1,721,126 research outputs found
Linee di indirizzo rivolte alla ristorazione collettiva per ridurre lo spreco e favorire il recupero di pasti non consumati.
Assessment of vaccination coverage in patients with functional or surgical asplenia: analysis of vaccination coverage for pneumococcus and influenza in the population of Azienda Sanitaria Universitaria Friuli Centrale
Background and Objective: A patient with asplenia has a greater susceptibility and an increased risk of developing invasive infectious diseases or severe complications, preventable with vaccination by some micro-organisms such as Streptococcus Pneumoniae and Influenza Virus. Preventing infectious diseases through vaccinations is a priority in public health; therefore, it’s essential to investigate vaccination coverage in our target population. The study’s objectives are primarily to analyze whether the target population has adhered to the pneumococcal and influenza vaccinations and, subsequently, to assess the difference in vaccination coverage across age groups with a particular focus on completed and partial vaccination courses. Finally, evaluate the proper vaccine counseling for the target category. Methods: The population sample was analyzed through the survey of the Regional Epidemiological Repository and subsequent analysis. Patients with surgical or functional asplenia were studied from 01/01/1995 to 27/12/2020, divided by age groups starting from five years of age. Results: The statistical analyses of subjects affected by surgical/functional asplenia (660 subjects) highlight complete pneumococcal vaccination coverage (sequential schedule) equal to 52.88%; partial coverage corresponding to 25.75% and 21.37% of patients who are not vaccinated for pneumococcus. Concerning the coverage of influenza in the target population, we see full coverage (annual vaccination performed) of 30.45%; partial (at least one vaccination from the date of diagnosis) equal to 46.66% and 22.89% of subjects are not vaccinated for influenza at all. Conclusions: Our analysis shows that a considerable part of the target population doesn’t have adequate disease protection because 47.12 % of subjects have partial or no courses against pneumococcus, and 69.55 % of patients have partial or no courses against influenza. The assessment will consider the impact of COVID-19 pandemic on the vaccinations under study. It’s necessary to undertake vaccination catch-up and mop-up strategies to improve current coverage in the studied population
Assessment of vaccination coverage in Diabetic patients: analysis of vaccination coverage for pneumococcus and influenza in the population of Azienda Sanitaria Universitaria Friuli Centrale
Background and Objective: A diabetic patient has an increased risk of developing invasive infectious diseases caused by micro-organisms such as Influenza Virus and Streptococcus Pneumoniae or serious complications. This risk can be drastically reduced through vaccination. Preventing infectious diseases through vaccinations is a milestone of public health; hence it is essential to investigate vaccination coverage in our target population. The main objective of our study is to analyze the adherence to anti-influenza and anti-pneumococcal vaccinations in the diabetic patient population. Secondly, the coverage of vaccines between age groups was examined with particular attention to completed and partial vaccination courses. Methods: The population was analyzed through the interrogation of the Regional Epidemiological Repository and subsequent analysis. Diabetics residents from 01/01/2002 to 30/04/2022 were studied. Results: The statistical analysis of diabetic patients (32 500 subjects) highlights a full pneumococcal vaccination coverage (sequential schedule) of 16.46%; partial coverage tantamount to 36.75% and 46.79% of patients not vaccinated for Pneumococcus. On the subject of influenza coverage in the target population, we see a complete coverage (annual vaccination carried out) of 47.25%; partial (at least one vaccination from the date of diagnosis) equal to 31.2% and 21.55% of subjects are not vaccinated at all for influenza. It also emerges that 5% of diabetic patients have no known vaccination history in the regional vaccine service. Conclusions: Our analysis underlines that a considerable part of the target population does not have adequate protection from the disease because 83.54% of patients have a partial or absent course against Pneumococcus and 52.75% of cases have a partial or absent course against influenza. Our study will continue by evaluating the impact of COVID-19 pandemic on our target vaccination coverage. In conclusion, it is considered essential to undertake mop-up and catch-up strategies to implement the current coverage in the diabetic population
Insights and Next Challenges for the Italian Educational System to Teach Sustainability in a Global Context
Education is recognized as a dimension in which a more sustainable future can be promoted and supported. It is described both as a specific goal under the UN Sustainable Development Goals (SDGs) and as a goal within other SDGs. Since sustainability can be taught at all levels of education,
students progressively acquire a variable knowledge of these issues and find academic, professional and social contexts in which they are expected to implement this knowledge. Italian universities could gradually adapt to incorporate this knowledge through specific courses, the integration of sustainability in learning programs, and the promotion of sustainable behaviors. This offers a unique opportunity to integrate sustainability in didactic activities and in the whole academic environment, presenting the university as a model for a more sustainable life. The same path can be followed by
other institutions engaged in lifelong learning and improving general education and sustainability literacy. This essay presents a general diagnosis of the current situation in the global and national integration of sustainability in education, the level of knowledge of Italian students and teaching staff about sustainability, why this knowledge should be enhanced, and how lifelong learning can harmoniously continue the process to achieve such integration
Fiber intake and risk of colorectal cancer
The relationship between various types of fiber and colorectal cancer risk was investigated using data from a case-control study conducted between January 1992 and June 1996 in Italy. The study included 1953 cases of incident, histologically confirmed colorectal cancers (1225 colon cancers and 728 rectal cancers) admitted to the major teaching and general hospitals in the study areas and 4154 controls with no history of cancer admitted to hospitals in the same catchment areas for acute nonneoplastic diseases, Dietary habits were investigated using a validated food frequency questionnaire. Odds ratios (ORs) were computed after allowance for age, sex, and other potential confounding factors, including physical activity and protein, fat, and carbohydrate intake. Fiber was analyzed both as a continuous variable and in quintiles, For most types of fiber, the OR of colon and rectal cancers was significantly below 1, and no appreciable differences emerged between the two. When the unit was set at the difference between the upper cutpoints of the fourth and first quintile, i,e,, the 80th and 20th percentiles, the ORs for colorectal cancer were 0.68 for total fiber (determined by the Englyst method as nonstarch polysaccharides), 0.67 for soluble noncellulose polysaccharides (NCPs), 0.71 for total insoluble fiber, 0.67 for cellulose, 0.82 for insoluble NCPs, and 0.88 for lignin, When fiber was classified according to the source, the OR was 0.75 for vegetable fiber, 0.85 for fruit fiber, and 1.09 for cereal fiber, The ORs were similar for the two sexes and the strata of age, education, physical activity, family history of colorectal cancer, and energy intake. Likewise, no appreciable differences emerged when subsites of the colon and rectum were investigated separately. This study provides additional support for a protective and independent effect of fiber on colorectal cancer, particularly for cellulose and soluble NCPs, and of fiber of vegetable or fruit origin. RI Parpinel, Maria/B-1605-201
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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