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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
Franca Benini, Sabrina Congedi, Sara Rossin, Angelo Pennella
BACKGROUND: Despite pain being a crucial aspect of urgent-emergency care, the attention of healthcare workers towards this symptom in the Emergency Department (ED) is still inadequate. The aims of this study were to assess children's and their adults accompanier's satisfaction regarding pain management in Italian ED, considering healthcare workers' attention to the symptom as well as the appropriateness and efficacy of treatments received. METHODS: Questionnaires were administered face-to-face by trained interviewers over the period of one weekend in 29 Italian ED...
January 2018: Annali Dell'Istituto Superiore di Sanità
Carlo Petrini, Walter Ricciardi
The "WHO Guidelines on ethical issues in public health surveillance" were published shortly after the Italian Presidency of the Council of Ministers published a Decree (3rd March, 2017) regarding surveillance systems and registries. The WHO document is a comprehensive framework of international import that forms a compendium of ethical principles to underlie public health surveillance. Although the Italian Decree is in line with the guidelines it contains no reference to mechanisms to ensure ethical surveillance, which instead are recommended in the WHO document...
January 2018: Annali Dell'Istituto Superiore di Sanità
Elena Azzolini, Walter Ricciardi, Muir Gray
An organization may be considered as having three components: a structure, systems and culture. Culture is the most difficult part of the organization to affect. After all, culture has the key role in impacting and improving organizational performance. The leadership of an organization and its key operations are paramount in shaping the culture. Leadership and organizational culture are inextricably intertwined. They are two sides of the same coin. Culture is a medium through which leadership travels and impacts organizational performance...
January 2018: Annali Dell'Istituto Superiore di Sanità
Enrico Alleva, Simone Macrì
No abstract text is available yet for this article.
January 2018: Annali Dell'Istituto Superiore di Sanità
Elisa Buzzi, Bruno Mario Cesana
No abstract text is available yet for this article.
January 2018: Annali Dell'Istituto Superiore di Sanità
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
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
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
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
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
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
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
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