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Article ; Online: Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.

Golinelli, Davide / Sanmarchi, Francesco / Toscano, Fabrizio / Bucci, Andrea / Nante, Nicola

International journal of health economics and management

2024

Abstract: The study aims to investigate the last 20-year (2000-2019) of hospital length of stay (LOS) trends and their association with different healthcare systems (HS) among 25 European countries. A panel dataset was created using secondary data from Eurostat ... ...

Abstract	The study aims to investigate the last 20-year (2000-2019) of hospital length of stay (LOS) trends and their association with different healthcare systems (HS) among 25 European countries. A panel dataset was created using secondary data from Eurostat and Global Burden of Disease study databases, with dependent and control variables aggregated at the national level over a period of 20 years. A time trend analysis was conducted using a weighted least squares model for panel data to investigate the association between LOS, HS models [National Health Service (NHS), National Health Insurance, Social Health Insurance (SHI), and Etatist Social Health Insurance], healthcare reimbursement schemes [Prospective Global Budget (PGB), Diagnosis Related Groups (DRG), and Procedure Service Payment (PSP)], and control variables. The study showed a reduction of average LOS from 9.20 days in 2000 to 7.24 in 2019. SHI was associated with a lower LOS compared to NHS (b = - 0.6327, p < 0.05). Both DRG (b = 1.2399, p < 0.05) and PSP (b = 1.1677, p < 0.05) reimbursement models were positively associated with LOS compared to PGB. Our results confirmed the downward trend of LOS in the last 20 years, its multifactorial nature, and the influence of the SHI model of HS. This could be due to the financial incentives present in fee-for-service payment models and the role of competition in creating a market for healthcare services. These results offer insight into the factors influencing healthcare utilization and can inform the design of more effective, efficient, and sustainable HS.
Language	English
Publishing date	2024-03-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2817492-6
ISSN	2199-9031 ; 2199-9023
ISSN (online)	2199-9031
ISSN	2199-9023
DOI	10.1007/s10754-024-09369-0
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Article ; Online: Every cockroach is beautiful to his mother's eyes"? A multicentric study on the perception of child's health status according to the parent.

Salini, Chiara / Messina, Gabriele / Messina, Daniele / Nante, Nicola

Journal of preventive medicine and hygiene

2023 Volume 64, Issue 3, Page(s) E311–E315

Abstract: Introduction: Childhood obesity is a social health problem in the Western World and an important goal is to analyze and correct risk factors. However, part of the problem could be determined by a different perception of the weight.: Material and ... ...

Abstract	Introduction: Childhood obesity is a social health problem in the Western World and an important goal is to analyze and correct risk factors. However, part of the problem could be determined by a different perception of the weight. Material and methods: In October 2019, we conducted a cross-sectional study in which a questionnaire was administered to the parents of primary and secondary school children in South-East Tuscany, Italy. The aim was to determine the association between children's Body Mass Index (BMI) and the parent's perception. Results: Analysis was carried out on 1,405 complete questionnaires. We found that most parents wrongly perceive the weight of their children. 88.3% of parents with obese children believe that their children are of normal weight or only "a little overweight". 67.6% of parents who have overweight children think that their children are of normal weight (p < 0.001). Conclusions: Our results show a misperception of the weight of the children in the parents eyes. The acquisition of healthy behaviour during childhood is extremely important for health in adulthood and for avoiding the onset of associated diseases. Therefore, food education becomes a crucial objective. Children and parents need to increase consciousness of the correct weight and diseases resulting from bad nutrition.
MeSH term(s)	Child ; Female ; Humans ; Body Mass Index ; Cross-Sectional Studies ; Health Knowledge, Attitudes, Practice ; Health Status ; Mothers ; Overweight ; Parents ; Pediatric Obesity ; Perception ; Surveys and Questionnaires ; Male
Language	English
Publishing date	2023-11-01
Publishing country	Italy
Document type	Multicenter Study ; Journal Article
ZDB-ID	1102926-2
ISSN	2421-4248 ; 1121-2233
ISSN (online)	2421-4248
ISSN	1121-2233
DOI	10.15167/2421-4248/jpmh2023.64.3.2859
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Article: Identifying the Drivers of Inter-Regional Patients' Mobility: An Analysis on Hospital Beds Endowment.

Guarducci, Giovanni / Messina, Gabriele / Carbone, Simona / Nante, Nicola

Healthcare (Basel, Switzerland)

2023 Volume 11, Issue 14

Abstract: Background: In a Beveridgean decentralized healthcare system, like the Italian one, where regions are responsible for their own health planning and financing, the analysis of patients' mobility appears very interesting as it has economic and social ... ...

Abstract	Background: In a Beveridgean decentralized healthcare system, like the Italian one, where regions are responsible for their own health planning and financing, the analysis of patients' mobility appears very interesting as it has economic and social implications. The study aims to analyze both patients' mobility for hospital rehabilitation and if the beds endowment is a driver for these flows; Methods: From 2011 to 2019, admissions data were collected from the Hospital Discharge Cards database of the Italian Ministry of Health, population data from the Italian National Institute of Statistics and data on beds endowment from the Italian Ministry of Health website. To evaluate patients' mobility, we used Gandy's Nomogram, while to assess if beds endowments are mobility drivers, we created two matrices, one with attraction indexes (AI) and one with escape indexes (EI). The beds endowment, for each Italian region, was correlated with AI and EI. Spearman's test was carried out through STATA software; Results: Gandy's Nomogram showed that only some northern regions had good hospital planning for rehabilitation. A statistically significant correlation between beds endowment and AI was found for four regions and with EI for eight regions; Conclusions: Only some northern regions appear able to satisfy the care needs of their residents, with a positive attractions minus escapes epidemiological balance. The beds endowment seems to be a driver of patients' mobility, mainly for escapes. Certainly, the search for mobility drivers needs further investigation given the situation in Molise and Basilicata.
Language	English
Publishing date	2023-07-17
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare11142045
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Article ; Online: Emerging fungal infections: focus on

Troiano, Gianmarco / Nante, Nicola

Journal of preventive medicine and hygiene

2021 Volume 62, Issue 2, Page(s) E382–E385

Abstract: Introduction: In recent times, improved diagnostic techniques have revealed an alarming number of cases of mucormycosis in immunocompetent individuals. The Saksenaea species, is a rare cause of mucormycosis, and is often associated with skin and ... ...

Abstract	Introduction: In recent times, improved diagnostic techniques have revealed an alarming number of cases of mucormycosis in immunocompetent individuals. The Saksenaea species, is a rare cause of mucormycosis, and is often associated with skin and subcutaneous infection due to trauma in both immunocompromised and immunocompetent subjects. The purpose of this study was therefore, through a review of the literature, to investigate the problem of infections caused by Saksenaea Erythrospora, evaluating the clinical manifestations of the infection, the triggering factors, the therapies and patients' outcomes, implementing and updating what already reported in literature. Methods: A research of peer-reviewed literature in the electronic databases MEDLINE (PubMed) and Scopus was conducted in the period June 2020-January 2021 using the key word "Saksenaea erythrospora". Studies in Italian, English, French, Spanish focused on cases of Saksenaea erythrospora were included, without time restrictions. Studies that provided ambiguous or insufficient data were excluded. Results: Bibliographic research yielded 23 publications; 7 were included in the review. The studies were published between 2011 and 2015 and involved a total of 11 patients of average age 37.9 years (SD 17.23) hospitalized in several hospitals in: USA, India, Argentina, Colombia, Thailand. 6 patients were women, 5 men. All patients had an almost normal immune status. The causes of the infection were: injections, traumas, surgery. Two patients, despite surgical and medical therapy, died. Conclusions: Our review partially updated what already published, because only one new study was found. Serious necrotizing infections from Saksenaea erythrospora have been observed in recent years and a early identification and timely management are essential to reduce morbidity and mortality. A greater awareness and education about the risks deriving from carrying out surgical procedures abroad, especially in precarious hygiene situations, could be additional effective weapons to reduce the incidence of these infections.
MeSH term(s)	Adult ; Breast Neoplasms/complications ; Breast Neoplasms/microbiology ; Breast Neoplasms/pathology ; Communicable Diseases, Emerging/microbiology ; Female ; Humans ; Immunocompetence ; Male ; Mastectomy ; Mucorales ; Mucormycosis/diagnosis ; Mucormycosis/immunology
Language	English
Publishing date	2021-07-30
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	1102926-2
ISSN	2421-4248 ; 1121-2233
ISSN (online)	2421-4248
ISSN	1121-2233
DOI	10.15167/2421-4248/jpmh2021.62.2.1953
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Article: Injury Patterns and Gender in Italy.

Maietti, Elisa / Capodici, Angelo / Sanmarchi, Francesco / Fantini, Maria Pia / Nante, Nicola / Golinelli, Davide

Annali di igiene : medicina preventiva e di comunita

2024 Volume 36, Issue 3, Page(s) 302–312

Abstract: Introduction: Globally, injuries pose significant public health challenges, with road traffic accidents in particular being responsible for considerable morbidity, mortality, and economic distress. Italy has been significantly impacted due to its high ... ...

Abstract	Introduction: Globally, injuries pose significant public health challenges, with road traffic accidents in particular being responsible for considerable morbidity, mortality, and economic distress. Italy has been significantly impacted due to its high population density and frequency of road traffic and domestic incidents. Method: This study set out to investigate the incidence of self-reported road traffic and home and leisure accidents in the Italian general population. A particular emphasis was placed on exploring possible gender differences across varying age groups. The data was obtained from the European Health Interview Survey and a representative sample of the Italian population was analyzed. Results: The analysis revealed that regardless of age, women experienced a reduced risk of road traffic accidents compared to men. However, gender disparities in home-leisure accidents were observed to be age-dependent. Women under the age of 25 exhibited a lower likelihood of home-leisure accidents and serious accidents necessitating hospital admission in comparison to their male counterparts. In contrast, women aged 65 and above had an increased likelihood of home-leisure accidents as opposed to men in the same age category. Conclusions: The findings of this study highlight the importance of considering age and gender as significant factors in the occurrence of different types of accidents, offering insight into how injury rates vary between these demographic groups within Italy.
MeSH term(s)	Humans ; Male ; Female ; Accidents, Traffic ; Hospitalization ; Incidence ; Italy/epidemiology ; Self Report ; Wounds and Injuries/epidemiology
Language	English
Publishing date	2024-04-18
Publishing country	Italy
Document type	Evaluation Study
ZDB-ID	1018045-x
ISSN	1120-9135 ; 0029-6287
ISSN	1120-9135 ; 0029-6287
DOI	10.7416/ai.2024.2620
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Article ; Online: Effectiveness of near-UVA in SARS-CoV-2 inactivation.

Frilli, Eleonora / Amodeo, Davide / Cevenini, Gabriele / Nante, Nicola / Messina, Gabriele

Epidemiology and infection

2023 Volume 151, Page(s) e76

Abstract: This experimental study aimed to determine the activity of a near-UVA (405 nm) LED ceiling system against the SARS-CoV-2 virus. The ceiling system comprised 17 near-UVA LED lights with a radiant power of 1.1 W/each centred at 405 nm wavelength. A 96- ... ...

Abstract	This experimental study aimed to determine the activity of a near-UVA (405 nm) LED ceiling system against the SARS-CoV-2 virus. The ceiling system comprised 17 near-UVA LED lights with a radiant power of 1.1 W/each centred at 405 nm wavelength. A 96-multiwell plate, fixed to a wooden base, was inoculated with suspensions of VERO E6 cell cultures infected with SARS-CoV-2 virus and irradiated at a distance of 40 cm with a dose of 20.2 J/cm
MeSH term(s)	Animals ; Chlorocebus aethiops ; COVID-19 ; SARS-CoV-2 ; Suspensions ; Ultraviolet Rays ; Vero Cells
Chemical Substances	Suspensions
Language	English
Publishing date	2023-04-27
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632982-2
ISSN	1469-4409 ; 0950-2688
ISSN (online)	1469-4409
ISSN	0950-2688
DOI	10.1017/S0950268823000560
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Article: Human Papillomavirus Epidemiology and Prevention: Is There Still a Gender Gap?

Milano, Giovanna / Guarducci, Giovanni / Nante, Nicola / Montomoli, Emanuele / Manini, Ilaria

Vaccines

2023 Volume 11, Issue 6

Abstract: Background and aim: Human papillomavirus (HPV) is sexually transmitted, one of the three most common sexually transmitted infections (STIs) in both males and females, and the most common viral STI. A crucial public health strategy to protect people ... ...

Abstract	Background and aim: Human papillomavirus (HPV) is sexually transmitted, one of the three most common sexually transmitted infections (STIs) in both males and females, and the most common viral STI. A crucial public health strategy to protect people against HPV is vaccination, which has shown its effectiveness in preventing HPV-related diseases. Presently, three types of vaccines are available (bivalent, quadrivalent, and nonvalent), and they all target the two most oncogenic virus genotypes (HPV 16 and 18). In recent years, the need to implement vaccination programmes that include all genders has been discussed in order to achieve herd immunity against HPV. To date, only a few countries have included young males in their vaccination programmes. Thus, our objective with this review is to provide an overview of the epidemiology of HPV and HPV prevention strategies and report the latest findings from the scientific literature.
Language	English
Publishing date	2023-06-04
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2703319-3
ISSN	2076-393X
ISSN	2076-393X
DOI	10.3390/vaccines11061060
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Article ; Online: Factors influencing the first thousand days of life. The importance of Nurturing Care.

Capitani, Elena / Lorenzini, Carlotta / Biuzzi, Adele / Alaimo, Lucia / Nante, Nicola

Journal of preventive medicine and hygiene

2023 Volume 64, Issue 2, Page(s) E172–E177

Abstract: Background: WHO, Unicef, the World Bank and the Maternal and Child Health Partnership wrote the document "Nurturing care for early child development: a global framework action". This paper highlights the benefits of early intervention and thus the need ... ...

Abstract	Background: WHO, Unicef, the World Bank and the Maternal and Child Health Partnership wrote the document "Nurturing care for early child development: a global framework action". This paper highlights the benefits of early intervention and thus the need to invest more in health during this period. The aim of our study is to assess how much social support received by pregnant mothers can influence maternity outcomes. Materials and methods: The retrospective observational study was conducted on a sample of mothers enrolled via social networks, who were administered a questionnaire from 1 July to 1 September 2021. The questionnaire consisted of 37 questions, 6 of which were used to calculate the "Maternity Social Support Scale". The ODDs Ratio was calculated. Results: Our sample consisted of 3447 women. 59.01% were between 26 and 35 years of age. The mean Maternity Social Support Scale (MSSS) score was calculated to be 23.9 points. A low MSSS score correlated with a higher probability of stopping breastfeeding before 6 months of age (OR: 1.2; CI:1.1-1.4) and of having a caesarean section (OR: 1.2; CI: 1.1-1.4) and to a lower probability of having a spontaneous labour (OR: 0.9; CI: 0.7-0.9) and a spontaneous delivery (OR: 0.8; CI: 0.7-0.9). In contrast, a high MSSS score had a lower likelihood of ceasing breastfeeding before 6 months (OR: 0.8; CI: 0.7-0.9) and caesarean section(OR: 0.8; CI: 0.7-0.9) and higher likelihood of spontaneous onset labour (OR: 1.2; CI: 1.1-1.3) and spontaneous delivery (OR: 1.2; CI: 1.1-1.4). Conclusions: Pregnancy, childbirth and maternity outcomes are strongly influenced and conditioned by the social context in which they occur and the support the woman may receive. The presence or lack of this support may affect the health of newborns.
MeSH term(s)	Infant, Newborn ; Pregnancy ; Child ; Humans ; Female ; Cesarean Section ; Social Environment ; Social Support ; Breast Feeding ; Mothers
Language	English
Publishing date	2023-08-01
Publishing country	Italy
Document type	Observational Study ; Journal Article
ZDB-ID	1102926-2
ISSN	2421-4248 ; 1121-2233
ISSN (online)	2421-4248
ISSN	1121-2233
DOI	10.15167/2421-4248/jpmh2023.64.2.2850
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Article ; Online: Overview of case definitions and contact tracing indications in the 2022 monkeypox outbreak.

Guarducci, Giovanni / Porchia, Barbara Rita / Lorenzini, Carlotta / Nante, Nicola

Le infezioni in medicina

2023 Volume 31, Issue 1, Page(s) 13–19

Abstract: Background: In 2022, a new outbreak of the Mpox virus occurred outside of Africa, its usual endemic area. The virus was detected in European, American, Asian, and Oceanian countries where Mpox is uncommon or had not been reported previously and where ... ...

Abstract	Background: In 2022, a new outbreak of the Mpox virus occurred outside of Africa, its usual endemic area. The virus was detected in European, American, Asian, and Oceanian countries where Mpox is uncommon or had not been reported previously and where the spread was rapid. The study aims to compare the case definition and the indications for contact tracing in case of Mpox infection among the World Health Organization (WHO), the European Centre for Disease Prevention and Control (ECDC), and four European Countries. Methods: From August 2022 to November 2022, we conducted research, first on the WHO and ECDC official websites and then on the official websites of the Ministry of Health or National Health Agencies of four European Countries (Italy, France, Spain, and Portugal). All reports found were compared to enlighten the differences in the definition of the case and indications for contact tracing. Results: The WHO divides the case definition into four categories: suspected, probable, confirmed, and discarded, while the ECDC divides cases into confirmed and probable. The ECDC defines contact as close and others, while the WHO divides it into high, medium, and minimal risk. The four countries analyzed show heterogeneity in both the case definitions and the indications for contact tracing. Conclusions: Our analysis revealed heterogeneity in the case definition between the WHO and ECDC. Different countries followed different indications or have given their indications for both the case definition and contact tracing indications. Harmonization strengthens public health preparedness and response and creates unified communication.
Language	English
Publishing date	2023-03-01
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	2041081-5
ISSN	2532-8689 ; 1124-9390
ISSN (online)	2532-8689
ISSN	1124-9390
DOI	10.53854/liim-3101-3
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Article ; Online: Differenze di ricorso al pronto soccorso tra aree urbane e rurali: analisi retrospettiva nella Toscana meridionale.

Ramacciani Isemann, Christian / Salini, Chiara / Nante, Nicola

Recenti progressi in medicina

2022 Volume 114, Issue 1, Page(s) 802–814

Abstract: Background: The phenomenon of repeated accesses to the emergency department (ED) by users, the so-called frequent users, is frequent and documented. The totality of the EDs often have to deal with patients who come several times in short periods of time. ...

Title translation	Emergency department overuse amongst urban and rural areas: a retrospective descriptive analysis in Southern Tuscany.
Abstract	Background: The phenomenon of repeated accesses to the emergency department (ED) by users, the so-called frequent users, is frequent and documented. The totality of the EDs often have to deal with patients who come several times in short periods of time. In this study we try to analyze the characteristics of these users and the differences between the emergency department in rural, zonal or urban areas. Methods: A retrospective observational multicentre analysis was conducted using the access data in 2018 in the EDs of Southern Tuscany. The EDs have been classified into three different categories based on the urbanization of the considered areas. The data were processed using Microsoft Excel and R Project software. A statistical analysis was carried out by calculating the Chi square (χ2). Results: The results show that frequent users have a higher average age, longer stay times in the emergency rooms, an increase in higher priority access codes (yellow and red) and a higher percentage of hospitalizations and transfers; there are not significant differences with respect to the dropout rates. Among the diagnoses, pregnancy and fever are among the most frequent found among frequent users under-65, while among the over-65 there is a significant presence of diagnoses of congestive heart failure. The characterization of frequent users provided basic information on their peculiarities and on the most frequent problems. Conclusions: In order to reduce this phenomenon it is important to study the reasons for access and re-access in the EDs so as to optimally plan the territorial Health Services, develop proper interventions and follow the chronical illness.
MeSH term(s)	Humans ; Emergency Service, Hospital ; Retrospective Studies ; Medical Overuse
Language	Italian
Publishing date	2022-12-27
Publishing country	Italy
Document type	English Abstract ; Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	138266-4
ISSN	2038-1840 ; 0034-1193
ISSN (online)	2038-1840
ISSN	0034-1193
DOI	10.1701/3939.39229
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