Multi-disciplinary Consensus Statement Document Vaccinal prevention in adult patients with diabetes mellitus

open8noopenIcardi G.; Francia F.; Di Bartolo P.; Mannino D.; Alti E.; Purrello F.; Sesti G.; Sessa A.Icardi, G.; Francia, F.; Di Bartolo, P.; Mannino, D.; Alti, E.; Purrello, F.; Sesti, G.; Sessa, A

Perfil de la Demanda de Turismo de Aventura en Ecuador con enfoque hacia la Sostenibilidad

For the research, the general objective was established, which was to determine the profile of the demand for adventure tourism in Ecuador, the research approach is mixed, the methodology that was applied was the market study with simple random sampling, applying 385 forms of 22 questions, the study resulted in the profile of adventure tourism, characterized by the choice of the destinations they choose are from the Andean Region and the Amazon, they have preference in adventure modalities on land such as hiking, in water recreational activities, motorized boats. and air activities with paragliding. The frequency of visits is 1 to 2 times, they are informed through social networks, in the development of adventure activities, accessibility measures such as exclusive bathroom areas for people with disabilities have been prioritized. For the development of adventure activities they opt for equipment brands such as Petzl, Black Diamond and in relation to clothing to develop adventure activities they prefer brands such as Columbia, Adidas, they opt for attributes such as quality. Finally, the development of the Adventure Tourism Plan is prioritized, thereby aiming to improve economic income for the communities.Para la investigación se estableció el objetivo general que fue determinar el perfil de la demanda de turismo de aventura en Ecuador, el enfoque de la investigación es de tipo mixto, la metodología que se aplicó fue el estudio de mercado con un muestreo aleatorio simple, aplicándose 385 formularios de 22 preguntas, el estudio dio como resultado el perfil de turismo de aventura, caracterizado por la elección los destinos que eligen son de Región Andina y Amazonía, tienen preferencia en modalidades de aventura en tierra como senderismo, en agua actividades recreativas embarcaciones motorizadas y actividades de aire con el parapente. La frecuencia de visitas es de 1 a 2 veces, se informan a través de redes sociales, en el desarrollo de actividades de aventura se ha priorizado medidas de accesibilidad como las áreas de baños exclusivas para personas con discapacidad. Para el desarrollo de actividades de aventura optan por marcas de equipos como Petzl, Black Diamond y en relación la ropa para desarrollar actividades de aventura prefiere marcas como Columbia, Adidas, optan por atributos como la calidad. Finalmente, se prioriza el desarrollo del Plan de turismo de aventura, con ello se proyecta a mejorar los ingresos económicos para las comunidades

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Italian Public Health Response to the COVID-19 Pandemic: Case Report from the Field, Insights and Challenges for the Department of Prevention

The coronavirus disease (COVID-19) outbreak is rapidly progressing globally, and Italy, as one of the main pandemic hotspots, may provide some hard lessons for other countries. In this paper, we summarize the current organizational capacity and provide a pragmatic and narrative account of strategies and activities implemented by the Department of Prevention (Dipartimento di Prevenzione)—the regional entity of the Local Health Authority of the Italian National Health Service in charge of public health—since the beginning of the outbreak. We conduct a preliminary analysis of general strengths, weaknesses, opportunities, and threats (SWOT) of the response strategies from a local perspective. Furthermore, we provide firsthand insights on future directions and priorities to manage this unprecedented pandemic. Our case report gives a qualitative view of the healthcare response, based on the experience of frontline professionals, with the aim to generate hypotheses about factors which may promote or hinder the prevention and management of a pandemic locally. We highlight the importance of a public health approach for responding to COVID-19 and reshaping healthcare systems

Hexavalent vaccines: characteristics of available products and practical considerations from a panel of Italian experts in Public Health

Combination vaccines represent a valuable technological innovation in the field of infectious disease prevention and public health, because of their great health and economic value from the individual, societal, and healthcare system perspectives.In order to increase parents’ and healthcare professionals’ confidence in the vaccination programs and maintain their benefits to society, more information about the benefits of innovative vaccination tools such as combination vaccines is needed.Purpose of this work is an examination of available hexavalent vaccines, that protect against Diphtheria, Tetanus, Pertussis, Poliomyelitis, Hepatitis B and Haemophilus influenzae type b infections. From the epidemiological updates of vaccine preventable diseases to the vaccine development cycle, from the immunogenicity of antigenic components to the safety and co-administration with other vaccines, several aspects of available hexavalent vaccines are discussed and deepened.Also a number of practical considerations on schedules, age of employment, strategies for vaccination recovery, vaccination in at-risk births are issued, based on the recommendations of Italian Ministry of Health, Italian Society of Pharmacology (SIF), Italian Society for Pediatrics (SIP), Italian Federation of Family Paediatricians (FIMP) and Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)

Systematic Tuberculosis Screening in Asylum Seekers in Italy

The preliminary findings of a tuberculosis (TB) screening of asylum seekers performed in a reception center located in northern Italy reveal a post-entry screening prevalence rate of 535 per 100000 individuals screened. This result shows that systematic use of chest radiography is a useful tool for active TB screening among asylum seekers in Italy

I vaccini e le vaccinazioni

Le quattro Società firmatarie del Calendario per la Vita (SITI, SIP, FIMMG e FIMP) vista la richiesta di attenzione su questo elaborato sul tema dei vaccini, prodotto dalla Società Italiana di Farmacologia (SIF) presieduta dal Prof. Giorgio Cantelli Forti, ne esprimono grande apprezzamento. Gli argomenti trattati sono divenuti particolarmente importanti e attuali con la recente approvazione dei LEA in concomitanza al Piano Nazionale Vaccini 2017 – 2019. Il testo ispirato anche ai contenuti e principi del nostro Calendario per la Vita, arricchisce la cultura vaccinale con la giusta positività che si contrappone alle strumentali campagne denigratorie che periodicamente compaiono sul web creando incertezze e smarrimento a una popolazione che, per merito delle vaccinazioni, si è dimenticata le tragiche conseguenze di molte malattie infettive degli scorsi decenni

I vaccini e le vaccinazioni

Le quattro Società firmatarie del Calendario per la Vita (SITI, SIP, FIMMG e FIMP) vista la richiesta di attenzione su questo elaborato sul tema dei vaccini, prodotto dalla Società Italiana di Farmacologia (SIF) presieduta dal Prof. Giorgio Cantelli Forti, ne esprimono grande apprezzamento. Gli argomenti trattati sono divenuti particolarmente importanti e attuali con la recente approvazione dei LEA in concomitanza al Piano Nazionale Vaccini 2017 – 2019. Il testo ispirato anche ai contenuti e principi del nostro Calendario per la Vita, arricchisce la cultura vaccinale con la giusta positività che si contrappone alle strumentali campagne denigratorie che periodicamente compaiono sul web creando incertezze e smarrimento a una popolazione che, per merito delle vaccinazioni, si è dimenticata le tragiche conseguenze di molte malattie infettive degli scorsi decenni