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Annali Dell'Istituto Superiore di Sanità

Laura Lauria, Angela Spinelli, Michele Grandolfo
INTRODUCTION: Breastfeeding is widely recommended. Updated data are needed to assess its prevalence and the effectiveness of interventions. Breastfeeding practices in Italy need to be promoted and monitored with updated and standard data The objective of this study is to provide estimates of the prevalence of breastfeeding and exclusively breastfeeding and to identify factors that may be modified to improve them. MATERIALS AND METHODS: Two population-based follow-up surveys were conducted to evaluate the quality of maternal care in 25 Local Health Units (LHUs) in Italy during 2008-2011...
July 2016: Annali Dell'Istituto Superiore di Sanità
Francesco Chirico
In Europe, the Council Directive 89/391 for improvement of workers' safety and health has emphasized the importance of addressing all occupational risk factors, and hence also psychosocial and organizational risk factors. Nevertheless, the construct of "work-related stress" elaborated from EU-OSHA is not totally corresponding with the "psychosocial" risk, that is a broader category of risk, comprising various and different psychosocial risk factors. The term "burnout", without any binding definition, tries to integrate symptoms as well as cause of the burnout process...
July 2016: Annali Dell'Istituto Superiore di Sanità
Marco Rogante, Claudia Giacomozzi, Mauro Grigioni, Dahlia Kairy
AIMS: To evaluate the quality of systematic reviews on telemedicine applications in palliative care. METHODS: A structured literature review was conducted to identify systematic reviews dealing with telemedicine in palliative care; the AMSTAR (Assessment of Multiple Systematic Reviews) checklist was used to appraise the evidence related to the systematic reviews. RESULTS: 405 records were initially identified; of these 14 were eligible for full-text analysis...
July 2016: Annali Dell'Istituto Superiore di Sanità
Yllka Kodra, Loreta A Kondili, Alessia Ferraroni, Maria Antonietta Serra, Flavia Caretto, Maria Antonietta Ricci, Domenica Taruscio
INTRODUCTION: Prader-Willi syndrome (PWS) is a rare genetic disorder characterized by severe hypotonia during the neonatal period and the first two years of life, the onset of hyperphagia with a risk of obesity during infancy and adulthood, learning difficulties and behavioral or severe psychiatric problems. This complex disease has severe consequences and difficult management issues also for patients' families. Parents of children with PWS need appropriate psychoeducational intervention in order to better manage their children with PWS...
July 2016: Annali Dell'Istituto Superiore di Sanità
Nicola Nante, Lapo Gialluca, Michela De Corso, Gianmarco Troiano, Agnese Verzuri, Gabriele Messina
Interest in measuring the Health Related Quality of Life (HRQoL) of the immigrants increased in recent years in Italy as in other countries. Our purpose was to evaluate the HRQoL of refugees welcomed in Tuscany using the SF-36 questionnaire. We collected 114 questionnaires from 2011 to 2015. Our samples was constituted by 98 males and 16 females, coming from different regions of the world; the mean age was 27.4. Statistical analysis showed that gender, length of stay and educational qualification are not associated with a poorer HRQoL...
July 2016: Annali Dell'Istituto Superiore di Sanità
Antonio Valenti, Diana Gagliardi, Grazia Fortuna, Sergio Iavicoli
BACKGROUND: Climate change and environmental degradation are seriously jeopardizing the future environmental and economic sustainability at the global level prompting urgent calls for a shift towards more sustainable development and greener economies. The use of the so called green jobs is a key strategy to overcome economic and ecological crisis. AIM: The present study discusses the implications for employment and decent work of green jobs in order to identify information/training measures to enhance skills of employees protecting their working conditions...
July 2016: Annali Dell'Istituto Superiore di Sanità
Maria Concetta D'Ovidio, Isabella Annesi-Maesano, Gennaro D'Amato, Lorenzo Cecchi
INTRODUCTION: Climate change, air pollution, temperature increase and other environmental variables are modifying air quality, contributing to the increase of prevalence of allergic respiratory diseases. Allergies are complex diseases characterized by multilevel interactions between individual susceptibility, response to immune modulation and environmental exposures to physical, chemical and biological agents. Occupational allergies introduce a further complexity to these relationships by adding occupational exposure to both the indoor and outdoor ones in the living environment...
July 2016: Annali Dell'Istituto Superiore di Sanità
Nicoletta Vonesch, Maria Concetta D'Ovidio, Paola Melis, Maria Elena Remoli, Maria Grazia Ciufolini, Paola Tomao
INTRODUCTION: Risks associated with climate change are increasing worldwide and the global effects include altered weather and precipitation patterns, rising temperatures and others; human health can be affected directly and indirectly. This paper is an overview of literature regarding climate changes, their interaction with vector-borne diseases and impact on working population. MATERIALS AND METHODS: Articles regarding climate changes as drivers of vector-borne diseases and evidences of occupational cases have been picked up by public databank...
July 2016: Annali Dell'Istituto Superiore di Sanità
Gian Marco Contessa, Carlo Grandi, Mario Scognamiglio, Elisabetta Genovese, Sandro Sandri
The accident at Tokyo Electric Power Company's (TEPCO's) Fukushima Daiichi nuclear power plant (NPP) has been one of the dominant topic in nuclear safety and it has brought new attention on the matter of accidents in NPPs due to external events related to natural causes. Climate change has risen new risks and the growing probability of extreme external events has increased exposure and vulnerability of workers in the nuclear sector. However extreme natural events are a threat not only to NPPs but to all facilities dealing with radioactive material and in an emergency scenario they can affect the effectiveness and implementation of safety devices and procedures and also prevent communications, causing delays in the readiness of response...
July 2016: Annali Dell'Istituto Superiore di Sanità
Maria Pia Gatto, Renato Cabella, Monica Gherardi
OBJECTIVE: This study investigates the possible influence of global climate change (GCC) on exposure to plant protection products (PPP) in the workplace. METHODS: The paper has evaluated the main potential relationships between GCC and occupational exposure to pesticides, by highlighting how global warming might affect their future use and by reviewing its possible consequence on workers' exposure. RESULTS: Global warming, influencing the spatial and temporal distribution and proliferation of weeds, the impact of already present insect pests and pathogens and the introduction of new infesting species, could cause a changed use of pesticides in terms of higher amounts, doses and types of products applied, so influencing the human exposure to them during agricultural activities...
July 2016: Annali Dell'Istituto Superiore di Sanità
Raul Harari Arjona, Jessika Piñeiros, Marcelo Ayabaca, Florencia Harari Freire
Climate change is a global concern but little is known about its potential health effects in workers from non-industrialized countries. Ecuadorian workers from the coast (hot environments) and Andean region (elevated UV radiation) might be at particular risk of such effects. In the Andean region, measurements of UV index show maximum levels exceeding 11, a level considered being extreme according to the WHO. Also, an increased incidence of skin cancer was reported the last decennium, this being the second most common cancer type in men and women...
July 2016: Annali Dell'Istituto Superiore di Sanità
Michela Bonafede, Alessandro Marinaccio, Federica Asta, Patrizia Schifano, Paola Michelozzi, Simona Vecchi
INTRODUCTION: The relationship between extreme temperature and population health has been well documented. Our objective was to assess the evidence supporting an association between extreme temperature and work related injuries. METHODS: We carried out a systematic search with no date limits using PubMed, the Cochrane central register of controlled trials, EMBASE, Web of Science and the internet sites of key organizations on environmental and occupational health and safety...
July 2016: Annali Dell'Istituto Superiore di Sanità
Carlo Grandi, Massimo Borra, Andrea Militello, Alessandro Polichetti
Occupational exposure to solar radiation may induce both acute and long-term effects on skin and eyes. Personal exposure is very difficult to assess accurately, as it depends on environmental, organisational and individual factors. The ongoing climate change interacting with stratospheric ozone dynamics may affect occupational exposure to solar radiation. In addition, tropospheric levels of environmental pollutants interacting with solar radiation may be altered by climate dynamics, so introducing another variable affecting the overall exposure to solar radiation...
July 2016: Annali Dell'Istituto Superiore di Sanità
Enrico Marchetti, Pasquale Capone, Daniela Freda
INTRODUCTION: Climate change is a global emergency that influences human health and occupational safety. Global warming characterized by an increase in temperature of the ambience and humidity affects human health directly impairing body thermoregulation with serious consequences: dehydration, fatigue, heat stroke and even death. Several studies have demonstrated negative effects of climate change on working populations in a wide variety of workplaces with particular regard to outdoor and uncooled indoor workplaces...
July 2016: Annali Dell'Istituto Superiore di Sanità
Virginia Ciardini, Gian Marco Contessa, Rosaria Falsaperla, José Luis Gómez-Amo, Daniela Meloni, Francesco Monteleone, Giandomenico Pace, Salvatore Piacentino, Damiano Sferlazzo, Alcide di Sarra
: Observed changes at the global scale. An increase of the annual mean global temperature and changes of other climate parameters have been observed in the last century. The global temperature and the atmospheric concentration of greenhouse gases are changing at a very fast pace compared to those found in palaeoclimate records. Changes in the Mediterranean. Variations of some climate change indicators can be much larger at the local than at the global scale, and the Mediterranean has been indicated among the regions most sensitive to climate change, also due to the increasing anthropogenic pressure...
July 2016: Annali Dell'Istituto Superiore di Sanità
Maria Concetta D'Ovidio, Carlo Grandi, Enrico Marchetti, Alessandro Polichetti, Sergio Iavicoli
No abstract text is available yet for this article.
July 2016: Annali Dell'Istituto Superiore di Sanità
Byron Kiiza Yafesi Bitanihirwe
Infectious disease continues to have dramatic effects on morbidity and mortality around the world. Few events could cause such loss of life and damage to livelihoods. As witnessed with the recent West African Ebola outbreak, raising alerts and identifying the outbreak in the community took too long. As a consequence local health systems were quickly overwhelmed. In addition, response at the international level proved slow and poorly coordinated. Rapid diagnostics, effective therapeutics, protective equipment, and a vaccine were all lacking...
July 2016: Annali Dell'Istituto Superiore di Sanità
Carlo Petrini, Ippolita Rana, Enrico Alleva
In the ethics of relations between physicians and paediatric patients the question of autonomy and its corollary, consent, is crucial. While the importance attached to autonomy in the clinical setting is not the same as that accorded in research, it nonetheless assumes greater relevance when minors are involved, and a careful case-by-case assessment becomes obligatory.
July 2016: Annali Dell'Istituto Superiore di Sanità
Raffaella Scotti, Laura Nicolini, Roberta Gabbianelli
INTRODUCTION: E. coli O157:H7 has three sodC genes encoding for Cu,Zn superoxide dismutase. We evaluated the expression of chromosomal sodC in distinct phases of growth in different strains, and we examined the mutual capability of chromosomal and prophagic genes to influence their expression. METHODS: We used One Step real-time RT-PCR technology to study the expression of sodC genes in several E. coli strains. RESULTS: In three of four analysed E...
April 2016: Annali Dell'Istituto Superiore di Sanità
Loris Pignolo, Lucia F Lucca, Giuseppina Basta, Sebastiano Serra, Maria E Pugliese, Walter G Sannita, Giuliano Dolce
BACKGROUND: In recent years, as part of the rehabilitation of post stroke patients, the use of robotic technologies to improve recovery of upper limb has become more widespread. The Automatic Recovery Arm Motility Integrated System (ARAMIS) is a concept robot and prototype designed to promote the functional interaction of the arms in the neurorehabilitation of the paretic upper limb. Two computer-controlled, symmetric and interacting exoskeletons compensate for the inadequate strength and accuracy of the paretic arm and the effect of gravity during rehabilitation...
April 2016: Annali Dell'Istituto Superiore di Sanità
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