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  1. Article: Food Insecurity in Europe: A Gender Perspective.

    Grimaccia, Elena / Naccarato, Alessia

    Social indicators research

    2020  Volume 161, Issue 2-3, Page(s) 649–667

    Abstract: Food insecurity is the limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire foods in socially acceptable ways. The study presents a comparison of the principal determinants of individual ... ...

    Abstract Food insecurity is the limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire foods in socially acceptable ways. The study presents a comparison of the principal determinants of individual food insecurity in Europe and other Continents, with particular regard to gender, since the literature clearly states the importance of women in the administration of food in the household. The study of gender related differences in food insecurity is particularly important in Europe, since women experience food insecurity at a larger extent than men, but with a variability related to the geographical distribution and with complex relationships with economic and social drivers. Using a large international sample of individual level data, that allows the analysis for developed Countries for the first time, and the first experiential measure of food insecurity comparable at the global level, the paper analyses the principal determinants of gender differences in food insecurity. In order to verify if women's vulnerability in food insecurity is moderated by specific factors, the modelling approach allows gender to vary by education, poverty, place of residence. The results suggest that the driver that could most mitigate women disadvantage is education: people with a university degree present a lower probability of experiencing food insecurity, both for men and for women. On the contrary, familial characteristics, such as the number of children in the household, present a higher impact on women's food insecurity than on men's.
    Keywords covid19
    Language English
    Publishing date 2020-05-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2018687-3
    ISSN 1573-0921 ; 0303-8300
    ISSN (online) 1573-0921
    ISSN 0303-8300
    DOI 10.1007/s11205-020-02387-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Food Insecurity in Europe: A Gender Perspective

    Grimaccia, Elena / Naccarato, Alessia

    Soc Indic Res

    Abstract: Food insecurity is the limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire foods in socially acceptable ways. The study presents a comparison of the principal determinants of individual ... ...

    Abstract Food insecurity is the limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire foods in socially acceptable ways. The study presents a comparison of the principal determinants of individual food insecurity in Europe and other Continents, with particular regard to gender, since the literature clearly states the importance of women in the administration of food in the household. The study of gender related differences in food insecurity is particularly important in Europe, since women experience food insecurity at a larger extent than men, but with a variability related to the geographical distribution and with complex relationships with economic and social drivers. Using a large international sample of individual level data, that allows the analysis for developed Countries for the first time, and the first experiential measure of food insecurity comparable at the global level, the paper analyses the principal determinants of gender differences in food insecurity. In order to verify if women’s vulnerability in food insecurity is moderated by specific factors, the modelling approach allows gender to vary by education, poverty, place of residence. The results suggest that the driver that could most mitigate women disadvantage is education: people with a university degree present a lower probability of experiencing food insecurity, both for men and for women. On the contrary, familial characteristics, such as the number of children in the household, present a higher impact on women’s food insecurity than on men’s.
    Keywords covid19
    Publisher PMC
    Document type Article ; Online
    DOI 10.1007/s11205-020-02387-8
    Database COVID19

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  3. Article ; Online: PARS PLANA VITRECTOMY FOR DIABETIC MACULAR EDEMA: A Systematic Review, Meta-Analysis, and Synthesis of Safety Literature.

    Jackson, Timothy L / Nicod, Elena / Angelis, Aris / Grimaccia, Federico / Pringle, Edward / Kanavos, Panos

    Retina (Philadelphia, Pa.)

    2017  Volume 37, Issue 5, Page(s) 886–895

    Abstract: Purpose: To assess the risk and benefit of pars plana vitrectomy for diabetic macular edema.: Methods: The authors conducted a systematic literature review using PubMed, EMBASE, Web of Science, and Cochrane Central Database of Controlled Trials until ...

    Abstract Purpose: To assess the risk and benefit of pars plana vitrectomy for diabetic macular edema.
    Methods: The authors conducted a systematic literature review using PubMed, EMBASE, Web of Science, and Cochrane Central Database of Controlled Trials until September 2014. The population was patients with diabetic macular edema, intervention vitrectomy, comparator macular laser or observation, and efficacy outcome visual acuity and central retinal thickness. Safety outcomes were intraoperative and postoperative surgical complications. The efficacy meta-analysis included only randomized controlled trials. The safety analysis included prospective, retrospective, controlled, and uncontrolled studies.
    Results: Five studies were eligible for the efficacy meta-analysis (n = 127 eyes) and 40 for the safety analysis (n = 1,562 eyes). Combining follow-up intervals from 6 to 12 months, the meta-analysis found a nonsignificant 2 letter visual acuity difference favoring vitrectomy, and a significant 102 μm greater reduction in central retinal thickness favoring vitrectomy, but a post hoc subgroup analysis found that a 6-month central retinal thickness benefit reversed by 12 months. The most frequent complications were retinal break (7.1%), elevated intraocular pressure (5.2%), epiretinal membrane (3.3%), and vitreous hemorrhage (2.4%). Cataract developed in 68.6% of 121 phakic eyes.
    Conclusion: Vitrectomy produces structural and functional improvements in select eyes with diabetic macular edema, but the visual gains are not significantly better than with laser or observation. No major safety concerns were identified.
    MeSH term(s) Diabetic Retinopathy/pathology ; Diabetic Retinopathy/physiopathology ; Diabetic Retinopathy/surgery ; Humans ; Macula Lutea/pathology ; Macular Edema/pathology ; Macular Edema/physiopathology ; Macular Edema/surgery ; Visual Acuity/physiology ; Vitrectomy/adverse effects ; Vitrectomy/methods
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 603192-4
    ISSN 1539-2864 ; 0275-004X
    ISSN (online) 1539-2864
    ISSN 0275-004X
    DOI 10.1097/IAE.0000000000001280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1724: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Symptomatic vitreomacular adhesion.

    Jackson, Timothy L / Nicod, Elena / Simpson, Andrew / Angelis, Aris / Grimaccia, Federico / Kanavos, Panos

    Retina (Philadelphia, Pa.)

    2013  Volume 33, Issue 8, Page(s) 1503–1511

    Abstract: Background: Symptomatic vitreomacular adhesion describes symptomatic loss of visual function as a result of vitreous traction at the macula.: Methods: Literature review.: Results: Symptomatic vitreomacular adhesion can occur in isolation as ... ...

    Abstract Background: Symptomatic vitreomacular adhesion describes symptomatic loss of visual function as a result of vitreous traction at the macula.
    Methods: Literature review.
    Results: Symptomatic vitreomacular adhesion can occur in isolation as vitreomacular traction, which may lead to the development of a macular hole, or it may occur alongside epiretinal membrane. It is likely to be associated with age-related macular degeneration and possibly diabetic maculopathy, although this is less certain. The treatment depends largely on the cause, but options include observation, vitrectomy, and pharmacologic vitreolysis. Small uncontrolled trials have also explored the use of an intravitreal gas bubble as a means of releasing VMA. If all cases of sVMA are considered together, then the burden of illness is substantial, with a prevalence of ∼0.35 per 100 population (excluding epiretinal membrane). Furthermore, there may be many more cases of undiagnosed sVMA.
    Conclusion: The recent introduction of ocriplasmin is likely to increase interest in sVMA. Clinical trials suggest that it has a role in the treatment of vitreomacular traction and Stages 1 to 3 macular holes but not primarily as a treatment of epiretinal membrane. Its role in other diseases associated with VMA remains to be determined.
    MeSH term(s) Blindness/etiology ; Eye Diseases/complications ; Eye Diseases/diagnosis ; Eye Diseases/surgery ; Humans ; Macula Lutea/pathology ; Retinal Diseases/complications ; Retinal Diseases/diagnosis ; Retinal Diseases/surgery ; Tissue Adhesions ; Vitreous Body/pathology
    Language English
    Publishing date 2013-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 603192-4
    ISSN 1539-2864 ; 0275-004X
    ISSN (online) 1539-2864
    ISSN 0275-004X
    DOI 10.1097/IAE.0b013e31829232fd
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1724: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Vitreous attachment in age-related macular degeneration, diabetic macular edema, and retinal vein occlusion: a systematic review and metaanalysis.

    Jackson, Timothy L / Nicod, Elena / Angelis, Aris / Grimaccia, Federico / Prevost, A Toby / Simpson, Andrew R H / Kanavos, Panos

    Retina (Philadelphia, Pa.)

    2013  Volume 33, Issue 6, Page(s) 1099–1108

    Abstract: Purpose: To determine if there is an association of vitreous attachment and wet age-related macular degeneration (AMD), diabetic macular edema, and retinal vein occlusion.: Methods: Systematic review and metaanalysis.: Results: Sixteen of 1,025 ... ...

    Abstract Purpose: To determine if there is an association of vitreous attachment and wet age-related macular degeneration (AMD), diabetic macular edema, and retinal vein occlusion.
    Methods: Systematic review and metaanalysis.
    Results: Sixteen of 1,025 articles were eligible. In wet AMD, the prevalence of vitreomacular adhesion and posterior vitreous detachment was 23% (654 eyes) and 41% (251), respectively. Vitreomacular adhesion prevalence was 2.15 times that of controls (95% confidence interval, 1.34-3.48; p = 0.002) and 2.54 times that of dry AMD (confidence interval, 0.88-7.36; p 0.09); posterior vitreous detachment prevalence was lower than controls (relative risk 0.77; confidence interval, 0.64-0.93; p = 0.007) and dry AMD (0.56; confidence interval, 0.27-1.14; p = 0.11). It was not possible to determine the prevalence of vitreous attachment in diabetic macular edema, but vitreomacular traction was present in 29% of 188 surgical cases. The prevalence of posterior vitreous detachment in eyes with central and branch retinal vein occlusion was 30% (56 eyes) and 31% (71 eyes), respectively, versus 25% (64 eyes) in controls.
    Conclusion: Observational studies of sufficient quality indicate that eyes with wet AMD have double the expected prevalence of vitreomacular adhesion and are less likely to have a posterior vitreous detachment. More controlled studies of diabetic macular edema and retinal vein occlusion are needed.
    MeSH term(s) Diabetic Retinopathy/epidemiology ; Humans ; Macular Edema/epidemiology ; Prevalence ; Retinal Vein Occlusion/epidemiology ; Tissue Adhesions/epidemiology ; Vitreous Detachment/epidemiology ; Wet Macular Degeneration/epidemiology
    Language English
    Publishing date 2013-06
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 603192-4
    ISSN 1539-2864 ; 0275-004X
    ISSN (online) 1539-2864
    ISSN 0275-004X
    DOI 10.1097/IAE.0b013e31828991d6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1724: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Pars plana vitrectomy for vitreomacular traction syndrome: a systematic review and metaanalysis of safety and efficacy.

    Jackson, Timothy L / Nicod, Elena / Angelis, Aris / Grimaccia, Federico / Prevost, Andrew T / Simpson, Andrew R H / Kanavos, Panos

    Retina (Philadelphia, Pa.)

    2013  Volume 33, Issue 10, Page(s) 2012–2017

    Abstract: Purpose: To determine the safety and efficacy of pars plana vitrectomy for vitreomacular traction.: Methods: Articles reporting visual acuity change before and after pars plana vitrectomy were selected using a systematic literature review with ... ...

    Abstract Purpose: To determine the safety and efficacy of pars plana vitrectomy for vitreomacular traction.
    Methods: Articles reporting visual acuity change before and after pars plana vitrectomy were selected using a systematic literature review with predefined eligibility criteria. Visual acuities were converted to logarithm of the minimum angle of resolution (logMAR), weighted for study size, and pooled across studies. Safety outcomes were also pooled across studies.
    Results: Twenty-one of 460 articles were eligible. Mean (±standard deviation) logMAR visual acuity improved from 0.67 ± 0.55 to 0.42 ± 0.45 (n = 259 eyes) after pars plana vitrectomy (from 20/94 to 20/53 Snellen). In series of at least 20 eyes, mean visual acuity improved in all 5 studies (sign test, P = 0.0625). Of 392 eyes, 9.2% lost visual acuity, 11.7% were unchanged, and 64.3% improved; 32.9% of 217 eyes gained ≥2 Snellen lines. The most common postoperative complications were cataract (34.7% of 304 eyes; 63.2% of 68 phakic eyes), epiretinal membrane (5.7% of 348 eyes), and retinal detachment (4.6% of 348 eyes). Cataract surgery was undertaken in 10.5% of eyes.
    Conclusion: The visual acuity gains after pars plana vitrectomy for vitreomacular traction are relatively modest, but visual acuity change may not fully reflect symptomatic relief.
    MeSH term(s) Eye Diseases/surgery ; Humans ; Retinal Diseases/surgery ; Tissue Adhesions/surgery ; Treatment Outcome ; Visual Acuity/physiology ; Vitrectomy ; Vitreous Body/surgery
    Language English
    Publishing date 2013-11
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 603192-4
    ISSN 1539-2864 ; 0275-004X
    ISSN (online) 1539-2864
    ISSN 0275-004X
    DOI 10.1097/IAE.0b013e3182a6b3e2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1724: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Direct cost of pars plana vitrectomy for the treatment of macular hole, epiretinal membrane and vitreomacular traction: a bottom-up approach.

    Nicod, Elena / Jackson, Timothy L / Grimaccia, Federico / Angelis, Aris / Costen, Marc / Haynes, Richard / Hughes, Edward / Pringle, Edward / Zambarakji, Hadi / Kanavos, Panos

    The European journal of health economics : HEPAC : health economics in prevention and care

    2016  Volume 17, Issue 8, Page(s) 991–999

    Abstract: Purpose: The direct cost to the National Health Service (NHS) in England of pars plana vitrectomy (PPV) is unknown since a bottom-up costing exercise has not been undertaken. Healthcare resource group (HRG) costing relies on a top-down approach. We ... ...

    Abstract Purpose: The direct cost to the National Health Service (NHS) in England of pars plana vitrectomy (PPV) is unknown since a bottom-up costing exercise has not been undertaken. Healthcare resource group (HRG) costing relies on a top-down approach. We aimed to quantify the direct cost of intermediate complexity PPV.
    Methods: Five NHS vitreoretinal units prospectively recorded all consumables, equipment and staff salaries during PPV undertaken for vitreomacular traction, epiretinal membrane and macular hole. Out-of-surgery costs between admission and discharge were estimated using a representative accounting method.
    Results: The average patient time in theatre for 57 PPVs was 72 min. The average in-surgery cost for staff was £297, consumables £619, and equipment £82 (total £997). The average out-of-surgery costs were £260, including nursing and medical staff, other consumables, eye drops and hospitalisation. The total cost was therefore £1634, including 30 % overheads. This cost estimate was an under-estimate because it did not include out-of-theatre consumables or equipment. The average reimbursed HRG tariff was £1701.
    Conclusions: The cost of undertaking PPV of intermediate complexity is likely to be higher than the reimbursed tariff, except for hospitals with high throughput, where amortisation costs benefit from economies of scale. Although this research was set in England, the methodology may provide a useful template for other countries.
    MeSH term(s) England ; Epiretinal Membrane ; Equipment and Supplies, Hospital/economics ; Health Care Costs ; Hospital Costs/statistics & numerical data ; Humans ; Personnel, Hospital/economics ; Retinal Perforations/economics ; Retinal Perforations/surgery ; State Medicine ; Vitrectomy/economics
    Language English
    Publishing date 2016-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2045253-6
    ISSN 1618-7601 ; 1618-7598
    ISSN (online) 1618-7601
    ISSN 1618-7598
    DOI 10.1007/s10198-015-0741-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5475: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article: Direct cost of pars plana vitrectomy for the treatment of macular hole, epiretinal membrane and vitreomacular traction

    Nicod, Elena / Angelis, Aris / Costen, Marc / Grimaccia, Federico / Haynes, Richard / Hughes, Edward / Jackson, Timothy L / Kanavos, Panos / Pringle, Edward / Zambarakji, Hadi

    The European journal of health economics : HEPAC : health economics in prevention and care Vol. 17, No. 8 , p. 991-999

    a bottom-up approach

    2016  Volume 17, Issue 8, Page(s) 991–999

    Author's details Elena Nicod, Timothy L. Jackson, Federico Grimaccia, Aris Angelis, Marc Costen, Richard Haynes, Edward Hughes, Edward Pringle, Hadi Zambarakji, Panos Kanavos
    Keywords Cost ; Macular hole ; Epiretinal membrane ; Vitreomacular traction ; Pars plana vitrectomy
    Language English
    Publisher Springer
    Publishing place Berlin
    Document type Article
    ZDB-ID 2045253-6
    ISSN 1618-7601 ; 1618-7598
    ISSN (online) 1618-7601
    ISSN 1618-7598
    Database ECONomics Information System

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    In stock of ZB MED Cologne/Königswinter

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