Scientific Report 2018

EOC Academic Education, Research and Innovation Area
Viale Officina 3
6500 Bellinzona
+41(0)91 811 13 10

>> Scientific Report (pdf full version)

Rapporto Scientifico 2018

Department of Internal Medicine Indietro

Prof. Dr. Luca Gabutti
Head of Department

The Department of Medicine groups together the general Internal Medicine Services provided by the EOC hospitals, as well as specialty areas akin to internal medicine such as: angiology, cardiology, clinical nutrition, dermatology, endocrinology-diabetology, gastroenterology, hepatology, immune-allergology, infectiology, nephrology, pneumology, and rheumatology.
The department cares for the health of adults across all fields of internal medicine, offering outpatient and inpatient services ranging from preventive medicine and
diagnostics to the treatment of acute and chronic diseases.
Its philosophy of care is based on the integration of bio-psycho-social aspects, with particular attention to the continuity of care.
With regard to clinical research, the general internal medicine department, represented chiefly by Prof. Dr. L. Gabutti and Dr. O. Giannini, conducts research in the fields linked to quality and appropriateness of care inspired by the Choosing Wisely campaign. In pursuit of the same objective, the department is part of the CREATE PRIMA (clinical research from multi-modality big data sources without proprietary interfaces in a multicenter approach) consortium funded by the Swiss Personalized Health Network, which aims to improve the quality of healthcare by collecting data from individual hospitals available in an interoperable data exchange network.
Below principal areas of research listed in alphabetical order.
The division of cardiology, represented chiefly by PD Dr. M. Di Valentino, Prof. Dr. A. Gallino and Dr. G. Moschovitis, focuses on the topic of cognitive decline in patients suffering from atrial fibrillation within the Swiss-AF cohort study (supported by the SNF), analyses of the potential triggers of acute myocardial infarction, cardiovascular risk factors in youths, risk factors of stroke or systemic embolism, mortality, hemorrhagic risk, hospitalizations for heart failure and Atrial Fibrillation (AF) recurrence after pulmonal vein isolation (PVI), and
analyses of the evolution of atherosclerotic plaques.
The division of dermatology, represented chiefly by Dr. C. Mainetti, deals mainly with dermatoimmunology, infectious dermatopathies, cicatrization disorders, and
dermatological emergencies.
The division of infectious diseases, represented chiefly by Prof. Dr. E. Bernasconi and PD Dr. L. Elzi, focuses on therapeutic strategies in the treatment of HIV infection (Swiss HIV Cohort Study) and appropriateness of antibiotic therapy in hospitalized patients (antibiotic stewardship; COMPASS study). There are also collaborations with the Swiss group of fungal infections (Funginos) and the Swiss Tropical Institute.
The division of nephrology, represented chiefly by PD Dr. P. Cippà, PD Dr. V. Forni Ogna, Prof. Dr. L. Gabutti and Dr. O. Giannini, is particularly interested in the composition of dialysis fluids, vascular access for hemodialysis, nephrolithiasis (NOSTONE trial), sleep
disorders in chronic kidney disease, cardiovascular biomarkers, and epidemiology of vascular stiffness (TEST study), characteristics and gait assessment in chronic kidney disease patients, and pursues a basic research interest in regenerative medicine.
The division of pneumology, represented chiefly by PD Dr. A. Ogna and Prof. Dr. M. Pons, is particularly interested in nighttime respiratory disorders linked to chronic kidney disease, non-invasive high-frequency ventilation applied to radiotherapy and radiological diagnostics, interaction between baroreceptors and chemoreceptors in the genesis of obstructive and central sleep apneas, and pharmacotherapy of asthma and chronic obstructive pulmonary disease.
The main objective of the clinical research is to foster the acquisition of new knowledge and to facilitate the provision of high-quality medical services in the Italian-speaking region of Switzerland.
To introduce young medical fellows and medical students to research is another prime objective that will develop further with the commencement of operations of the Faculty of Biomedical Sciences of the Università della Svizzera Italiana (scheduled for 2020). In fact, supervisions of further master’s theses and doctoral dissertations are planned in the areas of interest of the Department.