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  1. Article ; Online: Editorial

    Stefano Orlando

    Frontiers in Public Health, Vol

    Insights in disaster and emergency medicine: 2022

    2023  Volume 11

    Keywords disaster and emergency medicine ; climate change ; intersectoral collaboration ; trauma care ; multidisciplinary approach ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Editorial

    Shanquan Chen / Chi Kin Law / Wai-kit Ming / Stefano Orlando

    Frontiers in Public Health, Vol

    Addressing the sustainable development goals “leave no one behind” promise: migration and health

    2023  Volume 11

    Keywords migration ; urban-rural dual division system ; people-centered integrated care ; medical insurance ; internal migrant men who have sex with men ; rare diseases ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Epidemiological transition and double burden of diseases in low-income countries

    Fausto Ciccacci / Stefano Orlando / Noorjehan Majid / Cristina Marazzi

    The Pan African Medical Journal, Vol 37, Iss

    the case of Mozambique

    2020  Volume 49

    Abstract: Epidemiological transition theory aims to describe changes in epidemiological scenarios at the global and national level. The assumption is the shift from infectious diseases (IDs) to non-communicable diseases (NCDs). Some authors argue that this theory ... ...

    Abstract Epidemiological transition theory aims to describe changes in epidemiological scenarios at the global and national level. The assumption is the shift from infectious diseases (IDs) to non-communicable diseases (NCDs). Some authors argue that this theory failed to describe epidemiology in sub-Saharan Africa. We considered the case of Mozambique, where is occurring a rapid demographic change, with dramatic growth of the population. According to the data, we concluded that NCDs are increasing in Mozambique, but due to the vast predominance of IDs, a double burden of disease model is more accurate to describe the actual epidemiological context of the country. Consequently, health funding focusing on IDs should take into account the concomitant epidemiological scenario and try to encompass other health challenges.
    Keywords epidemiological transition ; double burden of diseases ; mozambique ; Medicine ; R
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Is social connectedness a risk factor for the spreading of COVID-19 among older adults? The Italian paradox.

    Giuseppe Liotta / Maria Cristina Marazzi / Stefano Orlando / Leonardo Palombi

    PLoS ONE, Vol 15, Iss 5, p e

    2020  Volume 0233329

    Abstract: Italy was one of the first European countries affected by the new coronavirus (COVID-19) pandemic, with over 105,000 infected people and close to 13,000 deaths, until March 31st. The pandemic has hit especially hard because of the country's demographic ... ...

    Abstract Italy was one of the first European countries affected by the new coronavirus (COVID-19) pandemic, with over 105,000 infected people and close to 13,000 deaths, until March 31st. The pandemic has hit especially hard because of the country's demographic structure, with a high percentage of older adults. The authors explore the possibility, recently aired in some studies, of extensive intergenerational contact as a possible determinant of the severity of the pandemic among the older Italian adults. We analyzed several variables to test this hypothesis, such as the percentage of infected patients aged >80 years, available nursing home beds, COVID-19 incidence rate, and the number of days from when the number of positive tests exceeded 50 (epidemic maturity). We also included in the analysis mean household size and percentage of households comprising one person, in the region. Paradoxically, the results are opposite of what was previously reported. The pandemic was more severe in regions with higher family fragmentation and increased availability of residential health facilities.
    Keywords Medicine ; R ; Science ; Q ; covid19
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Characteristics of nursing homes and early preventive measures associated with risk of infection from COVID-19 in Lazio region, Italy

    Leonardo Palombi / Alessio Abbondanzieri / Stefano Orlando / Tuba Mazhari / Gennaro Cerone / Fausto Ciccacci / Giuseppe Liotta / Sandro Mancinelli / Maria Cristina Marazzi

    BMJ Open, Vol 12, Iss

    a retrospective case–control study

    2022  Volume 6

    Keywords Medicine ; R
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Improving Male Partner Involvement in HIV-Positive Women's Care Through Behavioral Change Interventions in Malawi (WeMen Study)

    Isotta Triulzi / Fausto Ciccacci / Ilaria Palla / Bryan Mthiko / Darlington Thole / Maria Cristina Marazzi / Leonardo Palombi / Giuseppe Turchetti / Stefano Orlando

    Frontiers in Public Health, Vol

    A Prospective, Controlled Before-and-After Study

    2022  Volume 10

    Abstract: Several strategies and interventions have been implemented to improve male partner involvement (MI) in Sub-Saharan Africa, but evidence on successful interventions is scarce. This controlled before-and-after intervention study aims to evaluate the impact ...

    Abstract Several strategies and interventions have been implemented to improve male partner involvement (MI) in Sub-Saharan Africa, but evidence on successful interventions is scarce. This controlled before-and-after intervention study aims to evaluate the impact of three interventions on male partners' involvement in HIV+ women's care in Malawi. We piloted these three interventions: the organization of a special day for men, the deployment of male champions in communities to increase awareness on MI, and the delivery of an incentive (food package) for couples attending the facility. We observed a significant increase in the number of women accompanied by their partners (from 48.5 to 81.4%) and the number of women feeling safe at home (from 63.5 to 95.2%) after the special day intervention. This outcome increased after the deployment of male champions in communities (from 44.0 to 75.0%). No significant improvement was observed in the site where we delivered the incentive to couples. Our findings showed that the special day for men and the use of male champions might effectively increase the male involvement in the health of their female partners.
    Keywords men's role ; AIDS ; HIV ; intervention study ; health education ; gender ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-07-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Understanding the meanings of male partner support in the adherence to therapy among HIV-positive women

    Isotta Triulzi / Claire Somerville / Salimu Sangwani / Ilaria Palla / Stefano Orlando / Hawa Sangare Mamary / Fausto Ciccacci / Maria Cristina Marazzi / Giuseppe Turchetti

    Global Health Action, Vol 15, Iss

    a gender analysis

    2022  Volume 1

    Abstract: Background Previous literature reports that low male partner support is a barrier to women’s adherence and retention in HIV care programs. Objective This qualitative study explored the relationships between partners to understand what is meant by male ... ...

    Abstract Background Previous literature reports that low male partner support is a barrier to women’s adherence and retention in HIV care programs. Objective This qualitative study explored the relationships between partners to understand what is meant by male partner support in adherence of HIV-positive women in four healthcare facilities in Southern Malawi. Methods We conducted 8 semi-structured focus group discussions (FGDs) with 73 participants (40 men and 33 women) and 10 in-depth interviews (IDIs) between August 2018 to December 2019. Participants were HIV-positive patients, healthcare workers (HCWs), expert patients (EPs), and couples attending the clinic. All data were digitally recorded, transcribed verbatim, and analysed using a gender-responsive grounded theory approach. Results This study confirms previous literature, which suggests male partner support is expressed by providing access to transport to the clinic and accompaniment to appointments. However, we found that men can also control access to resources and decision-making. Support is more complex than previous literature reported and, in some cases, gender norms significantly limit women’s capacity to engage in care independently of male support since women need male partner permission to access the resources to attend clinics. Conclusions This paper suggests that restrictive male-partner gender norms limit women’s power to engage in care. Most importantly, the gender analysis reveals that what previous literature describes as male partner support can sometimes hide male partner control in permitting access to resources to attend health facilities. For this reason, policies enhancing male support should consider the gender power relationship between partners to avoid reinforcing gender inequality.
    Keywords gender ; hiv/aids ; sexual and reproductive health ; partner’s support ; male involvement ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Does the Coronavirus (COVID-19) Pandemic Call for a New Model of Older People Care?

    Leonardo Palombi / Giuseppe Liotta / Stefano Orlando / Leonardo Emberti Gialloreti / Maria Cristina Marazzi

    Frontiers in Public Health, Vol

    2020  Volume 8

    Keywords novel coronavirus SARS-CoV-2 ; coronavirus disease 2019 ; COVID-19 ; Italy ; older people ; frailty ; Public aspects of medicine ; RA1-1270 ; covid19
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: COVID-19 infection rate and mortality in a local health authority in Italy

    Stefano Orlando / Carolina de Santo / Claudia Mosconi / Francesca Di Gaspare / Pelagia Chatzichristou / Leonardo Emberti Gialloreti / Fausto Ciccacci / Laura Morciano / Donatella Varrenti / Giuseppe Liotta / Leonardo Palombi

    Public Health in Practice, Vol 6, Iss , Pp 100448- (2023)

    Differences between home-dwelling and residential older adults

    2023  

    Abstract: Objectives: The health emergency following the COVID-19 pandemic has seen hospital structures collapse and put in crisis nursing homes and other long-term care facilities worldwide. Our study aims to analyze and comparing the data relating to the ... ...

    Abstract Objectives: The health emergency following the COVID-19 pandemic has seen hospital structures collapse and put in crisis nursing homes and other long-term care facilities worldwide. Our study aims to analyze and comparing the data relating to the infection rate and mortality for COVID-19 in the elderly over 75 living in the long-term care facilities and in the home-dwelling population. Study design: The study adopts a retrospective cohort design and was conducted in Italy, in the Lazio region, in the area of the Local Health Authority (LHA) named “Azienda Sanitaria Locale Roma 6”. Methods: Data were extracted from the COVID-19 surveillance system of the Lazio region. The primary outcome is the SARS-CoV-2 incidence rate in the period between 1st September 2020 and 31st May 2021. The secondary outcome is the mortality rate. Results: Living in a residential versus a home-dwelling setting was associated with a higher infection rate (OR 5.03, CI 4.67–5.43; p < 0.001). The mortality rate was higher for individuals living in a residential setting (19.3 %, CI 17.1%–21.7 %) than those living at home (13.0 %, CI 11.7%–14.5 %). Conclusions: These findings confirm the high mortality in Long-Term Care Facilities and provide new information on the infection rate. The containment measures adopted in the Long-Term Care Facilities during the COVID-19 pandemic, show limited correlation with reduced risk of contagion, but could have created unintended harm for the residents by increasing the social isolation and all other causes of mortality.
    Keywords COVID-19 ; Elderly people ; Long term care ; Mortality rate ; Risk of infection ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Hypercholesterolemia and related risk factors in a cohort of patients with diabetes and hypertension in Maputo, Mozambique

    Fausto Ciccacci / Noorjehan Majid / Sandro Petrolati / Mustafa Agy / Cacilda Massango / Stefano Orlando / Giovanni Guidotti / Paola Scarcella / Maria Cristina Marazzi

    The Pan African Medical Journal, Vol 38, Iss

    2021  Volume 102

    Abstract: INTRODUCTION: Some studies reported that 25.5% of African population presents hypercholesterolemia; however, epidemiology of hypercholesterolemia in Africa is poorly described. Mozambique is experiencing a constant growth of non-communicable diseases, ... ...

    Abstract INTRODUCTION: Some studies reported that 25.5% of African population presents hypercholesterolemia; however, epidemiology of hypercholesterolemia in Africa is poorly described. Mozambique is experiencing a constant growth of non-communicable diseases, but scarce data are available about hypercholesterolemia. Our study aims at describing the prevalence of hypercholesterolemia in patients with diabetes and hypertension in Mozambique and investigate possible risk factors. METHODS: we conducted a cross-sectional study involving all the patients diagnosed with hypertension and/or diabetes from June 2018 to November 2020 in the Zimpeto DREAM Centre (Maputo, Mozambique). For each patient, anthropometric, clinical and laboratory data were collected. Hypercholesterolemia was defined as total blood cholesterol 200 mg/dL. Univariable and multivariable analysis were performed. RESULTS: a total of 885 patients were included, 76.2% (n=674) female. Hypertension alone was diagnosed in 670 (75.7%) patients, diabetes in 109 (12.3%) patients and 106 (11.9%) both diseases. Hypercholesterolemia was present in 410 (46.3%) patients and it was more prevalent in patients diagnosed with both diabetes and hypertension (52.8%), as compared to the patients diagnosed with hypertension (46.9%) or diabetes alone (36.7%). In the multivariable analysis, the only factors independently associated with hypercholesterolemia were female sex (aOR 1.77, 95% CI 1.26-2.48, p=0.001) and a body mass index =25kg/m 2 (aOR 1.50, 95% CI 1.11-2.04, p=0.008). CONCLUSION: our results highlight the need for a specific focus on female and obese/overweight patients, especially if diagnosed with both hypertension and diabetes, to promptly detect metabolic disorders and establish temporary preventive measures for cardiovascular events.
    Keywords hypercholesterolemia ; non-communicable diseases ; cardiovascular risk factor ; Medicine ; R
    Subject code 610 ; 616
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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