Christian Salerno1, Lucio Antonio Palin1, Aniello Esposito2, Rosita Cenna3,4, Celeste Cagnazzo3,4, Anna Carmela Cucciniello1
Lettera aperta ai lettori della Rivista “Igiene e Sanità pubblica”
«I lettori non li posso vedere in faccia, e in un certo senso la relazione con loro è soltanto concettuale, tuttavia per me quell’invisibile relazione “concettuale” è qualcosa della massima importanza, e con questa convinzione ho vissuto finora»»
(Haruki Murakami. L’arte di correre. Einaudi ed, Torino 2009, pag. 83).
Con il primo numero del 2019 inizia un nuovo corso della (settantaquattrenne) Rivista ampliando per quanto possibile i contenuti, e facendo proprie alcune innovazioni tecnologiche come, ad esempio, il superamento dell’affermazione di Murakami in quanto sarà ora possibile con mezzi di comunicazione informatica stringere una relazione più diretta e esclusiva con i lettori.
Da notare che quest’anno cade una data significativa, le “nozze d’argento” con il lettori, ovvero il 25° anniversario della prima profonda modifica editoriale. Infatti nei primi mesi del 1994, «Per aderire ad un espresso desiderio del Fondatore e per tentare di serbarne il ricordo nel modo più consono alle Sue aspirazioni – sostenere cioè l’Igiene e fare opera di formazione degli Igienisti – ho preso la decisione di rilevare la testata della Rivista e continuarne la pubblicazione, affrontando le difficoltà tecnico-amministrative ed editoriali che tale impresa comporta» (“Lettera aperta ai lettori della Rivista”, IgSanPubl 1994; 50: 74-80).…
Stare al passo dei tempi: missione della Rivista Scientifica “Igiene e Sanità Pubblica”
«Poiché a chiunque ha sarà dato e sarà nell’abbondanza, ma a chiunque non ha sarà tolto anche quello che ha»»
Vangelo secondo Matteo 13:12.
Questo primo numero del 2019 assume un importante significato nella vita della Rivista per alcune modifiche sia di forma (esposte in questo stesso numero nella “Lettera aperta ai lettori”) che di sostanza, giustificando il titolo di questo Editoriale, ovvero pervenire a un “cambio di passo” per rimanere all’“altezza dei tempi”. …
Monkeypox resurgence and its implications for Dentistry – A scoping review
Syed Sarosh Mahdi3,5, Rabeea Yaqoob2, Raheel Allana4, Gopi Batteneni1, Syeda Sakina3, Daniyal Agha2, Niekla Survia Andiesta5, Muneer Gohar Babar5, Zohaib Ahmed6, Umer Daood7
1The clinical research center, School of Medicinal and Health Products Sciences, University of Camerino, Camerino, 62032, Italy.
2Sohail University, Jinnah Medical and Dental College, Department of Community Dentistry, Karachi, Pakistan.
3Athena center for Advanced Research in Healthcare, Camerino, Italy
4Department of Paediatric & Child Health, Aga Khan University Karachi, 74800, Pakistan.
5Division of Clinical Oral Health Sciences, School of Dentistry, International Medical University , Kuala Lumpur, Malaysia
6Research member New York Chapter NYHDA , USA. College of Dental Medicine, Columbia University, NY, USA.
7Restorative Dentistry Division, School of Dentistry, International Medical University , Kuala Lumpur, Malaysia
Introduction: Monkeypox caused by the Monkeypox virus, a member of the Orthopoxvirus genus, is currently considered a major concern among healthcare authorities due to its high transmissibility rate.
Networks as a way to hospital and primary/ community care integration: findings from a narrative review of the main international models
Marcello Di Pumpo1, Lorenzo Sommella2, Gianfranco Damiani1,3
1 Università Cattolica del Sacro Cuore, Rome, Italy
2 Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy
3 Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
Background
Healthcare systems are complex systems. Achieving financial, social, and environmental sustainability of these systems requires a high degree of integration and coordination at all levels, especially between acute-care settings and primary/community care services. Some authors have, therefore, suggest redirecting integrated healthcare research towards the network theory and network concepts as a useful lens.
Objective
The current paper proposes to investigate the existence, the institutional level of formalization and the degree of development of hospital/primary-community care Networks currently present in the main types of healthcare systems worldwide by studying an appropriate selection of representative countries for each system typology.
Materials and Methods
A narrative review of the scientific and gray literature following the methodology by Green et al.
Role of environmental sanitization in health clinics: evaluation of potassium peroxymonosulfate (KMPS) efficacy at two different concentrations
Michele Totaro1, Francesco Castellani2, Francesca Di Serafino1, Nunzio Zotti1, Federica Badalucco1, David Rocchi1, Sara Civitelli1, Giulia Geminale1, Davide Masetti2, Angelo Baggiani1
1 Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa.
2 Damamed Srl, S.Lazzaro di Savena, Italy
Keyword: potassium peroxymonosulfate, air and surface disinfection, microbial reduction
Abstract
Background: Healthcare-associated infections (HAI) are closely related to several factors, such as prolonged hospital stay in high-risk areas and intensive care units, potentially predisposing underlying conditions. It has also been demonstrated that HAI incidence may be related to non-respected standards of assistance, such as not adequately cleaned structures or medical devices contaminated by environmental bacteria and multidrug resistant enterobacteria. Objective: In this case it has been carried on an efficacy evaluation of a microionization system using potassium peroxymonosulfate (KMPS) for outpatient clinics indoor air disinfection.
Evaluation of antibody response anti SARS-Cov-2: A retrospective observational study (Marche-Italy)
Isabella Baglioni1, Alessia Galli2, Chiara Gatti3, Simona Tufoni4, Renato Rocchi5, Federico Lattanzi6, Fabio Toia7, Adoriano Santarelli8, Stefano Marcelli8
1Clinical Tutor – Bachelor’s deegre in Nursing, ASUR Marche Area Vasta N.4,
2Emergency Room, Department of Emergency Medicine, Azienda OspedalieraUniversitaria Ospedali Riuniti, Ancona, Italy,
3Paediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, Department of Cardiovascular Sciences, Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona, Italy,
4Clinical Tutor- Bachelor’s deegre in Nursing, ASUR Marche Area Vasta N.4,
5Director of the Complex Operative Unit of the Health Professions Service – ASUR Marche Area Vasta N.4, 6Clinical Nurse, – Potes 118 (Fixed Station of First Territorial Relief), ASUR Marche Area Vasta N.4,
7Emergency Room, Department of Emergency Medicine, – ASUR Marche Area Vasta N.3,
8Director of Professional Teaching Activities – Bachelor’s deegre in Nursing, ASUR Marche Area Vasta N.5
Keywords: COVID-19, vaccine, antibody, Adverse Drug Event
ABSTRACT
Background.
Healthcare Quality Management and Integrated Care Pathways (ICPs)
Giuseppe Gambale*, Andrea De Giorgi**, Marta Castellani**, Elisa Mazzeo**, Rosario Andrea Cocchiara*, Giovanni Profico*, Simona Amato*
*Rome Healthcare Local Authority 2
** Department of Public Health and Infectious Diseases – Sapienza University of Rome
Keyword: Integrated care pathways, public health management, e – health
Abstract
Background: Chronic Obstructive Pulmonary Disease (COPD) is one of the largest causes of morbidity and chronic mortality and a public health problem of high importance. In Italy, COPD afflicts 5.6% of adult (3.5 million people) and is responsible for 55% of all deaths related to respiratory diseases. Smokers have a higher risk, in fact up to 40% develop the disease. From the Covid-19 pandemic, the most affected population is the elderly (mean age 80 years old), with previous chronic diseases, in 18% with chronic respiratory.
The aim of the present work was to validate and measure the outcomes produced by the recruitment and care of COPD patients enrolled by an Healthcare Local Authority in the corresponding Integrated Care Pathways (ICPs) in order to measure how a multidisciplinary, systemic and e-health monitored care impacts upon mortality and morbidity.
Healthcare Management, avoidable mortality, telemedicine to improve health of the diabetic population
Giuseppe Gambale*, Marta Castellani**, Elisa Mazzeo**, Andrea De Giorgi**, Rosario Andrea Cocchiara*, Giovanni Profico*, Simona Amato*
*Rome Healthcare Local Authority 2
** Department of Public Health and Infectious Diseases – Sapienza University of Rome
Keywords: telemedicine, avoidable mortality, management Abstract
Background: Worldwide the International Diabetes Federation (IDF) estimated that in 2021 9.2% of adults (536.6 million, between 20 and 79 years of age) are diabetic and 32.6% under 60 years (6.7 million) die because of diabetes. This disease is set to become the leading cause of disability and mortality by 2030. In Italy, the prevalence of Diabetes is about 5%; in the pre-pandemic period, from 2010 to 2019, diabetes was responsible for 3% of deaths recorded, while during the pandemic in 2020, these deaths increased to about 4%.
The present work aimed to measure the outcomes obtained from the ICPs (integrated care pathways) implemented by a Health Local Authority according to the model of the Lazio region and its impact on avoidable mortality, i.e.,
Management of an Integrated Care Pathways (ICPs): an Italian Study
Giuseppe Gambale*, Elisa Mazzeo**, Andrea De Giorgi**, Marta Castellani**, Rosario Andrea Cocchiara*, Giovanni Profico *, Simona Amato*
*Rome Healthcare Local Authority 2
** Department of Public Health and Infectious Diseases – Sapienza University of Rome
Keyword: Integrated care pathways, public health management, e – health
Abstract
Background: The World Health Organization defines chronic disease as long duration and generally slow progression disease, with a continuous treatment over decades. The management of such diseases is complex, as the aim of treatment is not cure, but maintenance of a good quality of life and prevention of possible complications. Cardiovascular diseases are the leading cause of death worldwide (18 million deaths per year) and hypertension remains the largest preventable cause of cardiovascular disease globally. In Italy, the prevalence of hypertension was of 31.1%. The goal of antihypertensive therapy should be to reduce blood pressure back to physiological levels or to a range of values identified as targets.