Igiene e sanita pubblica最新文献

{"title":"Advanced age and comorbidities as risk factors for mortality in COVID-19 patients treated with Home Oxygen Therapy (HOT) in a Northern Italy Local Health Authority.","authors":"Beatrice Canavera, Tiziana Cena, Rossana Monciino, Maddalena Galante, Roberta Giacometti, Luca Rabbiosi, Valerio Antognoli, Fabiola Formica, Antonietta Barbieri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>COVID-19, which stands for Coronavirus Disease 2019, is a highly transmissible viral infection, caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) [1]. Its rapid dissemination prompted the World Health Organization (WHO) to officially declare it a global pandemic on March 11, 2020 [2]. It was later recognized as one of the most significant global health and socioeconomic crisis of modern times, leading to 776.8 million confirmed cases and over 7 million confirmed deaths [2, 3].</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"99 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357780","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 alliance of barriers in digital natives and the \"Born to Read\" project: a public health challenge.","authors":"Gloria D'Angelo, Stefano Marcelli, Laura Olimpi, Mara Esposto, Daniela Stracci, Serena Calvaresi, Chiara Gatti, Alessia Bejani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Media exposure has caused profound changes in family life, and because children's brains are extremely plastic in the early stages of development, the risks and benefits of any environmental stimulus are amplified (1,2,3). Therefore, the World Health Organisation (WHO) and the American Academy of Paediatrics (AAP) have implemented official recommendations on screen use, prohibiting exposure for children under one year of age and stating that children under five years of age should not spend more than one hour per day on screen-based activities (4,5). Although digital technology offers numerous advantages, from enhancing our capabilities to providing rapid access to large amounts of information, as is the case with distance learning, for example, it is also important to consider its possible negative effects.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"99 1","pages":"19-35"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357883","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":"Knowledges of MDSR and challenges to reduce maternal death in Sierra Leone: Lessons learned from MDSR meetings review, Tonkolili health district.","authors":"André Izacar Gaël Bita, Samuel Sankoh, Eneigheo Emmanuel Achuondou","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Sierra Leone has one of the highest maternal and under-five mortality rates in the world. Maternal death reviews can reduce maternal mortality. In Sierra Leone, the national Maternal Death Surveillance, and responses (MDSR) was developed in 2015 and introduced (implementation) in 2016. This study exploring the knowledge and perceptions of MDSR, challenges to reduce the cause of maternal deaths in Tonkolili Health district, Sierra Leone.</p><p><strong>Materials and methods: </strong>It was a qualitative evaluation among MDSR review meeting members in Tonkolili health district. We used individual interviews and focus groups for audio recorded. We stopped to collect the data with the saturation. The audios records were transcript to word text and, systematic coding and thematic analysis done by using NVIVO software version 15.</p><p><strong>Results: </strong>We conducted 30 interviews and 3 focus groups with 16 (40% female) participants of MDSR review meeting members in Tonkolili health district on July 2025. MDSR's start in Tonkolili lack consensus, with estimates from 2015, aligning with national rollout in 2015-2016. Participants understand MDSR as a continuous, collaborative system to identify, review, notify, and respond to maternal deaths (pregnancy to 42 days postpartum) to prevent future ones, addressing gaps, three delays, and accountability without blame. Viewed as well-designed, non-judgmental, and action oriented, MDSR fosters team collaboration, learning from mistakes, and clinical knowledge improvement. Postpartum Hemorrhage (PPH) was cited as top cause of maternal death, follow by, Hypertensive disorders, infections/sepsis, unsafe abortions, obstructed labor, non-obstetric issues and first delay (seeking care) from cultural barriers; referral/transport issues. As challenges, we noted, logistical (equipment/supply shortages, blood bank delays, poor referrals/vehicles); human resources (training gaps, low attendance, overburdened staff); community (awareness lacks, traditional birth attendance home deliveries) and systemic challenges (communication, documentation, politicization, blame culture).</p><p><strong>Conclusions: </strong>To enhance MDSR implementation, ensure comprehensive support through resource provision, capacity building, community engagement, timely processes, motivation, infrastructure, policy reforms, and a blame-free culture.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"99 1","pages":"4-18"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357742","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":"Public health professional perspective of rules and regulations pertaining to road safety traffic.","authors":"K Narmatha, R Diwakar, K Saranya, P Paintamilselvi, Dominic Savio Yogesh Manickam","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Road traffic accidents (RTAs) are a major public health concern, particularly among young adults. This study assessed road safety awareness, attitudes, and behaviors among medical students in Chennai, India.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 320 undergraduate medical students and their interns. Data were collected using a semi-structured questionnaire and analyzed using SPSS version 22.0. Logistic regression was used to identify the associations between demographic variables and outcomes.</p><p><strong>Results: </strong>Overall, 66.9% of the participants demonstrated good knowledge of road safety, 77.2% exhibited good behavior, and 52.2% held positive attitudes. Sex significantly influenced both knowledge (females: adjusted OR = 0.42, 95% CI: 0.23-0.77, p = 0.005) and attitudes (females: OR = 1.84, 95% CI: 1.06-3.19, p = 0.030). Formal road safety education was associated with better behavior (OR = 0.54, 95% CI: 0.32-0.92, p = 0.023).</p><p><strong>Conclusion: </strong>Although knowledge and self-reported behavior were relatively high, positive attitudes were less prevalent. Gender and formal education significantly impacted road safety awareness and adherence. These findings highlight the need for targeted interventions to improve road safety practices among healthcare professionals.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 6","pages":"343-356"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357653","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":"Amplify your academic influence: proven tactics for elevating your h-index.","authors":"B Prithiga, V Aravinth, Elizebth Chaly Preetha, Malar Indhu, Thampy Parvathi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the most important metrics for evaluating a researcher's performance is the h-index, which assesses productivity as well as citation effect. Emphasizing the significance of quality over quantity, the paper analyses the importance of publishing in high-impact journals and collaborating with influential researchers. It highlights the role of self-citation judiciously and advocates for active engagement in scholarly networks and conferences. Furthermore, it discusses the impact of open-access publications and the advantages of promoting research through social media and academic platforms. Researchers can greatly increase their exposure and intellectual impact in their field by putting these strategies into practice.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 6","pages":"366-372"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357624","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":"Nursemaid's Elbow in Children: Proposal of a Preventive Strategy in the Digital Era.","authors":"Mauro Menichelli, Francesca Tarquini, Matteo Renzi, Marco Nasnini, Riccardo Pallotta, Gloria D'Angelo, Stefano Marcelli, Chiara Gatti","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Background Nursemaid's elbow, or painful pronation of the elbow, is a common orthopedic condition in children aged 0-5 years. It is typically caused by sudden traction on the forearm, leading to subluxation of the radial head. Despite its benign nature and straightforward treatment, the condition remains frequent, largely due to insufficient awareness among parents and caregivers. Preventive strategies, including health education, are essential to reduce incidence and recurrence. Objective The primary objective of this study was to evaluate the level of knowledge and awareness of nursemaid's elbow among parents and caregivers in Italy. The secondary objective was to promote preventive measures through educational interventions, particularly focusing on safe alternatives to risky practices such as lifting children by the wrists or performing the \"vola-vola\" game. Material and Methods A descriptive observational study was conducted in three phases: (1) a pilot study to validate the questionnaire, (2) administration of the definitive questionnaire via social platforms, and (3) dissemination of an educational video. The pilot questionnaire was tested on 100 participants to assess clarity, comprehensibility, and privacy compliance. The final questionnaire, consisting of 13 closed-ended items, was distributed between November 2024 and February 2025 to parents of children aged 0-5 years. Data were analyzed using IBM SPSS Statistics v31, applying binomial tests, Fisher's exact test, and internal consistency analysis. The educational video was shared on Facebook, Instagram, and LinkedIn, and its impact was measured through visualization metrics. Results The pilot study confirmed the validity of the questionnaire, with over 90% of participants rating it clear and comprehensible. In the main survey, 45.5% of parents reported lifting children by the wrists, and 74.8% admitted practicing the \"vola-vola\" game. Although 64.9% perceived the practice as potentially harmful, only 38.3% had received explicit advice against it. Knowledge of nursemaid's elbow was limited: 49.5% had heard of it, but fewer understood its causes (45.3%) or recognized its clinical signs (38.1%). Only 6.3% reported direct episodes in their children, with a high recurrence rate (94.9%). The educational video reached 5799 views, with Facebook accounting for the majority (3549), particularly among adults aged 25-44 years. Discussion The findings highlight a significant gap between risk perception and preventive communication. International literature confirms similar trends, with recurrence rates up to 14% and widespread lack of awareness. Imaging is generally unnecessary for diagnosis, except in atypical cases. Preventive education remains the cornerstone of reducing incidence. Conclusions Nursemaid's elbow continues to be a frequent condition in early childhood, exacerbated by insufficient parental knowledge. Educational campaigns targeting parents, teachers, and caregivers are cruci","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 6","pages":"357-365"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357701","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":"A challenge to improve the Quality of Care.Rehabilitation outcome measures in the Emergency Department: a scoping review.","authors":"Giovanni Galeoto, Maria Rita Molinari, Loredana Gigli, Emanuele Amadio, Giovanni Sellitto, Annamaria Servadio","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The integration of physiotherapists within Emergency Departments (EDs) is increasing internationally; however, the outcome measures employed in this setting remain heterogeneous and largely non-standardized.</p><p><strong>Objective: </strong>To map and describe clinical, functional, psychological, prognostic, and patient experience outcome measures currently used by physiotherapists working in EDs.</p><p><strong>Methods: </strong>A scoping review was conducted following PRISMA-ScR guidelines. PubMed and Google Scholar were searched from their inception to November 2025. Studies were included if they involved patients of any age presenting to the ED with musculoskeletal, traumatic, vestibular conditions or concussion, where physiotherapists applied or reported at least one standardized outcome measure. Two reviewers independently screened titles, abstracts, and full texts.</p><p><strong>Results: </strong>Of 9,790 records identified, 27 met eligibility criteria. Most research originated from Australia, Canada, the United Kingdom, Ireland, and the United States, primarily involving low-complexity musculoskeletal conditions, vestibular disorders, and concussion, including pediatric pathways. Pain intensity scales (NPRS, VAS) and pain interference (BPI-PI) were the most commonly used measures. Functional and disability outcomes (NDI, ODI/mODI, LEFS, QuickDASH, PROMIS Physical Function, PSFS) were predominantly applied during post-ED follow-up. Psychological and prognostic instruments (PCS, STarT Back, 5P Rule) supported risk stratification, while PREMs such as PedsQL Healthcare Satisfaction, SAPS, and VSQ-9 assessed patient experience. Considerable heterogeneity in outcome measurement remains, with few randomized trials, limited long-term follow-up, and scarce economic evaluations. No studies were identified from Italy or Southern Europe.</p><p><strong>Conclusions: </strong>The use of validated outcome measures by physiotherapists in EDs is feasible and clinically valuable; however, a lack of standardization and limited high-quality evidence particularly within the Italian healthcare context highlight the need for further research to establish shared outcome sets and transferable models of care.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 5","pages":"239-252"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745877","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":"Roma 2 Local Health Authority and Fondazione Baroni for the safety and accessibility of care: aninnovative telerehabilitation project for patients withspinal cord injuries.","authors":"Annamaria Servadio, Leandro Segaletti, Claudio Sales, Giuliana La Rocca, Maria Luisa Giordano, Claudio Pilati, Simona Amato","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 emergency has forced a rapid reorganization of healthcare services, suspending many non-urgent outpatient services and redefining the offering based on companies' potential for process and resource optimization and adapting it to the new context. In this period, therefore, it became necessary to use digital media and to verify the possibility of ensuring remote services for chronic patients. In light of this experience, ASL ROMA 2 has implemented a research project to ensure the remote rehabilitation of chronic patients with motor impairments, in particular with spinal cord injury. The project was funded by the Baroni Foundation Objectives: Since 2023, ROMA 2 local health authority (ASL ROMA 2) has launched a project for the use of a platform dedicated to telerehabilitation, funded by the Baroni Foundation, with the following objectives: Objectives: Since 2023, ROMA 2 local health authority (ASL ROMA 2) has launched a project for the use of a platform dedicated to telerehabilitation, funded by the Baroni Foundation, with the following objectives: ensure access and continuity of care, including continued rehabilitation at home. improve rehabilitation interventions through the appropriate use of remote services and capabilities; these allow for better tailoring of treatment frequency and intensity to the needs and preferences of The platform can be integrated with other healthcare systems and supports protocol and plan definition, wearable device integration, telerehabilitation, schedule management, clinical monitoring, and more. The technology architecture is based on open-source software solutions such as Kafka, Kubernetes, Java, Typescript, PostgreSQL, MongoDB, TimescaleDB, AWS, KeyCloak, Drools, DSL, Strapi, and Workflow Engine. increase the efficiency of home rehabilitation services, allowing for the provision of care to a greater number of patients requiring assistance. promote monitoring, health education, and/or the adoption of appropriate self-care practices. These objectives are consistent with the objectives outlined in the National Recovery and Resilience Plan (PNRR) Mission 6 - Health Component 1 (M6C1) Proximity networks, facilities, and telemedicine for community care. This paper describes the results of the research project \"Fleexi-Rehab-Care-Tech (FRCT)\" by ASL ROMA 2, focusing on tele-assistance and the provision of physiotherapy and occupational therapy for patients with motor and neuromotor injuries.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 5","pages":"331-336"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745704","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":"Management of rehabilitation timing in the care of patients with COPD: a challenge for public health.","authors":"Annamaria Servadio, Matteo Tamburlani, Tiziana Trequattrini, Simona Rossi, Anna Cerrito, Cosetta Donato, Mariarita Loporchio, Laura Sanrocchi, Cristian Mendico, Giovanni Galeoto, Maria Cristina Zappa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The management of chronic and multiple chronic conditions is a major challenge for public health. The pilot study aims to develop a mathematical model which, together with a telemonitoring protocol, will ensure the reprogramming of chronic patients in the medium to long term, optimizing waiting lists and, consequently, the quality of the service provided, including through the pursuit of equity and accessibility to the service.</p><p><strong>Materials and methods: </strong>The study was conducted by the clinical rehabilitation team at the San Felice Polyclinic of ASL Roma 2 between September 2024 and April 2025. Fifty-four patients diagnosed with moderate COPD were recruited and treated, divided into three groups of 18, and were re-evaluated 3, 4 and 5 months after discharge. The patients underwent 20 group respiratory rehabilitation sessions and aerobic training with progressive load on exercise bikes.</p><p><strong>Statistical analysis: </strong>For each sample of patients, the mean and standard deviation were calculated of the STS and 6MWT recorded at the beginning of treatment (T0) and at the end (T1) of this, at the beginning of the second cycle after the established period (T2) and at the end of the same (T3). To evaluate the effectiveness of treatment with readmission at 3, 4 and 5 months, the average of the test values at the end of the first cycle and at the beginning of the second cycle was considered; the Wilcoxon-Mann-Whitney hypothesis test was used to compare the distributions.</p><p><strong>Results: </strong>For each of the tests carried out both at admission and discharge, the left extreme and right extreme are lower than those of the other groups. The Wilcoxon-Mann-Whitney hypothesis test shows that the treatment is more effective when carried out 3 or 4 months after the last treatment than when carried out 5 months after the last treatment.</p><p><strong>Discussion: </strong>The study revealed the importance of initiating comprehensive and individualised pulmonary rehabilitation protocols to reduce the incidence of exacerbations, thus also producing economic and health benefits. Statistical analysis confirmed a shared approach to planning long-term readmissions, thus facilitating the management of waiting lists and the staff involved, improving the quality of the service in terms of efficiency and productivity.</p><p><strong>Conclusion: </strong>In a period of severe crisis for the Regional Health Service, the management of waiting lists ensures the constant pursuit of equitable access to care and accessibility to the service, understood as the ability of a service or environment to be usable without barriers for everyone and to reach the highest number of users with COPD. Telerehabilitation and telemonitoring could represent a great opportunity that can increase the level of enforceability of citizens' right to health, sustainability and innovation of the National Health System.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 5","pages":"261-272"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745875","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 Error Room as an andragogical methodology for Patient Safety. An Italian experience.","authors":"Simona Amato, Cristina De Capitani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Simulation courses develop both technical and non-technical skills. The latter are the most important skills for preventing errors resulting from communication or awareness. The error room methodology involves setting up spaces that match the work environments of the professionals being trained, within which training programs are offered that adhere to the most effective andragogical techniques. This training project involved 280 nurses with an average age of 39.7 years. A total of 1,560 hours of simulation training were provided in the error room. This paper demonstrated that the Error Room certainly represents an opportunity for technical and non-technical skills, but above all, it allows multidisciplinary teams to practice innovative organizational models together.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"98 5","pages":"337-339"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745726","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}