Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 7 de 7
Filter
1.
European journal of public health ; 32(Suppl 3), 2022.
Article in English | EuropePMC | ID: covidwho-2101944

ABSTRACT

Background In the occasion of COVID-19 pandemic in Italy, the life of citizens was greatly disrupted - from healthcare professionals to the smart workers - and consequently also the state of mood. On the basis of the scientific evidences in relation to the relationship between the built environment and health, a research group has promoted an investigation on the benefits that greenery can have on the psychophysical state of the users, especially healthcare staff and users at home. Objectives The methodology adopted is the Profile of Mood States, which provides experiential activity in nature - without any technological distraction- to evaluate the benefits on mood. The methodology adopted refer to the shorter version (34 items) designed by prof. Grove at the University of Western Australia. In relation to the COVID-19 pandemic, the experience based questionnaire is differentiated for healthcare staff and general users. The questionnaire is composed of a few questions, to be completed before and after an experience in nature of 20/30 minutes. The investigation requires to be carried out in private gardens, balcony and/or terrace with greenery, public green areas, etc. Results 300 participants (subdivided into 225 general users and 75 healthcare professionals) took part in the investigations. Data analysis highlighted the higher performances in anxiety, depression, anger, force, fatigue and confusion, in particular for users who had the experience in garden (-50/70%), and among the healthcare staff the best outcomes are related to who did the investigation during or after the workshift (-60/-90%). Conclusions Although it is well-known the benefits that nature affects positively on well-being and stress level of users, the investigation underlines that brief breaks in the nature - especially in period of great stress such as pandemic - can influence the well-being and mental health of users.

2.
J Eur Acad Dermatol Venereol ; 36(8): 1292-1299, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-1807159

ABSTRACT

BACKGROUND: Moderate-to-severe atopic dermatitis (AD) in the adolescence is a high burden disease, and its treatment can be very challenging due to paucity of approved systemic drugs for this age and their side-effects. Dupilumab was recently approved for treatment of adolescent AD. OBJECTIVES: A multicentre, prospective, real-world study on the effectiveness and safety of dupilumab in adolescents (aged from ≥12 to <18 years) with moderate-to-severe AD was conducted. The main AD clinical phenotypes were also examined. METHODS: Data of adolescents with moderate-to-severe AD treated with dupilumab at label dosage for 16 weeks were collected. Treatment outcome was assessed by EASI, NRS itch, NRS sleep loss and CDLQI scores at baseline and after 16 weeks of treatment. The clinical scores were also evaluated according to clinical phenotypes. RESULTS: One hundred and thirty-nine adolescents were enrolled in the study. Flexural eczema and head and neck eczema were the most frequent clinical phenotypes, followed by hand eczema and portrait-like dermatitis. Coexistence of more than 1 phenotype was documented in 126/139 (88.5%) adolescents. Three patients (2.1%) contracted asymptomatic SARS-CoV-2 infection and 1 of the discontinued dupilumab treatment before the target treatment period. A significant improvement in EASI, NRS itch, NRS sleep loss and CDLQI was observed after 16 weeks of treatment with dupilumab. This outcome was better than that observed in clinical trials. Dupilumab resulted effective in all AD phenotypes, especially in diffuse eczema. Twenty-eight (20.1%) patients reported adverse events, conjunctivitis and flushing being the most frequent. None of patients discontinued dupilumab due to adverse event. CONCLUSIONS: Dupilumab in adolescent AD showed excellent effectiveness at week 16 with consistent improvement of all clinical scores. Moreover, dupilumab showed a good safety profile also in this COVID-19 pandemic era.


Subject(s)
COVID-19 , Dermatitis, Atopic , Eczema , Antibodies, Monoclonal, Humanized , COVID-19/drug therapy , Dermatitis, Atopic/drug therapy , Double-Blind Method , Humans , Pandemics , Prospective Studies , Pruritus , SARS-CoV-2 , Severity of Illness Index , Treatment Outcome
3.
European Journal of Public Health ; 31:2, 2021.
Article in English | Web of Science | ID: covidwho-1609820
4.
European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1515045

ABSTRACT

Background The synergy between territorial services and hospital organizations plays a crucial role for health promotion. Starting from the recent pandemic, the Community Health Centers (CHCs) could turn out particularly efficient in cases of high emergencies, avoiding the overflow of users in the hospital thanks to health home care management or low and medium-care facilities. The aim of the research is to identify evidence based experiences that supports the efficacy of design and management of CHCs, also during pandemics. Methods The methodology is based on the analysis of several European case studies, selected by an extensive analysis of the main EU countries, through a comparative matrix with different criteria related to: a) general information;b) urban relationship with the healthcare territorial network;c) number of inhabitants and population basins;d) building typology, dimensions, flexibility and layout issues;e) healthcare staff involved, the number of workers and volumes of activities;f) sanitary and not sanitary functions before and during the COVID-19 pandemic, and transformations applied. Results The analysis gives rise to several correlations due the localization of CHCs and the healthcare territorial network, dimensions and staff involved, sanitary and not sanitary functions -before and during the pandemic- and the flexibility of the CHCs, that permits to list experience based best practices for the design and management of resilient CHCs, as useful strategic lines for professionals in public health and healthcare design. The survey highlights the strategic role of CHCs for the healthcare territorial network with particular evidence during pandemics. Conclusions The strategies aim to encourage the introduction of CHCs for the access to care for the population. The outcomes of the analysis are related to the research project Cities and Health Community Centers for Resilient Communities funded by PoliSocial Award 2020 of Politecnico di Milano. Key messages definition of design and organizational strategies for Community Health Centers for Resilient Communities in the post-COVID-19 era. qualitative and quantitative data analysis of European Community Health Centers before and during the COVID-19 pandemic.

5.
Postepy Psychiatrii I Neurologii ; 30(2):61-72, 2021.
Article in English | Web of Science | ID: covidwho-1372113

ABSTRACT

Purpose: We aimed to adapt for the Polish language two scales for studies on the psychological consequences of the COVID-19 pandemic - The Fear of COVID-19 Scale (FCV-19S) by Ahorsu et al. and the Scale of Death Anxiety (SDA) by Cai et al. Methods: Besides the FCV-19S and SDA, the Hospital Anxiety and Depression Scale HADS (Zigmond and Snaith), the Perceived Stress Scale (PSS-10) (Cohen et al.), the General Health Questionnaire GHQ-28 (Goldberg), and the Positive Orientation Scale P (Caprara et al.) were used in the study on 756 people aged 18-68 (M = 31.91, SD = 11.30) - 158 men and 598 women. Results: Confirmatory factor analysis confirmed the one-dimensional structure of the Polish adaptation of FCV-19S, with satisfactory internal consistency and Cronbach's alpha equal to 0.84. With regard to the Polish adaptation of the SDA, instead of the 4-factorial structure (as in the original tool), the analysis uncovered a three-factor structure: intrusions/thoughts, anxiety/emotions, and avoidance. Cronbach's alpha coefficient for the entire scale was 0.92. Both tools were significantly, positively correlated with anxiety, depression, and stress levels. Conclusions: Polish adaptations of both tools are characterized by satisfactory psychometric properties, which enable their use in research and clinical practice.

6.
Ann Ig ; 33(4): 381-392, 2021.
Article in English | MEDLINE | ID: covidwho-955232

ABSTRACT

Abstract: Many of the devastating pandemics and outbreaks of last centuries have been caused by enveloped viruses. The recent pandemic of Coronavirus disease 2019 (COVID-19) has seriously endangered the global health system. In particular, hospitals have had to deal with a frequency in the emergency room and a request for beds for infectious diseases never faced in the last decades. It is well-known that hospitals are environments with a high infectious risk. Environmental control of indoor air and surfaces becomes an important means of limiting the spread of SARS-CoV-2. In particular, to preserve an adequate indoor microbiological quality, an important non-pharmacological strategy is represented by Heating, Ventilation and Air Conditioning (HVAC) systems and finishing materials. Starting from the SARS-CoV-2 transmission routes, the paper investigates the hospital risk analysis and management, the indoor air quality and determination of microbial load, surface management and strategies in cleaning activities, HVAC systems' management and filters' efficiency. In conclusion, the paper suggests some strategies of interventions and best practices to be taken into considerations for the next steps in design and management.


Subject(s)
Air Microbiology , Air Pollution, Indoor , COVID-19/prevention & control , Health Facilities , Pandemics , SARS-CoV-2/isolation & purification , Air Conditioning , COVID-19/transmission , Construction Materials , Cross Infection/prevention & control , Cross Infection/transmission , Equipment Contamination , Equipment Design , Filtration/instrumentation , Filtration/methods , Heating , Hospital Design and Construction , Humans , Particulate Matter , Risk Assessment , Ventilation/instrumentation
7.
Ann Ig ; 32(5 Supple 1): 36-51, 2020.
Article in English | MEDLINE | ID: covidwho-910280

ABSTRACT

BACKGROUND: World Health Organization has highlighted the need to strengthen the relationship between health and built environment factors, such as inappropriate housing conditions. Building Regulations and Local Health Rules provide safety and building hygiene in construction practices. Currently the Italian Government is giving rise to a Building Regulation Type and the paper aims to verify the present contents of recent innovative Local Health Rules and Building Regulations of several Italian municipalities for supporting the performance approach of the future Building Regulations including hygienic issues. METHODS: The analysis examines both Building Regulations and Local Health Rules of a sample of about 550 cities, analysing some specific fields of interest: urban field, outdoor issues, housing features, housing restrictions, and qualitative aspects. RESULTS: The analysis focuses on some specific aspects defining the general data reported in Building Regulations and Local Health Rules, in particular around surfaces, heights, lighting and aeration ratio, basements and semi-basements, gas radon, building greenery, etc. CONCLUSION: The investigation permitted to have a wide vision on the present State of the Art in order to highlight some innovative aspects and design approaches of Building Regulations and Local Health Rules. New perspectives in the new regulations should have a performance approach, starting also from the recent SARS-CoV-2 pandemic.


Subject(s)
Building Codes/legislation & jurisprudence , Coronavirus Infections , Housing/legislation & jurisprudence , Hygiene/legislation & jurisprudence , Pandemics , Pneumonia, Viral , COVID-19 , Cities , Humans , Italy , Surveys and Questionnaires
SELECTION OF CITATIONS
SEARCH DETAIL