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Annali Dell'Istituto Superiore di Sanità

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https://www.readbyqxmd.com/read/29297867/organ-transplantation-from-marginal-and-non-standard-risk-donors-ethical-requisites-for-consent-from-recipients
#1
Carlo Petrini
In order to close the gap between available organs and patients needing transplants, the selection criteria for donors have gradually become more relaxed and many countries have defined expanded criteria for donor variables. However, the use of organs from marginal and non-standard risk donors poses considerable ethical issues. The acceptability of the risk/benefit ratio depends primarily on a clinical assessment, and information given to the recipient and his/her eventual consent are crucial. Some of the requisites concerning information and consent are mandatory...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297866/a-comparison-between-the-costs-of-dialysis-treatments-in-marche-region-italy-macerata-and-tolentino-hospitals
#2
Concetta Maria Vaccaro, Franco Sopranzi
BACKGROUNDS: The main aim of this study was to estimate the costs of different dialysis modalities through the analysis of administrative databases in the Macerata and Tolentino hospitals, in Italy. METHODS: We retrospectively analyzed two main categories: medical direct costs (all the monetary costs whose consumption is wholly referable to dialysis treatment) and non-medical direct costs (all the costs that make treatment possible but that are outside the medical care sector), related to 2013...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297865/using-health-care-audit-to-improve-quality-of-clinical-records-the-preliminary-experience-of-an-italian-cancer-institute
#3
Chiara Cadeddu, Maria Lucia Specchia, Pasquale Cacciatore, Raffaele Marchini, Walter Ricciardi, Costanza Cavuto
INTRODUCTION: Audit and feedback are recognized as part of a strategy for improving performance and supporting quality and safety in European health care systems. These considerations led the Clinical Management Staff of the "Regina Elena" Italian Cancer Institute to start a project of self-assessment of the quality of clinical records and organizational appropriateness through a retrospective review. MATERIALS AND METHODS: The evaluation about appropriateness and congruity concerned both clinical records of 2013 and of 2015...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297864/medical-tattooing-the-new-frontiers-a-case-of-nail-bed-treatment
#4
Alberto Renzoni, Antonia Pirrera, Alessandra Lepri, Paolo Cammarata, Rita Molinaro, Alessandro Dalla Vedova
The primary objective of medical tattooing is to restore part of a patient's physical integrity. Moreover, the procedure seeks to assist in psychological recovery from the physical and/or psychological consequences of disease, surgery or trauma. The method described in this brief note marks a step forward in the field of such tattooing. The treatment simulates reconstruction of the nail bed, as the nails of the big toes had previously been removed through a surgical avulsion procedure. This treatment, agreed with the physician and performed by a tattooist with proven experience in medical tattooing, also involved the use of specific colour nuances that resulted in an extremely realistic outcome...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297863/cooperating-to-improve-healthcare-in-arab-countries
#5
Davide Maged, Rita Maria Ferrelli, Alessandra Zorayan, Maria Luisa Di Pietro, Antonio Giulio de Belvis, Walter Ricciardi, Stefania Boccia, Adele Anna Teleman, Maurizio Sanguinetti
This brief note presents a few examples of successful health collaboration to improve healthcare in Arab countries. Considerable growth has been noticed in the past years in the health sector of the Middle East and North Africa region countries due to the need to address health service capacity gaps and improve the quality of health infrastructure. The rising population coupled with the aging demographic is expected to drive healthcare demand in the Arab region, augmenting its demand. In order to meet this demand, a lot of progress within the public sector has been made and several initiatives have taken place to create awareness of the most common diseases affecting the region...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297862/estimate-of-the-prevalence-of-subjects-with-gambling-related-problems-requiring-treatment-a-study-in-northern-italy
#6
Raimondo Maria Pavarin, Corrado Zenesini, Angelo Fioritti
This study analyzes the data related to subjects who for the first time turned to a hospital or to a Public Treatment Service Dedicated to Drug Addicts or to a Community Mental Health Center for problems related to pathological gambling in the metropolitan area of Bologna (Northern Italy) in the period 2000/2015. The aims were to describe characteristics and problems of pathological gamblers (PGs), and to estimate the prevalence of PGs using the capture-recapture method. Four hundred and ninety-five residents were identified, with an estimate of 1570 PGs and a prevalence of 1...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297861/eurados-intercomparison-exercise-on-monte-carlo-modelling-of-a-medical-linear-accelerator
#7
Barbara Caccia, Maïwenn Le Roy, Valentin Blideanu, Claudio Andenna, Chairmadurai Arun, Damian Czarnecki, Tarek El Bardouni, Régine Gschwind, Nicolas Huot, Eric Martin, Klemens Zink, Mariam Zoubair, Robert Price, Loïc de Carlan
BACKGROUND: In radiotherapy, Monte Carlo (MC) methods are considered a gold standard to calculate accurate dose distributions, particularly in heterogeneous tissues. EURADOS organized an international comparison with six participants applying different MC models to a real medical linear accelerator and to one homogeneous and four heterogeneous dosimetric phantoms. AIMS: The aim of this exercise was to identify, by comparison of different MC models with a complete experimental dataset, critical aspects useful for MC users to build and calibrate a simulation and perform a dosimetric analysis...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297860/italian-external-quality-assessment-program-for-cystic-fibrosis-sweat-chloride-test-a-2015-and-2016-results-comparison
#8
Marco Salvatore, Giovanna Floridia, Annalisa Amato, Federica Censi, Maria Chiara de Stefano, Gianluca Ferrari, Fabrizio Tosto, Domenica Taruscio
BACKGROUND: Diagnostic testing in cystic fibrosis (CF) is based on the sweat chloride test (SCT) in the context of appropriate signs and symptoms of disease and results of the gene mutation analysis. In 2014 the Istituto Superiore di Sanità (ISS) established a pilot Italian external quality assessment program for CF sweat chloride test (Italian EQA-SCT). In 2015 this activity was recognized as a third party service carried out by the ISS. The aim of the paper is to compare 2015 and 2016 results and experiences...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297859/trends-in-thyroid-cancer-incidence-and-mortality-in-central-serbia-1999-2014
#9
Miodrag Stojanović, Dijana Stojanović, Nataša Rančić, Aleksandra Ignjatović, Zorica Antic, Snezana Miljkovic, Tatjana Rajovic
INTRODUCTION: Thyroid cancer (TC) is the most common malignant disease of the endocrine system. The incidence of the TC has been increasing worldwide, especially in female population. However, mortality from TC is low in both males and females. The objective of the paper was to determine and to analyze incidence and mortality trends of TC in males and females in the central Serbia in the period 1999-2014. METHOD: In this descriptive study data from the Serbian Cancer Registry were used...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297858/capturing-the-chance-for-pneumococcal-vaccination-in-the-hospital-setting
#10
Francesco Di Nardo, Giovanna Elisa Calabrò, Carolina Ianuale, Andrea Poscia, Elena Azzolini, Massimo Volpe, Chiara de Waure
INTRODUCTION: Because of the relevant burden of pneumococcal diseases, newborns, people at risk and elderly are recommended vaccination but coverage is still low for problems in catching them. This study evaluates the proportion of eligible patients seen at hospital level in the view of assessing its potential role in vaccination campaigns. METHODS: This is a retrospective analysis of discharge data of all patients over 49 years of age admitted between 2011 and 2013 to "A...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297857/trends-in-adolescent-overweight-prevalence-in-italy-according-to-socioeconomic-position
#11
Giacomo Lazzeri, Paola Dalmasso, Paola Berchialla, Alberto Borraccino, Lorena Charrier, Mariano V Giacchi, Rita Simi, Michela Lenzi, Alessio Vieno, Patrizia Lemma, Franco Cavallo
BACKGROUND: The aim of this research is to update the trend in overweight (including obesity) prevalence among Italian adolescents, evaluating possible differences by age and gender, and analyzing their relationships with socioeconomic status, between 2002 and 2014. METHODS: The present study is based on data from the Italian HBSC study at four time points (2002, 2006, 2010 and 2014), which involved 15 035 adolescents, aged 11-13-15 (7540 boys and 7495 girls). RESULTS: Gender and age were associated with the occurrence of overweight...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297856/silicosis-mortality-in-italy-temporal-trends-1990-2012-and-spatial-patterns-2000-2012
#12
Giada Minelli, Amerigo Zona, Fulvio Cavariani, Pietro Comba, Roberto Pasetto
INTRODUCTION: The objective of this contribution is to describe, for the first time, occurrence, temporal trends and spatial patterns of mortality from silicosis in Italy in recent decades. METHODS: Mortality data on pneumoconiosis due to silica or silicates (ICD-9 code 502, ICD-10 code J62) were extracted from the Italian National Mortality Database. Temporal trends were analysed in the period 1990-2012; standardized rates per 100 000, spatial distribution, including cluster analysis, were computed for eleven years, i...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297855/animal-assisted-intervention-aai-for-children-in-either-research-practice-or-policy-from-a-one-health-perspective-editorial
#13
Federica Pirrone
No abstract text is available yet for this article.
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956806/long-term-services-for-the-care-and-rehabilitation-of-people-with-severe-acquired-brain-injury-a-multicentre-cross-sectional-study-of-536-italian-families
#14
Alessandra Redolfi, Maria Gugliotta, Marco Borsotti, Antonello D'Amato, Paola Gemignani, Alessandra Maietti, Tiziana Mezzanato, Sabrina Sapienza, Pietro Davide Trimarchi, Stefano Negrini, Anna Mazzucchi
BACKGROUND: People with severe acquired brain injuries (ABIs) require complex, long-term multidisciplinary healthcare, and social welfare programmes, and their families experience social and emotional consequences that profoundly condition their quality of life. OBJECTIVE: To investigate whether the possibility of gaining access to local rehabilitation and other services positively influences not only the quality of life of the patients but also the quality of life of their families...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956805/survey-of-health-and-social-health-services-for-people-with-dementia-methodology-of-the-italian-national-project
#15
Alessandra Di Pucchio, Teresa Di Fiandra, Fabrizio Marzolini, Eleonora Lacorte, SQoDS Group, Nicola Vanacore
People with dementia have special assistance needs. Worldwide problem is to ensure access to quality health services. Our study supported by the Italian Ministry of Health reports methodology features of a large survey project conducted to identify and to collect information on health and social health services for people with dementia in Italy. Among all Italian regions, about two thousand services available to individuals with dementia disease and their caregivers were identified. These services included memory clinics, daycare centers and residential care facilities, totally or partially covered by the public healthcare service...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956804/immigrants-and-cancer-in-italy-a-literature-review
#16
Emanuele Crocetti, Orietta Giuliani, Alessandra Ravaioli, Lauro Bucchi, Rosa Vattiato, Fabio Falcini
Immigration is a growing flow in Italy. Also specific health needs could be imported. We focused on cancer. A systematic search for literature in PubMed was performed on 10th March 2016, limited to articles published between 1st March 1996 and 1st March 2016. Papers were reviewed focusing on: specific risks, prevention and care. Cancer incidence is generally lower for immigrants than for natives, also for the health immigrant effect. However, cancers with an infective etiology may have, among some groups of immigrants, a great relevance...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956803/infant-immunization-coverage-in-italy-2000-2016
#17
Carlo Signorelli, Anna Odone, Paola Cella, Stefania Iannazzo, Fortunato D'Ancona, Raniero Guerra
BACKGROUND: In Italy, national-level immunization polices are included in the National Immunization Prevention Plan (PNPV), whose latest edition - 2017-2019 PNPV - was finally approved in February 2017. Coverage rates are a key measure of immunization system performance; it can inform and support national and regional polices' implementation monitoring, as well as measure the impact of interventions aimed at increasing vaccine uptake. METHODS: We collected, analysed and critically interpreted 2000-2016 Italian national infant immunization coverage trends, by different vaccine, target population, and by Region...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956802/local-health-rules-and-building-regulations-a-survey-on-local-hygiene-and-building-regulations-in-italian-municipalities
#18
Marco Gola, Carlo Signorelli, Maddalena Buffoli, Andrea Rebecchi, Stefano Capolongo
INTRODUCTION: WHO has highlighted the need to strengthen the relationship between health and built environment factors, such as inappropriate housing conditions. Local Health Rules (LHRs) and Building Regulations (BRs) are tools which provide safety and building hygiene in construction practices. Currently the Italian Government is considering to establish a National Building Regulation and, related to the following purpose, this paper presents a survey on the status of adoption and updating of LHRs and BRs in Italian municipalities...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956801/surveillance-of-childhood-overweight-comparison-of-okkio-alla-salute-survey-and-general-paediatrics-data-in-the-province-of-trento
#19
Silvano Piffer, Lucia Bombarda, Riccardo Pertile, Maria Grazia Zuccali
Estimates of childhood overweight and obesity for the Province of Trento provided by the 2014 "OKkio alla SALUTE" survey (Italian national surveillance system for weight and nutrition in children) were compared with estimates provided by paediatric health forms. The Province of Trento is the only region that makes use of the information gathered through these forms, which are completed by primary care paediatricians as part of the 6-year health evaluation. OKkio alla SALUTE data for children, obtained from students enrolled in the third year of primary school in 2014 (845 children aged 8-9 years), were compared with data collected at the age of 6 for cohorts born in 2006, evaluated in 2012-2013 (3101 subjects)...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28956800/molecular-characterization-of-neisseria-gonorrhoeae-on-non-cultured-specimens-from-multiple-anatomic-sites
#20
Anna Carannante, Valeria Ghisetti, Ivano Dal Conte, Gabriella Gregori, Maria Laura Stella, Paola Vacca, Simonetta Del Re, Paola Stefanelli
INTRODUCTION: The aim of this study was to molecularly characterize Neisseria gonorrhoeae on non-cultured specimens collected from multiple anatomic sites. N. gonorrhoeae multiantigen sequence typing (NG-MAST) together with the gene sequence analysis of antimicrobial resistance (AMR) target genes were used. MATERIALS AND METHODS: Seventeen genital and extra-genital samples from eight patients (7 were men who have sex with men, MSM, and 1 women who have sex with men, WSM) with gonorrhoea symptoms were analyzed...
July 2017: Annali Dell'Istituto Superiore di Sanità
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