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Studies in Systems, Decision and Control ; 366:897-927, 2022.
Article in English | Scopus | ID: covidwho-1516837


After the identification of SARS-CoV-2 virus in China, it has spread worldwide at a rapid pace. To control novel coronavirus disease (COVID-19), there is no particular treatments/immunizations are available yet. However, to avoid the risk of immediate spreading between infected individuals, and healthcare workers, most organizations adopting virtual media devices in order asses the symptomatic behaviour of patient and these services are well known for telehealth services. On other hand, repositioning of drugs can offer a controlling strategy, and several drugs including remdesivir, lopinavir/ritonavir, hydroxychloroquine (HCQ), and favipiravir were repurposed. The availability of an authenticated vaccine against COVID19 will be hard to produce in the coming days, therefore it is important to propose a pharmacological strategy to combat this disease. In this chapter, the authors present the investigation of controlling and preventing methods by telemedical services during a novel coronavirus outbreak. Besides, it can also report the current drug available information and future developments that need to present new strategies for developing pharmacy facilities. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Primary Health Care Research and Development ; 22, 2021.
Article in English | Scopus | ID: covidwho-1294421


Aim: To analyze scientific literature on the development and implementation of the Chronic Care Model (CCM) in treating chronic diseases in the Italy context. Besides, to evaluate the effects of the activities carried out by the operators participating in the CCM on clinical care. Background: Italy is the second country globally for longevity, with 21.4% of citizens over 65 and 6.4% over 80. The CCM fits into this context, a care model aimed primarily at patients suffering from chronic diseases, especially in emergencies, as the recent COVID-19 pandemic. Methods: PubMed, Embase, Scopus, Cinahl, and Cochrane Library scientific databases were consulted, and the records selected as relevant by title and abstract by nine independent scholars, and disagreements were resolved through discussion. Finally, the studies included in this review were selected based on the eligibility criteria. Results: Twenty potentially relevant studies were selected, and after applying the eligibility criteria and screening by the Critical Appraisal Skills Program tool, eight included in this review. The studies showed the effectiveness of CCM for managing patients with heart failure in primary care settings and significant improvements in clinical outcomes, the reduction of inappropriate emergency room access for chronic patients, and the improvement of patients' overall health with diabetes. The CCM organizational model is effective in improving the management of metabolic control and the main cardiovascular risk factors. Furthermore, this modality also allows doctors to dedicate more space to patients in the disease's acute phase. Conclusion: The CCM, with its fundamental pillars of empowering self-management of care, could represent a valid alternative to health management. The managers of health services, especially territorial ones, could consider the CCM for the improvement of the treatments offered. © The Author(s), 2021. Published by Cambridge University Press.

International Journal of Environmental Research & Public Health [Electronic Resource] ; 18(7):06, 2021.
Article in English | MEDLINE | ID: covidwho-1209127


Violence against women emerges with tragic regularity in the daily news. It is now an evident trace of a dramatic social problem, the characteristics of which are not attributable to certain economic, cultural, or religious conditions of the people involved but affect indiscriminately, in a unanimous way, our society. The study is a survey about the number of hospital admissions due to episodes attributable to violence against women, recorded by the Niguarda Hospital in Milan in the period 1 March-30 May from 2017 to 2020. This period, in 2020, corresponds to the coronavirus Lockdown in Italy. All the medical records of the Emergency department were reviewed, and the extracted data classified in order to identify the episodes of violence against women and the features of the reported injuries and the characteristics of the victims. The data did not show an increase in the number of cases in 2020 compared to previous years, but we did find a notable increase in the severity of injuries.