Journal of Advanced Health Care最新文献

{"title":"Communication Of Environmental Risk","authors":"Del Fabbro Alex","doi":"10.36017/jahc2205-05","DOIUrl":"https://doi.org/10.36017/jahc2205-05","url":null,"abstract":"Risk communication plays a key role in crisis management; as such, this paper aims to investigate the issue in the context of public debate linked to a specific case study. The case considered here is that of overflows at the outflow the sewage treatment plant of the city of Lignano and the discovery of contaminated shellfish in the lagoons of Grado and Marano between 1 February 2017 and 30 June 2019. The survey is structured through a quantitative and qualitative analysis of the media coverage content with a focus on the actual institutional control and monitoring activity in the affected region. Three of the main figures involved in the case were also interviewed in support of this investigation.\u0000The results confirm greater interest on the part of mass media in events capable of generating controversy with multiple exchanges between the parties involved. Within the media arena, there is a proactive behaviour by the local political sources that have, indeed, guided the debate with respect to the institutions, and the competent authorities that have taken a passive stance. This choice did not favour the formation of a suitable risk perception on the part of citizens, because, since they were not exhaustive in responding to the concerns expressed by the population, inevitably the institutions have created an environment in which the trust placed in them by the people may be undermined. An example is given by the focus on the control and monitoring activities of ARPA [regional environmental regulatory agency] that shows a considerable presence in the field with over five thousand samples aimed at protecting the environment and public health; however, this Agency was widely attacked in the media as these activities were not made clear in the subsequent debate. It is therefore essential to carry out interventions in which the processes of listening to and the participation of citizens play a central role. Paying attention to and understanding the public's concerns about the dangers to health and the environment are essential aspects of risk communication in which public bodies and institutions in Italy should invest more, thus also optimising the aspects of risk management related to communication itself and, at the same time, guaranteeing citizens the right to information. Some statements made during the interviews, as well as certain activities undertaken by the competent authorities, therefore seem to be a good omen for the future insofar as greater investment in institutional communication will surely allow for an improvement both in the relationship of trust with the population and risk management. The improvement in the latter will also improve all the economic aspects related to the acceptability of the risks themselves that, at this point in history, represent the basis for a country's growth.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82192082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on the use of videogames: effects on students of secondary upper schools of Udine territory","authors":"Saleri Federica, Monculli Andrea","doi":"10.36017/jahc2205-04","DOIUrl":"https://doi.org/10.36017/jahc2205-04","url":null,"abstract":"From the researches carried out in literature it appears how gaming is a behaviour in continuous evolution and expansion (Mauceri & Di Censi, 2020) and is widespread in the entire population, particularly among teenagers.\u0000The present paper is the result of a multi-professional and inter-sectorial research carried out and shared with operators of the health service Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), teachers of the Regional School Office (Uff. VI), the Provincial Student Council (CPS) of Udine and with a professional educator.\u0000One of the targets of this research was to analyse the feelings and beliefs of players regarding the use of videogames and this was done in March 2021 through a questionnaire. 596 students of upper secondary schools of Udine territory joined this survey and to reach the target four videoplayer profiles have been outlined taking into account the play time: the occasional player (N = 61; 10.2%) who uses the videogames for maximum 30 minutes per day, the habitual player – mild (N=57; 9.6%) between 30 minutes and 1 hour, the habitual player – moderate (N=250, 41.9%) between 1 and 4 hours and the severe player (N=71, 11.9%) between 4 and more than 6 hours. The analysis of the replies demonstrates how all statements (21), following the chi-squared test, have a statistically important difference with respect to the profiles, except for two. It appears how the severe players run more often into potential experiences of risk of addiction or trouble, and they prefer to play instead of going out with friends, sometime also stopping friendship relations and feeling a higher desire to going on playing at the end of the session, also forgoing some hours of sleep.\u0000The research group, taking into consideration the spreading of the behaviour of severe players (11.9%), would deem useful to plan and carry out future interventions aimed at encouraging the technological health since the first classes of upper secondary schools, in order to allow the students the acquainted use of technologies and gaming activities and to prevent the relative risks coming from the massive and improper use of these tools and actions.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84843115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac CT: State of the art and future scenarios","authors":"G. Gibilaro","doi":"10.36017/jahc2205-03","DOIUrl":"https://doi.org/10.36017/jahc2205-03","url":null,"abstract":"Computed tomography of the heart (CCT) has become an effective tool in different clinical contexts. \u0000The development of the technology has led to a progressive expansion of the indications with a concomitant reduction of the radiation dose necessary for the execution of the investigation.Computed tomography (CT) is, in fact, destined to consolidate as a pillar of cardiovascular diagnostics for a number of practical reasons. \u0000These include the robustness and reproducibility of performance, the fairly low cost compared to magnetic resonance imaging, the great flexibility of use that puts it at the center of multifunctional diagnostic structures. \u0000To this is added the fact that with each new generation of computed tomography devices the real and potentialapplications expand further","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"232 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79464948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Green Space for health promotion","authors":"Festa Giorgio, Butera Angelo, Meraviglia Maria Vittoria","doi":"10.36017/jahc2205-02","DOIUrl":"https://doi.org/10.36017/jahc2205-02","url":null,"abstract":"Green spaces or green infrastructure or urban green spaces are defined as outdoor spaces “partially or completely covered with grass, trees, shrubs or other types of vegetation and include, among others, parks, forests and municipal gardens”. The design and use of urban green spaces has become increasingly important in recent years as a form of contrast to the deleterious effects of urbanization. The presence of such spaces on the territory and access to the latter therefore represents a significant form of health promotion, as well as an important factor that determines it: it is therefore necessary to consider the main benefits provided by the presence of green spaces. These benefits can be of multiple nature: they go from environmental benefits (such as the management of clean water, the reduction of air and water pollution and protection against soil erosion) to social benefits (improvement of health and well-being, creation of new jobs, increase in tourism), up to consider benefits inherent in the adaptation and mitigation of climate change and biodiversity. It is therefore essential to have adequate design of green space: for these benefits to be effective, it is necessary to plan services to the person and adequate accessibility interventions, in line with the virtuous logic that green spaces can help to promote.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91019663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT-Urography study protocol: Split-Bolus technique","authors":"C. Mattia, Buonocore Roberta, Grazioli Fabio, Ciccone Vincenzo","doi":"10.36017/jahc2205-01","DOIUrl":"https://doi.org/10.36017/jahc2205-01","url":null,"abstract":"CTU represents the natural technical and instrumental evolution of urography. The multidetector technology, with the possibility of retro-reconstruction of the images, has allowed the direct representation of the excretory tract with a significant reduction in acquisition times, decreasing motion artifacts and increasing the definition of the processed images. Split-Bolus CT dynamic study allows us to obtain, in a single image acquisition, both the nephrographic and the renal excretory phases; at the same time, we can obtain information of the parenchymal organs in the abdominal cavity as in the portal/nephrographic phase of a standard CT protocol. The main advantage of Split-Bolus CTU is undoubtedly the significant saving of the radiation dose administered to the patient, related to the reduction in the number of phases acquired, with a reported diagnostic efficacy comparable to traditional protocols in terms of imaging quality. The Split Bolus technique has been used in several clinical contexts, such as in the characterization of focal liver lesions, in acute pulmonary embolism and in polytrauma patients.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85386203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the fast-track pathway for the management of patients with diabetic foot through the network between second and third level centers","authors":"Di Venanzio Michela, Meloni Marco, Aleandri Anna Rita, Giurato Laura, Uccioli Luigi","doi":"10.36017/jahc2204-11","DOIUrl":"https://doi.org/10.36017/jahc2204-11","url":null,"abstract":"Diabetic foot is one of the most serious and expensive complications of diabetes. It requires prompt treatment in order to avoid the amputation of the foot, lower limb or even death of the patient.\u0000The aim of this study is to evaluate the effectiveness of the Fast Track Pathway (FTP) between level I, II and III diabetes centers in the Lazio Region for the treatment of diabetic patients with injuries in order to reduce the rate of amputation and mortality.\u0000A retrospective observational study was performed from January 2020 to December 2020. We enrolled 23 diabetic patients presenting injuries and Diabetic Foot Ulcers (DFUs) belonging to a level I and II diabetic foot care center and were divided according to the type of DFUs into uncomplicated, complicated and severe; and when necessary, sent to a specialized center for the care of level III diabetic foot. The following outcomes were evaluated: healing, healing time, minor amputation, major amputation, and survival.\u0000Healing occurred in 15/23 patients (65.2%). Healing time averaged approximately 7 ± 5 weeks. The minor amputation rate was 17.4%. The major amputation rate was 0. The survival rate was 95.6%.\u0000The preliminary data collected allow us to state that the FTP path guarantees excellent management of the diabetic patient with DFUs between the territory and a second and third level diabetes center.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75278270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative technologies for social inclusion at the Campolieto Psychosocial Rehabilitation Community","authors":"Santone Elita, Mancin Nicoletta, Mazzarino Mariateresa, Moffa Ilaria, Nicchiniello Ilenia, De Marco Andrea","doi":"10.36017/jahc2204-09","DOIUrl":"https://doi.org/10.36017/jahc2204-09","url":null,"abstract":"Numerous scientific evidences show that people with a mental disorder suffer not only from the disorder itself, but also, and perhaps above all, for the social and relational consequences that the disorder produces and which manifest themselves in the form of stigma. The improvement of mental health, with a view to Recovery, is in fact based on the possibility of taking advantage of socio-professional contexts in which users and operators have the opportunity to live meaningful relationships, and this can translate into a form of existence as much as possible rewarding and satisfying. The main purpose of the work was to investigate how much the \"Innovative Technologies for Social Inclusion\" project allowed to combine the promotion of the territory and the social inclusion of people with severe mental health problems. It was possible to analyze this element through the FPS Scale (personal and social functioning) and two evaluation grids administered. The New Communication and Information Technologies (ICT) have made it possible to rethink a new relationship between Digital Technology and the world of Disability; in fact they have allowed the patients of the Psychosocial Ria Community of Campolieto a more satisfactory quality of life and a better enhancement of the territory. These results offer promising preliminary evidence that the use of ICT provides an effective tool for promoting the social inclusion of discriminated groups of the population such as people with severe mental disorders.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89895641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of Educational Regulations of the bachelor’s degree course in “Biomedical Laboratory Techniques” in the Lombard Universities","authors":"David Antognoli, Norma Agnese Saletta, Angel Boria, L. Tacchini","doi":"10.36017/jahc2204-10","DOIUrl":"https://doi.org/10.36017/jahc2204-10","url":null,"abstract":"With the institution of university courses, the course of study of the biomedical laboratory technician has experienced a real revolution. At the basis of the training of university courses there are decrees and laws that aim to standardize, while maintaining the autonomy of the universities, the educational offer that is provided to the undergraduate nationally.\u0000The purpose of this document is to understand the basics of structuring a degree course and to compare the educational offer that the Lombard university system makes available to future biomedical laboratory technicians. Starting from the analysis of the study plans of the degree courses, obtained from the institutional sites of the five Lombard universities that offer this path, a comparison was made between the standard in force on the construction of the degree course in biomedical laboratory techniques and the distribution of ECTS operated by each university in its teaching plan. The analysis highlighted a substantial similarity between the organizations of the degree course and adherence to regulatory indications. The only exceptions are the presence in some didactic plans of training activities no longer present in the current legislation and a poor valorization in some universities of the MED / 46 (Biotechnology and Methods in Laboratory Medicine), the academic discipline of reference for the professional profile of the biomedical laboratory technician.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86475009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Follow-Up Of The International Traveler","authors":"Campolattano Antonella, Guerra Martina","doi":"10.36017/jahc2204-08","DOIUrl":"https://doi.org/10.36017/jahc2204-08","url":null,"abstract":"Travel health promotion aims to inform about the risks associated with international travel and ways to prevent them. At the U.O. Hygiene and Health Public of the Local Health Authority of Romagna, there are dedicated clinics that offer consultancy and vaccine prophylaxis. There is currently no follow-up on the return of the traveler who has gone to the clinic. In light of the above, a prospective observational study was prepared through the administration of an anonymous online questionnaire, drawn up on the basis of the available literature and aimed at international travelers who presented themselves for a pre-trip interview at the U.O. Hygiene and Public Health of the USL Company of Romagna A.T. of Rimini in the period between October 2019 and July 2020, in order to follow the traveler back to Italy and provide useful elements to guide and improve the pre-trip interview. To complete the study, data was collected on the activity of the Rimini clinic for travelers for the period 2013-2019 and an analysis of the cases of imported infectious diseases reported in the province of Rimini in the period January 2015 -July 2020. The traveler is informed about the health risks of the trip (94.1%), satisfied / very satisfied with the interview (92.1%) and with the information received (70.6%). The most frequently administered vaccinations to travelers are those against hepatitis A, yellow fever and typhoid fever. Malaria is the most frequently reported import disease, followed by hepatitis A and dengue. In 54.5% of cases, the reason for the trip was a visit to relatives or friends, data in line with the literature.","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79949911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The verification of quality indicators in MRI (automatic analysis vs manual analysis of the images of a standard phantom)","authors":"Gusella Stella, Gava Mercello, Marchetto Giovanni","doi":"10.36017/jahc2204-07","DOIUrl":"https://doi.org/10.36017/jahc2204-07","url":null,"abstract":"After the entry into force of the Ministerial Decree 10/08/2018 and subsequent Ministerial Decree 14/01/2021 which determine the need to specify in the Magnetic Resonance Safety Regulation the methods and frequency provided for the quality checks, a corporate RM quality assurance program has been realized and attached to the Safety Regulations itself. After a review of the indications in the literature, the PRO-Project PRO-MRI phantom built following the criteria and requirements of the ACR was identified. Images were acquired with standard SpinEcho sequences (T1-T2 weighted) verifying the Uniformity – Ghosting – geometric distortion – spatial resolution – low contrast resolution – slice positioning accuracy – layer thickness – SNR (FAT-WATER) indicators. The images were analyzed automatically using the Pro-Project Pro-Control software and manually using the ImageJ software. The results highlighted the need for a very accurate positioning of the phantom inside the reel to overcome problems of non-recognition of the inserts in the automatic analysis and the appearance of artifacts. The conclusions from the automated analysis were then compared with the manual measurements. The checks showed an overlap between the two sets of analyzes but also the evidence that these checks fail to bring out, from the point of view of the pass / fail criteria, the real quality of the images acquired. The MR safety expert, in agreement with the Physician Responsible for Clinical Safety, is considering decreasing the range of acceptability of some limits suggested by the documentation with particular regard to artifacts (ghosting).","PeriodicalId":14873,"journal":{"name":"Journal of Advanced Health Care","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83894012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}