33 research outputs found

    Incidence trends of colorectal cancer in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening

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    We utilised the IMPATTO study's archives to describe the 2000-2008 colorectal cancer (CRC) incidence rate trends in Italy, once screening programmes based on the faecal immunochemical test were implemented in different areas. Data on CRCs diagnosed in Italy from 2000 to 2008 in subjects aged 40-79 years were collected by 23 cancer registries. Incidence rate trends were evaluated as a whole and by macro-area (North-Centre and South-Islands), presence of a screening programme, sex, ten-year age class, anatomic site, stage at diagnosis, and pattern of diagnosis (screen-detected, non-screen-detected). The annual percent change (APC) of incidence rate trends, with 95% confidence intervals (95%CI), were computed. The study included 46,857 CRCs diagnosed in subjects aged 40-79 years, of which 2,806 were screendetected. The incidence rates in the North-Centre were higher than in the South and on the Islands. During the study period, screening programmes had been implemented only in the North-Centre and had a significant effect on incidence rates, with an initial sharp increase in incidence, followed by a decrease that started in the 3rd-4th years of screening. These incidence rate trends were exclusively due to modifications in the rates of stage I cases. After screening programmes started, incidence increased in all anatomic sites, particularly in the distal colon. The differential figures introduced by the implementation of screening programmes warrant a continuous surveillance of CRC incidence and mortality trends to monitor the impact of screening at a national level

    Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study

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    ABSTRACT: Background: Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools. Methods: In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn. Results: Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21\u20130.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62\u20134.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46\u20130.96, p = 0.03; OR: 0.66, CI 95%: 0.46\u20130.95, p = 0.03, respectively). Conclusion: Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened

    Crowdmapping: Inclusive Cities and Evaluation

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    Recent technological innovations are redefining some key steps in the disciplines dealing with urban changes and the evaluation processes connected to the decision-making support system. Moreover, the voluntary input of community stakeholders has, over time, become the procedural center of most decision-making nodes. In addition to traditional participatory techniques, technology is enabling a new phase of less wasteful citizenship practices, where the participatory contribution is the provision of knowledge-based local knowledge the return of data based on voluntary contribution. This is the case of crowdsourcing, a web model based on open and voluntary collaboration in investigation or research by an indefinite and large group of people, aimed at building an informational mapping. The paper aims to return some of the recent applications of crowdmapping by highlighting the possible contributions that these processes can make to the implementation of information in the service of project evaluation tools

    From Evaluation to Monitoring: Multicriteria Indicators and Assessments in Urban Regeneration Triggered by University Residences

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    The paper outlines the first Ph.D. Research outcomes begun at the Department of Architecture, Roma Tre University. It shows the first critical reasoning according to evaluation tools in the urban regeneration context and redevelopment of the existing built heritage. Law 338/2000 considers general criteria and related to functional and building sizing regarding the requirements of interventions and impact indicators, including social, environmental, and financial impact indicators. According to the final goal of the research, which is the implementation of a multi-criteria and inclusive evaluation tool capable to add all dimension of sustainability and supporting the design process, the contribution exposes, first results regarding the reading of some sets of multi-disciplinary indicators related to university residences and of some sets of indicators related to monitoring them ex-post

    Una metodologia per la progettazione di sistemi automatici per il trasporto persone (APM) di derivazione funiviaria

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    L’articolo riguarda i nuovi sistemi per il trasporto di persone ad automazione integrale, in sede completamente riservata, riconosciuti in letteratura anche come APM (Automated People Movers), con riferimento particolare ai sistemi con trazione a fune. Scopo dell’articolo è delineare sinteticamente i principi procedurali e le norme tecniche ai quali fare riferimento per la progettazione di massima di un sistema di trasporto non convenzionale di derivazione funiviaria. L’esperienza internazionale in materia è relativamente limitata poiché gli impianti realizzati finora sono poco numerosi. Tuttavia l’esperienza accumulata è sufficiente per tracciare alcuni principi guida per la progettazione di tali impianti

    Evaluation in green building design for conversion projects: Case studies and comparative approaches

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    By 2020, the manufacturing and construction industries sector is responsible for 16.3 percent of Europe’s greenhouse gas emissions, third after the energy industries sector (31.4%) and transportation sector (29.0%). The built heritage is one of the first targets for mitigation and improvement of current environmental conditions. Carl Elefante’s now famous statement “The Greenest Building Is... One That Is Already Built” wide the aspiration of the green concept to building design not only to new construction but also to the existing building stock. The purpose of the hypothetical intervention would aim at improving the three dimensions of sustainability - environmental, economic, and social - as applied to the building artifact. The dimensions of sustainability related with the concept of green building, that aims to implement user health through the design of healthy indoor environments. As a result of providing the definitions of Green Building design mainly found in the literature, the first approach of the paper is a critical reading of three case studies in the field of sustainable building, the criteria used in ex-ante evaluation, comparing their results, and providing a general procedural a logical framework to understand the initial part of the design process approaching to sustainability
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