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Article ; Online: Appreciation by migrants of the health care assistance provided by apulian family doctors

Ignazio Grattagliano / Filippo Anelli

Journal of Community Health Research, Vol 10, Iss 3, Pp 264-

2021 Volume 269

Abstract: Introduction: Health promotion is the highest level of human sensitivity directed to break down differences and produce equal opportunities for unselected people to enjoy the best health care potential. This study aimed to evaluate the quality of the ... ...

Abstract	Introduction: Health promotion is the highest level of human sensitivity directed to break down differences and produce equal opportunities for unselected people to enjoy the best health care potential. This study aimed to evaluate the quality of the assistance provided to immigrants by Italian general practitioners (GPs), the level of satisfaction declared by migrants, and the perception of GPs about the needs of migrants. Methods: A survey was conducted. Both immigrant patients (regular and illegal) and some Italian GPs filled a questionnaire. Ten GPs were selected among those available to perform the study by a convenience sampling method; the immigrants were consecutively included among those attending the medical offices. Results: Over 90% (n = 66) of immigrants declared to be fully satisfied with the overall assistance provided with easy access to care. GPs declared no problems in assisting even illegal immigrants and suggested the accurate evaluation of patients’ needs to provide successful care. Conclusions: These findings indicate the importance of promoting health and education as provided by Italian GPs. The satisfaction declared by the interviewed immigrants is mainly attributable to the model of assistance provided in Apulia, which includes interventions for any health problem
Keywords	family doctors ; migrants ; primary care ; italian health service ; Public aspects of medicine ; RA1-1270
Subject code	300
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	Shahid Sadoughi University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Rolling e-learning: an educational model to support Italian healthcare professionals during the COVID-19 pandemic.

Pregliasco, Fabrizio Ernesto / Valetto, Maria Rosa / Anelli, Filippo / Moretti, Ugo / Scarpa, Nicoletta / Dri, Pietro

Acta bio-medica : Atenei Parmensis

2023 Volume 94, Issue S3, Page(s) e2023123

Abstract: Background and aim: Rolling reviews have been widely used by the scientific community during the COVID-19 pandemic to provide guidelines and identify potential treatments in such a quickly evolving emergency. Throughout the two pandemic years, we ... ...

Abstract	Background and aim: Rolling reviews have been widely used by the scientific community during the COVID-19 pandemic to provide guidelines and identify potential treatments in such a quickly evolving emergency. Throughout the two pandemic years, we provided independent and continuously updated (rolling) e-learning courses on COVID-19 targeted to Italian healthcare professionals with the aim of increasing dissemination based on the emerging evidence. The results of this project are presented in this brief report. Methods: We launched five main courses on COVID-19 - with focus on treatments and vaccines - from February 2020 to December 2022. For each course, we collected and analised participation data and, via questionnaires, customer-satisfaction data on relevance, quality, efficacy and sponsor perception. Results: From 22 February 2020 to 31 December 2022, a total of 224,459 enrollments were registered over the five courses with 192,966 passes (86%), for which Continuing Medical Education (CME) credits were awarded. Over 94% of participants considered the contents of high quality, relevant and effective for their educational needs. The absence of sponsorship perception, 83% overall, decreased relevantly for the two courses on COVID-19 vaccines (68.3%). Conclusions: Italian healthcare professionals working during the pandemic overwhelmingly appreciated and valued the rolling e-learning offer aimed at widening the dissemination of the best practices on COVID-19. This educational model provides independent, evidence-based and tailored information with the undoubted advantages of time flexibility, remote participation and continuous update, all elements that make it a useful tool in a pandemic as well as in a post-pandemic era.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; COVID-19 Vaccines ; Models, Educational ; Computer-Assisted Instruction ; Delivery of Health Care
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-08-30
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v94iS3.14204
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Article: A Web Tool to Help Counter the Spread of Misinformation and Fake News: Pre-Post Study Among Medical Students to Increase Digital Health Literacy.

Moretti, Valentina / Brunelli, Laura / Conte, Alessandro / Valdi, Giulia / Guelfi, Maria Renza / Masoni, Marco / Anelli, Filippo / Arnoldo, Luca

JMIR medical education

2023 Volume 9, Page(s) e38377

Abstract: Background: The COVID-19 pandemic was accompanied by the spread of uncontrolled health information and fake news, which also quickly became an infodemic. Emergency communication is a challenge for public health institutions to engage the public during ... ...

Abstract	Background: The COVID-19 pandemic was accompanied by the spread of uncontrolled health information and fake news, which also quickly became an infodemic. Emergency communication is a challenge for public health institutions to engage the public during disease outbreaks. Health professionals need a high level of digital health literacy (DHL) to cope with difficulties; therefore, efforts should be made to address this issue starting from undergraduate medical students. Objective: The aim of this study was to investigate the DHL skills of Italian medical students and the effectiveness of an informatics course offered by the University of Florence (Italy). This course focuses on assessing the quality of medical information using the "dottoremaeveroche" (DMEVC) web resource offered by the Italian National Federation of Orders of Surgeons and Dentists, and on health information management. Methods: A pre-post study was conducted at the University of Florence between November and December 2020. First-year medical students participated in a web-based survey before and after attending the informatics course. The DHL level was self-assessed using the eHealth Literacy Scale for Italy (IT-eHEALS) tool and questions about the features and quality of the resources. All responses were rated on a 5-point Likert scale. Change in the perception of skills was assessed using the Wilcoxon test. Results: A total of 341 students participated in the survey at the beginning of the informatics course (women: n=211, 61.9%; mean age 19.8, SD 2.0) and 217 of them (64.2%) completed the survey at the end of the course. At the first assessment, the DHL level was moderate, with a mean total score of the IT-eHEALS of 2.9 (SD 0.9). Students felt confident about finding health-related information on the internet (mean score of 3.4, SD 1.1), whereas they doubted the usefulness of the information they received (mean score of 2.0, SD 1.0). All scores improved significantly in the second assessment. The overall mean score of the IT-eHEALS significantly increased (P<.001) to 4.2 (SD 0.6). The item with the highest score related to recognizing the quality of health information (mean score of 4.5, SD 0.7), whereas confidence in the practical application of the information received remained the lowest (mean of 3.7, SD 1.1) despite improvement. Almost all students (94.5%) valued the DMEVC as an educational tool. Conclusions: The DMEVC tool was effective in improving medical students' DHL skills. Effective tools and resources such as the DMEVC website should be used in public health communication to facilitate access to validated evidence and understanding of health recommendations.
Language	English
Publishing date	2023-04-18
Publishing country	Canada
Document type	Journal Article
ISSN	2369-3762
ISSN	2369-3762
DOI	10.2196/38377
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Article ; Online: X-rays radiomics-based machine learning classification of atypical cartilaginous tumour and high-grade chondrosarcoma of long bones.

Gitto, Salvatore / Annovazzi, Alessio / Nulle, Kitija / Interlenghi, Matteo / Salvatore, Christian / Anelli, Vincenzo / Baldi, Jacopo / Messina, Carmelo / Albano, Domenico / Di Luca, Filippo / Armiraglio, Elisabetta / Parafioriti, Antonina / Luzzati, Alessandro / Biagini, Roberto / Castiglioni, Isabella / Sconfienza, Luca Maria

EBioMedicine

2024 Volume 101, Page(s) 105018

Abstract: Background: Atypical cartilaginous tumour (ACT) and high-grade chondrosarcoma (CS) of long bones are respectively managed with active surveillance or curettage and wide resection. Our aim was to determine diagnostic performance of X-rays radiomics-based ...

Abstract	Background: Atypical cartilaginous tumour (ACT) and high-grade chondrosarcoma (CS) of long bones are respectively managed with active surveillance or curettage and wide resection. Our aim was to determine diagnostic performance of X-rays radiomics-based machine learning for classification of ACT and high-grade CS of long bones. Methods: This retrospective, IRB-approved study included 150 patients with surgically treated and histology-proven lesions at two tertiary bone sarcoma centres. At centre 1, the dataset was split into training (n = 71 ACT, n = 24 high-grade CS) and internal test (n = 19 ACT, n = 6 high-grade CS) cohorts, respectively, based on the date of surgery. At centre 2, the dataset constituted the external test cohort (n = 12 ACT, n = 18 high-grade CS). Manual segmentation was performed on frontal view X-rays, using MRI or CT for preliminary identification of lesion margins. After image pre-processing, radiomic features were extracted. Dimensionality reduction included stability, coefficient of variation, and mutual information analyses. In the training cohort, after class balancing, a machine learning classifier (Support Vector Machine) was automatically tuned using nested 10-fold cross-validation. Then, it was tested on both the test cohorts and compared to two musculoskeletal radiologists' performance using McNemar's test. Findings: Five radiomic features (3 morphology, 2 texture) passed dimensionality reduction. After tuning on the training cohort (AUC = 0.75), the classifier had 80%, 83%, 79% and 80%, 89%, 67% accuracy, sensitivity, and specificity in the internal (temporally independent) and external (geographically independent) test cohorts, respectively, with no difference compared to the radiologists (p ≥ 0.617). Interpretation: X-rays radiomics-based machine learning accurately differentiates between ACT and high-grade CS of long bones. Funding: AIRC Investigator Grant.
MeSH term(s)	Humans ; Retrospective Studies ; X-Rays ; Radiomics ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/pathology ; Chondrosarcoma/diagnostic imaging ; Chondrosarcoma/pathology ; Magnetic Resonance Imaging/methods ; Machine Learning
Language	English
Publishing date	2024-02-19
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2851331-9
ISSN	2352-3964
ISSN (online)	2352-3964
DOI	10.1016/j.ebiom.2024.105018
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Article ; Online: Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak.

Anelli, Filippo / Leoni, Giovanni / Monaco, Roberto / Nume, Cosimo / Rossi, Roberto Carlo / Marinoni, Guido / Spata, Gianluigi / De Giorgi, Donato / Peccarisi, Luigi / Miani, Alessandro / Burgio, Ernesto / Gentile, Ivan / Colao, Annamaria / Triassi, Maria / Piscitelli, Prisco

BMJ (Clinical research ed.)

2020 Volume 368, Page(s) m1254

Keywords	covid19
Language	English
Publishing date	2020-03-26
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.m1254
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Article ; Online: Liver resection versus radiofrequency ablation in octogenarian patients for hepatocellular carcinoma: a propensity score multicenter analysis.

Filippo, Rosalinda / Conticchio, Maria / Ratti, Francesca / Inchingolo, Riccardo / Gelli, Maximiliano / Anelli, Ferdinando Massimiliano / Laurent, Alexis / Vitali, Giulio Cesare / Magistri, Paolo / Assirati, Giacomo / Felli, Emanuele / Wakabayashi, Taiga / Pessaux, Patrick / Piardi, Tullio / Di Benedetto, Fabrizio / de'Angelis, Nicola / Briceno, Delgado Francisco Javier / Rampoldi, Antonio Gaetano / Adam, Renè /

Cherqui, Daniel / Aldrighetti, Luca / Memeo, Riccardo

Surgical endoscopy

2022 Volume 37, Issue 4, Page(s) 3029–3036

Abstract: Background: Liver resection (LR) and radiofrequency ablation (RFA) are considered curative options for hepatocellular carcinoma (HCC). The aim of this study was to compare outcomes after LR and RFA in octogenarian patients with HCC.: Materials and ... ...

Abstract	Background: Liver resection (LR) and radiofrequency ablation (RFA) are considered curative options for hepatocellular carcinoma (HCC). The aim of this study was to compare outcomes after LR and RFA in octogenarian patients with HCC. Materials and methods: This multicenter retrospective study included 102 elderly patients (> 80 years old) treated between January 2009 and January 2019, who underwent LR or RFA for HCC (65 and 37 with, respectively). Results: After Propensity Score Matching, the postoperative course of LR was burdened by a higher rate of complications than RFA group (64% vs 14%, respectively, p: 0.001). The LR group had also significantly longer operative time (207 ± 85 min vs 33 ± 49 min, p < 0.001) and postoperative hospital stays than the RFA group (7 d vs 2 d, p = 0.019). Overall survival at 1-, 2-, and 3-year were 86%, 86%, and 70% for the LR group and 82%, 64%, and 52% for the RFA group (p = 0.380). Disease-free survival at 1-, 2-, and 3-year were 89%, 74%, and 56% for the LR group, and 51%, 40%, and 40% for the RFA group (p = 0.037). Conclusion: Despite a higher rate of Dindo-Clavien I-II post-operative complications, a longer operative time and length of hospital stay, LR in octogenarian patients can provide comparable 90d mortality than RFA and better long-term outcomes.
MeSH term(s)	Aged, 80 and over ; Humans ; Aged ; Carcinoma, Hepatocellular ; Liver Neoplasms ; Propensity Score ; Retrospective Studies ; Octogenarians ; Treatment Outcome ; Catheter Ablation ; Radiofrequency Ablation ; Hepatectomy/adverse effects
Language	English
Publishing date	2022-12-19
Publishing country	Germany
Document type	Multicenter Study ; Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-022-09826-2
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Book ; Online: Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak

2020

Keywords	LETTERS ; covid19
Language	English
Publishing date	2020-03-26 07:30:57.0
Publisher	BMJ Publishing Group Ltd
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak

BMJ

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #15938
Database	COVID19

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Article ; Online: Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak

BMJ

2020 , Page(s) m1254

Keywords	covid19
Language	English
Publisher	BMJ
Publishing country	uk
Document type	Article ; Online
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.m1254
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Article ; Online: Complications of orbital floor repair with silastic sheet: the skin fistula.

Aboh, Ikenna Valentine / Chisci, Glauco / Gennaro, Paolo / Giovannetti, Filippo / Bartoli, Davina / Priore, Paolo / Anelli, Andrea / Iannetti, Giorgio

The Journal of craniofacial surgery

2013 Volume 24, Issue 4, Page(s) 1288–1291

Abstract: Treatment of orbital floor fracture is a subject of great interest in maxillofacial surgery. Many materials have been described for its reconstruction.In this article, the authors report a case of a patient who, 7 years from a previous orbital floor ... ...

Abstract	Treatment of orbital floor fracture is a subject of great interest in maxillofacial surgery. Many materials have been described for its reconstruction.In this article, the authors report a case of a patient who, 7 years from a previous orbital floor fracture and treatment with silastic sheet, presented herself to their clinic for the failure of the material used for its reconstruction and a skin fistula.Orbital floor repair with silastic sheet is an old method that no one uses anymore, but we still observe cases of late complications with this material. So a fine knowledge of silastic sheet complications is needed for young surgeons.The authors report the case and perform a literature review about the use of more modern biomaterials for orbital floor reconstruction.
MeSH term(s)	Adult ; Bone Substitutes ; Cutaneous Fistula/diagnosis ; Cutaneous Fistula/surgery ; Dimethylpolysiloxanes/adverse effects ; Female ; Follow-Up Studies ; Humans ; Orbit/surgery ; Orbital Fractures/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/surgery ; Prostheses and Implants/adverse effects ; Prosthesis Failure ; Reoperation ; Tomography, X-Ray Computed
Chemical Substances	Bone Substitutes ; Dimethylpolysiloxanes ; osteobiol ; baysilon (63148-62-9)
Language	English
Publishing date	2013-07
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0b013e318293f921
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