Gestione e trasmissione sicura dei dati attraverso piattaforme tecnologiche: dati sensibili e privacy

The document reports some of the policies considered or adopted for the management of issues related to computerized collection of personal and sensitive data, in line with the standards currently in force (Decree No. 196 of 30/06/2003 "Code regarding the protection of personal data ", deriving from the European Directive 95/46/EC) and the provisions on the ESF (Guidelines on the subject of electronic Health Record and Health Dossier of July 16, 2009, requirements regarding electronic health records, OJ. 178 03/08/2009). In particular, we focus on design and implementation aspects of technological platforms for the data management through web applications; authentication and traceability; secure hardware and databases; cryptographic standards; secure storage and redundant data; safe management of offline files containing personal and sensitive data.Il documento descrive alcune delle politiche prese in esame o adottate per la gestione dei problemi riguardanti la raccolta informatizzata di dati personali e sensibili, in linea con le norme attualmente in vigore (DL 30/06/2003 n.196 "Codice in materia di protezione dei dati personali", derivante dalla direttiva europea 95/46/CE) e con le disposizioni sul FSE (Linee Guida in tema di Fascicolo Sanitario Elettronico e di Dossier Sanitario del 16 Luglio 2009, Prescrizioni in tema di Fascicolo Sanitario elettronico, G.U. n.178 03/08/2009). In particolare, si focalizzano gli aspetti di progettazione ed implementazione di piattaforme tecnologiche per la gestione di tali dati via web; procedure di autenticazione e tracciabilit?; messa in sicurezza dell\u27hardware e dei database; standard crittografici; modalit? di archiviazione sicura e ridondata dei dati; gestione in sicurezza di archivi offline, contenenti dati personali e sensibili

Ontologie e modellazione di dati sanitari - Attivit? di ricerca nell\u27ambito del progetto ODINET

The Odinet project has as its primary objective to conduct research and development aimed at defining a technological framework for online access and dissemination of structured and heterogeneous data. This report carried out a survey of the main methods of modeling for the identification, cataloging and presentation of data on the Web. In particular, the purpose is to provide guidance on what specific technologies to be adopted in the field of Semantic Web and Linked Open Data, in order to be able to exploit the best information contained in the Public Administration data regarding the healthcare domain

The association between overweight and illegal drug consumption in adolescents is there an underlying influence of the sociocultural environment?

Background: The aims of the study were to: a) Examine the distribution of gender-stratified body mass index (BMI), eating attitudes and use of addictive substances, under the hypothesis of a confluent prevalence of weight abnormalities, eating disorders and substance abuse. b) Demonstrate the extent to which family, peer-related and psychosocial factors are common elements in categories of compulsive behaviour. Methodology/Principal Findings: In the present cross-sectional study, data were collected through self reported questionnaires administered to a large sample of 33,185 15-19 years old adolescents (ESPADHItalia), divided into weight categories based on the BMI percentile distribution. Multinomial analyses were adopted to address the influence of social, family, leisure time factors, Eating Attitude Test (EAT26) on the association between weight categories and drug use. Recent drugs use was more frequent in overweight and underweight adolescents (p,0.05), especially in females. An EAT26 score $20 was more common in overweight adolescents. Multinomial analysis abolished the relationship between overweight and the use of most drugs, implicating self-esteem, parents\u27 educational level, and friendships as mediators of the association. Within the overweight category, adolescents reporting recent drug use, showed greater frequency of having drug-abusing friends (,80%), and severe problems with parents and school (,30%) compared to overweight adolescents without recent drug use. Conclusion: The frequent association of overweight and substance use and the presence of common underlying social factors, highlights the need for an interdisciplinary approach involving individual-focused treatment models as well as public health, social and environmental changes to reduce food- and substances-related problems.

Italian Report: EMCDDA Project (CC.09.EPI.002)

Although there are definitions and diagnostic criteria to identify cannabis abuse and dependence, there is no a shared concept of cannabis use related problems. In recent times a number of indicators have been discussed and implemented (use severity and consumption patterns, treatment demands etc) and there are different screening instruments used to measure negative consequences of cannabis use. Short screening scales to assess dependence and other problems related to the use of cannabis seem to be usefull instruments, easy to be administered, to estimate prevalence of cannabis related negative consequences and to identify at risk-persons. The need to standardize also in Italy a set of instruments which allow to monitor problematic cannabis use patterns or addiction development, has been highlighted. The three scales Cannabis Abuse Screening Test (CAST), Severity of Dependence Scale (SDS) and Munich Composite International Diagnostic Interview (M-CIDI) are included in the questionnaire used in ESPAD-Italia? 2009 survey. The present work considers the validation process of these instruments in high school population.not availabl

Osservatorio Territoriale Droga e Tossicodipendenze. Il fenomeno delle dipendenze nel territorio della ASL MI 2. Anno 2010 - XI Rapporto

Report on the state of legal and illegal substances use in the territory of the Local Healthcare Service-MI 2, Province of Milan.Il Report analizza il fenomeno delle dipendenze nella ASL Milano 2. La descrizione del fenomeno si sviluppa intorno all\u27analisi degli indicatori individuati dall\u27Osservatorio Europeo delle Dipendenze di Lisbona (OEDT): 1-uso di sostanze nella popolazione generale (questo indicatore va a rilevare i comportamenti nei confronti di alcol e sostanze psicoattive da parte della popolazione generale); 2-prevalenza d\u27uso problematico delle sostanze psicoattive; 3-domanda di trattamento degli utilizzatori di sostanze; 4-mortalit? degli utilizzatori di sostanze; 5-malattie infettive. Altri due importanti indicatori che si stanno sviluppando, e che vengono qui illustrati, sono l\u27analisi delle Schede di Dimissione Ospedaliera (SDO) e gli indicatori relativi alle conseguenza sociali dell\u27uso di droghe (criminalit? droga correlata). Inoltre sono state applicate diverse metodologie standard di stima sia per quantificare la quota parte sconosciuta di utilizzatori di sostanze che non afferiscono ai servizi, sia per identificarne alcune caratteristiche

Ultrasound tissue characterization detectspreclinical myocardial structural changes inchildren affected by Duchenne muscular dystrophy

AbstractObjectivesOur goal was to identify early changes in myocardial physical properties in children with Duchenne muscular dystrophy (DMDch).BackgroundDuchenne muscular dystrophy (DMD) is caused by the absence of dystrophin, which triggers complex molecular and biological events in skeletal and cardiac muscle tissues. Although about 30% of patients display overt signs of cardiomyopathy in the late stage of the disease, it is unknown whether changes in myocardial physical properties can be detected in the early (preclinical) stages of the disease.MethodsWe performed an ultrasonic tissue characterization (UTC) analysis of myocardium in DMDch with normal systolic myocardial function and no signs of cardiomyopathy. Both the cyclic variation of integrated backscatter (cvIBS) and the calibrated integrated backscatter (cIBS) were assessed in 8 myocardial regions of 20 DMDch, age 7 ± 2 years (range 4 to 10 years), and in 20 age-matched healthy controls.ResultsWe found large differences in the UTC data between DMDch and controls; the mean value of cvIBS was 4.4 ± 1.5 dB versus 8.8 ± 0.8 dB, whereas the mean value of cIBS was 36.4 ± 7.1 dB versus 26.9 ± 2.0 dB (p < 10−6for both). In DMDch, all eight sampled segments showed cIBS mean values to be significantly higher and cvIBS mean values to be significantly lower than those in the controls. Finally, interindividual differences were greater in DMDch than in controls for both parameters.ConclusionsThe myocardium in DMDch displays UTC features different from those in healthy controls. These results show that lack of dystrophin is commonly associated with changes in myocardial features well before the onset of changes of systolic function and overt cardiomyopathy

Surveillance of invasive diseases caused by Streptococcus pneumoniae in Italy: evolution of serotypes and antibiotic resistance in different age groups before and after implementation of PCV7

Background: PCV7 has been available in Italy since 2001, however only in 2005 national recommendations were issued and vaccination was implemented with different modalities by the Regions. Objectives: Aim of this study was to describe changes in serotype distribution and antibiotic susceptibility of S. pneumoniae from invasive pneumococcal diseases (IPD) in the last decade. Study Design: S. pneumoniae isolates from IPD, collected through a national surveillance system, were serotyped and antibiotic susceptibility was determined by E-test. Data were analyzed according to age groups (5 years, >5-64 years, 65 years) and to 3 time periods: prior, during and after PCV7 implementation (2001- 2003, 2006-2008 and 2009-2011). Results: The percentage of PCV7 serotypes (vaccine serotypes, VS) decreased over the years not only in children (from 60% to 26%) but also in the other age groups. Penicillin resistance was rather low in 2001-2003 (7-12%), but peaked in children in 2006-2008 (24%), and decreased in 2009-2011, while erythromycin resistance slightly decreased over the 3 periods. Conclusions: PCV7 use has largely impacted the epidemiology of S. pneumoniae in Italy, with a decrease in VS in all age groups.The impact of PCV 13, available in Italy since the end of 2010, requires future evaluations

Il fenomeno delle dipendenze nella ASL della Provincia di Lecco. Dati anno 2009

---Il Report analizza il fenomeno delle dipendenze nella ASL della provincia di Lecco. La descrizione del fenomeno si sviluppa intorno all\u27analisi degli indicatori individuati dall\u27Osservatorio Europeo delle Dipendenze di Lisbona (OEDT): 1-uso di sostanze nella popolazione generale (questo indicatore va a rilevare i comportamenti nei confronti di alcol e sostanze psicoattive da parte della popolazione generale); 2-prevalenza d\u27uso problematico delle sostanze psicoattive; 3-domanda di trattamento degli utilizzatori di sostanze; 4-mortalit? degli utilizzatori di sostanze; 5-malattie infettive. Altri due importanti indicatori che si stanno sviluppando, e che vengono qui illustrati, sono l\u27analisi delle Schede di Dimissione Ospedaliera (SDO) e gli indicatori relativi alle conseguenza sociali dell\u27uso di droghe (criminalit? droga correlata). Inoltre sono state applicate diverse metodologie standard di stima sia per quantificare la quota parte sconosciuta di utilizzatori di sostanze che non afferiscono ai servizi, sia per identificarne alcune caratteristiche

Rapporto sul fenomeno di uso e abuso di sostanze stupefacenti nella Regione Abruzzo. Anno 2007.

Report on the state of legal and illegal substances use in the territory of Abruzzo Region.Il report analizza il fenomeno delle dipendenze nel territorio della Regione Abruzzo. La descrizione del fenomeno si sviluppa intorno all\u27analisi degli indicatori individuati dall\u27Osservatorio Europeo delle Dipendenze di Lisbona (OEDT): 1-uso di sostanze nella popolazione generale (questo indicatore va a rilevare i comportamenti nei confronti di alcol e sostanze psicoattive da parte della popolazione generale); 2-prevalenza d\u27uso problematico delle sostanze psicoattive; 3-domanda di trattamento degli utilizzatori di sostanze; 4-mortalit? degli utilizzatori di sostanze; 5-malattie infettive. Altri due importanti indicatori che si stanno sviluppando, e che vengono qui illustrati, sono l\u27analisi delle Schede di Dimissione Ospedaliera (SDO) e gli indicatori relativi alle conseguenza sociali dell\u27uso di droghe (criminalit? droga correlata). Inoltre sono state applicate diverse metodologie standard di stima sia per quantificare la quota parte sconosciuta di utilizzatori di sostanze che non afferiscono ai servizi, sia per identificarne alcune caratteristiche