Igiene e sanita pubblica

Publisher: Associazione dei medici provinciali italiani

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Website Igiene e Sanita Pubblica website
Other titles Igiene e sanitá pubblica
ISSN 0019-1639
OCLC 3048186
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Background: There isn't a validated questionnaire in Italian language to evaluate the quality perceived by the patient in Digestive Endoscopy. Objective: validation of the translation of a questionnaire from English to Italian language to measure the level of patient satisfaction. Materials and methods: we conducted a prospective study on validation in Italian of a short questionnaire adapted for Endoscopy by the American Society of Gastrointestinal Endoscopy, the GHAA-9m. It's been tested with the technique of the questionnaire / interview on 80 outpatients who underwent in the month of September 2014 to endoscopic examinations of the gastrointestinal tract. The patients were divided into 2 groups of 40 patients: group 1 was administered before the questionnaire and subsequently the interview was conducted, on the contrary on the group 2 was administered before the interview and subsequently the questionnaire. The results of the two groups were compared using the inter-rater agreement. It was also evaluated the internal consistency of the questions. Results: The results show that the instrument is experienced as simple and quick to use for patients. Data analysis allowed us to conclude that the Italian translation is valid and consistent. In the phase of the interview there were some aspects that suggest, in a development of this tool, some changes that could increase the accuracy and informational content. Conclusions: The Italian version of the questionnaire GHAA-9m has good validity, reliability, and shows property valuation comparable to those of the American version and can therefore be used in daily practice Digestive Endoscopy.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: Haemophilus influenzae b (Hib) is responsible for meningitis, systemic infections and acute respiratory illness, especially in children. The use of the conjugate vaccines against Hib reduced the incidence of the disease worldwide. In Italy, after the decrease resulted from vaccination, the disease may reappear due to the reduction in vaccination coverage, the presence of infections in adults and vaccine failures.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: This article summarizes recent evidence regarding brominated flame retardants. These represent the most common type of flame retardants used and recent studies have highlighted their presence in various concentrations in different environmental matrices, including areas distant from production areas, and in human biological samples. Many doubts persist regarding exposure sources, toxicity, metabolism and transformation processes once these products are released into the environment.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica

  • No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: Introduction: this study aimed to evaluate physical and psychological stress in a group of italian caregivers. Methods: 20 subjects were enrolled in the study and divided into 2 groups: 10 healthy controls and 10 caregivers. Every subject underwent an cognitive, clinical and instrumental assessment. Results: the statistical analysis showed an increased presence of pathological alterations in caregivers group such as decreased ejection fraction, cognitive impairment and depressed mood. Conclusions: the study shows the figure of a elderly caregiver, predominantly women, who spend many hours in patient care. The caregiver-type takes about four drugs a day and is not involved in screening programs offered by the health service for his age group. Results a high risk of social isolation, emotional fragility and an increased risk of cardiovascular events and cognitive impairment.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: The study evaluated oral hygiene knowledge among a group of 12-year-old students in Lombardy, Italy (n=182). Two different questionnaires were administered, respectively to adolescents and to their parents. Results indicate a low level of general knowledge on this topic. Factors influencing knowledge include the number of learning sources and yearly access to a dental clinic. The described situation highlights the need to implement school-based educational interventions.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: This article first illustrates the EU and national regulatory frameworks related to policies and integrated actions for health and environmental protection, with particular reference to evaluation of the impact of the environment on health, then provides definitions of "evaluation of health impact" and of "environmental epidemiology" and provides synthetic proposals on procedures and operational levels (national, regional and local). Finally, the responsibilities of regional and local government bodies in supporting ARPA, Departments of Prevention of local health departments and physicians.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: Object: the aim of this study is to present a preliminary analysis of efficacy and effectiveness of a model of chronically ill care (Chronic Care Model, CCM). Methods: the analysis took into account 106 territorial modules, 1016 General Practitioners and 1,228,595 patients. The diagnostic and therapeutic pathways activated (PDTA), involved four chronic conditions, selected according to the prevalence and incidence, in Tuscany Region: Diabetes Mellitus (DM), Heart Failure (SC), Chronic Obstructive Pulmonary Disease (COPD) and stroke. Six epidemiological indicators of process and output were selected, in order to measure the model of care performed, before and after its application: adherence to specific follow-up for each pathology (use of clinical and laboratory indicators), annual average of expenditure per/capita/euro for diagnostic tests, in laboratory and instrumental, average expenditure per/capita/year for specialist visits; hospitalization rate for diseases related to the main pathology, hospitalization rate for long-term complications and rate of access to the emergency department (ED). Data were collected through the database; the differences before and after the intervention and between exposed and unexposed, were analyzed by method "Before-After (Controlled and Uncontrolled) Studies". The impact of the intervention was calculated as DD (difference of the differences). Results: DM management showed an increased adhesion to follow-up (DD: + 8.1%), and the use of laboratory diagnostics (DD: +4,9 E/ year / pc), less hospitalization for long-term complications and for endocrine related diseases (DD respectively: 5.8/ 1000 and DD: + 1.2/ 1000), finally a smaller increase of access to PS (DD: -1.6/1000), despite a slight increase of specialistic visits (DD: +0,38 E/ year / pc). The management of SC initially showed a rising adherence to follow-up (DD: + 2.3%), a decrease of specialist visits (DD:E 1.03/ year / pc), hospitalization and access to PS for exacerbations (DD: - 4.4 / 1000 and DD: -6.1 / 100, respectively), compared with a slight increase of diagnostic tests (DD: +2.10 E/ year / pc). Stroke showed the following outcomes: increased consumption of instrumental diagnostics and imaging (DD: +1.65 E/ year / pc) and growing hospitalizations for related conditions (DD 6.1/ 1,000). The care of patients with COPD, finally, has produced an increase in overall expenditure on medicines (DD: +39.71 / year / pc) associated with the decrease of hospitalization for related conditions (DD: - 2.7/ 1,000). Conclusion: the Tuscany CCM has proven a promising model of integrated management and taking care for chronic patients, can have a positive impact on the quality of life and on the total health expenditure. Additional monitoring studies are desirable in perspective of expanding the model on all over the national territory.
    No preview · Article · Jan 2016 · Igiene e sanita pubblica
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    ABSTRACT: Introduction: Medical malpractice and litigation have a significant impact on the Italian National Health Service. The aim of this study was to analyze the state of the art of medical errors in Italy, in particular, assessing which specialties are most affected. Methods: We performed a literature search in PubMed, Google Scholar; institutional websites (Ministry of Health, Higher Institute of Health, National Agency for Regional Health Services, National Institute of Statistics, National Research Council, Court of Auditors), gray literature and specialized magazines. Results: Results show that data regarding the frequency of medical errors and the effectiveness of prevention measures in Italy are scarce. Most papers published on this topic refer to a few specialties, including Surgery, Radiology, Cardiology, and Laboratory medicine. Surgery is the specialty most affected. Conclusions: Despite a growing attention towards patient safety and quality of healthcare, medical errors continue to occur in clinical practice. Most errors are not due to individual incompetence or negligence but they are rooted in system breakdowns. A systematic approach is therefore required, based on: an analysis of critical aspects in the system; the selection and implementation, at different levels of the system, of appropriate and evidence-based risk management interventions involving all stakeholders; a context analysis to identify barriers and facilitators for change; a performance assessment to verify results and identify actions for improvement.
    No preview · Article · Oct 2015 · Igiene e sanita pubblica
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    ABSTRACT: The "Framework for the Ethical Conduct of Public Health Initiatives", developed by Public Health Ontario, is a practical guide for assessing the ethical implications of evidence-generating public health initiatives, whether research or non-research activities, involving people, their biological materials or their personal information. The Framework is useful not only to those responsible for determining the ethical acceptability of an initiative, but also to investigators planning new public health initiatives. It is informed by a theoretical approach that draws on widely shared bioethical principles. Two considerations emerge from both the theoretical framework and its practical application: the line between practice and research is often blurred; public health ethics and biomedical research ethics are based on the same common heritage of values.
    No preview · Article · Aug 2015 · Igiene e sanita pubblica
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    ABSTRACT: Healthcare-associated infections (HAI) are the most frequent and severe complication acquired in healthcare settings and have a significant impact in terms of morbidity, mortality and costs. This document is aimed at different health professionals and focuses on the role of molecular epidemiology in the prevention and management of these infections. It describes the role of molecular characterization and of bioinformatics archives, the organizational levels of laboratories, the evidence regarding cost-effectiveness, ethical aspects related to HAI, and highlights some specific peculiarities of Italy. Molecular epidemiology is an indispensable tool and should be part of a multidisciplinary approach in the proper management of HAI.
    No preview · Article · Aug 2015 · Igiene e sanita pubblica
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    ABSTRACT: Varicella is an infectious disease still frequent in Italy, where 8 out 20 Regions have adopted universal vaccination programs starting from 2003. Accordingly to National Vaccination Plan, all Regions should introduce universal varicella vaccination in 2015. An independent multidisciplinary group of experts met to discuss some debated questions. The available evidence of varicella vaccine efficacy in the 8 Regions was evaluated and the evidence of safety of monovalent and combined varicella vaccines are presented. The strategy for introducing universal varicella vaccine in the pediatric immunization schedule is discussed. The expert group concludes that available evidence supports the active offer of varicella vaccine in all Italian Regions and that catch up programs for susceptible cohorts should be encouraged.
    No preview · Article · May 2015 · Igiene e sanita pubblica
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    ABSTRACT: The need to integrate clinical and public health training of medical students is increasingly important. Future physicians need to be able to deal with new, complex and growing public health challenges. A literature search was performed through Pubmed to identify the conceptual reference framework. Meetings were carried out to identify the most appropriate modalities and priorities required for drafting the project, to identify the skills to be acquired by students, to decide on teaching formats and methods to assess student learning, to draw up the teaching schedule, to define the statistical methods to be used to assess student satisfaction, and to perform the statistical analysis of results. Training in hospital hygiene and environmental safety was carried out through presentation of a relevant case. After being divided into groups the students attended the three units (Environmental Microbiology, Environmental Xenobiotics, Genetic Epidemiology and Molecular Biology) of the Hygiene Section of a Public Health Institute. Training in Organization and Health Programming involved presentation of a set of indicators for the definition of objectives and assessment of health systems or services. The literature search led to the identification of the relevant literature. With regard to student satisfaction, 96% of those who replied to the questionnaire gave an overall positive review of the training course (at least 3 on a scale from 1 to 5). the overall high level of student satisfaction suggests that the proposed model may be exportable. Further developments will be the assessment of trends regarding functioning of the organizational model and perceived teaching quality.
    No preview · Article · May 2015 · Igiene e sanita pubblica
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    ABSTRACT: Preventing healthcare-associated infections requires a number of actions, including adequate disinfection and sterilization of medical devices. A cost analysis of hospital sterilization processes is fundamental to increase quality and safety, reduce costs and to make a decision about outsourcing. The aim of this analysis was to determine the cost of sterilization and the average cost of surgical procedures at the Rizzoli hospital in Bologna (Italy), a largesurgical hospital that performs more than 11,000 surgical procedures per year.
    No preview · Article · May 2015 · Igiene e sanita pubblica