3,713 results match your criteria Annali Dell Istituto Superiore Di Sanita[Journal]


Improving the quality of care for people with chronic diseases: translating recommendations to practice.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):67-72

National Institute of Public Health Slovenia, Ljubljana, Slovenia.

Introduction: Aim of this paper is to present a guide for translating to practice an evidence-based set of Quality Criteria and Recommendations (QCR) to promote the implementation of policies and practices in the field of health promotion, disease prevention and care for people with chronic diseases.

Methods: The guide is based on real-world experiences of eight European pilot actions using QCR as a framework for practice design, development, implementation, monitoring and evaluation. All partners implemented their respective practices by following the same agreed process. Read More

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Implementation level of best practice policies by Italian Government for healthier food environments: Healthy Food Environment Policy Index (Food-EPI).

Ann Ist Super Sanita 2022 Jan-Mar;58(1):55-66

Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.

Background: This work aims to identify policies implemented for healthy food environments in Italy within The Healthy Food Environment Policy Index (Food-EPI) project.

Methods: Food-EPI tool, which includes two components, thirteen domains and fifty good practice indicators, was adapted for the Italian context. Evidence for implementation was gathered and summarized for all fifty indicators from data sources such as governmental websites, non-government organizations publications and websites and via direct contact with Government officials. Read More

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Psychological care for infertile couples undergoing assisted reproductive technology: a national study on the characteristics of counselling services.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):46-54

Registro Nazionale Procreazione Medicalmente Assistita, Centro Nazionale per la Prevenzione delle Malattie e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.

Introduction: Infertility has an impact on the psychophysical health of individuals and couples, and its treatment through an assisted reproductive technology (ART) is a very exacting experience. The aim of this study was to explore the characteristics of psychological counselling services in Italian ART centres through a specially designed questionnaire administered to the physicians in charge of the centres.

Methods: The questionnaire online was sent to 306 ART authorized centres. Read More

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Styloid process elongation and temporomandibular disorders: a pilot study in the Albanian population.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):42-45

Department of Statistics, College of Letters and Science, UC Berkeley, California, USA.

Introduction: Patients with an elongated styloid process (SP) presented related symptoms as deep neck pain, foreign body sensation in the throat, pain on turning the head, and odynophagia. These symptoms are the source of misdiagnosis of this syndrome since these clinical manifestations are like those of temporomandibular disorders (TMD). This study aimed to investigate a possible correlation between the TMD and elongation of the SP. Read More

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Knowledge and attitudes towards Zika virus: an Italian nation-wide cross-sectional study.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):34-41

Azienda Socio Sanitaria Territoriale di Lodi (ASST Lodi), Lodi, Italy.

Background: Zika virus (ZIKV) is an arthropod-borne virus transmitted through infected mosquitos. The aim of this Italian nation-wide study was to evaluate general population's knowledge and attitudes towards ZIKV, its transmission, and travel-related preventive measures.

Methods: This cross-sectional study was conducted between July and August 2017, through a validated questionnaire. Read More

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A population-based cohort approach to assess excess mortality due to the spread of COVID-19 in Italy, January-May 2020.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):25-33

Dipartimento Malattie Infettive, Istituto Superiore di Sanità, Rome, Italy.

Aims: To assess the impact of the COVID-19 pandemic on all-cause mortality in Italy during the first wave of the epidemic, taking into consideration the geographical heterogeneity of the spread of COVID-19.

Methods: This study is a retrospective, population-based cohort study using national statistics throughout Italy. Survival analysis was applied to data aggregated by day of death, age groups, sex, and Italian administrative units (107 provinces). Read More

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Cancer screening programmes in Italy during the COVID-19 pandemic: an update of a nationwide survey on activity volumes and delayed diagnoses.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):16-24

Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), Florence, Italy.

Introduction: In Italy, regional governments are in charge of implementing cervical, breast and colorectal cancer screening programmes. The 2020 Coronavirus pandemic led to a national lockdown and the temporary suspension of several non-urgent healthcare activities, including cancer screening. This paper aims to describe the results of a national survey carried out by the National Centre for Screening Monitoring (ONS) on cervical, breast and colorectal cancer screening activities in 2020. Read More

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Alcohol consumption and COVID-19 in Europe: how the pandemic hit the weak.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):6-15

Osservatorio Nazionale Alcol, WHO Collaborating Centre for Health Promotion and Research on Alcohol and Alcohol-related problems, Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.

Introduction: The COVID-19 pandemic came along with several health and social unprecedented emergencies, among which handling people with substance use disorder issues.

Methods: In this work, data from a cross-sectional online survey conducted among more than 40,000 adults in 21 European countries during the spring of 2020 are analyzed. The survey recorded participants drinking habits during the year preceding the survey and the changes in alcohol consumption during lockdown. Read More

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First detection of SARS-CoV-2 lineage A.27 in Sardinia, Italy.

Ann Ist Super Sanita 2022 Jan-Mar;58(1):1-5

Dipartimento Malattie Infettive, Istituto Superiore di Sanità, Rome, Italy.

Introduction: Multiple variants of SARS-CoV-2, since the end of 2020 have emerged in many geographical areas and are currently under surveillance worldwide highlighting the continuing need for genomic monitoring to detect variants previously not yet identified.

Methods: In this study, we used whole-genome sequencing (WGS) and phylogenetic analysis to investigate A.27 lineage SARS-CoV-2 from Sardinia, Italy. Read More

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Clinical practice guideline for the integrated management of major trauma by the Italian National Institute of Health: process and methods.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):343-351

Centro per l'Eccellenza Clinica, la Qualità e la Sicurezza delle Cure, Istituto Superiore di Sanità, Rome, Italy.

Background: Major trauma describes serious injuries requiring lifesaving interventions or resulting in long-term disability; it represents about 8% of all deaths worldwide. Specific guidelines can help reduce deaths and disabilities, provided they adhere to high quality and trustworthiness standards. This article aims at introducing the development process of the Istituto Superiore di Sanità, ISS (Italian National Institute of Health) guideline for major trauma integrated management. Read More

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January 2022

Network as a language for precision medicine.

Authors:
Lorenzo Farina

Ann Ist Super Sanita 2021 Oct-Dec;57(4):330-342

Dipartimento di Ingegneria Informatica, Automatica e Gestionale "A. Ruberti", Sapienza Università di Roma, Rome, Italy.

The article takes as a starting point the observation of a deep and long-standing gap between the views of biologists/physicians and that of physicists/data scientists when dealing with life sciences. This gap has been exacerbated by the advent of large-scale -omics technologies. Here, we focus on the impact of this gap in the field of precision medicine that impedes dialogue between omics data analysts and precision medicine physicians. Read More

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January 2022

Ecological meta-analytic study of kidney disease in Italian contaminated sites.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):314-323

Dipartimento Ambiente e Salute, Istituto Superiore di Sanità, Rome, Italy.

Introduction: Environmental heavy metals exposure has been associated with kidney disease. There is also some evidence that exposure to solvents may be a risk factor for kidney disease. We estimated the risk of hospitalization for kidney diseases (ICD-9 580-586) and chronic kidney disease (CDK, ICD-9 585) in residents in thirty-four Italian National Priority Contaminated Sites (NPCSs) polluted by heavy metals. Read More

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January 2022

Measurable residual disease in multiple myeloma and in acute myeloid leukemia, an evolving topic.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):300-313

Dipartimento di Oncologia, Istituto Superiore di Sanità, Rome, Italy.

Minimal or measurable residual disease (MRD) is a term that refers to the submicroscopic tumor disease persisting after therapy. Sensitive immunophenotypic and molecular techniques are used to detect the small amount of residual tumor cells, conferring a detection capacity clearly more sensitive of common cytomorphologic techniques. MRD evaluation now represents an important tool in the study of solid tumors and of hematological malignancies. Read More

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January 2022

The healthcare professionals' support towards organ donation. An analysis of current practices, predictors, and consent rates in Apulian hospitals.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):291-299

Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, Università degli Studi di Pavia; Chirurgia Generale 1, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.

Introduction: The paper investigates the critical care staff's support towards organ donation by analysing how their attitude, knowledge, confidence, engagement, and training can act as predictors of donation consent rates. Our study focused on hospitals in the Apulia Region, Italy.

Material And Methods: The study employs a quantitative methodology based on a survey of healthcare professionals. Read More

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January 2022

COVID-19 in pediatric palliative care: what can we learn from the pandemic and possible future directions.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):286-290

Centro Regionale di Cure Palliative Pediatriche e Terapia del Dolore, Dipartimento della Salute della Donna e del Bambino, Azienda Ospedale Università Padova, Padua, Italy.

Introduction: Patients in pediatric palliative care (PPC) live with multiple comorbidities which represent a risk factor for severe form of COVID-19.

Methods: This monocentric retrospective study was performed at the PPC Center of Padua (Italy). Testing methodology, prevention strategies and infection characteristics were documented and compared during the first and second peak of SARS-CoV-2 infection. Read More

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January 2022

The first SARS-CoV-2 wave among pregnant women in Italy: results from a prospective population-based study.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):272-285

Centro Nazionale per la Prevenzione delle Malattie e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.

Introduction: This study aimed to estimate the incidence of SARS-CoV-2 infection among pregnant women during the first pandemic wave in Italy, and to describe COVID-19 disease characteristics and maternal and perinatal outcomes.

Materials And Methods: National population-based prospective cohort study collecting information on women with SARS-CoV-2 diagnosis, confirmed within 7 days from hospital admission.

Results: The national SARS-CoV-2 rate was 6. Read More

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January 2022

Anti-SARS-CoV-2 antibodies persistence after natural infection: a repeated serosurvey in Northern Italy.

Ann Ist Super Sanita 2021 Oct-Dec;57(4):265-271

Azienda Provinciale per i Servizi Sanitari (APSS), Trento, Italy.

Introduction: To evaluate the decline of antibodies induced by SARS-CoV-2 infection, the individuals resident in 5 municipalities of the Autonomous Province of Trento, Northern Italy, who resulted IgG positive for anti-SARS-CoV-2 nucleocapsid (NC) in May 2020, were tested four months later.

Methods: Anti-SARS-CoV-2 NC antibodies were detected using the Abbott SARS-CoV-2 IgG assay. Samples that gave a negative result were re-tested using the Liaison SARS-CoV-2 IgG assay to assess anti-spike (S) S1/S2 antibodies. Read More

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January 2022

Medication prescriptions before, during and after pregnancy in Italy: a population-based study.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):249-258

Agenzia Italiana del Farmaco (AIFA), Rome, Italy.

Background: Monitoring medicine prescriptions in pregnancy is an aspect of extreme interest in term of public health.

Methods: A retrospective prevalence study using administrative healthcare databases was performed in order to evaluate medication prescriptions in Italy. A cohort of 274,938 pregnant women (15-49 years) residing in three Italian regions (Emilia-Romagna, Lazio, Puglia), who delivered in 2014-2017, were enrolled. Read More

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December 2021

Hepatitis B (HBV) reactivation in patients receiving biologic therapy for chronic inflammatory diseases in clinical practice.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):244-248

UOC di Medicina e Rete Reumatologica, Ospedale Nuovo Regina Margherita, Rome, Italy.

Introduction And Aim: Biologic treatment - particularly with the anti-TNF molecules - is frequently used in clinical practice to treat the severe form for both chronic rheumatic diseases and inflammatory bowel diseases. The immunosuppression induced by biologic therapies increases the risk of infections, including tuberculosis, as well as hepatitis B virus (HBV) reactivation may occur in inactive carriers or occult HBV infection (OBI) subjects during biologic therapy. This study aimed to update data on HBV prevalence and reactivation in patients receiving biologic therapy for either chronic rheumatic diseases or IBD, and to describe their management in clinical practice. Read More

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December 2021

The Italian National Faecal Microbiota Transplantation Program: a coordinated effort against Clostridioides difficile infection.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):239-243

Centro Nazionale Trapianti, Istituto Superiore di Sanità, Rome, Italy.

Clostridioides (previously Clostridium) difficile infection (CDI) is a common cause of antibiotic-associated diarrhea, whose symptoms range from mild diarrhea to life-threatening pseudomembranous colitis. CDI is characterized by significant recurrence rate following initial resolution and recurrent C. difficile infection (rCDI) represents an onerous burden for the healthcare systems. Read More

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October 2021

Dioxins and PCBs contamination in milk and dairy products from Province of Taranto (Puglia Region, Southern Italy): a six years spatio-temporal monitoring study.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):233-238

Dipartimento di Prevenzione, ASL Taranto, Taranto, Italy.

Introduction: Taranto Province (Puglia Region, Southern Italy) is of particular Public Health relevance due to the presence of industrial sources of dioxins and PCBs. The aim of this study was to analyze the spatio-temporal distribution of these pollutants in milk and cheese produced from 2013 to 2018.

Materials And Methods: Raw milk and dairy products were sampled in the farms located within 20 km from the industrial area. Read More

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December 2021

Community waterborne outbreak linked to a firefighting response during the COVID-19 emergency.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):226-232

Servizio Aziendale di Igiene degli Alimenti e della Nutrizione (SIAN), Azienda Sanitaria dell'Alto Adige, Italy.

Background: On 6 March 2020, a big fire in a village forced the firefighters to draw water simultaneously from many sources, including the Adige river. From 9 March, an increasing number of inhabitants reported gastrointestinal symptoms. We describe the outbreak and the challenges linked to the concurrent COVID-19 spread. Read More

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October 2021

The evaluation of capacity in dementia: ethical constraints and best practice. A systematic review.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):212-225

Verona Memory Centre, Centro Medico Specialistico (CEMS), Verona, Italy.

The progressive ageing of a population leads to an increase in the number of people suffering from cognitive deterioration. This requires particular attention in terms of the necessity to assess these people's cognitive functions and their capacity to make decisions. The present systematic review analyses the clinical and ethical aspects of any assessment of capacity, with a specific focus on the capacity of the individual to give informed consent for medical treatment and also with regard to their testamentary capacity. Read More

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December 2021

Mortality risk in a population of patients treated for gambling disorders: results of a follow-up study.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):205-211

Centro per lo Studio ed il Trattamento delle Patologie Alcol-Correlate, Dipartimento di Medicina Translazionale e per la Romagna, Università degli Studi di Ferrara, Ferrara, Italy.

Aims: To examine mortality risk and causes of death in a cohort of a population of patients treated for gambling disorders in northern Italy from 1992 to 2019.

Methods: Cohort study.

Results: Half of the patients were diagnosed with psychiatric disorders, substance use disorder or alcohol dependence. Read More

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December 2021

Challenges on the achievement of World Health Organization goals for HCV elimination in Italy: need for a Regional programmatic approach on screening and linkage to care. Commentary.

Ann Ist Super Sanita 2021 Jul-Sep;57(3):201-204

Dipartimento Processi Assistenziali Integrati, Università degli Studi di Roma "Tor Vergata", Rome, Italy.

Italy has been one of the countries with the greatest burden of HCV in Western Europe and with the highest number of HCV liver-related deaths. In order to achieve HCV elimination by 2030 Italy, like many other countries, will need to succeed in tackling the undiagnosed individuals with active HCV infection. To this aim beginning in 2021, a nationwide action has been implemented, consisting of the performance of screening tests among key populations and birth cohorts (1969-1989), estimated to have a high prevalence of undiagnosed individuals. Read More

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December 2021

Exploring methods for the assessment of temporal trends in mortality and hospitalization in Italian industrially contaminated sites.

Ann Ist Super Sanita 2021 Apr-Jun;57(2):183-192

Servizio di Statistica, Istituto Superiore di Sanità, Rome, Italy.

Introduction: The Italian contaminated sites of interest for remediation are monitored by SENTIERI, an epidemiological surveillance system describing the health status of populations living nearby these sites. There is an increasing concern on how to assess temporal changes in the health status of these populations.

Methods: A sequence of three statistical techniques was adopted to analyse temporal trends of mortality and hospitalization, by using different indicators and reference populations, in a sample of 36 sites with industrial sources of contamination monitored by SENTIERI. Read More

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December 2021

Mortality temporal trends and cancer incidence profiles of residents in the petrochemical industrially contaminated town of Gela (Sicily, Italy).

Ann Ist Super Sanita 2021 Apr-Jun;57(2):174-182

Dipartimento Ambiente e Salute, Istituto Superiore di Sanità, Rome, Italy - WHO Collaborating Centre for Environmental Health in Contaminated Sites, Istituto Superiore di Sanità, Rome, Italy.

Objective: In 2000, a vast area in Gela (Sicily, Italy) was defined as a national priority contaminated site due to pollution from a petrochemical complex. This study is aimed at addressing the influence of the petrochemical complex on the health profile of residents in Gela.

Methods: Trend analysis by gender was performed for mortality for all diseases and malignant cancers, in the period 1980-2014 for residents in the municipality of Gela, by directly standardized rates and Joinpoint regressions, using, as a reference population, people resident in the Sicily region. Read More

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December 2021

Health Belief Model efficacy in explaining and predicting intention or uptake pertussis vaccination during pregnancy.

Ann Ist Super Sanita 2021 Apr-Jun;57(2):167-173

Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.

Introduction: Pertussis is a highly contagious respiratory disease and vaccination of pregnant women seems to be the most effective strategy to prevent pertussis in infants. The aim of this study is to assess the acceptance by women of pertussis vaccination during pregnancy based on Health Belief Model (HBM) constructs.

Methods: A multicentre observational study was carried out with a convenience sample of 300 respondents. Read More

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December 2021