eLetters

2 e-Letters

published between 2019 and 2022

  • Dementia after traumatic spinal cord injury: difference in the risk of quadriplegia as compared to paraplegia

    Correspondence:
    Nearly 60% of patients with traumatic spinal cord injury (SCI) experience different degrees of cognitive dysfunction, including impairment of memory and abstract reasoning.[1] A retrospective cohort study using Taiwan’s National Health Insurance Research Database revealed that SCI significantly increased the likelihood of dementia.[2] This result aligns with previous clinical reports stating that patients with SCI frequently develop long-term cognitive impairments.[1]

    I read the article “Savings of loss-of-life expectancy and lifetime medical costs from prevention of spinal cord injuries: analysis of nationwide data followed for 17 years” [3] with deep interest. The study investigators have reported the outcomes from a comprehensive and long-term follow-up effort exploring the impact of traumatic SCI in Taiwan. In this study, Lien et al. classified traumatic SCI into traumatic quadriplegia and paraplegia with different mechanisms of injury. They reported that traumatic quadriplegia incurs higher lifetime medical costs than traumatic paraplegia.[3] Upon comparing the clinical characteristics of patients with traumatic quadriplegia and paraplegia, the prevalence of dementia after quadriplegia resulting from motor vehicle accidents (MVA) was found to be higher than that after paraplegia resulting from MVA (3.7% vs. 1.5%, p < 0.05).[3] The strength of this study lies in its comprehensive data on the SCI level, mechanisms of injury, and medical...

    Show More
  • Partner violence during the COVID-19 pandemic: an emergency into the emergency

    Partner violence during the COVID-19 pandemic: an emergency into the emergency

    Pietro Ferrara, MD 1 *
    Luciana Albano, MD 2

    Affiliation
    1. Center for Public Health Research, University of Milano – Bicocca, Monza, Italy
    2. Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy

    * Corresponding author:
    Pietro Ferrara
    Center for Public Health Research, University of Milan - Bicocca
    Via Cadore 48, I-20900 Monza, Italy
    Phone +39 (0)39-2333097/8
    p_ferrara@alice.it

    To the Editor,
    With interest, we read the publication by Jetelina and coll., titled “Changes in intimate partner violence during the early stages of the COVID-19 pandemic in the USA” [1], in which authors described changes in patterns of intimate partner violence (IPV) during lockdown restriction implemented in response to novel coronavirus disease (COVID-19) outbreak.
    Similarly in Italy, a significant increase of IPV cases was recorded as early as the first weeks of March, when social isolation forced people to stay at home after the rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here, the government instituted the free phone number 1522 as help line for IPV victims, with the aim to reach mainly women, who always experience the greater burden of domestic violence and abuse [2]. The National Institute of Statistics (ISTAT) rel...

    Show More