GSD Healthcare, Office 708/Building 26/Dubai Healthcare City, Dubai (2025)

19/11/2025

PSA is a protein produced by the prostate and an enzyme responsible for the liquefaction of seminal fluid.
Contrary to popular belief, PSA is not a tumor marker, but an organ marker, because it is always detectable in the presence of the prostate gland and can have altered values not only in the case of tumor pathology. A simple blood test measures PSA levels, providing information on the health of the prostate gland.
A PSA level is typically considered normal when it is less than 4 ng/ml. However, it's important to note that this parameter should always be evaluated by a specialist to ensure it's correctly interpreted.

A higher-than-normal PSA value does not necessarily indicate the presence of cancer. However, an alteration in PSA represents a sign that should be examined further with your urologist, who will evaluate your medical history and any risk factors to decide whether further tests are necessary. It is important to emphasize, however, that PSA testing is one of the fundamental elements in prostate cancer screening, but it must always be accompanied by a urological examination to allow for a complete and correct evaluation.
According to international guidelines, PSA testing is recommended:
• Starting from 50 years old
• From 45 years of age in case of a family history of prostate cancer
• And up to approximately 75 years of age

A high PSA can depend on various conditions, not necessarily serious:
• benign enlargement of the prostate (BPH), which is very common with age and does not have any pathological significance
• inflammation or infection (prostatitis)
• recent sexual in*******se, urological examination, transrectal ultrasound
• prostate cancer (one of the possible causes, but it is not the most common)

Altered PSA itself does not cause direct symptoms, but it can be accompanied by:
• Need to urinate frequently
• Weak urinary stream
• Sensation of urgency or burning during urination

Treatment varies depending on the cause:
• Benign enlargement of the prostate: specific drugs and, if necessary, minimally invasive procedures, which improve control of urinary symptoms and therefore the quality of life of those who suffer from it.
• Prostate or infections/inflammations: antibiotic therapy in case of evidence of bacteria in the prostate, or only a decongestant.
• Prostate cancer: today there are many options ranging from active surveillance (i.e., monitoring the pathology before intervening with invasive treatments), to surgical or radiotherapy interventions, up to systemic therapy.
In all cases, prostate cancer treatment achieves excellent results if the disease is diagnosed early. Hence, the importance of undergoing regular check-ups and tests.

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

17/11/2025

Diagnoses of Attention Deficit Hyperactivity Disorder (ADHD) and Specific Learning Disorders (SLD/DSA) in children have been increasing. Early recognition of attention and learning difficulties is essential for timely diagnosis and effective support.

ADHD and DSA are neurodevelopmental disorders caused by different neurobiological functioning.
ADHD is marked by persistent difficulty maintaining attention, often accompanied by hyperactivity and impulsivity.
DSA affects reading, writing, and arithmetic and includes:
• Dyslexia, involving difficulties in reading accuracy and understanding
• Dysorthography, involving spelling and phonographic difficulties
• Dysgraphia, involving motor difficulties in writing
• Dyscalculia, involving difficulty understanding and using numerical and calculation skills

Signs of ADHD may include distractibility, carelessness, difficulty following instructions, organizational struggles, forgetfulness, restlessness, and impulsive behavior.
Signs of DSA vary by type: misread or distorted words, confusion between similar letters, fragmented reading, spelling errors, messy handwriting, difficulty staying on the line, number reversals, trouble understanding numerical relationships, slow or inaccurate calculations, and difficulty solving mathematical problems. These disorders can also co-occur.
Their origins are multifactorial, involving both genetic predisposition and environmental factors. ADHD typically appears in early childhood, while DSA becomes evident once reading, writing, and math are introduced in school.
Diagnosis requires a multidisciplinary team:
• The Pediatrician, who identifies early signs
• The Child Neuropsychiatrist, who leads the diagnostic process and prescribes therapies
• The Developmental Psychologist, who evaluates cognitive, emotional, and behavioural functioning
• The Speech Therap*st, who assesses and treats language, reading, writing, and math difficulties

ADHD and DSA cannot be “cured,” as they are stable neurobiological characteristics, but targeted interventions can greatly improve functioning. Recommended approaches include Parent Training, teacher training, a Personalized Learning Plan (PDP), compensatory tools, specific rehabilitation programs such as speech therapy or cognitive enhancement, and psychological support to improve self-esteem and emotional regulation.
For ADHD, medication may be used when appropriate. Treatment must be prescribed and monitored by specialized and accredited centers. In Italy, approved medications include Atomoxetine and Methylphenidate, used within a multimodal therapeutic plan combining medication with behavioral and educational interventions.

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

14/11/2025

November 14 is a day dedicated to raising awareness about diabetes—a condition affecting millions of people worldwide. Created by the International Diabetes Federation and the World Health Organization, this day is about understanding what diabetes is, supporting those living with it, and sharing ways we can prevent or manage it.

What is Diabetes? Diabetes is a condition where the body can’t properly process sugar, leading to high blood sugar levels. There are different types, including Type 1, Type 2, and gestational diabetes.

Why is Awareness Important? Understanding diabetes can help people prevent it, catch early signs, and manage it better. Many people don’t realize they’re at risk, which is why education and awareness are essential!

How to Help? You can help by sharing information, supporting loved ones, joining awareness events, or even getting screened if you’re at risk.
Let’s support each other and spread knowledge to create a healthier future. Together, we can make a difference!

13/11/2025

At the San Rocco Clinical Institute in Ome (BS), varicose veins can be treated using the most modern minimally invasive endovascular surgery treatments, which allow the problem to be eliminated effectively, safely, and with excellent aesthetic results.

Varicose veins are abnormal, permanent, and tortuous dilations of the veins, particularly those of the lower limbs, which affect both men and women of all ages. It is a very common, chronic, progressive condition caused by malfunction of the venous valves that regulate blood flow to the heart.

There are some cases in which they manifest silently, but generally, some warning signs are present. The main symptoms of varicose veins are:
• Heaviness and swelling of the legs
• Dilated and bluish veins with evident aesthetic tortuosities
• Night cramps, itching, burning, edema
• In the most severe cases, venous ulcers

When the venous valves no longer function properly, blood tends to flow backwards, causing dilation of the blood vessel, blood stagnation, and the appearance of symptoms and skin blemishes.
Heredity and genetics, as well as an inadequate lifestyle, are predisposing factors for valvular laxity.

It is sufficient to schedule an angiological or phlebological visit, in addition to undergoing a venous color Doppler ultrasound to evaluate blood flow and intercept incontinent vein segments.
Minimally invasive endovascular surgery: the new frontier of treatment
The strong push of technology has produced a strong rise in endovascular surgery over the last twenty years.
Unlike traditional surgery, the new techniques close the diseased vein from the inside without removing it as was done, for example, with saphenous vein stripping.

Types of endovascular treatments:
• Heat treatments: performed under local anesthesia, they use heat (laser and radiofrequency) to obliterate the lumen of a blood vessel.
• Non-thermal treatments: these include sclerotherapy, moca and cyanoacrylate (a biocompatible glue) which act, without having to resort to any anesthesia, through a combination of mechanical action (given by the instrument used) and chemical action (given by the sclerosing substance which obliterates the lumen of the vessel).

The advantages of endovascular surgery:
• A faster and more streamlined minimally invasive approach
• Outpatient ex*****on
• Immediate return to daily activities
• Excellent aesthetic results
• Reduced risk of complications

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

12/11/2025

The Diagnostic Imaging Service at the Zucchi Clinical Institutes in Monza has a new, state-of-the-art 1.5 Tesla MRI scanner, capable of improving patient comfort and offering even more accurate images in shorter times.
The device represents a major step forward in the quality of diagnostic imaging, being equipped with the most advanced diagnostic software and artificial intelligence program, which combine high performance and environmental sustainability.

The latest-generation 1.5 Tesla MRI offers several advantages. The new device has a faster image acquisition speed, which not only reduces exam time but also allows for high-resolution images to be obtained in just a few minutes, which is essential for early and accurate diagnosis. This allows for a greater number of patients to be treated:
• Reducing waiting times
• Improving the diagnostic pathway

Furthermore, the high quality of the images allows for the identification of possible pathologies even in the initial stages, improving clinical outcomes.

The new MRI features technology that is attentive to environmental sustainability and operational safety. Inside, there is an innovative magnet that works with just 7 litres of completely sealed liquid helium, a feature that allows, during its use, to limit the environmental impact.

The 70 cm wide tunnel (compared to the standard 60 cm) and the ergonomic design help to reduce the patient's feeling of claustrophobia during the examination, which is frequent in this type of investigation, and to facilitate access even for people with a large build.
The more spacious and less noisy environment, combined with music provided by the headphones and integrated communication systems between patient and operator, promotes greater tranquillity throughout the procedure.

The new MRI is equipped with artificial intelligence software, which can optimize the various phases of the exam, improving image quality and diagnostic accuracy, This allows:
• Operators to achieve greater efficiency;
• For radiologists to align themselves with the most recent guidelines in international literature in diagnostic imaging.

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

12/11/2025

A new milestone has been reached by Villa Chiara, selected among the reference centers for knee orthopedics, according to the guide “Hospitals of Excellence – 2025” promoted by the German Institute for Quality and Finance (ITQF) in collaboration with the GEDI publishing group.
This recognition demonstrates the facility's ongoing commitment to ensuring high standards of quality, safety, and innovation in orthopedic treatments.

How the "Hospitals of Excellence" guide selects them
The “Hospitals of Excellence” guide, now in its second edition, is the result of an independent analysis conducted by Fact Field Health, a German health research institute.
The study analyzed over 1,300 public and private healthcare facilities across the country.
The analysis uses a multi-parametric approach that includes:
 Public data (such as the National Outcomes Program – PNE, AGENAS).
 Primary data collected through voluntary questionnaires filled out by the facilities.
 Clinical quality indicators such as reputation, hygiene levels, comfort, patient services, quality of medical care, and scientific updating initiatives.

This methodology allowed us to draw up a list of 100 recommended facilities for each specialty, including knee orthopedics, considering the effectiveness of treatments, surgical volumes, outcomes and the experience perceived by the patient.

The reasons for the recognition at Villa Chiara
Villa Chiara stands out not only for its high technical quality, but also for the attention dedicated to the patient's treatment path.
The personalized and multidisciplinary approach guarantees comprehensive care, from early diagnosis to post-operative functional recovery.

10/11/2025

Obesity is not just excess weight—it’s a complex, chronic condition that increases the risk of diseases like cardiovascular disease and cancer, affecting both lifespan and quality of life.

Lifestyle changes—balanced diet and regular exercise—are always the first step. If after six months a 5% weight loss is not achieved, pharmacological treatment may be considered, explains Dr. Carmela Asteria, endocrinologist and head of the Endocrine-Metabolic Nutrition Center (NutrEndo_Me) and scientific director of INCO at IRCCS Ospedale Galeazzi - Sant’Ambrogio, also collaborating with the Palazzo Della Salute Wellness Clinic.

Drug therapy is indicated for:
• BMI ≥ 30, or
• BMI ≥ 27 with comorbidities like type 2 diabetes, hypertension, or dyslipidemia.
The goal isn’t just weight loss but improved overall health.

New incretin-based drugs, such as GLP-1 and GLP-1/GIP receptor agonists, mimic intestinal hormones that regulate weight by:
• Reducing hunger and increasing satiety
• Slowing gastric emptying
• Improving insulin sensitivity and metabolic balance

Approved drugs in Italy include semaglutide (GLP-1 agonist) and tirzepatide (GLP-1 and GIP agonist).
“These can lead to significant weight loss, though results vary,” says Dr. Asteria.

Not all overweight or obese patients qualify. Doctors also assess:
• Response to previous lifestyle changes
• Commitment to a structured plan
• Possible contraindications
“Treatment must be personalized—each patient’s story is unique,” emphasizes Dr. Asteria.

Common side effects include nausea, constipation or diarrhea, and bloating. Rarely, pancreatitis or gallbladder issues may occur. Medical supervision and continuous monitoring are essential.

Drug therapy supports, not replaces, lifestyle interventions. A healthy diet, exercise, and sometimes psychological support remain crucial.

“Obesity is chronic and relapsing, so long-term management is often needed,” explains Dr. Asteria. Stopping therapy can lead to weight regain due to metabolic adaptation. “A consistent, specialist-guided approach helps maintain results over time,” she concludes.

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

07/11/2025

On the 31st October 2025, in the historic city of Rome, a new chapter of cooperation was written between the Gabonese Republic and GKSD Investment Holding. The Minister of Foreign Affairs, His Excellency Régis Onanga Ndiaye, and GKSD-GSD President, Chairman of GSD Healthcare Mr Kamel Ghribi, came together in the presence of His Excellency President Brice Clotaire Oligui Nguema, to sign a Memorandum of Understanding that looks confidently towards the future.
This landmark agreement lays the foundation for a shared vision of progress, strengthening collaboration in healthcare, education, infrastructure, energy, and social housing.
At its heart lies an ambitious goal — the creation of a modular, sustainable hospital that will stand as a cornerstone of Gabon’s national health strategy. This partnership goes beyond bricks and mortar by investing in people through training programmes for Gabonese doctors, telemedicine innovation, and renewable energy initiatives designed to build a healthier, more connected nation.
Within 30 days, a joint task force will chart the path forward, turning vision into action. This renewable three-month agreement designates GKSD-GSD as a privileged partner of the Gabonese Republic, reaffirming the Group’s dedication, under the leadership of Chairman Kamel Ghribi, to advancing sustainable healthcare and human development across Africa.
Together, the Gabonese Republic and GKSD-GSD are not merely signing an agreement, they are building a legacy of hope, innovation, and shared prosperity for generations to come.

05/11/2025

The bubble test, or microbubble echocardiogram, is a fundamental tool in cardiology. It is a simple, rapid, safe, and highly clinically valuable test, capable of providing valuable information for diagnosis and prevention, helping to identify often silent but potentially significant cardiac abnormalities.
A concrete example of how modern cardiology is increasingly focused on personalized diagnostics, in the service of health and prevention.
We talked about it with Dr. Francesca D'Auria, cardiac surgeon, as well as cardiologist at Smart Clinic Varedo, Smart Clinic Cinque Giornate, and Smart Clinic Certosa.

The bubble test is a particular variant of the transthoracic echocardiogram, a test that uses ultrasound applied to the chest.
The difference lies in the addition of a contrast medium based on microbubbles of saline solution, which is administered intravenously. It's essential to emphasize that there's no risk of an allergic reaction, as it's not an iodinated contrast medium, unlike those used in radiology.
It is a non-invasive procedure, except for the small puncture required to inject the saline solution with microbubbles. The test is relatively quick, well-tolerated, and can be performed on an outpatient basis.

It is mainly performed when there is a suspicion of a communication defect between the cardiac chambers.
It is prescribed in case of:
• Suspected Patent Foramen Ovale (PFO), a defect in the closure between the right atrium and the left atrium, p*s resent in a portion of the population.
• As a diagnostic test after a cryptogenic stroke or TIA (i.e., when the cause cannot be identified with other tests).
In these situations, the bubble test helps clarify whether there is an abnormal passage of blood that may have contributed to the event.

The bubble test is specifically recommended for recreational divers and freedivers. In these disciplines, the presence of an implicit cardiac shunt can increase the risk of embolic events during sports, related to diving and ascents. In these cases, the bubble test serves as an important and highly recommended preventive tool.

03/11/2025

We proudly join the nation in celebrating UAE Flag Day, a symbol of unity, honor, and belonging.
Today, we renew our loyalty to our wise leadership and our commitment to the progress and prosperity of the nation.
May the UAE flag forever fly high in glory.

نشارك وطننا الاحتفاء بـ يوم العلم، رمز الوحدة والكرامة والانتماء.
نجدد في هذا اليوم الولاء لقيادتنا الرشيدة، والعهد على مواصلة العمل من أجل رفعة دولتنا وازدهارها.
كل عام ورايتنا خفّاقة في سماء العز والمجد.

#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

31/10/2025

Running puts significant load on the lower limbs, muscles, joints, tendons, and ligaments of the hip, knee, ankle, and foot. Unfortunately, at least 1 in 2 runners, especially amateurs, face injuries each year.

According to Prof. Laura Mangiavini, orthopedic surgeon at the IRCCS Ospedale Galeazzi – Sant'Ambrogio and member of RE.GA.IN., injuries are either:
• Acute: sprains, muscle injuries
• Chronic: from overload, poor biomechanics, or posture—like Achilles and patellar tendinitis, plantar fasciitis, or early osteoarthritis (mainly in the knee)

Amateurs often suffer due to lack of warm-up, poor technique, and wrong shoes. Professionals, while technically better, face chronic issues from intense training.

“Prevention is better than cure. Warm-up and targeted stretching are essential. Footwear must match foot type and running surface (asphalt, dirt, track). Runners must also listen to their bodies—persistent pain over 10 days warrants a specialist visit.

This approach stimulates the body's natural healing using the patient’s own cells, blood, or tissues.
• PRP (Platelet-Rich Plasma): Blood is centrifuged to concentrate platelets, then injected. Ideal for muscle/tendon issues and early osteoarthritis (usually 2–3 sessions).
• Cellular Derivatives: Fat (e.g. from the abdomen) or bone marrow is processed and reinjected to repair damaged tissue—used for advanced cases or when PRP is ineffective. Requires a single injection with minor outpatient surgery.

Regenerative treatments offer faster recovery, reduced inflammation, lower surgery needs, and fewer relapses. “The goal isn't to rebuild tissue but to stop inflammation and create a healing environment. Risks are minimal since materials are autologous, with temporary swelling or pain from the desired inflammatory response.

At RE.GA.IN., treatment is personalized from initial evaluation to follow-up. “We adapt each plan to the patient,” says Mangiavini. One key strength is long-term monitoring: “We collect real data to improve therapy outcomes.”

28/10/2025

Feeling thirsty, tired, or unfocused after meals? These may be signs of a blood sugar spike, a common reaction to eating sugary or refined carbohydrate-rich foods, leading to a rapid rise and then drop in blood glucose.
Over time, these fluctuations can cause insulin resistance, overweight, obesity, and type 2 diabetes, explains Dr. Michele Pastorelli, nutrition biologist at Policlinico San Marco.

Glycaemic spikes are large increases in blood glucose due to sugar accumulation in the blood. After eating, glucose enters the bloodstream, and the pancreas releases insulin to regulate it. Simple carbs cause a fast rise, followed by a crash, often triggering more hunger, especially for sweets, creating a vicious cycle.

After meals, blood sugar spikes may cause:
• Intense thirst
• Frequent urination
• Tiredness
• Blurred vision
• Dry mouth

Blood sugar crashes may cause:
• Weakness
• Dizziness
• Muscle tremors
• Blood pressure drops
• Palpitations
• Intense hunger

Chronic spikes can lead to:
• Insulin resistance
• Type 2 diabetes
• Metabolic syndrome
• Weight gain: Insulin inhibits fat release and promotes ghrelin (hunger hormone) while suppressing leptin (satiety hormone)

A balanced, varied diet with low glycaemic index (GI) foods helps stabilize blood sugar.
• High GI foods (simple carbs): corn, fruit, white rice, refined flour products, sweets, sugary drinks.
• Low GI foods (complex carbs): oats, wheat, barley, brown rice, whole-wheat pasta.

Watch out for zero-sugar or low-calorie foods. Many contain synthetic sugars that can trigger insulin responses like regular sugar.
Smart Food Combinations to stabilize blood sugar:
• Pair carbs with vegetables and proteins (e.g., legumes)
• Eat fats and/or Fiber first, then carbs—this slows digestion and reduces glucose spikes

Supplements and Exercise:
Inositol supplements—found in liver, eggs, oats—can help manage blood sugar, metabolic syndrome, and reduce cardiovascular risks.
Physical activity also plays a major role. Exercise helps muscles use glucose for energy, lowering blood sugar. Even a 30–40-minute walk after meals, once digestion has started, can reduce glycaemic spikes.

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