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    3487 results match your criteria Annali dell'Istituto Superiore di SanitA  [Journal]

    1 OF 70

    Influenza vaccine effectiveness in an Italian elderly population during the 2016-2017 season.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):67-71
    Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
    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. Read More

    Certification and evaluation of the clinical ethics consultant. A proposal for Italy.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):61-66
    Pontificia Accademia per la Vita, Città del Vaticano.
    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. Read More

    Self-directed continuing medical education at the point-of-care: implications for cost and value.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):58-60
    BMJ Publishing Group, BMA House, London, United Kingdom.
    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. Read More

    Costs and effectiveness of influenza vaccination: a systematic review.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):49-57
    Centro di Studio e Ricerca sulla Sanità Pubblica (CESP), Università degli Studi di Milano Bicocca, Monza, Italy.
    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. Read More

    Knowledge of sexually transmitted infections and sex-at-risk among Italian students of health professions. Data from a one-month survey.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):40-48
    Dipartimento di Scienze per la Promozione della Salute e Materno Infantile "G. D'Alessandro", Università degli Studi di Palermo, Palermo, Italy.
    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. Read More

    Erythrocyte phenotype in a pregnant woman of Sri Lanka. Description of the case and complications related to communication problems.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):35-39
    UOC Immunoematologia e Medicina Trasfusionale, Azienda Ospedaliera Universitaria Senese Le Scotte, Siena, Italy.
    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. Read More

    Bed rest after cardiovascular implantable electronic device placement: systematic review and meta-analysis.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):28-34
    Dipartimento di Medicina Traslazionale, Università del Piemonte Orientale, Novara, Italy.
    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. Read More

    Development and cross-validation of predictive equation for estimating total body lean in children.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):20-27
    Dipartimento Sicurezza Alimentare, Nutrizione e Sanità Pubblica Veterinaria, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    The PIPER WEEKEND study. Children's and adults satisfaction regarding paediatric pain in Italian Emergency Department.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):12-19
    Scuola di Specializzazione in Psicologia della Salute, Sapienza Università di Roma, Rome, Italy.
    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. Read More

    General principles and practice of the ethics of public health surveillance: comments on the situation in Italy. Commentary.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):9-11
    President, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    Healthcare organizational performance: why changing the culture really matters. Commentary.
    Ann Ist Super Sanita 2018 Jan-Mar;54(1):6-8
    Value Based Healthcare Programme, University of Oxford, Oxford, United Kingdom.
    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. Read More

    Organ transplantation from marginal and non-standard risk donors: ethical requisites for consent from recipients.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):350-353
    Unità di Bioetica, Presidenza, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    A comparison between the costs of dialysis treatments in Marche Region, Italy: Macerata and Tolentino hospitals.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):344-349
    Struttura Complessa di Nefrologia e Dialisi, Ospedale di Macerata e Tolentino, Macerata, Italy.
    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. Attention was focused on the analysis of the extracorporeal dialysis methods (HD, HDF/AFB, HDF/MID/HFR) and the peritoneal dialysis (APD, CAPD). Read More

    Using health care audit to improve quality of clinical records: the preliminary experience of an Italian Cancer Institute.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):337-343
    Direzione Sanitaria, Ospedale San Giovanni Calibita Fatebenefratelli, Rome, Italy.
    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. Read More

    Medical tattooing, the new frontiers: a case of nail bed treatment.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):334-336
    Dipartimento Cure Primarie, ULSS9, Treviso, Italy.
    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. Read More

    Cooperating to improve healthcare in Arab countries.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):330-333
    Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
    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. Read More

    Estimate of the prevalence of subjects with gambling-related problems requiring treatment: a study in Northern Italy.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):322-329
    Dipartimento Salute Mentale e Dipendenze, Azienda USL Bologna, Bologna, Italy.
    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. Read More

    EURADOS intercomparison exercise on Monte Carlo modelling of a medical linear accelerator.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):314-321
    CEA, LIST, Laboratoire National Henri Becquerel (LNE-LNHB), CEA-Saclay 91191 Gif-sur-Yvette Cedex, France.
    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. Read More

    Italian external quality assessment program for cystic fibrosis sweat chloride test: a 2015 and 2016 results comparison.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):305-313
    Centro Nazionale Malattie Rare, Istituto Superiore di Sanità, Rome, Italy
    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. Read More

    Trends in thyroid cancer incidence and mortality in Central Serbia, 1999-2014.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):299-304
    Specialised Hospital for Rehabilitation of Vrdnik, Vrdnik, Serbia.
    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. Read More

    Capturing the chance for pneumococcal vaccination in the hospital setting.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):291-298
    Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore di Roma, Rome, Italy.
    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. Read More

    Trends in adolescent overweight prevalence in Italy according to socioeconomic position.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):283-290
    Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy.
    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. Read More

    Silicosis mortality in Italy: temporal trends 1990-2012 and spatial patterns 2000-2012.
    Ann Ist Super Sanita 2017 Oct-Dec;53(4):275-282
    Dipartimento Ambiente e Salute, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    Long-term services for the care and rehabilitation of people with severe acquired brain injury: a multicentre, cross-sectional study of 536 Italian families.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):253-265
    IRCCS Santa Maria Nascente, Fondazione Don Gnocchi Onlus, Milan, Italy.
    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.

    Methods: The sample consisted of 536 families of patients with severe ABIs. Read More

    Survey of health and social-health services for people with dementia: methodology of the Italian national project.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):246-252
    Centro Nazionale Prevenzione delle Malattie e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    Immigrants and cancer in Italy: a literature review.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):238-245
    Registro Tumori della Romagna, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola (FC), Italy - Centro di Prevenzione Oncologica, Ospedale Morgagni-Pierantoni, AUSL della Romagna, Forlì, Italy.
    Immigration is a growing flow in Italy. Also specific health needs could be imported. We focused on cancer. Read More

    Infant immunization coverage in Italy (2000-2016).
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):231-237
    Direzione Generale della Prevenzione Sanitaria, Ministero della Salute, Rome, Italy.
    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. Read More

    Local health rules and building regulations: a survey on local hygiene and building regulations in Italian municipalities.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):223-230
    Dipartimento di Architettura, Ingegneria delle Costruzioni e Ambiente Costruito (ABC), Politecnico di Milano, Milan, Italy.
    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. Read More

    Surveillance of childhood overweight: comparison of "OKkio alla SALUTE" survey and general paediatrics data in the Province of Trento.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):218-222
    U.O. Igiene Pubblica, Dipartimento di Prevenzione, Azienda Provinciale per i Servizi Sanitari, Trento, Italy.
    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). Read More

    Molecular characterization of Neisseria gonorrhoeae on non-cultured specimens from multiple anatomic sites.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):213-217
    Dipartimento Malattie Infettive, Istituto Superiore di Sanità, Rome, Italy.
    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. Read More

    Assessment of Health Literacy and validation of single-item literacy screener (SILS) in a sample of Italian people.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):205-212
    Dipartimento di Scienze della Salute, Università degli Studi di Firenze, Florence, Italy.
    Background: Health literacy (HL) is a complex concept with multiple components; it involves the ability to effectively use and interpret texts, documents, and numbers.

    The Aims Of Our Study Were: to measure HL levels among a sample of adult Italian patients; to develop and validate the Italian version of the single-item literacy screener (SILS); to assess the diagnostic accuracy of the SILS as an indicator of limited reading ability regarding health documents, compared to the newest vital sign (NVS).

    Methods: The subjects were enrolled in emergency departments, primary care settings, and specialist departments. Read More

    Eating episode frequency and fruit and vegetable consumption among Italian university students.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):199-204
    Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy.
    Objective: To analyze breakfast consumption, regularity of meals, fruit and vegetable consumption in the Italian university student population on a national level.

    Design: Descriptive analysis evaluating data taken from the Sportello Salute Giovani (SSG) questionnaire.

    Participants: 12 000 university students who self-administered a confidential survey. Read More

    Illicit drugs consumption evaluation by wastewater-based epidemiology in the urban area of Palermo city (Italy).
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):192-198
    Dipartimento di Ingegneria Civile, Ambientale, Aerospaziale, dei Materiali, Università degli Studi di Palermo, Palermo, Italy.
    Introduction: A wastewater-based epidemiology approach was performed to estimate the drug consumption in Palermo city, the fifth largest city of Italy with a population of 671 696 inhabitants, and to investigate the monthly variability of drug loads in wastewater from different areas of the city. A seven-months detection campaign was conducted at the two wastewater treatment plants of the city.

    Methods: Following a pre-treatment, 32 samples of wastewater were analyzed by liquid chromatography-tandem mass spectrometry. Read More

    P4 Medicine versus Hippocrates.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):185-191
    Centro Nazionale Malattie Rare, Istituto Superiore di Sanità, Rome, Italy.
    Hippocrates was the first to raise awareness of medicine as a science. He asserted the body being a unified whole and emphasized the importance of preventive and predictive medicine, spurring physicians to foster patient collaboration. Recent achievements today have permitted a new approach "P4 medicine" - Predictive, Preventive, Personalized and Participatory - with the aim of depicting an individual's health history and molecular profile in determining the best medical intervention in maintaining or restoring wellbeing. Read More

    Clinical ethics and the role of clinical ethics committees: proposals for a revival. Commentary.
    Ann Ist Super Sanita 2017 Jul-Sep;53(3):183-184
    President, Istituto Superiore di Sanità, Rome, Italy.
    The issue addressed in the paper published by the Italian National Bioethics Committee (NBC) entitled "Clinical ethics committees", is highly significant for many reasons. One of these is the fact that the ethics committees charged with assessing clinical trials have so much responsibility and such a heavy work-load that they have little time available for other tasks such as engaging directly with patients "at the bedside", as a result of which the role of committees responsible for assessing clinical cases is especially important. According to the NBC, the opinions of clinical ethics committees should be formulated jointly and are non-binding. Read More

    Sustainable public health systems for rare diseases.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):170-175
    Centro Nazionale Malattie Rare, Istituto Superiore di Sanità, Rome, Italy.
    Introduction: In the framework of the Joint Action for Rare Diseases (RD-ACTION), a specific task was defined to identify mechanisms influencing sustainability, equity and resilience of health systems for rare diseases (RDs).

    Method: Literature narrative review on health systems sustainability and resilience for RDs. Years: 2000-2015. Read More

    A case of fulminant subacute sclerosing panencephalitis presenting with acute myoclonic-astatic epilepsy.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):167-169
    Laboratorio Nazionale di Riferimento per il Morbillo e la Rosolia, Dipartimento di Malattie Infettive, Istituto Superiore di Sanità, Rome, Italy.
    The neurologic sequelae post-measles are less common than other complications measles-related and can lead to severe disability or death: primary measles encephalitis (PME), acute post-infectious measles encephalomyelitis (APME), measles inclusion body encephalitis (MIBE), and subacute sclerosing panencephalitis (SSPE). SSPE syndrome can affect people years from the acute measles virus infection, as result of the persistence of defective viral particles in brain cells. Clinical onset typically manifests with progressive intellectual deterioration, behavioral changes, and myoclonic jerks. Read More

    The professional quality criteria of Italian breast screening radiologists: results from a national survey comparing the programmes started in 2000-2012 versus the ones started in 1990-1999.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):163-166
    Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Forlì, Italy.
    Introduction: In Italy, due to increasing healthcare budget and staff shortages, the recently created regional mammography screening programmes were established under worse radiology practice quality criteria than the previously created programmes.

    Methods: Using available data from a national questionnaire survey conducted at the end of 2013 and involving 222 responder radiologists, we compared the main professional quality standards of radiologists working in the screening programmes established during the period 2000-2012 with those working in the screening programmes created from 1990 to 1999.

    Results: The former reported more years of clinical experience in breast imaging and a greater clinical mammogram reading volume than the latter. Read More

    Vaccine hesitancy: parental, professional and public responsibility.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):157-162
    President, Istituto Superiore di Sanità, Rome, Italy.
    The opposition to vaccinations is a well-known phenomenon that dates back to the Victorian age when it was self-limited by the awareness of the importance to be protected against fearsome infectious diseases. In the XX century, the mass use of vaccination has - instead - consented to eradicate or drastically reduce the burden of diseases such as smallpox and polio. These positive effects of the vaccination campaigns have blurred out, if not erased, the memory of the tragic consequences of the past's widespread diseases, leading people to underestimate the severity of the harm that vaccinations prevent. Read More

    MMR vaccine in the postpartum does not expose seronegative women to untoward effects.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):152-156
    SOC Pediatria, Ospedale Castelli, Verbania, Italy.
    Background: The aim of this study was to assess whether rubella vaccination immediately after delivery could expose seronegative women to specific untoward effects.

    Methods: 163 rubella-seronegative women received Measles-Mumps-Rubella (MMR) vaccine in the immediate postpartum period; they were evaluated at one month and at three months thereafter through telephone interviews. As controls, we matched 163 rubella-seropositive women, who might experience similar symptoms for any reason in the same timeframe. Read More

    Health-promotion theories in nutritional interventions for community-dwelling older adults: a systematic review.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):146-151
    Unità di Ricerca in Scienze Infermieristiche, Facoltà Dipartimentale di Medicina, Università Campus Bio-Medico di Roma, Rome, Italy.
    Objective: To identify theories applied in interventions promoting healthy nutrition among community-dwelling older adults and determine the efficacy of theories in changing knowledge, attitudes, and behaviors.

    Material And Methods: The PubMed, PsycINFO, Embase, and ERIC databases were searched for English articles from January 1990 to December 2015. Mono or multicomponent randomized controlled trial studies were included, whereas research on nutritional interventions related to acute or chronic diseases were excluded. Read More

    Pes planus and pes cavus in Southern Italy: a 5 years study.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):142-145
    ASL Foggia, Foggia, Italy.
    Introduction: Baropodometrical digital techniques map the pressures exerted on the foot plant during both static and dynamic loadings. The study of the distribution of such pressures makes it possible to evaluate the postural and locomotory biomechanics together with its pathological variations.

    Methods: From January 2011 to August 2016 we conducted a cross sectional study in order to diagnose flatfoot and hollowfoot through the baropodometric analysis, and collecting additional information such as gender and the age. Read More

    Trend and variability in open and laparoscopic hysterectomies for patients with benign disease: a retrospective cohort study.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):135-141
    Laboratorio di Sanità Pubblica, Dipartimento di Medicina Molecolare, Università degli Studi di Padova, Padua, Italy.
    Aim: The aim of the present analysis on a regional hospital database was to ascertain the variability and 5-year trends of hysterectomy rates and the different surgical approaches used.

    Methods: A retrospective cohort study was conducted in Veneto Region (North-East Italy), based on administrative data collected in 6 years, from 2009 to 2014.

    Results: Our study showed an overall decline in the hospitalization rates for hysterectomy from 197. Read More

    Micronized palmitoylethanolamide/trans-polydatin treatment of endometriosis-related pain: a meta-analysis.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):125-134
    Scuola di Farmacia, Università di Camerino, Camerino, Italy.
    Aim: To demonstrate clinical effectiveness of micronized palmitoylethanolamide-trans-polydatin combination in reducing endometriotic chronic pelvic pain. Other endometriotic-pains were also assessed.

    Methods: Systematic reviews of PubMed, SCIELO, Scopus, and AJOL. Read More

    Do Italian pregnant women use periconceptional folate supplementation?
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):118-124
    Centro Nazionale di Prevenzione delle Malattie e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
    Introduction: Deficiency of folic acid (FA) has been identified as a risk factor for neural tube defects (NTDs) as well as other congenital anomalies. Thus, periconceptional folate supplementation is recommended for all women planning to get pregnant.

    Methods: We conducted a KAP (knowledge, attitude, practice) survey to investigate the use of FA and its appropriateness. Read More

    Mortality of populations residing in geothermal areas of Tuscany during the period 2003-2012.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):108-117
    Unità di Epidemiologia Ambientale e Registri di Patologia, Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche, Pisa, Italy.
    Introduction: The limited scientific knowledge on the relationship between exposure and health effects in relation to geothermal activity motivated an epidemiologic investigation of Tuscan geothermal area.

    Aim: This study aims at describing mortality of populations living in Tuscan municipalities in the period 2003-2012.

    Method: Sixteen municipalities were included in the study area: eight in the northern and eight in the southern area. Read More

    A harmonized and efficient clinical research environment would benefit patients and enhance European competitiveness. Commentary.
    Ann Ist Super Sanita 2017 Apr-Jun;53(2):104-107
    Dipartimento di Oncologia Sperimentale, Istituto Europeo di Oncologia, Milan, Italy.
    The forthcoming implementation of the European Clinical Trial Regulation (Regulation (EU) No. 536/2014), which is expected to facilitate the conduct of clinical trials across the European Union, will require National Authorities to create the best conditions for the implementation of the new Regulation through national guidelines, so that sponsors may reconsider Europe as a prime location for planning clinical trials. During a meeting titled "Innovation in Clinical Research", an expert panel discussed potential local advances fostering competitiveness of European clinical research with representatives of the pharmaceutical industry, patient organisations and Italian regulatory agency in view of the forthcoming implementation of (EU) No. Read More

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