Igiene e sanita pubblica最新文献

{"title":"Desideri e considerazioni di Sanità pubblica.","authors":"Armando Muzzi,&nbsp;Augusto Panà","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A credere nell'Astrologia la pandemia da COVID-19 poteva essere agevolmente prevista in quanto era già scritta nelle stelle (per la congiunzione di Saturno e Plutone in Capricorno!!!)1. Ma de-sideri e con-siderazioni riprendono etimologicamente il termine latino sidus, sideris (plurale sidera). &quot;De-siderare&quot;, composto dalla particella privativa &quot;de-&quot; significherebbe, letteralmente, condizione in cui sono assenti le stelle e quindi le loro influenze e i loro presagi. &quot;Con-siderare\" è il suo naturale opposto al positivo, ovvero parafrasando &quot;stare con le stelle&quot;, in condizioni cioè di prevedere e giudicare. L'assenza di &quot;stelle&quot; - ovvero di punti di riferimento (nautici) - produce insicurezza e suscita voglia di orientamento; considerare è il termine abusato con cui inizia ogni atto legislativo per elencare i riferimenti che motivano la decisione (pur affidandosi etimologicamente alla sorte).</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"78 4","pages":"520-525"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418385","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":"[Digitization and Virtual Healthcare in a teaching hospital (Pisa, Italy) during COVID-19 emergency].","authors":"C Milli,&nbsp;L Molinari,&nbsp;I Giannetti,&nbsp;D Frassi,&nbsp;M Totaro,&nbsp;S Pagliantini,&nbsp;G Luchini,&nbsp;S Briani,&nbsp;A Baggiani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The initial phases of COVID-19 emergency in Italy highlighted the technical delay that the national health system has accumulated in health services digitalization. Italian hospitals rapidly applied a demand systems for virtual health services based on tele-triage, tele-consultation and tele-visits procedures. This led, in the following months, the integration of virtual healthcare services applicable to the Azienda Ospedaliero Universitaria Pisa (AOUP). In particular, BCure system represents an important technological investment for the remote management of care protocols and the analysis of the complete use of health services. This is a unique system for sharing information between specialists, general practitioners and patients.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 3","pages":"509-517"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39271115","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":"Mass screening for hepatitis B and C viruses in a population of persons with disabilities with and without HIV status in Cameroon.","authors":"Y A Ngueko,&nbsp;M Sobze,&nbsp;A T Tsapi,&nbsp;R M Biguioh,&nbsp;J Fokam,&nbsp;B Mansour,&nbsp;G B D Dongho,&nbsp;R N Takou,&nbsp;M Dourjang,&nbsp;L Giordani,&nbsp;V Colizzi,&nbsp;C Foti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hepatitis viral infections are one of major threat to public health worldwide. The vast majority of people infected with viral hepatitis are found in resources limited countries of Africa and Asia. There is a lack of accurate data to better determine the burden of this disease in Cameroon, moreover among vulnerable people. The aim of this study was to estimate the seroprevalence of HBV and HCV viruses among persons with disabilities (PwD) with or without HIV status.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 3","pages":"492-501"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39270717","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":"[Gender Diversity and Impact on Work and Life Expectancy in Health Care. Results of a Survey Conducted in the Tuscany Region].","authors":"S Albanese,&nbsp;C Liberatore,&nbsp;S Morano,&nbsp;P Rosignoli,&nbsp;G Anastasio,&nbsp;F Civitelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The percentage of female doctors employed in the health sector is constantly increasing both in Europe and in Italy with repercussions on organizational and socio-family models, currently not conceived in terms of equal opportunities, career and quality of life. The published studies have mainly taken into consideration economic and career disparities, (1) however, to date no study combined with surveys has highlighted criteria for evaluating the quality of work through the direct and sincere experience of workers. This reflection gave rise to the idea of a survey organized by the ANAAO Medical Women Group with the patronage of the Tuscan Medical Orders Federation organized on a homogeneous sample, i.e. female doctors from a single Region, Tuscany, in order to evaluate and new approaches in the management of human resources that take into account the delicate balance between the real possibilities available to the doctor and the complexities of experiential work that arise over the course of a lifetime. Empirical evidence deriving from specific investigations conducted at trade union and ordinistic level still document the existence of a gender gap between male and female doctors with respect to the reference parameters of quality work, such as the economic and ergonomic dimension, in relation to the physical and psychological aspects of people.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 3","pages":"502-508"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39270718","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":"[More on the COVID 19 pandemic: Public health Apology].","authors":"Armando Muzzi,&nbsp;Augusto Panà","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>La pandemia da COVID 19 sembra somigliare sempre più ad un \"buco nero galattico\" in cui vengono inghiottite tutte le energie e tutti i pensieri dell'intera comunità nazionale. Quest'ultima, al pari di un drogato, sembra attendere ansiosamente la quotidiana \"dose\" di notizie, in una condizione, cioè, di trovarsi gradualmente a non poter controllare il desiderio di assumere una certa sostanza nonostante il danno fisico, psicologico, affettivo, emotivo o sociale che può conseguire a tale assunzione.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 3","pages":"486-491"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39270716","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":"[Florence Nightingale and the SARS-CoV-2 coronavirus pandemic].","authors":"Armando Muzzi,&nbsp;Augusto Panà","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Per la Sanità pubblica l'anno 2020 appena trascorso si può rappresentare con due avvenimenti: la grande pandemia da coronavirus SARS-CoV-2 (così chiamato per la sua immagine circondata da \"spine\") e il bicentenario della nascita di Florence Nightingale (così chiamata perché nata a Firenze il 12 maggio 1820). L'abbinamento di questi due avvenimenti è meno lontano di quanto sembri prestandosi ad alcune istruttive considerazioni.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 2","pages":"442-446"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226094","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":"[Skills tracing and activation of multi-professional teams in response to COVID-19 pandemic].","authors":"E Porfido,&nbsp;P Giuliani,&nbsp;M Dell'Acqua,&nbsp;M Passaretta,&nbsp;G Rabbufetti,&nbsp;A Salzillo,&nbsp;R Gelmi,&nbsp;R Tagliasacchi,&nbsp;M Francioli,&nbsp;R Colombai,&nbsp;M Totaro,&nbsp;A Baggiani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rapid spread of Covid-19 epidemic led to a change in the organizational strategies of all Italian healthcare facilities. From January 31, 2020 (starting date of the state of national health emergency) Asst Valle Olona has prepared a reorganization of the supply units passing from a traditional division system to a structure that foresees the presence of traditional wards and a set of areas dedicated exclusively to the of Covid 19 treatments.The study aims to represent the method used for the redistribution of human capital in the new areas for identified, mapped, evaluated and reordered skills. The method may guarantee assistance to Covid-19 patients with the greatest number of human resources available and adequately trained.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 2","pages":"447-458"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226095","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 correct evaluation of the microclimate for an ergonomic and safe workplace].","authors":"M Del Gaudio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Italy, pursuant to Legislative Decree 81/08, the employer is obliged to assess all the risks to which workers are exposed. In this decree law, for the microclimate, there are few indications on how to carry out the assessment. No precise reference limits are set but it is only recommended to adapt the environmental conditions to the physical effort carried out, the parameters that need to be measured and with which instruments and who can carry out the measurements and therefore the related assessments are not specified. The technical reference standard is instead well established and proposes evaluation indices that take into account the heat exchanges between the human body and the thermal environment and allow to prevent discomfort or even damage to health. However, it is necessary for the evaluator to use these indices correctly to avoid underestimating risky conditions. This work aims to provide a guide to those who are preparing to evaluate the thermo-hygrometric conditions of a workplace. The assessors must choose the path based on the activity carried out in the workplace and its physical characteristics, using the measurement equipment required by the technical regulations and verify its reliability. An incorrect assessment can make people underestimate the discomfort which is often associated with a lowering of the level of attention and therefore a predisposition to accidents, or it can expose workers to serious health risks.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 2","pages":"474-482"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226098","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":"MosquirixTM malaria vaccine: an evaluation of patients' willingness to pay in Cameroon.","authors":"E T Defo,&nbsp;A T Tsapi,&nbsp;M Fossi,&nbsp;B D Dongho,&nbsp;G Nguefack-Tsague,&nbsp;E M Zogning,&nbsp;D F Achu,&nbsp;G E Ekobe,&nbsp;G Russo,&nbsp;O Ethgen,&nbsp;M S Sobze","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine the average price that a patient living in Cameroon would be willing to pay for the MosquirixTM vaccine and the factors influencing the proposed price.</p><p><strong>Study design: </strong>Cross-sectional study Methods: Data were collected using a semi-open questionnaire in 5 hospitals in Cameroon. This study included all persons over 18 years who came for consultation in one of the 5 selected hospitals during the study period (from 02th to 14th April 2018 and from 02th to 22th July 2018). The factors associated with the price of the vaccine proposed by the patient were determined by linear multiple regression analysis. The average price was determined based on the patient's income and the percentage of that income proposed for the purchase of the vaccine.</p><p><strong>Results: </strong>We collected data from 1,187 participants aged 18 to 80 years. The average price that Cameroonian patients were willing to pay for the MosquirixTM vaccine was 1,514±475 XAF (2.3±0.73 Euro). The minimum and maximum purchase price of the vaccine were 1,178 XAF (1.8 Euro) and 1,850 XAF (2.8 Euro) respectively. We also noted that patients were willing to spend an average of 1.34% of their income on the vaccine. This percentage of income was significantly (lt;0.001) associated with the respondents' income, the fact that they had been consulted at least once for malaria in the 12 months preceding the survey (lt;0.001) and the fact that the respondent had at least one under- five year child (lt;0.001).</p><p><strong>Conclusion: </strong>Factors associated with the average price are elements that should be strongly considered by policy makers to introduce this vaccine in Cameroon. This pilot study can serve as a framework for a potential national population-based study.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 2","pages":"459-473"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226096","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":"[Evaluation of a pulsed xenon ultraviolet light- emitting no-touch, portable device for disinfection of surfaces in operating rooms in the Policlinico University Hospital of Foggia, Italy, 2019. Preliminary results].","authors":"D Martinelli,&nbsp;G Villone,&nbsp;F Fortunato,&nbsp;G Fiorino,&nbsp;N Laurieri,&nbsp;R Prato,&nbsp;V Dattoli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effectiveness and the frequency of use of a pulsed xenon ultraviolet light-emitting no-touch portable device (PX-UV), applied after perform current cleaning, in reducing environmental bacterial burden and the presence of pathogens on surfaces in the operating rooms at the Policlinico University Hospital of Foggia.</p><p><strong>Design: </strong>Prospective before-and-after study with a follow up duration of four months, from May to August 2019.</p><p><strong>Setting and participants: </strong>Two operating rooms of an Orthopaedic and a Neurosurgical ward in a 780-bed university hospital in the District of Foggia, Italy (about 600,000 inhabitants).</p><p><strong>Main outcome measures: </strong>According to the hygienic standards proposed by the Italian Workers Compensation Authority (ISPESL), the total and the average bacterial load and the presence of six pathogens were evaluated between pre- and post- PX-UV use combined with routine manual cleaning.</p><p><strong>Results: </strong>The PX-UV system was applied at five distinct time points: t1: start of the experiment, t2: after 28 days, t3: after 13 days, t4: after 7 days, and t5: after 8 days (t2-t5: 28 days in total). About 16-min of PX-UV cycle showed significant reduction in the level of environmental contamination by decreasing the mean colony count by 87.5%, compliant with the standard (5&lt; X ≤15 CFU per plat). Staphylococcus aureus and Acinetobacter baumannii that had been isolated in some of the samplings before PX-UV were no longer detected after t1, t2 and t5 treatments. Before PX-UV, the mean colony count was similar between t1 and t2 (p&gt;0.05); after t3 and t4 treatments, it was lower before t5 in both the Orthopaedic and Neurosurgical operating rooms (= -97% and -75%, respectively; p&lt;0,01).</p><p><strong>Conclusions: </strong>Implication for practice: PX-UV could supplement the standard cleaning process in reducing the microbial burden in the operating rooms and potentially achieving lower healthcare-associated surgical site infections rates.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 1","pages":"414-425"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38903465","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}