. The procedure is carried out under local anesthesia with sedation, lasts about 30-40 minutes and allows a full return to normal occupations already the day after the operation. Sexual activity can be resumed after about 4 weeks. The costs are rather limited, being a rapid procedure, to be carried out as a day hospital.

For more info mail: (dr.veneroso@gmail.com)

web: (www.liposuzioneroma.it)

“Sanatrix” private nursing home Rome – Tel. 06/86321981

The secret of the success of Caserta’s famous hair salon …

“The loss of a loved one is undoubtedly one of the most painful and difficult experiences life can put on a person’s path. A strong, profound and destabilizing experience that can leave an immense sense of emptiness and loneliness within us. And yet, even from the deepest pains, the courage to move forward can arise: the greatness of a man is measured by his ability to rise again after every fall! “. Thus began the exciting story of Mario Mosca, owner of the famous hair salon Mosca Hairdressers of Caserta who at a young age has lost his father Ado. “Only when we are able to truly accept what has happened, ceasing to consume tears and anger, and to rebel against the evidence, we are able to find within ourselves the necessary strength to continue living, dreaming and hoping. I found the strength to medicate a wound that seemed unbridgeable, in the desire to realize those dreams and projects so dear to my father, who always wanted a rosy future for all his children. And so the day on which the Moscow Hairdressers brand was born, I dedicated my victory to him! “.

Mario Mosca, after so much pain finally arrives the turning point, with the opening of his first hair studio. When was your passion for this profession born?

I inherited my passion for this job from my grandmother Amelia. I was eight years old when I grew aware of wanting to shape women’s heads. And so to refine my skills and to widen my horizons I began to travel the world. After years of training spent in Rome, London and Paris, I was forced to return to Caserta because of my father’s sudden death. A tragedy that has helped to strengthen my desire to succeed in life, calmly reprogramming my future and trying to realize my innermost dreams. On March 21st 2010 I finally got my revenge with the opening of the salon in Via Ferdinando Fuga, which, a few years later, followed that of the atelier in Via Acquaviva. The success was immediate: my linear and clean style started to immediately create a trend; a style always attentive to care and attention to small details to meet the needs of every single woman.

What is the secret of so successful?

The unconditional support of my wife Daniela, also known hairstylist, and of my three children who never stopped believing in me and encouraged me to realize my dream. And then the humility to get involved, the desire to want to improve to achieve increasingly important goals. Today I can say, without a shadow of a doubt, that I have built a successful brand, much appreciated at the national level. Women come from everywhere to benefit from my experience and professionalism, thanks to which they are able to give cuts and colors that are always glamorous and exclusive, interpreting at best the concept of femininity, beauty and style that every customer seeks for himself .

How can you meet the needs of those who care about their appearance?

For every woman there is the perfect cut, an original and personalized hairlook that enhances the beauty of the face and reflects its personality. Regardless of the fashions of the moment, a great hairstylist must be able to identify the right styling to rebalance gleanings, roundness and proportions. My strong point is precisely that of being a great image consultant, able to play with imagination, to satisfy every request, from the most classic to the most trendy.

And let’s talk about a new project: “Moscow will take care of it”. What is it about?

Of a new television format, conceived by Alessia Porsenna of Big Bang Production, which will air on White TV (channel 100 of digital terrestrial). In the course of the program, in addition to revealing tricks and secrets for an always glamorous style, I will focus on analyzing the psychological aspects that lie behind the desire for a change of image. In the course of my professional experience, I was able to see that the request to change the look of the hair has a psychological value due to the desire to change something important in one’s life. And so in the transmission, you are aiming at everything, in addition to studying the look best suited to each protagonist, I will investigate the reasons behind the desire to transform your appearance!

In conclusion, what do you want for the future?

Now that I have reached the pinnacle of success, thinking back to how far I had to travel to get here, I can only enjoy the extraordinary results achieved. Wanting to ask one last thing for a very generous life, I would like to have several franchised salons, all over Italy, so that the “Mosca Parrucchieri” brand becomes more and more prestigious!

For more info (moscaparrucchieri@gmail.com) (cell 3466086647)

by Roberta Imbimbo

Corporate Welfare, incentivizing and supporting employees, reducing company costs

Nowadays companies are more and more attentive to the psychophysical wellbeing of their employees and to the containment of personnel costs. A constructive approach, which positively affects productivity levels and corporate involvement of human resources, improving the business climate and reducing the phenomenon of absenteeism. “The last two years have seen a growth in the spread of corporate welfare policies,” Daniele La Rocca, Labor Consultant of Rome, supports in no uncertain terms.

What is Corporate Welfare?

“It is an instrument available to employers that allows employees and their families to provide benefits and services related to the area of ​​health, education, social security and recreation. The benefits deriving from the activation of these policies are multiple and bilateral. Employees can benefit from a real increase in their disposable income, taking advantage of the tax exemption, while the company has the possibility of providing remuneration, both for incentives and for supporting the private life of the employee, without incurring further cost increases. , being such contributions exempt from contributions “.

What are its strengths from the La Rocca Studio?

“A strong experience, professionalism and a deep knowledge of the subject of work, are the hallmarks of a team able to offer qualified and reliable advice, and to build” tailor-made “welfare plans, based on the specific needs of the company and employees “.

For more info www.laroccaeassociati.com (daniele.larocca@laroccaeassociati.com)

by Roberta Imbimbo