36 research outputs found
Erice 2018 Charter on the role of the National Health Service in the prevention of doping
No full textThe Erice 2018 Charter was unanimously approved at the conclusion of the 53rd Residential Course of the International School of Epidemiology and Preventive Medicine “Adapted Physical Activity in Sport, Wellness and Fitness; the role of the Departments of Prevention and of the National Health Service in doping prevention and health promotion”, held on 15-19 May 2018 in Erice, Italy, at the “Ettore Majorana” Foundation and Centre for Scientific Culture, and promoted by the Study Group on “Movement Sciences for Health” of the Italian Society of Hygiene, Preventive Medicine and Public Health.
The event was part of a larger project supported by the Ministry of Health aimed at preventing doping in the general population involved in sport and physical activities. After an intense discussion the participants focused on ten statements involving the following critical issues: responsibility, priority, message, alphabetization, networks and alliances, school promoting health, player and opportunities, competences, know-how, programming
and acting.
These statements provide hints to approach doping within a public health frame and summarize the role of the Departments of Prevention and NHS in promoting and coordinating preventive actions with other institutions and stakeholders. Doping represents a complex phenomenon related to cultural, social, economic and legal issues. In addition to regulatory or repressive actions, education to health and legality is proposed as the fundamental strategy to contrast doping by promoting healthy lifestyles, based on scientific knowledge and respect for legality
Increased maternal serum activin A but not follistatin levels in pregnant women with hypertensive disorders
No full textAiutiamoli a casa loro? Uno slogan superficiale e fallace
No full textThe article points out the discrepancy between perceptions and reality of immigration and asylum, with a focus on Italy.
Then, it treats the relation between migrations and development, criticizing the idea that financial aid to development of sending countries could replace the acceptance of asylum seekers in receiving countries.
In order to deepen this point, in the second part the article focuses on the case of Iraqi Kurdistan, presenting the main results of a study visit in this region
Peer Education strategies for promoting prevention of doping in different populations
No full textIn the field of doping prevention, alongside the traditional functions of repression and control of the phenomenon, educational aspects are becoming increasingly important. Article 18 of the World Anti doping Code obliges the signatories to invest in anti-doping education with the aim of preserving the spirit of sport. The educational commitment should involve young people in health promotion interventions for the prevention of risk behaviors. Therefore, our attention has focused on finding the mechanisms that lead people to make certain behavioral choices
The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: a survey on the activity of the prevention departments of Italian local health authorities
No full textIntroduction. Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level.Methods. A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA.Results. A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping.Conclusions. The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools
Il Macroscopio. Analizzare le performance con la statistica
No full textCon l’aumentare della complessità dei contesti socioeconomici,
e con la corrispondente necessità di allocare
in modo appropriato le risorse disponibili, il tema della
‘valutazione delle performance data-driven’ sta acquisendo
una rilevanza crescente, a tutti i livelli del management,
sia in ambito privato sia pubblico.
Implementare processi di valutazione delle performance
è un’attività estremamente delicata –per le conseguenze
decisionali che ne derivano, soprattutto quando
la valutazione è relativa a servizi pubblici– e che viene
spesso affrontata in modo fallace, a partire da dati inadeguati
(anche se ‘big’) e con metodi inappropriati
Qualità della cartella clinica come indicatore medico – legale di appropriatezza e strumento per la gestione del rischio clinico. Prima esperienza Pugliese nella sanità privata – verifica ed analisi dei risultati di uno studio su 2000 cartelle cliniche
No full textNell’ambito della clinical governance, la gestione del rischio clinico (clinical risk management) rappresenta un sistema organizzativo
che contribuisce a definire l’insieme delle regole aziendali ed il loro funzionamento il cui scopo principale è quello di creare e mantenere
la sicurezza dei sistemi assistenziali. È pacifico, in tal senso, il ruolo della documentazione sanitaria che ancorché “diario di bordo” nel quale si raccolgono i dati anamnestici e obiettivi riguardanti il paziente ricoverato, cui il contenuto dello stesso integralmente appartiene, rappresenta da sempre, in ambito medico-legale, per completare la metafora, la “scatola nera” dove trovare, ex post, le risposte di una eventuale fallace assistenza sanitaria. Orbene,
proprio nei sistemi di verifica e controllo, la cartella clinica è indicata come il tallone d’Achille del monitoraggio della qualità, rivelando limiti compilativi di incompletezza, scarsa cura nell’aggiornamento, talora essendo priva di dati essenziali o con errori di compilazione, illeggibilità della scrittura, errori
di trascrizione, che spesso rendono difficoltosa la ricostruzione del percorso diagnostico-terapeutico, il collegamento e l’integrazione
delle varie informazioni, la comprensione della successione cronologica, l’individuazione dei problemi e delle soluzioni, la documentazione delle modalità di partecipazione del paziente al proprio processo di cura con le ovvie ricadute, in termini negativi di una cattiva gestione della cartella clinica, sull’esito di un ipotetico contenzioso giudiziario
Dietary supplements, drugs and doping in the sport society
No full textConsumption of supplements and the use/abuse of drugs to support athletic performance is increasingly growing. The aim of this paper is to approach the phenomenon by providing a tool to develop critical awareness of these problems. By reviewing scientific articles, we collected information on the use of licit and illicit substances among professional and non-professional athletes, showing a widespread scenario also based on false myths. The use of supplements, drugs and doping substances represents a complex and still debated issue, that deserves greater consideration among both sportsmen and health operators. A more critical and informed approach to these topics can support empowerment and a conscious use of drugs by respecting eating habits, own health and healthy lifestyles
La speranza e l’albeggiare del davanti-a-noi
No full textL’articolo riflette anzitutto sulla natura della speranza, come tipo particolare di desiderio verso un bene non certo e non facilmente accessibile, e ne mette in luce il rapporto col futuro e con l’azione: la speranza solitamente è attiva, è energia che sospinge all’attività, aiuta a non demordere, alimenta la fortezza, talora anche in condizioni tragiche, ma in altri casi può favorire la passività.
Poi riflette sull’umana grande speranza, quale desiderio (spesso non tematizzato dall’essere umano) di una relazione-comunione con l’Infinito Bene-Persona.
Poi argomenta che la speranza può essere sorgente di virtù, ma anche di malvagità, come per esempio nel caso dei messianismi politici, che hanno coltivato una speranza fallace: il bene oggetto della grande speranza radicale deve concernere il nostro personale destino dopo la morte.The article, first of all, reflects on the nature of hope, as a particular type of desire for a good that is not certain and not easily accessible, and highlights its relationship with the future and with action: hope is usually active, it is energy that drives activity, it helps us not to give up, nourishes fortitude, sometimes even in tragic conditions, but, in other cases, it can encourage passivity.
Then it reflects on the great human hope, as a desire (often not thematized by the human being) for a relationship-communion with the Infinite Good-Person.
Then it argues that hope can be a source of virtue, but also of evil, as for example in the case of political messianisms, which have cultivated a false hope: the good which is the object of the great radical hope must concern our personal destiny after death
