scholarly journals Observational Analysis of Antineoplastic and Immunomodulating Drug Expenditure in Two Local Health Units in Northern Italy during the Period 2009-2011

2016 ◽  
Vol 3 (3) ◽  
pp. GRHTA.5000231
Author(s):  
Carlo Cerra ◽  
Mirosa Dellagiovanna ◽  
Simona Migliazza ◽  
Roberto Tettamanti ◽  
Corrado Zuliani ◽  
...  
Keyword(s):  
Drug Expenditure ◽  
Northern Italy ◽  
Local Health ◽  
Observational Analysis ◽  
Immunomodulating Drug

scholarly journals Epidemiological and economic aspects of diabetes in the Campania Region, Italy

2008 ◽  
Vol 9 (2) ◽  
pp. 89-94
Author(s):  
Simona Cammarota ◽  
Andrea Morsanutto ◽  
Enrica Menditto ◽  
Anna Citarella ◽  
Simona De Portu
Keyword(s):  
Drug Expenditure ◽  
Antidiabetic Drugs ◽  
Control Group ◽  
Diabetic Patients ◽  
Local Health ◽  
Defined Daily Dose ◽  
Concomitant Treatment ◽  
Healthcare Budget ◽  
Campania Region ◽  
Anatomic Therapeutic Chemical

Aim: to assess the economic and epidemiologic impact of diabetes in Campania, a region of approximately 5.7 million inhabitants in the south of Italy. Method: we collected, from an electronic database, all prescriptions for antidiabetic drugs reimbursed in the first half year of 2005 in 8 local health authorities (60% of the overall population) of Campania. The diabetic cohort was defined as the population of subjects receiving at least 2 prescriptions of an antidiabetic agent in 6-month, classified according to their therapeutic role using Anatomic Therapeutic Chemical (ATC) classification. Characterization is given of the patients and their antidiabetic medication. Subsequently, the prescription of concomitant treatment, in comparison with a control group, is presented. Drugs cost and drugs consumption were quantified using NHS prospective (expressed in Euro 2005) and Defined Daily Dose system (DDD) respectively. Results: the diabetic cohort included 183,614 subjects (5.3% of the observed population), mean age was 65.0 years and female represented 54.8% of the sample. Total cost for diabetic patients represents 16.8% of the total drug expenditure. The average drug/cost/patient was € 355.7; only 19.0% was spent for antidiabetic drugs. The reported use of medication was higher for subjects with diabetes compared with the control population regarding overall use (2,363.5 versus 1259.8 DDD/1,000 inhabitants/die), the use of cardiovascular drugs (1,499.3 versus 663.5 DDD/1,000 inhabitants/day), use of haematologic drugs (277.1 versus 120.3 DDD/1,000 inhabitants/day), and use of ophthalmological drugs (48.3 versus 21.0 DDD/1,000 inhabitants/day). Discussion: chronic-degenerative pathologies, such as diabetes, implies a relevant social and economic impact. Expenses that are associated to the treatment and the prevention of complications, in particular cardiovascular problems, are registered among the main items listed in the healthcare budget.

Estimate of population coverage with the prostate specific antigen (PSA) test to screen for prostate cancer in a metropolitan area of northern Italy

2002 ◽  
Vol 9 (4) ◽  
pp. 179-180 ◽  
Author(s):  
A. Russo ◽  
M. Autelitano ◽  
A. Bellini ◽  
L. Bisanti
Keyword(s):  
Prostate Cancer ◽  
Prostate Specific Antigen ◽  
Specific Antigen ◽  
Health Information System ◽  
Northern Italy ◽  
Local Health ◽  
Male Population ◽  
High Coverage ◽  
Psa Test ◽  
History Of

The use of the prostate specific antigen (PSA) test in the period 1999–2000 in a population of 311 822 men, aged 40 years or more, resident in Milan, Italy, was examined. Data were drawn from the outpatient database of the local health information system. A total of 139 350 PSA tests were used in 83 943 subjects. Overall, 26.9% of the male population aged 40 or older, with no history of prostate cancer, received a PSA test in the 2 year study period. For subjects older than 50 the rate rose to 34%. Results show a high coverage of the male population in northern Italy with screening using the PSA test for prostate cancer.

Ethical issues of prison nursing: A qualitative study in Northern Italy

2016 ◽  
Vol 25 (3) ◽  
pp. 393-409 ◽  
Author(s):  
Loredana Sasso ◽  
Barbara Delogu ◽  
Roberto Carrozzino ◽  
Giuseppe Aleo ◽  
Annamaria Bagnasco
Keyword(s):  
Focus Groups ◽  
Moral Distress ◽  
Ethical Issues ◽  
Northern Italy ◽  
Modern Concept ◽  
Local Health Authority ◽  
Local Health ◽  
Regional Government ◽  
Turnover Rates ◽  
Healthcare Needs

Background: Prisons are contexts where nurses are required to have specific skills to ensure that, in a setting designed for the expiation of crime, prisoners receive the same type of care as anyone else. But this is not always the case, giving rise to ethical issues. Research questions: ‘How do correctional nurses describe their working experience in prisons? What issues emerged?’ Methodology: This is a qualitative descriptive study. Following purposive sampling, we conducted five focus groups. Thematic analysis was used to analyse the data. Participants and research context: Our sample included 31 correctional nurses in seven prisons in Northern Italy. Ethical considerations: The scientific merit of this study was recognized by the Academic Board of the University of Genoa. Approval to conduct the study was obtained from the Liguria Regional Government that funded this study and from the Local Health Authority that was the prison nurses’ employer. Formal consent was obtained from all the nurses who volunteered to participate in this study. Findings: Five themes emerged from the focus groups: (1) prisoners’ healthcare needs, (2) negotiation between custody and care, (3) satisfaction of working in prisons, (4) obstacles to quality care and (5) safety. ‘Manipulation’ was a transversal theme that emerged from all the focus groups. Discussion: The problems generated by the clash between prison security and nursing care priorities did not enable nurses to practice autonomously and provide the best possible to care prisoners, giving rise to ethical issues and moral distress. This in turn causes high nursing turnover rates that negatively impact continuum of care. Conclusion: In Italy, correctional nurses urgently require specific education interventions with the participation of all those who work in prisons. Interventions based on the post-modern concept of restorative nursing could offer prison nurses the opportunity to both resolve ethical issues and reduce moral distress.

scholarly journals Outbreak of febrile gastroenteritis caused by Listeria monocytogenes 1/2a in sliced cold beef ham, Italy, May 2016

2018 ◽  
Vol 23 (10) ◽  
Author(s):  
Cristiana Maurella ◽  
Silvia Gallina ◽  
Giuseppe Ru ◽  
Daniela Adriano ◽  
Alberto Bellio ◽  
...  
Keyword(s):  
Listeria Monocytogenes ◽  
Northern Italy ◽  
Local Health Authority ◽  
Local Health ◽  
Epidemiological Investigation ◽  
Gastroenteritis Outbreak ◽  
Staff Members ◽  
The People ◽  
Food Borne ◽  
Serotype 1

In May 2016, two separate clusters of febrile gastroenteritis caused by Listeria monocytogenes were detected by the local health authority in Piedmont, in northern Italy. We carried out epidemiological, microbiological and traceback investigations to identify the source. The people affected were students and staff members from two different schools in two different villages located in the Province of Turin; five of them were hospitalised. The epidemiological investigation identified a cooked beef ham served at the school canteens as the source of the food-borne outbreak. L. monocytogenes was isolated from the food, the stools of the hospitalised pupils and the environment of the factory producing the cooked beef ham. All isolates except one were serotype 1/2a, shared an indistinguishable PFGE pattern and were 100% identical by whole genome sequencing (WGS). By combining a classical epidemiological approach with both molecular subtyping and WGS techniques, we were able to identify and confirm a Listeria gastroenteritis outbreak associated with consumption of sliced cold beef ham.

Incidence and natural history of HCV infection in Northern Italy: Results of an epidemiological study

2001 ◽  
Vol 120 (5) ◽  
pp. A366-A366
Author(s):  
C MAZZEO ◽  
F AZZAROLI ◽  
A COLECCHIA ◽  
S DISILVIO ◽  
A DORMI ◽  
...  
Keyword(s):  
Natural History ◽  
Epidemiological Study ◽  
Northern Italy ◽  
Hcv Infection ◽  
History Of

A comparison between two community-based mental health services, Northern Italy and Northern Norway

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
D Pucci ◽  
F Amaddeo ◽  
A Rossi ◽  
G Rezvy ◽  
R Olstad ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Northern Italy ◽  
Community Based ◽  
Northern Norway
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