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Annali Dell'Istituto Superiore di Sanità

Antonella Granieri, Francesca Viola Borgogno, Isabella Giulia Franzoi, Marco Gonella, Fanny Guglielmucci
The aim of the present paper is to describe the development of a Brief Psychoanalytic Group therapy for contaminated sites and its application in the National Priority Contaminated Site of Casale Monferrato. Before presenting the core of the clinical intervention, a brief examination of some clinical features encountered working with malignant mesothelioma patients and their caregivers is offered. These aspects have been pivotal elements in the construction of a psychoanalytically oriented time-limited (i.e...
April 2018: Annali Dell'Istituto Superiore di Sanità
Fanny Guglielmucci, Michela Bonafede, Isabella Giulia Franzoi, Antonella Granieri
The purpose of this paper is to present two studies. Study 1 is a literature review on psychological needs of malignant mesothelioma (MM) patients. Study 2 is aimed at assessing how patients and caregiver experience the diagnosis. In study 1 we performed a systematic literature review; while in study 2 we performed a thematic analysis of semi-structured interviews. Study 1 detected 5 psychological constructs (i.e. 1. Psychological impact of MM diagnosis; 2. Emotional aspects connected to the occupational context; 3...
April 2018: Annali Dell'Istituto Superiore di Sanità
Pietro Comba, Massimo D'Angelo, Lucia Fazzo, Corrado Magnani, Alessandro Marinaccio, Dario Mirabelli, Benedetto Terracini
The purpose of the present paper is to review the origin and development of the epidemiology of mesothelioma in Italy, starting with the detection and investigation of the major outbreak of the disease observed in Casale Monferrato, Piedmont Region. Over the last four decades, mortality among the cohort of ex-Eternit workers has been measured at three points in time. More recently, population based case-control studies in the area of Casale Monferrato have provided new light on the dose-response curve of the relationship between asbestos exposure and mesotheliomas...
April 2018: Annali Dell'Istituto Superiore di Sanità
Antonella Granieri
No abstract text is available yet for this article.
April 2018: Annali Dell'Istituto Superiore di Sanità
Alberto Renzoni, Antonia Pirrera, Francesco Novello, Alessandra Lepri, Paolo Cammarata, Cristiano Tarantino, Fortunato D'Ancona, Alberto Perra
BACKGROUND: In recent years, Italy has seen a constant upward trend in the practice of tattooing. The Italian National Health Institute has conducted a national survey to determine the prevalence of tattooed people in Italy and to study related features of the phenomenon. AIM: Establish the prevalence and characteristics of the tattooed population and evaluate awareness of the risks associated with tattoos, which can contribute to consumer health protection. METHODS: Computer-assisted telephone interviews and computer-assisted web interviews were completed by a sample of the general population; 7608 people aged between 12 and 75+...
April 2018: Annali Dell'Istituto Superiore di Sanità
Cinzia Leuter, Cristina Petrucci, Valeria Caponnetto, Carmen La Cerra, Loreto Lancia
INTRODUCTION: Ethics Consultation Services (ECS) and Ethical Committees manage several aspects of clinical ethical issues. In Italy there are only Ethical Committees, and, although they should also perform ethical consultations, their activity is limited to approving clinical trial protocols. AIM: To analyse the opinions of a sample of Nurses and Physicians about their motivations to ask for an ethical consultation. METHODS: A cross-sectional study was conducted on a sample of Italian Nurses and Physicians...
April 2018: Annali Dell'Istituto Superiore di Sanità
Maria Chiara de Stefano, Giovanna Floridia, Federica Censi, Fabrizio Tosto, Marco Salvatore, Alessandro Civolani, Barbara Crescenzi, Daniela Giardino, Elisabetta Lenzini, Ermanna Lisi, Fortunato Lonardo, Marco Mancini, Antonio Novelli, Giuseppe Piombo, Sabine Stioui, Domenica Taruscio
BACKGROUND: Italian External Quality Assessment (IEQA) Program in Cytogenetics, established in 2001 by the Istituto Superiore di Sanità (ISS), covers both Constitutional and Oncohaematological diagnosis. In 2013, performance criteria were defined and adopted. In this paper, we present the data from the first 4 years of activity (2013-2016) following the introduction of performance criteria. METHODS: The enrollment is voluntary, fee-based and open to both public and private Italian laboratories...
April 2018: Annali Dell'Istituto Superiore di Sanità
Andrea Poscia, Elena Azzolini, Pasquale Cacciatore, Antonio Giulio de Belvis, Massimo Volpe, Andrea Cambieri, Gianfranco Damiani, Walter Ricciardi, Maria Lucia Specchia
BACKGROUND: Clinical Governance (CG) is a validated framework for continuous quality improvement in health care settings. Quality medical records may reflect the quality of care delivered and are a viable tool to implement CG skills. AIM: Aim of this study is to investigate the correlation between the level of implementation of CG dimensions and the quality of medical records. MATERIAL AND METHODS: A cross-sectional study was carried out in an Italian Teaching Hospital...
April 2018: Annali Dell'Istituto Superiore di Sanità
Giovanni Antonetti, Daniela D'Angelo, Paola Scampati, Ileana Croci, Narciso Mostarda, Saverio Potenza, Rosaria Alvaro
INTRODUCTION: Health care in prisons represents an important part of public health due to the interaction between prisons and society. Women prisoners have needs that distinguish them from male prisoners, however little is known about how those needs are met. The aim of the study was to gather information about the needs of women in prison and to identify which of their needs are the most or the least met. METHODS: This study investigated the needs of detained women using a newly developed Questionnaire based on Gordon's model...
April 2018: Annali Dell'Istituto Superiore di Sanità
Paolo Berretta, Adele Minutillo, Simona Pichini, Valeria Traverso, Giacomo Toth, Giulia Scaravelli, Roberto De Luca, Roberta Da Rin Della Mora
INTRODUCTION: Ethanol is the most widely used drug worldwide. Its consumption has been increasing, and it is reported even during childbearing. Prenatal exposure to ethanol can lead to irreversible damages of the fetus. Knowledge about this risk could prevent these damages. There is no information about knowledge of the Italian students on this issue. METHODS: Therefore the aim of this study was to describe the awareness of the Italian students attending the last year of secondary school about risk of gestational alcohol drinking for the delivering mother and the fetus...
April 2018: Annali Dell'Istituto Superiore di Sanità
Cinzia Grassi, Antonio Del Casale, Stefano Ferracuti, Petri Cucè, Roberto Santorsa, Andrea Pelliccione, Gemma Marotta, Giuseppe Tavella, Roberto Tatarelli, Paolo Girardi, Chiara Rapinesi, Georgios D Kotzalidis, Maurizio Pompili
BACKGROUND: Suicide in international police is 2-3-fold that of the general population. Risk factors include suicidal ideation, diagnosis of mood or post-traumatic stress disorders, family/psychological problems, suffered abuse, alcohol use, service suspension, and stigma. A false stigma-related myth is to believe that suicide does not cause concern within military settings. METHODS: We administered post-training to 6103 Italian Police workers a 30-item questionnaire to assess the perception of suicidal phenomena...
April 2018: Annali Dell'Istituto Superiore di Sanità
Carlo Petrini, Alessandro Nanni Costa
Comparison is made between the proposals put forward by the "New Charter for Health Care Workers" in the matter of organ transplants and other models of bioethics. The personalist approach adopted by the New Charter is illustrated and the proposals contained in it are finally placed alongside the reference ethical principles underlying the Italian transplant network: they are found to be fully in agreement.
April 2018: Annali Dell'Istituto Superiore di Sanità
Francesca Valent, Tolinda Gallo
Interim analyses of the 2016-17 influenza vaccine effectiveness showed variable results depending on timing of the analysis and geographical setting. We conducted a population-based retrospective cohort study based on the analysis of health-related administrative data to assess the effectiveness of the 2016-17 influenza vaccine among the elderly population of a north-eastern Italian area. Data on 64854 subjects ≥65 years of age were analyzed up to April 30, 2017. The influenza vaccine was administered to 53% of the elderly population...
January 2018: Annali Dell'Istituto Superiore di Sanità
Mario Picozzi, Alessandra Gasparetto, Federico Nicoli, Renzo Pegoraro
Clinical ethics, as a sub-discipline of bioethics, is subject to growing professionalization in North America, Europe and elsewhere. Since the goal of clinical ethics is the identification, analysis and resolution of ethical dilemmas and conflicts in health care settings, specific competencies for practitioners and criteria to evaluate them are strongly needed. Regarding clinical ethics consultation (CEC) many efforts have been made by American clinical ethicists and scholars to delineate the core knowledge and skills to perform it, to settle specific professional responsibilities and tasks and to identify the fundamental training and quality requirements that candidates and actual professionals should satisfy in order to serve as ethics consultants...
January 2018: Annali Dell'Istituto Superiore di Sanità
Kieran Walsh
PURPOSE: There is a growing interest in the use of point-of-care clinical decision support resources as a form of continuing medical education (CME). This paper models various cost and value outcomes that might emerge from the use of a clinical decision support tool (BMJ Best Practice) as CME. METHODS: BMJ Best Practice is the clinical decision support tool of the BMJ. Healthcare professionals can use it to do self-directed CME. We modeled the use of clinical decision support as a component of CME and evaluated the potential impact of this use on costs...
January 2018: Annali Dell'Istituto Superiore di Sanità
Lucia Sara D'Angiolella, Alessandra Lafranconi, Paolo Angelo Cortesi, Silvia Rota, Giancarlo Cesana, Lorenzo Giovanni Mantovani
BACKGROUND: Seasonal influenza can cause a significant public health burden. Vaccination is proposed as the most effective measure to prevent influenza and related undesired outcomes. OBJECTIVE: To estimate the efficiency of influenza vaccination. METHODS: A literature review of economic evaluations of influenza vaccinations, published over the last 5 years, was performed using MEDLINE (through PubMed), Web of Science and Scopus. RESULTS: 935 papers were identified and 30 were selected, including studies performed in different population subgroups: general population, children, adults, elderly, pregnant women and high risk patients...
January 2018: Annali Dell'Istituto Superiore di Sanità
Omar Enzo Santangelo, Sandro Provenzano, Alberto Firenze
AIM: The aim of the study was to evaluate the knowledge and behavioral risks associated with sexually transmitted infections (STIs) among the students of health professions at the University of Palermo divided into two age groups (18-22 years and 23-27 years). MATERIALS AND METHODS: A self-administered questionnaire was distributed. The questionnaire is structured in three parts in addition to an introduction to socio-demographic information. The first part investigates the quality of information provided by public institutions on the subject, the second part the knowledge of contraceptive methods used to reduce the risk of contagion and the third part the knowledge of STIs and HPV vaccination...
January 2018: Annali Dell'Istituto Superiore di Sanità
Alvaro Ringressi, Veronica Cunsolo, Francesca Malentacchi, Simone Pozzessere
BACKGROUND: The Bombay phenotype is a rare genetic trait which is characterized by the absence of A, B and H antigens on red cells as well as in body secretions. The serum shows the presence of antibodies against antigen H. Patients with this rare blood type are not easily transfusable. We had observed a woman aged 18, at the 20th week of pregnancy, native of Sri Lanka, with an IgG and IgM class anti-H. We report the case and the clinical issues arisen. MATERIALS AND METHODS: The determination of ABO, Rh[D] group, the indirect antiglobulin test (IAT) were performed in tube techniques and in neutral gel microcolumn...
January 2018: Annali Dell'Istituto Superiore di Sanità
Antonella Ceroni, Erica Busca, Silvia Caristia, Simona Milani, Roberta Casarotto, Giulia Buratti, Samanta Gaboardi, Antonella Croso, Alberto Dal Molin
BACKGROUND: Bed rest is prescribed for all patients after cardiovascular implantable electronic device (CIED) placement but to a varied extent. Different clinical protocols exist. AIM: To assess the effects of different lengths of bed rest on complications and patient comfort after CIED implantation. METHODS: We searched MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, CINAHL, SCOPUS. We included randomized and quasi-randomized controlled trials...
January 2018: Annali Dell'Istituto Superiore di Sanità
Carmela Colica, Laura Di Renzo, Paola Gualtieri, Lorenzo Romano, Renata Costa de Miranda, Antonino De Lorenzo, Ivana Purificato
AIM: To develop and cross-validate a predictive equation for estimating lean body mass (LBM) in children, based on bioelectrical impedance analysis (BIA) and anthropometric parameters, and to compare our equation with other predictive methods. METHODS: We evaluated body composition of 155 children (age 5-14 years) by BIA and dual energy X-ray absorptiometry (DXA). Children were divided in two groups: developing set and cross-validation set. Statistical analysis as multiple regression and Bland-Altman methods were performed...
January 2018: Annali Dell'Istituto Superiore di Sanità
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