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Gola M, Johnson AA, La Milia DI, Cadeddu C, Bardini F, Bianconi B, Bisceglia R, Pumpo MD, Genovese C, Grieco A, Piras G, Guerra R, Damiani G, Favaretti C, Montagna MT, Capolongo S, Ricciardi W. Rethinking the Healthcare Facilities: The Role of the Buffer Space. HERD 2024:19375867231222563. [PMID: 38259242 DOI: 10.1177/19375867231222563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
OBJECTIVES A working group conducted a survey on the use of the principle of buffer space (BS), which in case of emergencies, could benefit healthcare settings. The aim of the preliminary investigation is to define new research lines in hospitals' functional design. BACKGROUND The global experience of the COVID-19 pandemic highlighted challenges faced by hospitals when responding promptly to emergencies, including spatial reorganization and suspension of ordinary medical activities for ensuring adequate management of the emergency surge of patients. METHODS The group designed questionnaires to be administered to healthcare staff and healthcare designers aimed at understanding varied conceptions and features of BSs. Content across the two surveys overlapped significantly, allowing for direct comparisons of responses, while also including tailored questions in relation to the respective experience and skills of the two groups of respondents. RESULTS 102 healthcare professionals and 56 designers took part to the survey. Analysis of the responses permitted for initial recommendations regarding BS typology including (a) proximity to the emergency department (ED), intensive care units (ICUs), and inpatient wards (IWs); (b) location within hospitals but separate from other medical areas; (c) need for independent access; (d) organizational and spatial features similar to ED, ICUs, and IWs; (e) existing as a fully flexible operational space; and (f) BS bed capacity to be approximately 12% of ED beds. CONCLUSIONS Although the analysis is related to the Italian context, the expansion of this preliminary research to alternate healthcare facilities and geographic areas is necessary for reaching a wide consensus by different professionals on this field. It serves as a starting point for future investigations regarding the implementation of BS in hospital settings.
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Affiliation(s)
- Marco Gola
- Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano, Milan, Italy
| | | | - Daniele Ignazio La Milia
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Mediterranean Institute for Transplantation and Advanced Specialized Therapies ISMETT (IRCCS), Palermo, Italy
| | - Chiara Cadeddu
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Francesco Bardini
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-medico, Rome, Italy
| | - Barbara Bianconi
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Azienda Usl Toscana Sud-Est, Arezzo, Italy
| | - Raffaella Bisceglia
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Università degli Studi di Perugia, Perugia, Italy
| | - Marcello Di Pumpo
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Azienda ULSS6 Euganea, Regione Veneto, Padova, Italy
| | - Cristina Genovese
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Postgraduate Medical School of Preventive Medicine and Hygiene, University of Messina, Messina, Italy
| | - Albino Grieco
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - Giuseppe Piras
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Asl n. 7 Sulcis, Carbonia SU, Italy
| | - Rocco Guerra
- ASL Bari, Bari, Italy
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - Gianfranco Damiani
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Carlo Favaretti
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Centre on Leadership in Medicine, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Maria Teresa Montagna
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - Stefano Capolongo
- Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano, Milan, Italy
| | - Walter Ricciardi
- Post graduate course "Hospital Healthcare Management" (II ed.), Advanced School of Economics and Management of Health Systems (ALTEMS), Rome, Italy
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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Gola M, Sapienza M, Slama F, Brundu L, Campus R, Manai S, Nicosanti R, Ogana S, Orrù M, Ortu GM, Piga G, La Milia DI, Cadeddu C, Ferraguzzi G, Mangili S, Damiani G, Favaretti C, Azara AA, Capolongo S, Ricciardi W. Structural accreditation of healthcare facilities: comparison of the requirements by Italian Presidential Decree 14/01/1997 and regional regulations. A proposal for updating the minimum environmental units at national level. Acta Biomed 2023; 94:e2023158. [PMID: 37695187 DOI: 10.23750/abm.v94is3.14379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 04/11/2023] [Indexed: 09/12/2023]
Abstract
BACKGROUND AND AIM The Decree of the President of the Italian Republic 14/01/1997 is the reference norm related to the accreditation of public and private healthcare structures. This guideline establishes the minimum structural, technological and organizational requirements that each structure operating in the Italian territory must comply with. METHODS In occasion of the project work for the postgraduate training course in healthcare management by ALTEMS School, a team of researchers conducted a survey on the state of updating of the minimum structural requirements indicated in the norm-in particular those relating to hospital facilities- with those adopted by the individual regions through the analysis of the most up-to-date regional regulations. RESULTS Precisely starting from the comparison of regional references and from the regulations on the subject of structural accreditation which suggest strategic environmental units and which address some key-aspects relating to the contemporary design of healing environments (i.e. semi-intensive care units, hybrid operating theatres, etc.), the outcome of the project work is to define a proposal to update the national reference document, also in the light of the currently changing needs in terms of hospital design. CONCLUSIONS The research aims to become a starting milestone for future investigations. The team investigated - in this first phase - the functional areas listed in the norm, and the next step aims to extend the analysis also to the innovative functions (i.e. buffer spaces, hybrid operating theatres, sub-intensive care units, etc.) and/or introduced only the last years which have only been regulated in some regions.
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Affiliation(s)
- Marco Gola
- Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano.
| | - Martina Sapienza
- School of Specialization in Hygiene and preventive medicine' Università Cattolica del Sacro Cuore.
| | - Faris Slama
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Laura Brundu
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Roberta Campus
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Stefano Manai
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Roberto Nicosanti
- School of Specialization in Hygiene and Preventive Medicine, Università di Cagliari.
| | - Silvia Ogana
- Presidio Ospedaliero Unico Alghero-Ozieri, ASL Sassari.
| | - Marco Orrù
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Giovanni Maria Ortu
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Giulia Piga
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari.
| | - Daniele Ignazio La Milia
- Department Women, children and public health sciences, Mediterranean Institute for Transplantation and Advanced Specialized Therapies.
| | - Chiara Cadeddu
- Dept. Life Sciences and Public Health' Università Cattolica del Sacro Cuore.
| | - Gaia Ferraguzzi
- School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Milano.
| | - Silvia Mangili
- Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano.
| | - Gianfranco Damiani
- Dept. Life Sciences and Public Health' Università Cattolica del Sacro Cuore.
| | - Carlo Favaretti
- Centre on Leadership in Medicine, Università Cattolica del Sacro Cuore.
| | | | - Stefano Capolongo
- Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano.
| | - Walter Ricciardi
- Dept. Life Sciences and Public Health' Università Cattolica del Sacro Cuore.
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Vetrugno G, La Milia DI, D’Ambrosio F, Di Pumpo M, Pastorino R, Boccia S, Ricci R, De-Giorgio F, Cicconi M, Foti F, Pascucci D, Castrini F, Carini E, Cambieri A, D’Alfonso ME, Capalbo G, Fantoni M, Moscato U, Staiti D, De Simone FM, Berloco F, Damiani G, Zega M, Cattani P, Posteraro B, Sanguinetti M, Laurenti P. COVID-19 Seroprevalence among Healthcare Workers of a Large COVID-19 Hospital in Rome Reveals Strengths and Limits of Two Different Serological Tests. Int J Environ Res Public Health 2021; 18:ijerph18052650. [PMID: 33800721 PMCID: PMC7967358 DOI: 10.3390/ijerph18052650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/01/2021] [Accepted: 03/03/2021] [Indexed: 12/12/2022]
Abstract
Healthcare workers are at the forefront against COVID-19, worldwide. Since Fondazione Policlinico Universitario A. Gemelli (FPG) IRCCS was enlisted as a COVID-19 hospital, the healthcare workers deployed to COVID-19 wards were separated from those with limited/no exposure, whereas the administrative staff were designated to work from home. Between 4 June and 3 July 2020, an investigation was conducted to evaluate the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin (IgG) antibodies among the employees of the FPG using point-of-care (POC) and venous blood tests. Sensitivity, specificity, and predictive values were determined with reverse-transcription polymerase chain reaction on nasal/oropharyngeal swabs as the diagnostic gold standard. The participants enrolled amounted to 4777. Seroprevalence was 3.66% using the POC test and 1.19% using the venous blood test, with a significant difference (p < 0.05). The POC test sensitivity and specificity were, respectively, 63.64% (95% confidence interval (CI): 62.20% to 65.04%) and 96.64% (95% CI: 96.05% to 97.13%), while those of the venous blood test were, respectively, 78.79% (95% CI: 77.58% to 79.94%) and 99.36% (95% CI: 99.07% to 99.55%). Among the low-risk populations, the POC test's predictive values were 58.33% (positive) and 98.23% (negative), whereas those of the venous blood test were 92.86% (positive) and 98.53% (negative). According to our study, these serological tests cannot be a valid alternative to diagnose COVID-19 infection in progress.
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Affiliation(s)
- Giuseppe Vetrugno
- Risk Management Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (G.V.); (M.C.); (F.F.)
- Section of Legal Medicine, Department of Health Care Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Daniele Ignazio La Milia
- Hospital Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (D.I.L.M.); (A.C.); (M.E.D.); (G.C.); (F.B.)
| | - Floriana D’Ambrosio
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Correspondence: ; Tel.: +39-0630154396
| | - Marcello Di Pumpo
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
| | - Roberta Pastorino
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Stefania Boccia
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Rosalba Ricci
- Department of Laboratory and Infectivological Sciences, Fondazione Policlinico A. Gemelli IRCCS, 00168 Rome, Italy; (R.R.); (M.F.); (P.C.); (M.S.)
| | - Fabio De-Giorgio
- Section of Legal Medicine, Department of Health Care Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Michela Cicconi
- Risk Management Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (G.V.); (M.C.); (F.F.)
| | - Federica Foti
- Risk Management Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (G.V.); (M.C.); (F.F.)
| | - Domenico Pascucci
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Francesco Castrini
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
| | - Elettra Carini
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
| | - Andrea Cambieri
- Hospital Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (D.I.L.M.); (A.C.); (M.E.D.); (G.C.); (F.B.)
| | - Maria Elena D’Alfonso
- Hospital Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (D.I.L.M.); (A.C.); (M.E.D.); (G.C.); (F.B.)
| | - Gennaro Capalbo
- Hospital Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (D.I.L.M.); (A.C.); (M.E.D.); (G.C.); (F.B.)
| | - Massimo Fantoni
- Department of Laboratory and Infectivological Sciences, Fondazione Policlinico A. Gemelli IRCCS, 00168 Rome, Italy; (R.R.); (M.F.); (P.C.); (M.S.)
- Section of Infectious Diseases, Department of Health Care Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Umberto Moscato
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Domenico Staiti
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
- Occupational Health Section, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Francesco Maria De Simone
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Filippo Berloco
- Hospital Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (D.I.L.M.); (A.C.); (M.E.D.); (G.C.); (F.B.)
| | - Gianfranco Damiani
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
| | - Maurizio Zega
- Director of Nursing Service Technician and Rehabilitation Administration (S.I.T.R.A.), Fondazione Policlinico Universitario Agostino Gemelli, 00168 Rome, Italy;
| | - Paola Cattani
- Department of Laboratory and Infectivological Sciences, Fondazione Policlinico A. Gemelli IRCCS, 00168 Rome, Italy; (R.R.); (M.F.); (P.C.); (M.S.)
| | - Brunella Posteraro
- Department of Basic Biotechnological Sciences, Intensive and Perioperative Clinics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
| | - Maurizio Sanguinetti
- Department of Laboratory and Infectivological Sciences, Fondazione Policlinico A. Gemelli IRCCS, 00168 Rome, Italy; (R.R.); (M.F.); (P.C.); (M.S.)
- Department of Basic Biotechnological Sciences, Intensive and Perioperative Clinics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Patrizia Laurenti
- Section of Hygiene, University Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (M.D.P.); (S.B.); (D.P.); (F.C.); (E.C.); (U.M.); (G.D.); (P.L.)
- Department of Woman and Child Health and Public Health—Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (R.P.); (D.S.); (F.M.D.S.)
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Bruno S, Carducci B, Quaranta G, Beccia V, Di Pilla A, La Milia DI, Di Pumpo M, Carini E, Masini L, Tamburrini E, Spadea A, Damiani G, Lanzone A, Laurenti P. Enhancement of Vaccination Attitude and Flu Vaccination Coverage among Pregnant Women Attending Birthing Preparation Course. Vaccines (Basel) 2021; 9:183. [PMID: 33670085 PMCID: PMC7926478 DOI: 10.3390/vaccines9020183] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 02/17/2021] [Accepted: 02/18/2021] [Indexed: 12/17/2022] Open
Abstract
Most vaccinations are recommended within the 15th month of life, in order to reduce risks and to protect children from the initial stages of their lives. A vaccination training session was carried out during the birthing preparation course, aimed at increasing the attitude toward vaccination in maternal-child age. A questionnaire on vaccination awareness was administered before and after the training session and on-site flu vaccination was offered to women and their companions. The percentage of participants who consider the preparatory course a useful tool to obtain information about vaccines increases significantly from 30.34% at pre-intervention to 64.56% at post-intervention (p < 0.001). There is a significant increase in the mean number of vaccinations that the participants want their children to get. The number of participants believing that there is no relationship between vaccination and autism rose from 41.05 to 72.97% (p < 0.001). In total, 48 out of 119 (40.34%) pregnant women participating in the course and 39 companions were vaccinated for influenza. Vaccination knowledge and attitude significantly increased after a training session dedicated to vaccination as a part of the pregnant pre-birth course, whose aim can be therefore extended to the management of the health of the child, well beyond the period of pregnancy, according to the life-course approach to health.
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Affiliation(s)
- Stefania Bruno
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Brigida Carducci
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Gianluigi Quaranta
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Viria Beccia
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Andrea Di Pilla
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Daniele Ignazio La Milia
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
| | - Marcello Di Pumpo
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Elettra Carini
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Lucia Masini
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Enrica Tamburrini
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | | | - Gianfranco Damiani
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Antonio Lanzone
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
| | - Patrizia Laurenti
- Women, Children and Public Health Sciences Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (S.B.); (B.C.); (G.Q.); (D.I.L.M.); (L.M.); (E.T.); (G.D.); (A.L.); (P.L.)
- Dipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (V.B.); (M.D.P.); (E.C.)
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La Milia DI, Vincenti S, Fiori B, Pattavina F, Torelli R, Barbara A, Wachocka M, Moscato U, Sica S, Amato V, Ricciardi W, Laurenti P. Monitoring of Particle Environmental Pollution and Fungal Isolations During Hospital Building-Work Activities in a Hematology Ward. Mediterr J Hematol Infect Dis 2019; 11:e2019062. [PMID: 31700587 PMCID: PMC6827607 DOI: 10.4084/mjhid.2019.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 10/06/2019] [Indexed: 01/15/2023] Open
Abstract
Building-work activities could cause dust contamination and fungal spores' dissemination. A significant relationship was found between building-work activities and the incidence of invasive aspergillosis, in profoundly immunocompromised patients. Renovation-works activities were carried out by four building sites of the hematology ward in a Teaching Hospital without the interruption of clinical activities. These sites were monitored by environmental sampling to determine the particles and fungi count. Clinical surveillance was made using galactomannan antigen test as a proxy for invasive aspergillosis diagnosis. A definitive diagnosis of IA was confirmed by clinical and radiological features. The galactomannan antigen test showed no significant difference between presence (2,75%) and absence (5,03%) of renovation work activities (p=0,522). During the renovation activities, an increment of IA cases with respect to the control period was not recorded. The particle counts showed higher values of small and big-diameter particles before the renovation works if compared to the end of the activities. It was probably due to the containment measures implemented during and immediately after the final phases of the building site. The Fungi counts showed no significant differences between the phase before and after the renovation activities. Our findings show that is possible to perform renovation work, during clinical activities, by increasing clinical and environmental surveillance.
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Affiliation(s)
| | - Sara Vincenti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Barbara Fiori
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Fabio Pattavina
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Riccardo Torelli
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | | | | | - Umberto Moscato
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Simona Sica
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | | | - Walter Ricciardi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Patrizia Laurenti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
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Poscia A, Milovanovic S, La Milia DI, Duplaga M, Grysztar M, Landi F, Moscato U, Magnavita N, Collamati A, Ricciardi W. Effectiveness of nutritional interventions addressed to elderly persons: umbrella systematic review with meta-analysis. Eur J Public Health 2019; 28:275-283. [PMID: 29228152 DOI: 10.1093/eurpub/ckx199] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Background The number of Europeans aged over 65 will double between 2010 and 2060, reaching 30% of the European population. Nutrition is emerging as a key element of healthy life since both obesity and malnutrition are established risk factors for morbidity and disability. The aim of this umbrella review (UR) is to summarize the findings of all current systematic reviews (SRs) and meta-analyzes (MAs) on the effectiveness of nutritional intervention designed to promote healthy aging in older individuals. Methods Eligible articles published in English or Italian between January 2000 and May 2016 were identified in six databases. Only studies that analyzed nutritional interventions in the population of 65 years and over, or papers specifically targeting older adults were deemed eligible. Results Twenty-eight papers, out of which twenty-five SRs and three MAs, met the inclusion criteria and were included in this umbrella SR. Supplementation with vitamin D and other kind of products was highly effective in preventing falls and fractures. Furthermore, several interventions, ranging from the prescription of supplements to environmental and organizational programs, resulted in an improvement in energy and protein intake, as well as positive weight outcomes. Positive findings were also found for the elderly at risk of malnutrition and for older patients with dementia. Conclusions The findings of this UR indicate that the use of a wide range of supplements and environmental and organizational intervention improve a number of anthropometric, nutritional and functional indices in the elderly.
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Affiliation(s)
- Andrea Poscia
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Sonja Milovanovic
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Daniele Ignazio La Milia
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Mariusz Duplaga
- Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Marcin Grysztar
- Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Francesco Landi
- Department of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Umberto Moscato
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Nicola Magnavita
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Agnese Collamati
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Walter Ricciardi
- Department of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.,National Institute of Health, Rome, Italy
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Quaranta G, Sezzatini R, Turnaturi C, Bresa B, Mandolini A, Giovannetti G, Boldrin A, Berloco F, La Milia DI, Cambieri A, Laurenti P. [Hospital foodservice through the Cook Chill system: a two-year experience in a University teaching hospital, Italy]. Ig Sanita Pubbl 2019; 75:51-61. [PMID: 31185490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The Authors present their two-year experience regarding an evaluation of the hygienic quality of ready-to-eat foods in a hospital foodservice, both for patients' meals and hospital staff, prepared by using the Cook Chill system. According to the microbiological parameters provided by International Guidelines, 23 of 27 food samples that were collected and analyzed were found to be satisfactory, one was acceptable and only three were unsatisfactory (two for aerobic colony count and one both for aerobic colony count and hygienic procedure). Escherchia coli, Staphylococcus aureus, Salmonella, Listeria monocytogenes, and Clostridium perfringens were absent in all of the analyzed products, The study results are encouraging and confirm the need to always verify that the different phases of production of hospital meals are correctly implemented, even when the foodservice is out-sourced. This has always been considered a priority in the study hospital, where the Health Department is at the forefront both in control and verification of food safety practices and in offering training activities, especially in view of the increased susceptibility of hospitalized patients.
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Affiliation(s)
| | - Romina Sezzatini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Cinzia Turnaturi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Benedetto Bresa
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | | | | | | | - Filippo Berloco
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | | | - Andrea Cambieri
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
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Magnavita N, Sakowski P, Capitanelli I, La Milia DI, Moscato U, Poscia A, Ricciardi W. Health promotion for the aging workforce in Poland. Int J Occup Med Environ Health 2018; 31:753-761. [PMID: 30156218 DOI: 10.13075/ijomeh.1896.01207] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVES The aging of the workforce is an issue that calls for concrete measures to promote the health of older workers. This study reports on the results of the European "ProHealth65+" research project interventions conducted in Poland in relation to workplace health promotion for older workers (WHPOW) and the institutions involved in these programs. MATERIAL AND METHODS A three-stage search of peer-reviewed and grey literature on the WHPOW in Poland. RESULTS A total of 59 WHPOW programs were retrieved in Poland in the observation period (2000-2015). Most of these aimed at improving the Qualification and Training or at the Work Climate and attitudes toward older workers. The promotion, organization, and funding of these activities were carried out mainly by supra-national and governmental bodies, enterprises and employers, and educational and trainee institutions. CONCLUSIONS Although there is great commitment to the medical surveillance of workers on the part of the Polish occupational health service, our search detected a relatively low number of the WHPOW initiatives. Greater efforts should be made to introduce strategies for addressing aging of the workforce. Int J Occup Med Environ Health 2018;31(6):753-761.
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Affiliation(s)
- Nicola Magnavita
- Università Cattolica del Sacro Cuore, Roma, Italy (Institute of Public Health).
| | - Piotr Sakowski
- Nofer Institute of Occupational Medicine, Łódź, Poland (Health Policy Department).
| | - Ilaria Capitanelli
- Università Cattolica del Sacro Cuore, Roma, Italy (Institute of Public Health).
| | | | - Umberto Moscato
- Università Cattolica del Sacro Cuore, Roma, Italy (Institute of Public Health).
| | - Andrea Poscia
- Università Cattolica del Sacro Cuore, Roma, Italy (Institute of Public Health).
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Gervasi G, Dugo V, Colamesta V, La Milia DI, Paglione L, Parente P, Villari P, De Vito C, La Torre G, Palombi L, Mancinelli S, Maurici M, Sommella L, Orsi GB, Damiani G, Bucci R, De Vito E, Ricciardi W, Laurenti P. [The progressive patient care program as a model of field training of public health practitioners: the experience of the Roman Public Health Academy]. Ig Sanita Pubbl 2018; 74:377-387. [PMID: 30767952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The management of healthcare facilities has become increasingly complex in recent years, leading to a greater demand for public health physicians in Italy. Public Health physicians are responsible for evaluating community needs, with particular attention to health determinants and, at the same time, to final user feedback. During their training, they must acquire the competencies to manage a wide range of problems. The Roman Public Health Academy (ARSP) was developed to motivate young residents in Public Health to acquire the knowhow, skills and abilities required of a public health practitioner. It therefore implemented a special training program offering different educational opportunities for residents. In particular, the program offers a team of three young residents field training opportunities, allowing them to become engaged in solving complex technical and management problems. In this paper we describe the methods through which, following a specific request by the director of a hospital in Rome, the team supported a project involving the reorganization of several hospital wards. The aim of the reorganization was to enhance the performance and efficiency of the wards, according to the Progressive Patients Care program.
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Affiliation(s)
- Giuseppe Gervasi
- Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata, Roma, Italia
| | - Valentina Dugo
- Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata, Roma, Italia
| | - Vittoria Colamesta
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | | | - Lorenzo Paglione
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | - Paolo Parente
- Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Paolo Villari
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | - Corrado De Vito
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | - Giuseppe La Torre
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | - Leonardo Palombi
- Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata, Roma, Italia
| | - Sandro Mancinelli
- Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata, Roma, Italia
| | - Massimo Maurici
- Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata, Roma, Italia
| | - Lorenzo Sommella
- Direzione Sanitaria Azienda Ospedaliera Universitaria Sant'Andrea, Roma, Italia
| | - Giovanni Battista Orsi
- Dipartimento di Sanità Pubblica e Malattie Infettive, "Sapienza" Università di Roma, Roma, Italia
| | - Gianfranco Damiani
- Direttore della Scuola di Specilizzazione in Igiene dell'Università Cattolica del Sacro Cuore, Roma, Italia
| | - Roberto Bucci
- Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Elisabetta De Vito
- Dipartimento di Scienze Umane, Sociali e della Salute Università degli Studi di Cassino e del Lazio Meridionale, Italia
| | - Walter Ricciardi
- Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italia
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Poscia A, Stojanovic J, La Milia DI, Duplaga M, Grysztar M, Moscato U, Onder G, Collamati A, Ricciardi W, Magnavita N. Interventions targeting loneliness and social isolation among the older people: An update systematic review. Exp Gerontol 2017; 102:133-144. [PMID: 29199121 DOI: 10.1016/j.exger.2017.11.017] [Citation(s) in RCA: 158] [Impact Index Per Article: 22.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 10/17/2017] [Accepted: 11/24/2017] [Indexed: 11/24/2022]
Abstract
This systematic review aims to summarize and update the current knowledge on the effectiveness of the existing interventions for alleviating loneliness and social isolation among older persons. A search of PubMed, ISI Web of science, SCOPUS, The Cochrane Library, and CINAHL databases was performed. The terminology combined all possible alternatives of the following keywords: social isolation, loneliness, old people, intervention and effectiveness. Eligible studies were published between January 2011 and February 2016 in English or Italian language and regarded the implementation of loneliness/social isolation interventions among the older generations. Outcome measures in terms of the intervention effects needed to be reported. In total, 15 quantitative and five qualitative studies were ultimately included in this review. Eighteen interventions were reported across the quantitative studies. Six out of 11 group interventions (55%), one out of four mixed interventions (25%) and all three individual interventions reported at least one significant finding related to loneliness or social isolation. Our review suggested that new technologies and community engaged arts might be seen as a promising tool for tackling social isolation and loneliness among the older individuals. Future studies need to work on methodological quality and take into consideration the suggestions of the present literature in order to provide firm evidence.
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Affiliation(s)
- Andrea Poscia
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Jovana Stojanovic
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Daniele Ignazio La Milia
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Mariusz Duplaga
- Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Marcin Grysztar
- Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Umberto Moscato
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Graziano Onder
- Institute of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Agnese Collamati
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
| | - Walter Ricciardi
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy; National Institute of Health, Rome, Italy
| | - Nicola Magnavita
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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Magnavita N, Capitanelli I, Garbarino S, La Milia DI, Moscato U, Pira E, Poscia A, Ricciardi W. Workplace health promotion programs for older workers in Italy. Med Lav 2017; 108:396-405. [PMID: 29084131 DOI: 10.23749/mdl.v108i5.6229] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 09/12/2017] [Accepted: 09/19/2017] [Indexed: 11/17/2022]
Abstract
BACKGROUND Italy is the European country with the highest number of citizens over the age of sixty. In recent years, the unsustainability of the social security system has forced the Italian government to raise the retirement age and reduce the chances of early exit, thus sharply increasing the age of the workforce. Consequently, a significant proportion of older workers are currently obliged to do jobs that were designed for young people. Systematic health promotion intervention for older workers is therefore essential. OBJECTIVES The European Pro Health 65+ project aims at selecting and validating best practices for successful/active aging. In this context we set out to review workplace health promotion projects carried out in Italy. METHODS To ascertain examples of workplace health promotion for older workers (WHPOW), we carried out a review of the scientific and grey literature together with a survey of companies. RESULTS We detected 102 WHPOW research studies conducted in conjunction with supranational organizations, public institutions, companies, social partners, NGOs and educational institutions. The main objectives of the WHPOW were to improve the work environment, the qualifications of older workers and attitudes towards the elderly, and, in many cases, also to improve work organization. CONCLUSIONS The best way to promote effective WHPOW interventions is by disseminating awareness of best practices and correct methods of analysis. Our study suggests ways of enhancing WHPOW at both a national and European level.
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Poscia A, La Milia DI, Lohmeyer F, Teleman AA, de Waure C, Ricciardi W. Sexual behaviours and preconception health in Italian university students. Ann Ist Super Sanita 2016; 51:116-20. [PMID: 26156190 DOI: 10.4415/ann_15_02_08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Risky sexual behaviours have been recognized as a threat for sexual and reproductive health. AIM This article shows the results of the "Sportello Salute Giovani" project ("Youth Health Information Desk") in relation to determining how a large sample of university students in Italy cope with preconception health, especially in the domains of sexual transmitted infections (STIs), fertility and vaccination preventable disease. METHODS Twentythree questions of the "Sportello Salute Giovani" survey about sexual behaviour and reproductive health were analysed. Besides, results were stratified for sex, age class and socio-economic status. RESULTS 19.7% of students have had first sexual intercourse before age 15. 21.8% of female students used emergency contraception. 66.4% of the 74.0% sexual active students reported using contraceptives, but about 32% of them used methods ineffective against STIs. A general low coverage for rubella, measles and mumps vaccination was revealed. 63.7% of men and 30.9% of woman never had urologic or gynaecological examinations. DISCUSSION Overall, young adults in Italy are not still enough sensitized on fertility and preconception care. High schools and universities should increase awareness towards preservation of male and female fertility and preconception care.
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Affiliation(s)
- Andrea Poscia
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Franziska Lohmeyer
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Chiara de Waure
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Walter Ricciardi
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
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Poscia A, Moscato U, La Milia DI, Milovanovic S, Stojanovic J, Borghini A, Collamati A, Ricciardi W, Magnavita N. Workplace health promotion for older workers: a systematic literature review. BMC Health Serv Res 2016; 16 Suppl 5:329. [PMID: 27609070 PMCID: PMC5016729 DOI: 10.1186/s12913-016-1518-z] [Citation(s) in RCA: 65] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Aging of the workforce is a growing problem. As workers age, their physical, physiological and psychosocial capabilities change. Keeping older workers healthy and productive is a key goal of European labor policy and health promotion is a key to achieve this result. Previous studies about workplace health promotion (WHP) programs are usually focused on the entire workforce or to a specific topic. Within the framework of the EU-CHAFEA ProHealth65+ project, this paper aims to systematically review the literature on WHP interventions specifically targeted to older workers (OWs). METHODS This systematic review was conducted by making a comprehensive search of MEDLINE, ISI Web of Science, SCOPUS, The Cochrane Library, CINAHL and PsychINFO databases. Search terms included ageing (and synonyms), worker (and synonyms), intervention (and synonyms), and health (and synonyms). The search was limited to papers in English or Italian published between January, 1(st) 2000 and May, 31(st) 2015. Relevant references in the selected articles were also analyzed. RESULTS Of the 299 articles initially identified as relating to the topic, 18 articles met the inclusion criteria. The type, methods and outcome of interventions in the WHP programs retrieved were heterogenous, as was the definition of the age at which a worker is considered to be 'older'. Most of the available studies had been conducted on small samples for a limited period of time. CONCLUSION Our review shows that, although this issue is of great importance, studies addressing WHP actions for OWs are few and generally of poor quality. Current evidence fails to show that WHP programs improve the work ability, productivity or job retention of older workers. In addition, there is limited evidence that WHP programs are effective in improving lifestyles and concur to maintain the health and well-being of older workers. There is a need for future WHP programs to be well-designed so that the effectiveness and cost-benefit of workplace interventions can be properly investigated.
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Affiliation(s)
- Andrea Poscia
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
| | - Umberto Moscato
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Sonja Milovanovic
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Jovana Stojanovic
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Alice Borghini
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Agnese Collamati
- Department of Gerontology, Orthopedics and Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Walter Ricciardi
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.,Istituto Superiore di Sanità, Rome, Italy
| | - Nicola Magnavita
- Department of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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Poscia A, Frisicale EM, Parente P, de Waure C, La Milia DI, Di Pietro ML. Study habits and technology use in Italian university students. Ann Ist Super Sanita 2015; 51:126-30. [PMID: 26156183 DOI: 10.4415/ann_15_02_10] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Students' ability of learning is influenced by study habits. Among these, the use of technologies has assumed a controversial role. The aim of this paper is to analyse studying approach, the use of technologies and how they affect study habits in a population of university students addressed by the "Sportello Salute Giovani" ("Youth Health Information Desk") questionnaire. METHODS 16 questions referred to the approach to studying and the use of technologies (number 77-93) were analyzed. Absolute and relative frequencies were calculated. Stratification for sex, age and socio-economic status were performed and Chi square test was used to test the difference between sex, age class and socio-economic groups. RESULTS 99.7% of students declared to have at least one mobile phone and 68.7% to use smartphones, i-phones and i-pads. Males (20.9% vs 14.9% female, p < 0.05), older students (31.7% among 25-30 years old students vs 21.3% among 18-21 years old, p < 0.05) and students with the highest socio-economic level (87.8% vs 54.2% of the lowest) seem more likely to use digital technologies/Internet for educational purposes. CONCLUSION Our survey revealed that most college students still prefer approach the study using books instead of digital tools, but this attitude is conflicting with how many hours they use computers and surf Internet per weeks. Therefore, further studies are needed to understand better technology influence on study habits and its implication on health.
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Affiliation(s)
- Andrea Poscia
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Paolo Parente
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Chiara de Waure
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
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15
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Laganà P, Moscato U, Poscia A, La Milia DI, Boccia S, Avventuroso E, Delia S. Geostatistics - a tool applied to the distribution of Legionella pneumophila in a hospital water system. Ann Agric Environ Med 2015; 22:655-660. [PMID: 26706971 DOI: 10.5604/12321966.1185769] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
INTRODUCTION Legionnaires' disease is normally acquired by inhalation of legionellae from a contaminated environmental source. Water systems of large buildings, such as hospitals, are often contaminated with legionellae and therefore represent a potential risk for the hospital population. The aim of this study was to evaluate the potential contamination of Legionella pneumophila (LP) in a large hospital in Italy through georeferential statistical analysis to assess the possible sources of dispersion and, consequently, the risk of exposure for both health care staff and patients. MATERIALS AND METHOD LP serogroups 1 and 2-14 distribution was considered in the wards housed on two consecutive floors of the hospital building. On the basis of information provided by 53 bacteriological analysis, a 'random' grid of points was chosen and spatial geostatistics or FAIk Kriging was applied and compared with the results of classical statistical analysis. RESULTS Over 50% of the examined samples were positive for Legionella pneumophila. LP 1 was isolated in 69% of samples from the ground floor and in 60% of sample from the first floor; LP 2-14 in 36% of sample from the ground floor and 24% from the first. The iso-estimation maps show clearly the most contaminated pipe and the difference in the diffusion of the different L. pneumophila serogroups. CONCLUSION Experimental work has demonstrated that geostatistical methods applied to the microbiological analysis of water matrices allows a better modeling of the phenomenon under study, a greater potential for risk management and a greater choice of methods of prevention and environmental recovery to be put in place with respect to the classical statistical analysis.
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Affiliation(s)
- Pasqualina Laganà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging. Section of Biotechnologies and Medicine Preventive. University of Messina, Italy
| | - Umberto Moscato
- Department of Public Health - Università Cattolica del Sacro Cuore - Rome, Italy
| | - Andrea Poscia
- Department of Public Health - Università Cattolica del Sacro Cuore - Rome, Italy
| | | | - Stefania Boccia
- Department of Public Health - Università Cattolica del Sacro Cuore - Rome, Italy
| | - Emanuela Avventuroso
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging. Section of Biotechnologies and Medicine Preventive. University of Messina, Italy
| | - Santi Delia
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging. Section of Biotechnologies and Medicine Preventive. University of Messina, Italy
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