1,721,006 research outputs found
Rate of Death and Complications in Laparoscopic and Open Roux-en-Y Gastric Bypass. A Meta-analysis and Meta-regression Analysis on 69,494 Patients
No full textLighting requirements of dwellings. A comparison between Russian federation and Italy
Full text linkGood lighting is a key factor for indoor health and wellness. Hygienic regulations regarding illumination requirements have been elaborated much time ago and in different countries. The authors describe these requirements in Italy and in the Russian Federation, analysing their contents and issues and comparing them. The results show that the Russian ones are updated, more precise and complete. In conclusion, the authors stress the strong need for a revision and update of the specific Italian hygienic and sanitary regulations
Il ruolo delle Sottoprefetture nella tutela dell’igiene e della sanità pubblica in Italia, corsi e ricorsi storici
Full text linkThis work is based on 18-months eld research I carried out among Eritrean and Ethiopian Pentecostals in Rome (Italy). One of the topics of my work focused on the meaning they give to the evil: I collected different illness narratives and various cases. In this paper, I would like to shed light upon some dimensions of the sickness that go beyond the disease itself. By proposing a case of a woman who became sick during her high school period, because of a witchcraft attack, I will try to analyze the various stakes we can nd in the interpretation of the evil, in the etiology of the sickness and in her illness narratives. The various issues will be also analyzed by putting them in the wider picture of the con ict between Pentecostalism and local “tradition”, represented, in this case, by the local Orthodox (tewahdo) Church and its therapeutic practices, considered by Pentecostals to be devilish
Tourette syndrome (TS) bears a higher rate of inflammatory complications at the implanted hardware in deep brain stimulation (DBS)
No full textBackground
Deep brain stimulation (DBS) is a commonly performed surgical technique for the treatment of movement disorders, and recent surgical trials concerning the treatment of a wider range of disorders have recently been published. Despite DBS being non-ablative and minimally invasive, numerous complications and side effects have been recorded. In particular, concerning the growing interest in novel indications for DBS, an enthusiastic approach has put neurosurgeons at risk of underestimating some of the complications that might be associated with specific characters of the treated disease.
Objective
Our objective was to evaluate hardware failures and rates of infective complications in correlation to the different indications to DBS, in order to ascertain whether DBS in Tourette syndrome (TS) is characterized by specific risks and pitfalls.
Methods
We retrospectively reviewed our experience of 531 procedures on 272 patients treated for various movement disorders, among which 39 patients were treated for conservative treatmentrefractory TS.
Results
A statistically significant association of infective complications was found with the TS subgroup.
Conclusions
It is our belief that specific behavioral characters of the TS patients may be put into association with this specific complication and need to be considered carefully when indicating DBS as treatment of choice for these patients
Health inequalities and inadequate housing. The case of exceptions to hygienic requirements for dwellings in Italy
Full text linkNegli ultimi decenni, i requisiti igienici italiani per le abitazioni sono stati modificati da più deroghe. Scopo del presente lavoro è analizzare le deroghe introdotte a livello nazionale, regionale e locale. Le deroghe più importanti riguardavano l'uso abitativo di seminterrati e sotterranei e il restauro di edifici. Il documento descrive anche le norme in materia di indennità per violazione degli abusi nell'edilizia. Gli autori sottolineano la necessità di maggiore uniformità e chiarezza nella determinazione degli standard sanitari delle abitazioni, nonché di una semplificazione della legislazione esistente.In the past decades, Italian hygienic requirements for dwellings have been modified by multiple derogations. Aim of the present work is to analyse the derogations introduced at a national, regional, and local level. The most important derogations were related to the habitable use of semi-basements and garrets, and building restoration. The paper also describes the regulations regarding indemnity for infringement of building abuses. The authors underline the need for more uniformity and clarity in the determination of health standards of dwellings, as well as for a simplification of the existing legislation
Hygienic and sanitary requirements of gyms in force in Italy. National issues and analysis of regional regulations
Full text linkNegli ultimi anni la consapevolezza dei benefici dell'attività fisica per la salute è cresciuta e con essa il numero di persone che la praticano; parallelamente, anche il numero di palestre è sostanzialmente aumentato. A livello nazionale non esistono organiche normative che regolamentino i requisiti igienico-sanitari delle palestre, ma diversi legislatori a livello regionale hanno provveduto a colmare questo vuoto. Nel presente studio gli autori analizzano le normative tecniche del CONI ed i citati provvedimenti regionali, sottolineando le criticità, fra le quali anche la possibile ubicazione delle palestre in locali seminterrati o interrati. Infine concludono sottolineando la necessità di maggiori univocità e chiarezza nella determinazione dei requisiti igienico-sanitari su scala nazionale.In recent years, the awareness of the importance of physical activity for human health is growing, as people practicing it; the number of gyms has also substantially increased. Currently, in Italy there is not a consistent regulation regarding hygienic and sanitary requirements of gyms. Several Italian regions issued laws about this topic. The authors analyse the standards required by the Italian Olympic Committee (CONI) and the regional laws, highlighting the numerous issues, among which the possible location of gyms in semi-basements and basements. They eventually call for a national regulation that should clearly transpose the hygienic and sanitary requirements of gyms into a satisfactory rule of la
A Systematic Review of Clinical Practice Guidelines for Caries Prevention following the AGREE II Checklist.
Full text linkUntreated oral diseases are detrimental to overall well-being and quality of life and are in close relationship with social and economic consequences. The presence of strong evidence for caries primary and secondary prevention is a compulsory tool for the development of clinical practice guidelines (CPGs). This paper was aimed to assess systematically the importance of clinical practice guidelines in caries prevention management considering both the adult and pediatric populations and evaluate them using the Appraisal of Guidelines for Research and Evaluation (AGREE II) Checklist. Records were extracted from EMBASE, SCOPUS, PubMed/Medline and seven other relevant guideline databases between 6 January and 14 February 2023. Two reviewers independently conducted the appraisal using the web-based platform My AGREE PLUS. Twenty-one guidelines/papers met the inclusion criteria and were reviewed. Eight CPGs included both primary and secondary prevention interventions, whereas thirteen presented a single preventive model. Overall, 12 guidelines were published in the USA. The mean AGREE II scores ranged from 35.4% to 84.3%. Of the total twenty-one included guidelines, twelve were classified as "Recommended", ranging from 56.3% to 84.3%, the others were described as "Recommended with modification", ranging from 35.4% to 68.9%. From the AGREE II analysis carried out, the CPGs included in this survey adopted a punctual methodological rigor but lacked applicative power. The present survey showed that the public, as the primary beneficiary, played a limited role in the development of the twenty-one CPGs. Hence, methodological improvement can better support high-quality CPG development in the future
A predictive model to reduce allogenic transfusions in primary total hip arthroplasty
No full textAn efficient Blood Conservation Program (BCP) should be considered in preparation of the surgical patient transfusion requirement. BCP should account for the association between bleeding reduction and anemia during or post surgery. In this paper, our aim was to develop a predictive model of bleeding that could help direct decision making about the strategy to reduce unnecessary transfusions. Such a strategy could guarantee an adequate peri-operative hemoglobin value, to reduce the patients’ risk and rehabilitation time.
Moreover, an accurate prediction of bleeding and anemia helps to plan preventive autologous transfusion or erythropoietic stimulus, to enhance a conservative transfusion approach, reducing both costs and risks
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