RISULTATI A LUNGO TERMINE SULL'EFFICACIA DEL TRATTAMENTO CON RADIOFREQUENZA DELLA RINOPATIA IPERTROFICA

TREND DI NOTIFICA DELLE PRINCIPALI TOSSINFEZIONI ALIMENTARI IN CALABRIA E SICILIA PRIMA E DOPO L'ABOLIZIONE DEL LIBRETTO DI IDONEITA' SANITARIA PER ALIMENTARISTI

Distribuzione e frequenza di isolamento di miceti in una piscina pubblica della Città di Palermo

RISULTATI PRELIMINARI DELLA SORVEGLIANZA AMBIENTALE DURANTE I LAVORI DI CANTIERE NELL'AOUP P. GIACCONE DI PALERMO

Analytical Performance Issues

Contaminated hospital surfaces have been demonstrated to be an important environmental reservoir of microorganisms that can increase the risk of nosocomial infection in exposed patients. As a consequence, cleaning and disinfecting hospital environments play an important role among strategies for preventing healthcare-associated colonization and infections. The aim of the present study was to evaluate whether adenosine triphosphate (ATP) presence, measured by bioluminescence methods, can predict microbiological contamination of hospital surfaces. The study was carried out between September and December 2012 at the University Hospital "P. Giaccone" of Palermo. A total of 193 randomly selected…

L'ABOLIZIONE DEL LIBRETTO DI IDONEITA' SANITARIA PER ALIMENTARISTI PUO' AVER INFLUENZATO IL TREND DI NOTIFICA DELLE TOSSINFEZIONI ALIMENTARI? ANALISI DELLE NOTIFICHE DELLE PRINCIPALI TOSSINFEZIONI ALIMENTARI NELLE REGIONI MERIDIONALI ED INSULARI NEL PERIODO 1996-2009

Evaluation of customer satisfaction with the hospital catering system in the city of Palermo (Italy) [Valutazione della Customer Satisfaction nella “Ristorazione Ospedaliera” della città di Palermo]

Obiettivi: lo scopo dello studio è stato quello di rilevare la ”customer satisfaction” nella ristorazione ospedaliera di pazienti ricoverati in due strutture pubbliche (Azienda Ospedaliera Universitaria Policlinico e Presidio Ospedaliero Asl 6) ed in un Presidio Ospedaliero privato di Palermo, valutandone le differenze anche in relazione alla diversa tipologia di preparazione dei pasti, con “cucina centralizzata”, nel pubblico, ed “in loco”, nel privato. Metodi: l’indagine è stata realizzata con questionario a risposta multipla mediante intervista diretta, somministrato a 207 pazienti, su 227 presenti, che hanno collaborato all’inchiesta. Risultati: Giudizi favorevoli sono stati espressi so…

Effetti delle campagne di vaccinazione attiva contro l'influenza tra il personale dell'Azienda Ospedaliera Universitaria Policlinico

CONOSCENZE, COMPORTAMENTI ED ATTITUDINI NEI CONFRONTI DELLA VACCINAZIONE ANTINFLUENZALE DEI MEDICI IN FORMAZIONE SPECIFICA IN MEDICINA GENERALE DELLA SICILIA OCCIDENTALE

INDICATORI DI RISCHIO CARDIOVASCOLARE E METABOLICO IN POPOLAZIONE GENERALE ADULTA SICILIANA

BODY MASS INDEX (BMI), SOVRAPPESO ED OBESITA' IN UN CAMPIONE RAPPRESENTATIVO DELLA POPOLAZIONE RESIDENTE IN UNA CITTADINA DELLA SICILIA OCCIDENTALE

Investigation and control of a Norovirus outbreak of probable waterborne transmission through a municipal groundwater system

During March 2011 an outbreak of gastroenteritis occurred in Santo Stefano di Quisquina, Agrigento, Sicily, Italy. Within two weeks 156 cases were identified among the 4,965 people living in the municipality. An epidemiological investigation was conducted to characterize the outbreak and target the control measures. A case was defined as a person developing diarrhea or vomiting during February 27–March 13, 2011. Stool specimens were collected from 12 cases. Norovirus (NoV) genotype GII.4 variant New Orleans 2009 was identified in stool samples from 11 of 12 cases tested (91.7%). Epidemiological investigations suggested a possible association with municipal drinking water consumption. Water …

IGIENE E MEDICINA DELLE MIGRAZIONI

CARATTERISTICHE EPIDEMIOLOGICHE DELLA VITA RIPRODUTTIVA E DEPRIVAZIONE SOCIO-ECONOMICA IN UN CAMPIONE DELLA POPOLAZIONE FEMMINILE ADULTA RESIDENTE IN UNA CITTADINA SICILIANA

ESPOSIZIONE A RESIDUI DI FITOFARMACI IN POPOLAZIONE GENERALE RESIDENTE IN UN COMUNE SICILIANO: DATI PRELIMINARI

Appropriatezza dell'uso degli antibiotici e contenimento dell'antibioticoresistenza. Indagine nell'Azienda Ospedaliera Universitaria Policlinico (A.O.U.P.) "P.Giaccone" di Palermo.

PARAMETRI STRUTTURALI DI SITI SPORTIVI INDOOR E RISCHIO RADON. RISULTATI PRELIMINARI DI UN'INDAGINE NELLE PALESTRE A PALERMO.

Influenza vaccination among healthcare workers and absenteeism from work due to influenza-like illness in a teaching hospital in Palermo

<p><strong>Background</strong>: Annual flu vaccination of healthcare workers (HCWs) is recommended worldwide as the best way to prevent influenza and to avoid its transmission. However, in several European Countries, vaccination rate among HCWs is still less than 25%. The aim of this study was to determine the HCW vaccination coverage during a three year period in a large University Hospital, identifying socio demographic and occupational variables involved in the decision to accept influenza vaccination. Moreover, for the 2007-2008 season, we also assessed the effectiveness of influenza vaccination in reducing influenza-related absenteeism.</p><p><strong&gt…

L'ESPOSIZIONE AI PESTICIDI NELLA POPOLAZIONE GENERALE

Knowledge, risk perception and behaviours in swimming pool users of Palermo city, Sicily

Abstract To assess knowledge, risk perception and behaviours of a sample of swimming pool users in Palermo. A total of 498 subjects were interviewed by self-administered anonymous questionnaire including socio-demographic questions, knowledge/risk perception and behaviours. Overall, 289 subjects (58%) had a mean of 1.9±1.2 healthy behaviours. Age older than 30 years (OR=0.46; 95% CI=0.26–0.81), female sex (OR=0.52; 95% CI=0.35–0.76) and a high knowledge score (OR=0.15; 95% CI=0.03–0.69) were significantly associated with having healthy behaviours in both univariate and multivariate analysis. Unhealthy behaviours can be frequently found in swimming pool bathers and, particularly, in some tar…

Factors associated with poor adherence to MMR vaccination in parents who follow vaccination schedule.

Due to median vaccination coverage far from elimination level, Italy is still an European country with high number of measles cases per million of people. In this study we explored potential socioeconomic, medical and demographic factors which could influence the propensity of family members for measles vaccination schedule. A cross-sectional study was performed through a questionnaire administered to the parents of children who received the first dose of MMR vaccine in two different vaccination centers in the Palermo area from November 2012 to May 2013. Overall, the role played by internet (OR 19.8 P = 0.001) and the large number of children in a family (OR 7.3 P ≤ 0.001) were the factors …

SUGGERIMENTI E CONSIGLI PER I VIAGGIATORI INTERNAZIONALI NEGLI AMBULATORI DI MEDICINA DEI VIAGGIATORI

Survey sulle patologie asbesto-correlate osservate in una realtà italiana fortemente associata ad esposizione professionale ad amianto.

Obiettivi La Sicilia tra il 1993 ed il 2004 è stata la quinta regione italiana per numero di mesoteliomi. Inoltre, la Provincia di Palermo presenta il maggior numero di casi incidenti in tutta la Regione nel sesso maschile, ed è storicamente caratterizzata da una forte esposizione lavorativa ad amianto (cantieristica navale e ferroviaria). Partendo da questi presupposti, l’obiettivo principale del seguente lavoro è quello di effettuare un’analisi dei casi di asbestosi, placche pleuriche, carcinoma polmonare e mesotelioma asbesto-correlati osservati a Palermo e provincia nel periodo 2005-2009. Metodi Sono stati presi in esame i casi di patologia asbesto-correlata oggetto di delega di indagin…

L'OSPEDALE DI INSEGNAMENTO FRA DIDATTICA E ASSISTENZA

Colonizzazione pneumococcica in bambini in eta' scolare e possibile trasmissione intrafamiliare: l'esperienza dello studio "BINOCOLO" in Sicilia.

INTRODUZIONE La colonizzazione orofaringea da pneumococco interessa il 90% dei bambini nel primo anno di vita ed i contatti familiari possono giocare un ruolo cruciale nella stessa. Per analizzare i fattori associati alla colonizzazione da pneumococco e alla possibile trasmissione intra-familiare, è stato realizzato il progetto BINOCOLO: "Bambini Insieme ai NOnni COntro LO Pneumococco" su una popolazione studentesca e relativi familiari co- residenti. METODI Per l'arruolamento dei partecipanti allo studio, sono state identificate due scuole primarie del Comune di Palermo. Per ogni soggetto reclutato, un questionario e un tampone orofaringeo sono stati raccolti attraverso un team opportuname…

Ricerca di mutazioni primarie agli inibitori della fusione in soggetti con infezione da virus dell’immunodeficienza umana (HIV-1)

Urban air pollution and emergency room admissions for respiratory symptoms: a case-crossover study in Palermo, Italy

Abstract Background Air pollution from vehicular traffic has been associated with respiratory diseases. In Palermo, the largest metropolitan area in Sicily, urban air pollution is mainly addressed to traffic-related pollution because of lack of industrial settlements, and the presence of a temperate climate that contribute to the limited use of domestic heating plants. This study aimed to investigate the association between traffic-related air pollution and emergency room admissions for acute respiratory symptoms. Methods From January 2004 through December 2007, air pollutant concentrations and emergency room visits were collected for a case-crossover study conducted in Palermo, Sicily. Ris…

Immunoglobulin M seropositivity for Toscana virus in a random population sample in Sicily.

Summary Objectives High Toscana virus (TOSV) antibody seropositivity rates have been documented in the last decade, especially in the Mediterranean area. It is unclear if these rates are associated with a recent or past exposure to the virus. This is of importance, as primary infection can cause neurologic complications, especially in adults. The aim of the present study was to assess the current active TOSV circulation in western Sicily. Methods A cross-sectional seroprevalence study was conducted on 271 individuals aged 4–92 years, sampled from the general population of a small city. Each participant completed a self-administered questionnaire and provided serum, which was analyzed for th…

PARAMETRI STRUTTURALI DI SITI SPORTIVI INDOOR E RISCHIO RADON. RISULTATI PRELIMIARI DI UN'INDAGINE NELLE PALESTRE A PALERMO.

Survey on attitudes, behaviours and perceptions of General Practitioner trainees towards influenza vaccination in Western Sicily (Italy)

L’infermiere e la cultura delle sicurezza: conoscenze, attitudini e comportamenti in tema di rischio clinico

A survey to evaluate knowledge, attitudes, and practices associated with the risk of foodborne infection in a sample of Sicilian general population

<abstract> <p>Although foodborne infections contracted at home are frequent diseases worldwide, there is a general lack of information. Main purpose of this cross-sectional study was to evaluate knowledge, attitudes, and practices (KAP) of a sample of the general Sicilian population about the risk of contracting foodborne diseases. It was carried out through a web-based questionnaire to a Sicilian population sample. The questionnaire collected socio-demographic data, health issues, KAP and self-reported diseases. Scores were calculated for summarizing the results. A total of 373 subjects participated into the study. Overall, 65.15% of the participants were females, 48.26% of all…

Seroprevalence of and risk factors for Leishmania seropositivity in a sample population of Western Sicily (Italy)

Background: Leishmania is a vector-borne parasite responsible for significant morbidity and mortality worldwide. The aim of this study was to assess the prevalence of and risk factors for Leishmania infantum seropositivity in a sample of Sicilian population.Methods: A total of 260 subjects were interviewed using a standardized questionnaire and requested for an venous blood sample.Results: Overall, 36 subjects (13.8%) were seropositive against L. infantum with a statistically significant higher prevalence of positivity in older subjects (p=0.04). After adjustment for age, a higher risk for Leishmania seropositivity was found in subjects who had pets living outdoors and untreated with anti-p…

EFFETTI DELLE CAMPAGNE DI VACCINAZIONE ATTIVA CONTRO L'INFLUENZA TRA IL PERSONALE DELL'AZIENDA OSPEDALIERA UNIVERSITARIA POLICLINICO DI PALERMO (AOUP)

L’aderenza ai programmi vaccinali per la prima infanzia nella popolazione di origine straniera regolarmente residente. L’esperienza di quattro centri vaccinali nella Città di Palermo.

Indagine conoscitiva sugli operatori della medicina dei viaggiatori nella Regione Siciliana.

Could university training and a proactive attitude of coworkers be associated with influenza vaccination compliance? A multicentre survey among Italian medical residents

Background Although influenza vaccination has been demonstrated to be safe and effective, vaccination coverage rates among health care workers and among medical residents appear generally low. Several investigations have been performed worldwide to analyze the healthcare workers’ educational deficiencies. This multicentre survey aimed to investigate at a nationwide level training quality and work environment associated with seasonal influenza vaccination uptake among Italian medical residents. Methods A retrospective cohort study was carried out from April 2012 to June 2012 on medical residents regularly attending the post-graduate medical schools of 18 Italian Universities via an anonymous…

Patologie asbesto-correlate osservate a Palermo e Provincia tra lavoratori esposti ad amianto [Asbestos-related diseases observed in Palermo (Italy) among workers exposed to asbestos]

È stato realizzato uno studio su lavoratori professionalmente esposti ad amianto con l'obiettivo di esaminare i casi di patologia asbesto-correlata nella Provincia di Palermo tra il 2005 e il 2009. I dati sono stati raccolti dalle cartelle cliniche e dai verbali delle deleghe di indagine da parte delle Procure di Palermo e di Termini Imerese al Servizio di Prevenzione e Sicurezza negli Ambienti di Lavoro dell'Azienda Sanitaria Provinciale (ASP 6) di Palermo. La regressione logistica multinomiale evidenzia una associazione significativa tra fumo di tabacco e carcinoma polmonare e tra coloro che hanno cominciato a lavorare precocemente e la presenza di asbestosi e placche pleuriche. La casist…

Neutralizing Antibodies Response against SARS-CoV-2 Variants of Concern Elicited by Prior Infection or mRNA BNT162b2 Vaccination.

In order to determine the humoral protective response against SARS-CoV-2, the vaccine-induced and naturally induced neutralizing antibodies (NtAbs) responses against SARS-CoV-2 variants circulating in Italy through in vitro live virus neutralization assay were evaluated. A total of 39 SARS-CoV-2 recovered subjects (COVID-19+) and 63 subjects with a two-dose cycle of the BNT16262 vaccine were enrolled. A single serum sample was tested for COVID-19+ at 35–52 days post-positive swab, while vaccinees blood samples were taken at one (V1) and at three months (V3) after administration of the second vaccine dose. Significantly higher NtAb titers were found against B.1 and Alpha in both COVID-19+ an…

Effectiveness of mRNA COVID-19 Vaccines in Adolescents Over 6 Months

BACKGROUND AND OBJECTIVES On June 4, 2021, Italy launched the coronavirus disease 2019 (COVID-19) vaccination of adolescents to slow down the COVID-19 spread. Although clinical trials have evaluated messenger ribonucleic acid (mRNA) vaccine effectiveness in adolescents, there is limited literature on its real-world effectiveness. Accordingly, this study aimed to estimate the effectiveness of mRNA COVID-19 vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and mild or severe COVID-19 in a cohort of Sicilian adolescents within a 6 month observation period. METHODS A retrospective cohort study was conducted with adolescents aged 12 to 18 years, residents o…

REAZIONI AVVERSE CORRELATE ALLA VACCINAZIONE CONTRO L'INFLUENZA PANDEMICA (H1N1) PRESSO L'AZIENDA OSPEDALIERA UNIVERSITARIA "P. GIACCONE" (A.O.U.P.) DI PALERMO

Analytical performance issues: comparison of ATP bioluminescence and aerobic bacterial count for evaluating surface cleanliness in an Italian hospital.

Contaminated hospital surfaces have been demonstrated to be an important environmental reservoir of microorganisms that can increase the risk of nosocomial infection in exposed patients. As a consequence, cleaning and disinfecting hospital environments play an important role among strategies for preventing healthcare-associated colonization and infections. The aim of the present study was to evaluate whether adenosine triphosphate (ATP) presence, measured by bioluminescence methods, can predict microbiological contamination of hospital surfaces. The study was carried out between September and December 2012 at the University Hospital “P. Giaccone” of Palermo. A total of 193 randomly selected…

“Lesioni da morso di zecca: analisi dei casi pervenuti al Pronto Soccorso di Lucca”

epidemiologia, morso zecca

INDAGINE CONOSCITIVA SUGLI OPERATORI DELLA MEDICINA DEI VIAGGI NELLA REGIONE SICILIANA

Gestione delle acque marine e Sanità Pubblica tra normative, criticità e prospettive.

Il mare copre il nostro pianeta per circa il 71% della superficie terrestre e gioca un ruolo fondamentale nella vita dell’uomo. Le acque marine sono connesse con la Sanità Pubblica a vari livelli, infatti sia lo stato di salute e benessere individuale che di popolazione risulta influenzato dalle condizioni del mare e delle sue risorse in maniera positiva o negativa. Milioni di individui ogni anno in Italia, per attività balneare ricreativa, si concentrano per periodi relativamente ristretti in litorali più o meno estesi spesso ubicati in diretta continuità con le realtà urbane e metropolitane di fatto determinando un potenziale ambito di contatto tra le attività antropiche e lo smaltimento …

IMMUNOPROFILASSI ATTIVA E PASSIVA

Risk of classic Kaposi sarcoma with exposures to plants and soils in Sicily

Abstract Background Ecologic and in vitro studies suggest that exposures to plants or soil may influence risk of Kaposi sarcoma (KS). Methods In a population-based study of Sicily, we analyzed data on contact with 20 plants and residential exposure to 17 soils reported by 122 classic KS cases and 840 sex- and age-matched controls. With 88 KS-associated herpesvirus (KSHV) seropositive controls as the referent group, novel correlates of KS risk were sought, along with factors distinguishing seronegatives, in multinomial logistic regression models that included matching variables and known KS cofactors - smoking, cortisone use, and diabetes history. All plants were summed for cumulative exposu…

Studio multicentrico su attitudini, pratiche e conoscenze dei Medici in Formazione Specialistica relativamente alla vaccinazione antinfluenzale.

Analisi della scarsa attitudine alla vaccinazione antinfluenzale dei medici italiani del futuro: risultati di uno studio multicentrico condotto in 18 Università Italiane.

Introduzione: Nel corso della stagione influenzale, gli Operatori Sanitari (OS) rappresentano una delle categorie lavorative maggiormente investite dalla responsabilità di limitare la diffusione della patologia influenzale tra i pazienti ospedalizzati e contemporaneamente di proteggere se stessi garantendo la continuità dell'assistenza sanitaria nei periodi di maggiore assenteismo lavorativo e sovraccarico delle attività assistenziali (picco influenzale stagionale). La vaccinazione antinfluenzale, ormai riconosciuta sicura ed efficace, rappresenta ancora oggi una argomento di dibattito tra gli OS, nonostante le raccomandazioni dei Center for Disease Control and Prevention Statunitense ed Eu…

Healthcare-associated infections over an eight year period in a large university hospital in Sicily (Italy, 2011–2018)

Background: Up to 7% of hospitalised patients acquire at least one healthcare-associated infection (HAI). The aim of the present study was to quantify the burden of HAIs in an Italian hospital, identifying involved risk factors. Methods: Prevalence point study carried out from 2011 to 2018. For each recruited patient, a data entry form was compiled including information on demographics, hospital admission, risk factors, antimicrobial treatment, and infection if present. Results: A total of 2844 patients were included and 218 (7.03%) reported an infection. HAI prevalence rates showed a significant increase (average annual per cent change (AAPC) +33.9%; p=0.018) from 2011 to 2014 whereas from…

Livelli biologici di inquinanti organici persistenti in un campione di popolazione generale di Calatafimi-Segesta (TP): risultati preliminari dello studio EPHICS

INDAGINE CONOSCITIVA SULLE ATTITUDINI, COMPORTAMENTI E UTILIZZO DI FITOFARMACI IN AZIENDE FLOROVIVAISTICHE DELLA PROVINCIA DI PALERMO

L’utilizzo di fitofarmaci costituisce a tutt’oggi un rischio non trascurabile per tutto il settore primario, coinvol- gendo sia coloro che sono addetti alle coltivazioni di prodotti destinati all’uso alimentare (agricoltori), sia di piante ornamentali e fiori (giardinieri e vivaisti). L’obiettivo dello studio è la verifica delle conoscenze specifiche dei lavora- tori addetti al settore florovivaistico, riguardo il corretto utilizzo di prodotti fitosanitari, in particolare nell’attività di stoccaggio, preparazione delle miscele e conservazione delle stesse presso la sede di lavoro. Inoltre è stata approfondita la tematica della corretta formazione, informazione ed addestramento delle maestra…

Gestione degli impianti ad uso natatorio. Monitoraggio chimico-microbiologico ed analisi comparativa dei dati delle piscine comunali di Palermo e del territorio dell’A.S.L. n.2 di Lucca.

IL SERVIZIO DI INGEGNERIA CLINICA (S.I.C.) ALL'INTERNO DI UNA ORGANIZZAZIONE SANITARIA COMPLESSA: L'ESPERIENZA DELL'A.O.U.P. "PAOLO GIACCONE" - PALERMO

Antibodies Responses to SARS-CoV-2 in a Large Cohort of Vaccinated Subjects and Seropositive Patients

COVID-19 is a current global threat, and the characterization of antibody response is vitally important to update vaccine development and strategies. In this study we assessed SARS-CoV-2 antibody concentrations in SARS-CoV-2 positive patients (N = 272) and subjects vaccinated with the BNT162b2 m-RNA COVID-19 vaccine (N = 1256). For each participant, socio-demographic data, COVID-19 vaccination records, serological analyses, and SARS-CoV-2 infection status were collected. IgG antibodies against S1/S2 antigens of SARS-CoV-2 were detected. Almost all vaccinated subjects (99.8%) showed a seropositivity to anti-SARS-COV-2 IgG and more than 80% of vaccinated subjects had IgG concentrations &gt

L'OSPEDALE D'INSEGNAMENTO FRA DIDATTICA E ASSISTENZA

Il servizio di Ingegneria Clinica (S.I.C.) all’interno di una organizzazione sanitaria complessa: l’esperienza dell’A.O.U.P. “P. Giaccone “ – Palermo

Il metodo colturale tradizionale e la bioluminiscenza per la valutazione della sanificazione delle superfici. Correlazione tra i risultati di un'indagine condotta nelle degenze dell'AOUP "P. Giaccone" di Palermo.

"TRAVEL HEALTH RECOMMENDATIONS FOR INTERNATIONAL TRAVELLERS IN ITALIAN TRAVEL CLINICS"

VALUTAZIONE DELL'ESPOSIZIONE A FITOFARMACI IN POPOLAZIONE GENERALE DI UN COMUNE SICILIANO: DATI PRELIMINARI

Analisi dei dati di notifica delle malattie trasmesse con gli alimenti (MTA), in Italia dal 1996 al 2009, in relazione all’abolizione del libretto di idoneità sanitaria per l’alimentarista (LISA).

Introduzione La procedura della certificazione del LISA prevista da una legge del lontano 1962, è stata messa in discussione, quale strumento efficace e costo-efficace di prevenzione primaria, fin dalla fine degli anni ’80. La sua abolizione ha modificato il programma di Sanità pubblica in cui era inserito, facendo maggiore spazio a strumenti di autocontrollo, formazione sanitaria e responsabilizzazione del personale della filiera alimentare. Lo scopo del presente lavoro è di effettuare, per tutto il territorio italiano, un confronto fra i dati delle notifiche delle principali MTA relativi al periodo antecedente con quelli del periodo successivo all’abolizione del LISA. Materiali e Metodi I…

La Promozione della Salute nelle scuole: misure antropometriche in un campione di una popolazione scolastica di un Comune Siciliano.

Conoscenze e pratiche relative ai latti formulati in polvere: indagine sugli operatori degli Asili-nido comunali della città di Palermo

POSSIBILI FONTI DI ESPOSIZIONE A FITOFARMACI IN UN CAMPIONE RAPPRESENTATIVO DI POPOLAZIONE NELLA SICILIA OCCIDENTALE

Serum concentrations of persistent organic pollutants (POPs) in the inhabitants of a Sicilian city.

Polychlorinated biphenyls (PCBs) and organochlorine pesticides are common environmental contaminants that have been associated with human health problems. OBJECTIVES: To assess serum concentrations of several organochlorine contaminants in general population living in a city with an ancient agricultural tradition and to identify possible exposure sources in Sicily. METHODS: A cross-sectional study was conducted on 101 individuals. Each participant answered a face-to-face questionnaire submitted by well-trained personnel and provided a serum sample which was analyzed for the concentrations of PCBs, HCB, HCHs and DDTs by using gas-chromatography coupled with mass spectrometry. RESULTS: HCB, p…

ATTITUDINI E CONOSCENZE SULLA VACCINAZIONE ANTINFLUENZALE TRA I MEDICI IN FORMAZIONE SPECIALISTICA PRESSO L'UNIVERSITA' DEGLI STUDI DI PALERMO

Valutazione di un modello applicativo per lo screening del carcinoma colon-rettale nella Provincia di Palermo.

Long-Term Efficacy of Radiofrequency Treatment of Turbinate Hypertrophy: A Patient Based Point of View

Nasal turbinate hypertrophy is a major cause of nasal airway obstruction that affects up to 20% of the European general population. This study aims to determine the efficacy of radiofrequency treatment as perceived by patients during a 2-years period. From 2007 to 2009, an observational study was conducted on 36 patients who consecutively underwent temperature-controlled radiofrequency tissue volume reduction. A questionnaire was administered to each patient in order to collect demographic data, lifestyle habits, health status and visual analogue scale (VAS) score of perceived symptoms. Mean VAS scores of nasal obstruction, headache, rhinorrhoea and anosmia after treatment were significantl…

Pneumococcal Colonization in the Familial Context and Implications for Anti-Pneumococcal Immunization in Adults: Results from the BINOCOLO Project in Sicily

The spread of Streptococcus pneumoniae within families has been scarcely investigated so far. This feasibility study aimed to estimate the prevalence of pneumococcal carriage in school-aged children and co-habiting relatives and to explore the potential link between the family environment and the sharing of pneumococcal serotypes covered by the vaccine. Oropharyngeal samples of 146 subjects belonging to 36 different family groups were molecularly tested for pneumococcal detection and serotyping. The overall prevalence of pneumococcal carriage was 65.8% (n = 96/146), whereas it was higher among schoolchildren (77.8%, n = 28/36); subjects of seven years of age had the highest odds of being co…

Residui di prodotti fitosanitari in campioni biologici umani ed impatto sulla salute.

COOK AND CHILL: RISULTATI DI UN'INDAGINE CONDOTTA PRESSO L'U.O. DI ORTOPEDIA DELL'AZIENDA OSPEDALIERO-UNIVERSITARIA POLICLINICO

CONOSCENZE, ATTITUDINI E COMPORTAMENTI DEI PEDIATRI SUL RISCHIO DI MALATTIE A TRASMISSIONE ALIMENTARE

L’organizzazione Dipartimentale nell’AOU Policlinico “Paolo Giaccone” di Palermo.

SICUREZZA DEI PRODOTTI ALIMENTARI PER LA PRIMA INFANZIA

La vaccinazione antinfluenzale come Strumento di Sanità pubblica e di prevenzione. Esperienza dell'Azienda Ospedaliero Universitaria Policlinico (AOUP) "P. Giaccone "di Palermo. Analii

Abitudini sessuali e fattori di rischio per le malattie sessualmente trasmesse degli studenti di Medicina e Chirurgia dell'Università degli studi di Palermo.

IGIENE E MEDICINA DEI VIAGGI

Diagnosis of Influenza: Only a Problem of Coding?

<b><i>Objective:</i></b> To evaluate the characteristics of hospital discharge diagnoses of influenza measured by using specific International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) codes. <b><i>Subjects and Methods:</i></b> The study was conducted for the 3 years 2007, 2008 and 2011. The database included (1) administrative and clinical data on Sicilian patients admitted to acute care hospitals and (2) data from the influenza virological surveillance of 10 European countries (FluNet database). All Sicilian patients diagnosed with at least 1 ICD-9 CM code for influenza (487.0, 487.1 and 487.9) were considere…

THE ORGANIZATION ON DEPARTMENTS IN AOUP "PAOLO GIACCONE" OF PALERMO

Impact of the abolition of food handler certification on notification rates of foodborne diseases in Italy

to assess the trends of foodborne diseases in respect of the abolition of food handler certification by Italian Regions.

DISTRIBUZIONE E FREQUENZA DI ISOLAMENTO DI MICETI IN UNA PISCINA PUBBLICA DELLA CITTA' DI PALERMO

ANALISI DESCRITTIVA DELLE PATOLOGIE ASBESTO-CORRELATE DELLA PROVINCIA DI PALERMO NEL PERIODO 2005-2009

Sexual habits and risk factors for sexually transmitted diseases among medical students of Palermo’s University in 2010–2011.

Background The Residency Program in Hygiene and Preventive Medicine at Palermo’s University has conducted a survey among the students of the local Medical School regarding their knowledge about Sexually Transmitted Diseases (STDs), with the aim to detect possible risk factors frequently associated with STDs. Objectives The study has been conducted with an anonymous questionnaire delivered, during classes, to the students attending the six years of Medical School. The medical residents on Hygiene and Preventive Medicine of the Department of Sciences for Health Promotion at Palermo’s University had previously made a short introduction about the study and its purpose and answered students’ que…

Predicting needlestick and sharps injuries in nursing students: Development of the SNNIP scale

© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd. Aim: To develop an instrument to investigate knowledge and predictive factors of needlestick and sharps injuries (NSIs) in nursing students during clinical placements. Design: Instrument development and cross-sectional study for psychometric testing. Methods: A self-administered instrument including demographic data, injury epidemiology and predictive factors of NSIs was developed between October 2018–January 2019. Content validity was assessed by a panel of experts. The instrument's factor structure and discriminant validity were explored using principal components analysis. The STROBE guidelines were followed. Results: E…

Trends of influenza B during the 2010–2016 seasons in 2 regions of north and south Italy: The impact of the vaccine mismatch on influenza immunisation strategy

Influenza A and B viruses are responsible for respiratory infections, representing globally seasonal threats to human health. The 2 viral types often co-circulate and influenza B plays an important role in the spread of infection. A 6-year retrospective surveillance study was conducted between 2010 and 2016 in 2 large administrative regions of Italy, located in the north (Liguria) and in the south (Sicily) of the country, to describe the burden and epidemiology of both B/Victoria and B/Yamagata lineages in different healthcare settings. Influenza B viruses were detected in 5 of 6 seasonal outbreaks, exceeding influenza A during the season 2012–2013. Most of influenza B infections were found…

Sorveglianza Igienico-Sanitaria Di Una Piscina Di Uso Pubblico Della Città Di Palermo (Italia) [Surveillance of the sanitary conditions of a public swimming pool in the city of Palermo (Italy)]

In a previous study we evaluated the microbiological quality of water of seven pools in the city of Palermo through evaluation of bacterial indicators of faecal contamination and of protozoa (Giardia and Cryptosporidium). In this study we also searched for the presence of fungi in two swimming pools of a public swimming facility in the same city. Samples were collected from both pools, their filtration systems and floor surfaces of the facility. Chemical-physical and microbiological examination of water of the two pools have shown that quality of water depends on the concentration of residual free chlorine and on the number of bathers in the pool. The values of four microbiological paramete…

La vaccinazione antinfluenzale come Strumento di Sanità pubblica e di prevenzione. Esperienza dell'Azienda Ospedaliero Universitaria Policlinico (AOUP) "P. Giaccone "di Palermo. Analisi e confronto della copertura da vaccino negli anni 2005-2009.

Introduzione Le Linee guida per la prevenzione e controllo dell'influenza, emanano Ogni anno dal Ministero della Salute, raccomandano la vaccinazione per tutti Coloro Che svolgono Funzioni lavorative di primario interesse collettivo. Il personale sanitario rappresenta, un tal Riguardo, un obiettivo strategico della campagna da vaccino antinfluenzale SIA per la possibile trasmissione dell'influenza aviaria Pazienti SIA Perchè l'eventuale assenteismo Potrebbe inficiare la qualità e la Capacità dell'Assistenza erogata. La trasmissione dell'influenza ad un Paziente è sicuramente un importante Rischio nosocomiale in Quanto l'Infezione virale PUÒ portare ad un aggravamento dello stato di salute d…

MALATTIE A TRASMISSIONE ALIMENTARE (MTA) E RISCHIO LEGATO AL CONSUMO DI PRODOTTI IN POLVERE PER L'INFANZIA (PIF). PERCEZIONI, ATTITUDINI E CONOSCENZE IN UN CAMPIONE DI PEDIATRI DI LIBERA SCELTA (PLS) DI PALERMO.

INCIDENZA DELL'INFLUENZA LIKE-ILLNESS TRA I MEDICI IN FORMAZIONE SPECIALISTICA ITALIANI: RISULTATI DI UNO STUDIO MULTICENTRICO

Impact of Communicative and Informative Strategies on Influenza Vaccination Adherence and Absenteeism from Work of Health Care Professionals Working at the University Hospital of Palermo, Italy: A Quasi-Experimental Field Trial on Twelve Influenza Seasons

Every year, about 20% of health care workers (HCWs) acquire influenza, continuing to work and encouraging virus spreading. Influenza vaccination coverage rates and absenteeism from work among HCWs of the University Hospital (UH) of Palermo were analyzed before and after the implementation of several initiatives in order to increase HCWs&rsquo

CONOSCENZE, ATTITUDINI E COMPORTAMENTI SUL RISCHIO LEGATO AL CONSUMO DI LATTE IN POLVERE PER L'INFANZIA (PIF) IN UN CAMPIONE DI NEO-MAMME DELLA SICILIA OCCIDENTALE

MALATTIE A TRASMISSIONE ALIMENTARE (MTA) E RISCHIO LEGATO AL CONSUMO DI PRODOTTI IN POLVERE PER L'INFANZIA. CONOSCENZE, ATTITUDINI E COMPORTAMENTI IN UN CAMPIONE DI OPERATORI SANITARI ADDETTI ALL'ASSISTENZA MATERNO INFANTILE DI BASE ED OSPEDALIERA NELLA SICILIA OCCIDENTALE

A survey on knowledge and self-reported formula handling practices of parents and child care workers in Palermo, Italy

AbstractBackgroundPowdered infant formula (PIF) is not a sterile product, but this information appears to be poorly diffused among child caregivers. Parents and child care workers may behave in an unsafe manner when handling PIF.MethodsThis study involved parents and child care workers in the 24 municipal child care centres of Palermo. Knowledge and self-reported practices about PIF handling were investigated by a structured questionnaire. A Likert scale was used to measure the strength of the respondent's feelings. Association of knowledge and self-reported practices with demographic variables was also evaluated.Results42.4% of parents and 71.0% of child care workers filled in the question…

LA VACCINAZIONE ANTINFLUENZALE COME STRUMENTO PER LA RIDUZIONE DELL'ASSENTEISMO DEL PERSONALE. ESPERIENZA DELL'AZIENDA OSPEDALIERO UNIVERSITARIA POLICLINICO (AOUP) "P. GIACCONE" DI PALERMO.

GLI INDICATORI DI WOLFF PER LA VALUTAZIONE DEL RISCHIO CLINICO

L'INFERMIERE E LA CULTURA DELLA SICUREZZA: CONOSCENZE, ATTITUDINI E COMPORTAMENTI IN TEMA DI RISCHIO CLINICO

APPLICAZIONE DELLO SCREENING DEL TUMORE COLON-RETTALE IN SICILIA: ATTUALITA' E PROSPETTIVE

VALUTAZIONE DELLA PRESENZA DEL GAS RADON IN IMPIANTI SPORTIVI INDOOR IN SICILIA E SARDEGNA.

Il Servizio di Ingegneria Clinica (S.I.C.) all’interno dell’Azienda Ospedaliero-Universitaria Policlinico (A.O.U.P.)“Paolo Giaccone” - PALERMO

INDAGINE SULLA QUALITA' DEL SERVIZIO RISTORATIVO E.R.S.U. (ENTE REGIONALE PER IL DIRITTO ALLO STUDIO UNIVERSITARIO) DELL'UNIVERSITA' DI PALERMO: L'OPINIONE DEGLI UTENTI

RESIDUI DI FITOSANITARI IN FLUIDI BIOLOGICI UMANI E VALUTAZIONE DELL'ESPOSIZIONE IN POPOLAZIONE GENERALE DI UN COMUNE SICILIANO: PROGETTAZIONE DI UNO STUDIO.

GESTIONE DEGLI IMPIANTI AD USO NATATORIO. MONITORAGGIO CHIMICO-MICROBIOLOGICO ED ANALISI COMPARATIVA DEI DATI DELLE PISCINE COMUNALI DI PALERMO E DEL TERRITORIO DELL'AZ. USL 2 DI LUCCA.

Body mass index and factors associated with overweight and obesity: a crosssectional study of adult subjects living in a small city of Western Sicily (Italy)

Background: although the epidemiological features of overweight and obesity have been well described, especially for very populous urban areas, less evidences are available for small urban areas. The aim of the present work was to assess BMI and factors associated with overweight and obesity in a representative sample of general population of a small city of Western Sicily (Italy). Methods: four hundred and eleven randomly selected adult subjects from general population living in a small Sicilian city with 7 144 inhabitants were interviewed by a standardized questionnaire investigating life-styles, eating habits, anthropometric measurements (weight, height and BMI) and socio-economic depriv…

Effetti delle campagne di vaccinazione attiva contro l’influenza tra il personale dell’Azienda Ospedaliera Universitaria Policlinico di Palermo (AOUP).

Igiene dell'ambiente: inquinamento atmosferico, gestione dei rifiuti e gestione delle acque

STILI DI VITA ED INDICI DI DEPRIVAZIONE IN UN CAMPIONE RAPPRESENTATIVO DELLA POPOLAZIONE RESIDENTE IN UNA CITTADINA DELLA SICILIA OCCIDENTALE

Seroprevalence of and risk factors for Toscana and Sicilian virus infection in a sample population of Sicily (Italy).

Summary Objective The present study aimed to assess seroprevalence of and risk factors for Toscana (TOSV) and Sicilian (SFSV) virus infections in a sample of Sicilian subjects. Methods A cross-sectional seroepidemiological study was conducted on 271 individuals. Each participant completed a self-administrated questionnaire and provided a serum sample which was analyzed for the presence of IgG specific anti-TOSV and anti-SFSV viruses. Results Overall, 90 subjects (33.2%) were positive for TOSV IgG, 25 (9.2%) were positive for SFSV IgG and 11 (4%) were positive for both the viruses. A higher risk for TOSV seropositivity was found in participants who were older (adjOR = 1.02 per year; 95% CI =…

Indicatori di Wolff per la valutazione del rischio clinico: Fase preliminare presso il Presidio Ospedaliero "Sant'Antonio Abate" di Trapani.

Antibodies Responses to SARS-CoV-2 in a Large Cohort of Vaccinated Subjects and Seropositive Patients

Background: COVID-19 is a current global threat and characterisation of antibody response to SARS-CoV-2 is vitally important to update vaccine development and strategies. Methods: In this study we assessed SARS-CoV-2 antibody concentrations in SARS-CoV-2 positive patients (N=272) and subjects vaccinated with BNT162b2 m-RNA Covid-19 vaccine (N=1,256). For each participant socio-demographic data, COVID-19 vaccination records, serological analyses and SARS-CoV-2 infection status have been collected. IgM and IgG antibodies against S1/S2 antigens of SARS-CoV-2 were detected. Findings: Almost all vaccinated subjects (99·8%) showed a seropositivity to anti-SARS-COV-2 IgG and more than 80% vaccinat…

COMPLIANCE TO HEPATITIS A, HEPATITIS B AND HEPATITIS A+B VACCINATION SCHEDULES BY INTERNATIONAL TRAVELLERS IN TUSCANY

Behavioural profile of drug users attending public drug-treatment centres in Sicily: the role of social context

<p><strong>Objective</strong>: Investigations of injecting drug users (IDUs) have suggested that the social context may influence high-risk behaviours in this population. The aim of this study was to describe knowledge, attitudes and behaviours of IDUs attending public drug-treatment centres in our area.</p><p><strong>Study design and methods</strong>: A cross-sectional survey was conducted between July 2002 and February 2004, enrolling 607 drug users attending four public drug-treatment centres in the Palermo area. Two of them were located inside the urban area, whereas the other two were in rural districts near the city. All participants answered …

Conoscenze ed atteggiamenti degli studenti della Facoltà di medicina e chirurgia di Palermo riguardo al fumo di tabacco: indagine conoscitiva.

ALCOOL E GIOVANI. INDAGINE SULL'USO DI ALCOOL IN UN CAMPIONE DI STUDENTI DI SCUOLA MEDIA SUPERIORE

Alcol e giovani. Indagine sull’uso di alcol in un campione di studenti di Scuola Media Superiore.

L'ABITUDINE AL FUMO TRA GLI STUDENTI DELLA FACOLTA' DI MEDICINA E CHIRURGIA DI PALERMO

FUMO, STUDENTI, FACOLTA' DI MEDICINA E CHIRURGIA, PALERMO

Body mass index and factors associated with overweight and obesity: a crosssectional in a small city of Western Sicily (Italy)

<p><strong>Background</strong>: although the epidemiological features of overweight and obesity have been well described, especially for very populous urban areas, less evidences are available for small urban areas. The aim of the present work was to assess BMI and factors associated with overweight and obesity in a representative sample of general population of a small city of Western Sicily (Italy).</p><p><strong>Methods</strong>: four hundred and eleven randomly selected adult subjects from general population living in a small Sicilian city with 7 144 inhabitants were interviewed by a standardized questionnaire investigating life-styles, eating h…

PROTOCOLLI ASSISTENZIALI (P.A) PER LA GESTIONE DELLE PATOLOGIE MAGGIORMENTE RAPPRESENTATE AL PS DELL'A.O.U.P. "P. GIACCONE" DI PALERMO

Are medical residents a "core group" for for future improvement of influenza vaccination coverage in health-care workers? A study among medical residents at the University Hospital of Palermo (Sicily)

Abstract Despite international recommendations, vaccination coverage among European healthcare workers, including physicians, is widely recognized as unsatisfactory. In order to plan tailored vaccination campaigns and increase future coverage, we investigated reasons for refusing vaccination and determinants associated with influenza vaccine uptake among young health care workers. A survey was carried out during September and October 2010 on medical residents attending post-graduate Schools of the Medical Faculty at the University of Palermo (Italy). Each participant completed an anonymous web-based questionnaire including items on demographic and occupational characteristics, knowledge, at…

Conoscenze, percezione del rischio e abitudini dei frequentatori di due piscine pubbliche della città di Palermo

"REPORT NOTIFICHE MALATTIE INFETTIVE"

epidemiologia malattie infettive