Epidemiologia della tubercolosi in Sicilia: attività del Laboratorio di Riferimento Regionale per la Sorveglianza e il Controllo della Tubercolosi in Sicilia

Introduzione In Sicilia dal 2014 è stato istituito dall’Assessorato Regionale alla Salute il Laboratorio di Riferimento Regionale per la Sorveglianza ed il Controllo della Tubercolosi (TB), per sviluppare e integrare strumenti epidemiologici tradizionali e molecolari in una regione in cui intensi flussi migratori, insediamenti stabili frutto di pregresse migrazioni ed evoluzione demografica della popolazione autoctona compongono un complesso quadro epidemiologico. Materiali e metodi Sono stati analizzati i flussi dei dati sanitari correnti del periodo 2010- 2017, in particolare le notifiche del Sistema Informativo delle Malattie Infettive e le Schede di Dimissione Ospedaliera. Dal 2014, il …

Health status of immigrants arrived to Italian coast [Stato di salute degli immigrati approdati sulle coste italiane ]

OBJECTIVE: To analyze the factors involved in access to Emergency Department (ED) of undocumented immigrants in Lampedusa according to the country of origin. DESIGN: This is a retrospective observational study, carried out on newly arrived undocumented immigrants transferred to ED. SETTING AND PARTICIPANTS: Data were collected from medical records of Lampedusa ED between January 2012 and May 2013 on 326 undocumented immigrants. MAIN OUTCOME MEASURES: The outcomes evaluated are demographics characteristics and health condition of undocumented immigrants. RESULTS: In multivariate analysis associated factors to ED visits are: other pathologies rather than traumatic diseases (OR 0.22; p <0.0…

The economic metaphor of Italian politics for dynamic coalition regeneration in the robocup competition of Aibo robots

The variation version of the economic metaphor of Italian politics, an architecture that loosely takes inspiration from the political organizations of democratic governments, following the example of Italian government, and which provides a solution for the coordination of a spare colony of robots, is competent to allow the coordination of the behaviors of a team of four robots in order to play soccer in the Robocup competition. The development of an evolution of economic metaphor of Italian politics is now outlined. This new approach proposes a mechanism to make a new coalition caused by the failure of the government strategy and by a general inefficiency of the whole colony during the rea…

Sorveglianza molecolare delle gastroenteriti da rotavirus in Sicilia

Introduction and prolonged circulation of G12 rotaviruses in Sicily

SUMMARYGenotype G12 strains are now considered to be the sixth most prevalent human rotaviruses worldwide. In two Sicilian cities, Palermo and Messina, surveillance of rotavirus circulation performed since 1985 and 2009, respectively, did not detect G12 strains until 2012. From 2012 to 2014 rotavirus infection was detected in 29·7% of 1647 stool samples collected from children admitted for acute gastroenteritis to three Sicilian hospitals in Palermo, Messina and Ragusa. In 2012, G12P[8] was first detected in Palermo and then in Messina where it represented the second most frequent genotype (20% prevalence) after G1P[8]. Thereafter, G12 strains continued to circulate in Sicily, showing a mar…

La sorveglianza della tubercolosi in Sicilia

Obiettivi. Descrivere l’andamento dei casi di tubercolosi (TB) in Sicilia negli anni 2010-2013. Disegno e partecipanti. Indagine osservazionale delle notifiche di TB relative agli anni 2010-2013 mediante l’analisi dei dati del Sistema informativo delle malattie infettive (SIMI) e indagine epidemiologico-molecolare mediante tipizzazione spoligo- e 24- loci mycobacterial interspersed repetitive units-variable number of tandem repeats (MIRU-VNTR) dei ceppi di Mycobacterium tuberculosis complex (MTBC) isolati a Palermo negli anni 2012-2013. Risultati. Negli anni 2010-2013 sono stati notificati in Sicilia 876 casi di TB con un tasso medio annuale di notifica pari a 4,4 casi per 100.000 abitanti.…

Assessment of the awareness and management of sleep apnea syndrome in acromegaly. The COM.E.TA (Comorbidities Evaluation and Treatment in Acromegaly) Italian Study Group

In 2007 the Italian COM.E.T.A. (COMorbidities Evaluation and Treatment in Acromegaly) study group started to assess the application in a clinical setting of the Versailles criteria for management of acromegaly complications by a first questionnaire focusing on cardiovascular co-morbidities. A further questionnaire on sleep apnea syndrome (SAS) was delivered by the COM.E.T.A. study group to 107 endocrine centers in Italy. The results of our survey suggest that SAS is a well-known comorbidity even if its estimated prevalence is lower than in the literature. Polysomnography is the preferred tool for diagnosis. Control of SAS is considered relevant both for quality of life and co-morbidities. C…